Loading...
HomeMy WebLinkAbout15-16568 ; CITY OF ZEPHYRHILLS " �' S335-8TH STREET (si3)�so-oozo 165 � BUILDING �ERMIT PERMIT INFORMATION LOCATION INFORMATION " Permit Number: 16568 Address: 6208 10TH ST Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: TYSON Est. Value: Parcel Number: 02-26-21-0080-00200-0270 Improv. Cost: 5,500.00 OWNER INFORMATION Date Issued: 9/08/2015 Name: WOLVES INVESTMENTS LLC Total Fees: 202.50 Address: 36023 LAGUNA HILLS CIR Amount Paid: 202.50 ZEPHYRHILLS FL 33541-8367 Date Paid: 9/08/2015 Phone: (786)587-2203 Work Desc: INTERIOR REMODEL W/ ONE WINDOW R CONTRACTOR S APPLICATION FEES HOMEO NER B I DIN FEE 82.50 ELECTRI A FEE 60.00 HOMEOWNER PLUMBING FEE 60.00 HOMEOWNER �� � � � /�� ��� �n Ins ections IRe uired � FOOTER 2ND ROUGH PL MB M,SC INSULA CEILING FOOTER BOND DUCTS INSULATED S�WER MISC. ROUGH ELECTRIC LINTEL M SC MISC. 1ST ROUGH PLUMB PRE-METER I SULATION WALL MISC. DUCTS INSTALLED WATER M'SC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the mount of the fee imposed for the initial inspection or first reinspection,whichever is greater;for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your nbtice of commencement." Complete Plans,Specifications ust Accompany Appl;cation:All work shall be pertormed in accordance with City ode nd Ordinances. NO OCCUPANCY BEFORE C.O. O OCCUPANCY BEFORE C.O. NT C O N T E PERMIT OFFI R RMIT EX ES IN 6 MONTHS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOl3R NOTICE REQUIRED PROTECT CARD FROM WEATHER � � . ���«i������«�������E��1���������f������������i������E����i� 2015148873 Rep�:1713022 Rec: 10.00 " DS: 0.00 IT; @,@S 0911512013 E. fiS. , ppty Clerk IYOTIG"E OF COMMENCEMEIVT' PA�Lp S 0�NEIL,Ph D PqSCO CLERK & COMPTROLLER 09/15/2015 12;59am 1 of i � a� sK ���� P� ��Z Pau�it No. �P�Y IdemEfieatioa No.�`1�' �'�'�'/"�1��90 t f2�I�"(f 27Q 'I7�UNDERSIC3NED Bereby give infnrms yuu thet the improvrrment ll be mede to certain rea�proparty,end ln eccordence with Ssctian Ti3.13 af the Ftodda 3maues,the fa2towing u�fonsiatlost is ded fa thly N017CE OF COMI4�NCEiF�1�tT. '� 1.Description of 1�ropert)'(leBal dtsct nn:) � a� �Z bQ�O U 67A0 O2.7� s}S�aet Addc�s�: ' �, 2.t3eatetat d�cziptiaa af vaments: r .r-.r I � 3.Ownor,Info�madon � S SS�f� ,ajrr�neaaa�adre�:�',�ij1to� Srrvps-1r»�� Lt�' �.6a '3 t��- ro,- hr'lfe t�i '�P�h7/�{!/.S �=L • b)Neme sad address of fee simple ritleholder('af othei thaa owner) 't)tnaran;a'Praaarcr 1 3�S'�(1 � 4.Cantraetbs Infosmation �'} �7 t t J F�.. s}Na�a aad addcess:. !'� � �.J %+'r bZ v , t ���i�r �t�J 1 b)Telephane No.: — ax Na.(OpG) S.S�uety Iafoimedlvn . I a)Name ead'eddtcsst ( . b)'l+moant of Boud; I � c)Tolephane No.: � ' I F.ax No.(Opt.) 6.Leadtr ( • s)Name emd addness: I I Phone No. j 7.Identity of person withiss ihe Staie of Flarida desigaated by owner upon wham notices ar oUiez doatmeais.may be servad: I a)xame and addriess: I ' b)Tel�phone No,: I Fax N6.(Opt) 8.ln addition ta hLnsel�owuer d�aigaates tfie fallowing peraon ta t+ecei�a copy of the I.ieacrr'a Notiea as'pmvided in Sectian ?I3.13(2)(b},Flaritta Stetettes: e)Nama end eddmss: b)Telephane No.: t� . . I Fex No.