HomeMy WebLinkAbout16-17874 CI'TY OF ZEPHYRHILLS
5335-8TH STREEi'
($13)7s0-oo20 17874
. ' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION "
Permit �Number: 37874 Address: 36239 DELTA GOLD CT �OT#2
Perniit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class �f Work. 434-ADD/AL.T RESIDENTIAL Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Cot(s): Block: Section:
Squ�re Feet: Subdivision: SILVERADO
Est.Value: Parcel Number: 0426-21-0060-00100-0020
Improv. Cost: 4,830.00 OWNER INFORMATIQN
Dat�'Issued: 1013'f12016 Name: MIL�S RANDY RAY&SAMANTHA J{�
To�al Fees: 90.00 Address: 36239 DELTA GOLD CT
Amo�nt Paid: 9Q.00 ZEPHYRHILLS FL 3354'f-2735
D�te Paid: 10/31/2016 Phone: 813-377-7073
Wcz,rk Desc: SCRN RM 11 X 1.5 ON EXlSTING SLAB
CONTRACTOR S APPLtCATION FEES
PATRIOT SCREENS INC BUILDING FEE 90.Oq
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Ins ections Re uired
F TER I 2ND ROU PLU MIS INS TION CEIL! G
FC?tJTER BONI} DUCTS]NSU�ATED SEWER MISC.
RQUGH E�ECTRIC LINTEL MISC MISC.
1ST ROUCyH PLUMB PRE-METER lNSULATION WALL MlSC.
DUCTS(t�'STA�LED WATER M(SC DRNEWAY
PRE-SLAB SHEATHING MISG. MISC.
CONSTRUGTION PQLE FRAME fV11SG. MISC.
REINS�'ECTION FEES: (c)With respect ta Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the
locai government shail impose a fee of four times the amount of the fee impased for the initial inspectian or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC : In addition to the requirements of this permit,there maybe additional restrictions applicable to this praperty that
rnay b� faund in the public records of this county, and there may be additiona( permits required from other governmenfia(
entities such as water management, state agencies or federal agencies.
"Wa�ning fio owner: Your failure to record a notice af commencement may result in yaur paying twice for
impravements to your property. If you intend to abtain financing, consult with yaur lender or an aitorney
before recording yaur notice af commencement."
Comp�ete Plans,Specifications Must Accompany Applicafiion.All work shall be pertarmed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C,O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT QFFI R
PERMIT EXPIRES IN fi M�NTHS 1NITHCiUT APPRClVED INSRECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRt)TECT CARD FROM WEATHER
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City of Zephyrhills �
BUILDING PLAN REVIEW COA�IlVIENTS
Contract�r/Homeowner: /'C�� �y-���5'�C
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Date Received. _ C3�Z�9 � � ���C�
Site: , ���if-t--"- ��-` �-'�
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Permit Type: - �/9�'/,� sl�i�C�dl �/1'] �/��� ��s�'C,S.�'.c.6
Approv w/no comments:❑ Approved w/the below comments: � I)enied w/the below comments: ❑
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This comment sheet shall be kept with the permit andlor plans.
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Kalvin Swi er 1 xaminer Date Contractor and/or Homeowner
(Required when comments are present)
- 813I�so-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
� Building Department
Date Received
I • ' ' Phone Contact for Permitting " �13 � - �.��
Owner's Nartie �/v �s,4 ��� Owner Phone Number , d��3� ' P�
Owner's.Ad�ress �P (. O 1� 1,:�^ Owrner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �
JOB�4DDRESS �p ,3 v d LOT# �
SUBDIVISIO t)l ti/Pi-i �� PARCEL ID# Q -' cP"�/"(�d(pU'' dO�D(� ^'OOo��
� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PRO OSED _ NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
e INSTALL 8 REPAIR
PROP.OSED SE _ Q SFR Q COMM' 0 OTRER
TYPE'OF COtdSTRUCTIOId Q BLOCK - Q FRAME 0 . STEEL Q .
- �
DESCI2IPTI N OF WORK .Z,t/3,Lr+i � l � J S�' 7.6��-, 3"r/�� �a?�'_o� � �,` '�, 51•a b
BUILDING'S ZE � � PY!�r SQ FOOTAGE I�P�?� .HEIGHT �I� -Iv �J(���0 S�c2-S
ILDING $ �r���, VALUATION�OF"TOTAL CONSi'RUCTION
d -
QEL Cl'RICAL , $ AMP SERVICE 'Q PROGRESS ENERGY Q W.R.E.C.