(Opt.) 4.Expiratiaa dste of NaBca af Commcacemerit(the cxpixatiaa dato is one yoar from ihe date of recosdittg im2ess a diffefmt date�S ' speeifiea"j: � � WARNING TO O'Vt'NEB: ATQY PrSYMENTS bIADB BY TRE OW�Et AFPER T�iE�'.XPIItA1`TON OR'I'HL NOTfCE OF COMMENCEMENT ARE COP1S1TlERED YMPROPER PAYl1i6NI'S CiNDER B 713,PA.R I,SRCI70N 713.13, FI:ORII?A STA'Ci1TES;AND CAPJ RESULT IN YOUIt PA1fIIVG T�IVXGE � R �'8 U YO�Ult PRQPERTX. A H6TtCE QF COMHIENCEMENT MU$T BE BECORI?�D AND�PO QN JOB 3 EROI28 RIRST YNSPEG"170N. 1F YOU ThTTEND TO OBTAJN FINAI�CING,CU1�ST.T 011 ENDER O Ti A Y BEFORE COMMENCIIVG WORK OR RECORDINGr YOUR Nl1TICE OF � N �NT, S7'XIE 8E BLORIDA ' � COUMY OP PASCd I • . 51 'ot ar/Di /Mawgrr /�'' ) PtiatNnme t��/ ��{e�oing iasttvtnent waa acimo ledged befmo me this�day af_�_ �'�.2d[v,by Zl{.tM. `^7_� � CtYPe af suthozity,a.g.af5cer,trvstee,attaracy m fact)f (neme af pect�oa behalf of om�e�wa9 eu P onally nowa ORPtodncedIdmilfrcaHoa_r Notffiy3igsaiun Gf�l� . 'I�pe mtification Pmdnecd Name�priat) tC 'L(/h� • Vuificatioa pursueat ta Section 92S2S,Florida StahRes.Under pmalti�of ,I deo] I Lav�re the fmagoin d that the facta stated in 3t am tcua ta the best of my l�owledge sod belie£ �" J / s! o ; ve , t.� �OF6ts+ttDCJ�C�r • � , °: ,�..�irw�'�� ` � . , �1ai*';k�; JACQUEIINE SOC,�S . ��' ;._ Commisslnn.#.FF't5{?,42?: ,,. ., _'' :� Expi�es_D4'Gemb??:;�R2018r. �y� �' �aonawTn�uTrwFw�^�imr•_eooaes;i4?@� . ��4���� ' , .. . ..ra. . . i _— -- -- � . ., � v E � ,a"�� ; l��t��, s�raT�o� F�oRia�,couN�o���.sca .� m THlS!S TQ CERTIFY THAT THE FOREGOiNG 1S A �� � '�" '� � TRUEAND GQRREGT GOPY 4F THE DOGUMENT � ON FiLE QR�F PUBUC RECORD IN THIS OFFlCE ' � � � ' '�e'`�t � WlTNES Y HAND AND�F�ICIAL SEAL THIS � �1'' � pt�� .'� � �. DAY QF a� PAULA S O'NEIL, LE K&COM TROLLER ' � �887 �q+q• � .� °� • � pY�' B `' � DEPUTY C1.ERK � `'4`x'AT�!� �' ' 1 , � . - .� �;: :�� �� � � City+ofvZephyrhills BUILDING PLAN RE�VIEW COI��!ICENTS Contractor/Homeawner: �-��� � S' f�� ����� Date Received: 1`" �"f � s�t�: � 2.�� �r� `SI Permit Type: i����''` GT`>� j��''�2�� ���� Approved wJno cornments:❑ Approved w/the below comments: Denied w/the belaw comments: ❑ r �<�� �� �b P ra�� � .�,���P � �t � o� ' � � - �'-c' L� l � la� � � o�t'� `� ,r r � 4� `�''��C td l a ,� ` �°�d'���'"' � ,�- � � I � . t �, � i ' , t This comment sheet shall be kept with the permit and/or plans. � . i g .-,- � � . ooC I..1 I ' \"_..... Kalvin ` — s Examiner Date C�ntr ct r and/o ameo e (Re uixe en commen.ts are sent) s�3aso-oozo City of Zephyrhills Permit Application Fax 813-780.0021 Y Building Department Date Recelved �Phone-ConYsct-for Permittln — Owner's Name 0 l Owner Phone Number � �s��—C�C'� Owner's Address �J��Z3 I�r v� y/�ls `�l ' �+ l�i(( Owner Phone Number - �C. 33��l/ - Fee Slmple TI4leholder Name Owner Phone Number Fee Slmple Tltleholder Addre�s JOB ADDRESS lO� T� 1° `� / , / �C �3SYZ LOT# � � SUBDIVISION " � PARCEL ID# ' I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH e INSTALL REPAIR PROPOSED:USE � SFR Q "C011AM � Q OTHER TYPE OF CONSTRUCTION • Q` BLOCK ""�Q FRAME �� STEEL Q DESCRIPTION OF WORK '1".Q/l0/ �Q/l/)� ( � �I(���/ ° � BUILDING SIZE SQ FOOTAGE�, HEIGHT . i QBUILDING $ [�6O ` � , ALUATION OF TOTAL CONSTRUCTION �LECTRICAL $ �� p ' V AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. � �� � ��------� - �[�'�LUMBING $ 'Q f� �V � ��. v v �� - 1 . QMECHANIGAL $ VALUATION OF ECHANICAL INST TION ��,(�`S � � � �T Z.i�Pif� QGAS . Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPAN�Y SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N _ Addreas �I License#�� ' ELECTRICIAN COMP� SIGNATURE REGISTEt�ED Y/ N �e Cuw�E� �Y%N Address I License# PLUMBER COMP.A�IY SIGNATURE ,�GiSTE�EO Y/: N FEE CURRE� Y/N _ Address I ,License# MECHANICAI. COfHP,I SIGNATURE � REGISTEr eo Y/ N �e cu�ten Y/N Address � I L(cense# OTHER COMPA�IY SIGNATURE � � rtEGISTERE� Y/ N.. FEE CURRE� Y/N �d�� � I License# � RESIDENTIAL Attach(2)PIot.Plans;(2)sets of:Building'Plens;•(1)set of•Energy�Fortn§;R-O-W Pertnit for new constructlon, .Mfnimum;ten(1.0)�working-days after.subrriittal date..Requi�ed-onslte;ConstFucBon Plans;Stormwater Plans w/Silt Fence tnstalled, Sanilery Facillfies.&�1,dum,pste_r.,Slte Work Pertnit.for subdivislons/large pro)eots , - - COMMERCIAL Attach(3)complete sets of Buildirig Plans plus a Life 8afery Page;(1)set of Energy Fortns.R-O-W Permit for new oonsUtiodon. Mfnimum•ten(10)working days'after submittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, Sanita.ry FacfliUes&1 dumpster.Site Work Perrnit for all new'projects.All commercial requirements must meet compllanoe SIGN PERMIT Attacfi'(2)'sets of Erigineeeed�Pl'ans:,_ �� .�,_ -. � ••""PROPERTY SURVEY requirec!for all NEW constructlon._ ` � Dlrections: ' Fill out applicadon completely. Owner 8 Contractor sign back of appllcaUon,notadzed If over 52500,a Notice of Commencement is required. (A!C upgrades over 57500) -- '" l�qent(for tFie contr'actor)or Power of Attortmey(fo�the owner)_would be so�eone with notarized letter from-owner•authorizing�same""`�``"':.`.'"�` .-,.,. � f- DVER THE COUNTER-PERMITIING'=° �"(Front of Applfcation•Oniy)'"' � •. _ Reroofs If shingles Sewers ��� Service Upgrades A/C-•' °Fences-(Plot/Survey/Footage) `�, �. ,, - :`'� . •. ,..-.. : ; �, - �, . . . . !i . , ., Driveways-Not over Counter if'on public roadways..needs ROW". . . �. , ., - ,.__ , . .:��-- • • •� -- � � NOTICE OF DEED RESTRICTIONS: The u�dersigned;undergtands�;th�t;this:.p�rmif mayµbe.subJect to,"deed"restrictlons" `� - virhich may be�more�resti�ictive`tharrCounty reg�ilatl'ons:��The-�underslgned�as"sumes�=respons(bllttyfor`compitance witfi�any appNcable deed resMicticns. : _.,; ,:;,w.,.: :.;;� �-= - - UNUCENSED CONTRACTORS :AND CONTRACTOR RESPONSIBILITIES: ��If�the owner-has��hired �a contractor or contractors to undertake work, they may b,e;requlred�.to:tie;Ilcensed In.accordance.with state.an.d.�local_regulations:;>If the� contractor ts not Itcensed:as�requlred`tiy law, both the owner and��contractor�may be�cited for-a��misdemeanor vlolation under state Iaw. if the owner or intended;:co.ntractor:are uncertaln as to what Iicenstng.requirements'may�apply1,�for=the = - , ..� . . .-. ...._ intended work, they are_advised to contact tfie Pasco County_Building�lnspection Dhilsion--I:icensing Sectton at 727-847- 8009. Furthermore, If the owner has hired�a cont�actor or contraators, he is advised to have the contractor(s), sign , 'ortlons of the "contractor Block°_of.this a_ Ilcatlon for whlch.the wlll:be..r.e.s onslble._.If .ou�-.as-.the owner�'sI'�n as`��he' P .PP Y P Y 9 �'r contractor, tFiat�may be an ind(catlon�that'he�is noY.properly'licensed arid�'is not entitled to�pe�mitting privileges In Pasco County. ' ' ' TRANSPORTATION IMPACTIUTILITIES.IMPAC7•ANb RE30U�tCE RECOVERY FEES:��The undersigned tinderstands that Transportatfon Impact Fees and.Reco.urse Recove.ry.Fees may��apply.to•the•construction of new.bulidings,;change�of- � u'se in existing buildings, or_expansio��of�:ezi'sti�i,g=�buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. ..,The understgned also�un.derstands, that:�such fees��;asemay�;�e��d�e„�wlll�:�be identified at the�timea'of�` permittfng. It Is further unde�stood that Traasportatlon Imp�ct Fees and�Resource�Recodery�Fees.must be paid prior to receiving a "certificate.of occupancy" or flnal.power:celease. :If the proj�ct.,does"not involve:a cert(ficate of occupancy or�� flnal power release; the.fees•mu�t�be paid:prtor to,permit issuance. Ft��thermore;�if Pasco.County�llVateriSewec�lmpact � fees are due,they_must.be-paid.prior to_permit'�Issuance in accordance.with appltcabie.Pasco��County°orclinances. GONSTRUCTION�LIEN�LAW(Ciiapter T73� Florlda Statutes�aa amended): If valuatlon of work is$2,500.0.O.:or more, i � certiy that I, the applfcant,_ have•been_ provlded with a copy of the� "Flo�ida� Constructton� Llen-°:Law�—Homeowner's Protection Guide" prepared by the Flo�ida Departmenf of Agric.ulture and Consumer.Affairs. if the applicant is someone other than the°owne�", I certffy that I:have.obtalned'�a��cbpy.of:the above..descriped docur�ent�and.promise`tn,good:faith to , d'eliver it to the°`owner"-pdor�to�cornmencement:�`' ' . ' CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce'rtify;thak.all.the:,information in this application is accurate.and that all wark will'be done in compliance with all appiicable laws regulating construction, zoning and:land�devetopment. Appiicatlon (s hereby made to obtaU:a.permit:,to::do.;.work;.,and�lnstallation as indt�ated:.� `I certffy that no work�or Installatton•Has c'ommenced prior to Issuance of a permit"and that':all�wortc will be pertormed to meet.standards of all laws regulating- constructlon, County� and City codes, zoning regulatfans, and land development cegulattons�in the jurisdiction. i al'so certify that I understand that the regulatlons of other government agencies may�apply�to the intended.work, and that it is my responsibllity to identiiy�what.acttons I must take.to besin:.compllanca:. S.uch agencles Include but-are.not Ilmlted to: � - Department of Environmental�-Protection=Gypress.�Bayhead�, Wetland Areas and E�vtronmentally Sensitive ' Lands�WatedWastewater Treatment. - Southwest Florida Vllater Management-.i�istrict-Welis� Cypress.`�Bayheads�, Wetland Areas, Altering Watercourses. , - Army Corps of Engineers�Seawalls,�Docks, Navigatile Waterways. � - Department of Health�'& Rehabilitative Sen+tces/Environmenfal Health Unit Wells, .Wastewtater-Treatment, Septic Tanks. � � � ; ' - US Environmental Protectlon Agency-Asbestos abatement. - Federal Aviat(on:Authori,ty,=Runways: I understand that the.following.restrictlons apply to the use of flIL•• - Use of fill Is not allowed In Flood,Zone"V"unleas-expressly permitted. ! - If the flil materlal is to be used�`In�Flood. Zone "A", tG Is understood that�a dralnage plan addressing a °compensating volume"will be submitted at time of permifting which is prepared by a professfonal engineer ' Iicensed by�he State-of Flotida. � - If th� fill materlal is to be used in Flvod Zone 'A" in�connectlon�vulth''a �permitted building using stem wall � construction, I cert(fy that fltl:wall.be used only.to.fill the area wtthin�the�stem�nrali. • - If fill material is to be used in any-area, �1-�certify that .use. of auch flll will not adversely affect adJacent ' ' properties. If use of flll Is found to adverselyr�ffect adjaEerit•�properties,.the owner may be'cited for viofating the condifions of the building•�.permit Issi�ed�under the"at�ached permit applicatlon, for lots less than one (1) ' acre whicfi are elevated�by flll,an engineersd dralnage plan is requ(red. . � If I,am the AGENT FOR THE OWNER, I�;promise in good fatth to Inform the•ownerof-the permitting conditions set forth In thi� affidavit��prior to comme►�cing construction. I understand thet a�separate permit may be requlred for electrical work, plumbing, signs, wells,.pools; air.cond(tioning, .ga.s, or other install�tlons not,spec�fically Inclu�led�in.the�application. .A permit Issued shall be consttued to be�a Iicense to-�p�oceed with the wo�k and not as:authorliy to.violate,.cancel, alter, or set aside any provisions af the technical.codes; nor shall Issuance�of a.permit.pcevent the Buildirig O#�ictal from thereafter requiring a correction af enors in�plens,-construction or vlolatlons of any codes: Every permit issued shail-become�invalid unless the work authorized.by such perm(t:-is-commenced•withln sfic months of permit Issuance, or If vvork authorized by the permtt Is suspended�ar.abandoned for.a:period of:�six�(B)montEis:after the tirne the�work�•is commenced. An extension may be requested, in writing, from the Bullding.Official for a period�not-to exceed nineiy�(90) days a�id will demonstrate )us,ti�able cause for.the extension: If work ceas�s:for ninety(90)cons.ecutive day.s,..th�job�is considered abandoned. WI,IRNING TO OWNER: YOUR FAILURE�TO,.REC.OttD.AI�OTIGE.OF�COMMENEEMENT�MAY�RESULT IN YOUR PAYING TWICE.FOR IMPROVEMENTS TO.YOUt��PROPERTY. �IF�:YO.U;IN��EWD`TA=�OBTAIN�FIPFANEING;'C.ONSULT WITH XOUR LENDER�OR AM l�;,TTORNEI��BEFORE��f��ECOR��Iw�-�YOUR=NOTIC�'OF�'COMIIIlENC�EIIiIENT' FLORIDA JURA�(F.S.117.03) -- - : - ' - -�� -- -'-- : J- ° - ------ _____ -- OWNER OR AOENT /� �a/�- � � ?►O CONTRAGTO ay` �Q��/� S}�bscrlbed and swom to or ed fore this �ib a14ed'an swo � rmed� efore is `l-'.l-/S by �y —/.�"' . Who Is/a�ep@rso yknown to. ar ha e duced Who I re p.era I kn vm•to- or ha e-produced • �.��J�LcV�+-(r'Cf�z� as identlflcatlon. �(,, �rt,1.��L�s� as IdentlficaUon. r . . 1 \ � (�-��l'`� Notary Public . \� _ 't,�-��� !�.(.� .^ Nofa Publtc . ry '�' ,��,,, om slan •'��`•P''• JAC Commlaslon• f .,��'J:p�., , . ek= Commission#FF 150422 :.: '' � BOGES _;' �o�= Ex ires �*' ammission#FF � Name of No ;°ph�b austpr�pmd�a soaaes.�o�e Name oi Note ,,;; •'t��tlo�ThN iro F• e�12,2018 Y aui Inauronea Bpp�gs_�018 O � � DISCLOSIIRE STATEMSNT FOR OWN£R CITY OF ZEPHYRHILLS SIIILDING DSPARTN�,NT I, have read and fully understand and agree to the provisions of this iastrumeat. The undersigned states and affirms that he or she is desirous of constructing, renovatiag, addiag to or reroofiag his or he� own domicile, that he or she actually occupies, or will occupy by � said domicile, and same is not for rent, lease or sale. That he or she shall cl mply with the followiag conditions: 1. That the owner aad he or she aloae shall act as the builder for all phases of construction. � - 2. That the owaer will comply with all provIisions of the City of Zephyrhills� ' ordinances and codes pertineat to the bdildiag. 3. That ia the event various phases of coa�truction are subcontracted, Iie will engage only properly'licensed subcontrac�tors and will personally supervise._ such work. 4. That ia the eveat the Buildiag Inspecto� shall require correctioas to be made, the owaer will assume full respoasibilit�y to iasure they are made, aad upon completioa will call for a reinspection before proceeding with the building. 5. That the owner shall assume full respoa ibility for the construction and will aot expect supervision of his work from the City of Zephyrhilla Building Departsneat. 6. That prior to final inspectiou any additional fees, iacluding reinspection fees, muat be paid ia full. A written s�equest from this office shall constitute an official notice to pay ad�itional fees. 7. That the owaer shall comply with all Ci�y, State and Federal laws ia regard to social security, workman's compensation1 lien laws, etc. , where applicable. 8. That the owaer shall comply with all the safety codes issued by the Florida Industrial Commissioa. 9. State law requires coastruction to be d ae by liceused coatractors. You have applied for a permit under aa exemption to that law. The exemption allows you, as the owner of your property, to act as your owa coatractor with certain restrictions evea though you do aot have a licease. You must provide direct onsite supervisioa of the coastructioa yourself. You may build or improve a one-family or two-family reaidence or alfarm outbuilding. You may also build or improve a commercial building, provided your costs do aot exceed $75,000. The buildiag or residence must be for your own use or occupancy. It may not be built or substaatially improved for sale or lease. If you sell or lease a building you have built or substaatiall�r improved yourself withia 1 year after the coastruction is complete, the law will presume that you built or substaatially improved if for sale or l�ase, which is a violatioa of this eacemptioa. You may aot hire an unlicensed person to act as your contractor or to supervise people workiag on your building. It. is your respoasibility to make sure that people empl.oyed by you h�ve liceases required by._ s.tate law and by couaty or municipal .licensiag ordinaaces. You may aot delegate the respoasibility €or supervising work to �a licensed contractor who is aot licensed to perform the work beiag done. Any persoa workiag oa your building who is aot licensed must work under you direct supervision and must be employed by you, which meaas that you must deduct F.I.C.A. aad withholding tax and provide workers' compensati for t empl ee, all as prescribed by law. Your constructioa must c ly th all ppli le laws, ordiaaaces, building codes, and zoaing regu on . I OWNER'S SIGNAT , DATE I 1 ADDRSSS b / 3S�/Z PHONF 7 I WITNSSS PERMIT # �- ___ __ � . . ; - - - - , i � � �/ x ��� � �Q� � � �— .��,�"�`'� -- I � ��'-�° �� � � (O • / � � �------�--._.._,.v.�...�...�.�_,.._�...._� 1`� � Vv � � r W � -- o z , � � � . � 5�—�� 5� �( � ! .�j i�� �� !I n�a�_:ov+�r< 14'-4" —, � , , -�` _- C�- � , �., , -� � A _ � i , s � � � � �� -4° �'-:�" , � � N �'—��b i -- � N - I �:e� 6' � �_/ �. � i +�.����Ve+ l��T� ' ` �ITY OF ZE�HY HI�.LS /r ' �LAN� �XA�flINER U W w �' � � W OR�SH�L�'COMI'�L��ITH ALL � ALL P�����,�G CODES,�LO�C CODE ANDG pL ELEC GOD�,NATION � INA.?���,5 � rc�IIL�,� 0� CITYOF �El'HY � - I �' 2s'—z° �. i I