QPL MBING $ � .��� �� �
_ v � � y��- ��.5
QM�CHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �
_ . � v�✓
QG,S Q ROOFING Q SPECIALTY Q OTHER �r""""
3 i�
FINISHED F OOR ELEVATIONS FLOOD ZONE AREA QYES NO ��
BUILDER �D � COMPANY � /�rif/- �X�2�+ ,6 �G.-
SIGfdATURE �� REGISTERED Y/ N FEE CURRE� Y/N
Addres � �� C��FR.!} (�, _ z� R�:IIr ��. 3 3S"�U License# ��^ l3((`�q /
, EL�Ci'RICI COMPA,IVY
_SIGM/ATURE '� REGISTERED Y/ PV FEE CURRE� Y/N
Addres L'icense.# `
PCUAABER:' COMPAPIY'
�SIGNATURE -REGISTERED `Y/ N. �FEE GURRE� Y/N
, Addres Llcense#'
MECHANIC COMPANY
SIGidATURE REGISTERED Y/.N F.EE CURRE� Y/N
Atld�es � - � License# —�
,..;t��a, ..
_ OTHER« :-;�, .- COM1APANY '
'SIGNA'T;URE";,- • , %- � REGISTERED Y/.N FEE CURRE� Y/N
` '��:>-. �
Addres , • .•- '� - � ' ' License#
`.`RESIDENTI I ,.;' 'Attach:(2)"PIot�P_lans;(2):sets offBuildirig=Plans;�(1•)set of�Energy,Foims;�R=.O-W P.ermit for new.construction,
, -�ti;+��._;•,.Y� ;iNinimum�:ten;_(;1U)working;days after:`submittal�date. Requir'ed onsite;�Con`struction Plan"s,Stormwater Plans w/Silt Fence installed,
S'anitary;Facilities:&,.1,�dumpste,r:,Sife„W,ork�Permit for:subdivisions/large:projects_� " '
_. COMMERCI Attach`(2)�complefe'sets of'Builtling Plens plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permlt for new construction.
. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles 8 1 dumpster,Site Work Permit fo�all new projects.All commercial requirements must meet compliance
��SIGN'PERAAIT AttacFi�(2)sets�of:Engineer�dPlans.`'< < . � �
- - "'**FROPERTY SURVEY required for_aII.NEW construction.
� Directions: �.. . . � . _ .
� Ftll>out a plication completely.
Owner GonVactor sign back of application,notarized
If over$�500,a Notice of Commencement is required. (A/C upgrad�s over$7500)
'� Agent(fqr the�cont'ractor)�or Power of Pittomey(for tlie oiivner)would be someone with notarized letter from owner authorizing same
�...�OVER THE.C�OUNTER.PERMI'RItVG:=:.:.:�(capy,of�contract�:requireii), � '"i; �
� Reroofs if shii�gles Sewers � Seniice'Upgrad'es�`A%C Fences(PIoUSurvey/Footage)
._�..._,... ._._._ ...�.... � �. .� i _ - U. .
Drlvew ys-Not over Counter if on public roadways..needs ROW� •
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9VOTICE OF DEED RESTRICTIONS: The undersigned unclecstands�thatuthis:per.mit may be subject.to"deed°re�strictioris"r'"
, . ... .
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which:may,,6e.mor,e restrPctive than•County.regulations. �Ttte unciersigned�assume"s�:�es,ponsibility"fior.�compliance'"v`vv�th.any'"`"
appiicable deed restrictions. , �;;,.;:;.n;�. ,,:__,;-<:�.
UNLICENSED:�CO.WTRAGTORS AND-CQNTRACT�R RE�F�QNSIBtLIT11ES: If=the�owrier-i liss°:Fiired~�a'°,�contractor or
contractors to undertake work,�they may be;re.quired to be:licensed in accordance with state�and:local.:regulatians3-s lf:ttie;�s�
contractor-is not.�llcensed as:;:r.equired 6y.law, both�the ouvnerranc!'confcactor-�ai�i`ay��Eie=rcited�=for:a���misiie�mea�or violation <
under`sfate iaw. if#he owner or intended.cpntractor are uncertain as#o�what iicensing requirements�may:aappiy,for�',t(ie���
intended�wark,•they are advised to contact�the Pasco County Buiidinglnspection'Division=Lic+ensing Section a#727=847=
8QQ9. Fu�#hermore, if the owner lias hiretf`a cciritractar or can�"raa#ors, he is advised ta;�have the;cantr-actot(s}_ sign._;.,. `
portions of the "contractor Block" of this applicatian,_for which they will..be responsible: �If-you,_as",#he`owner'sign a's.:tlie�`" '
cont�actor,that may be an'indication that he is-not property 1'scensed ancf is nof erititletl to permitting privileges in_,Pasco �, -
Coun#y. _ .,. . , . , .. ,. ., �.��:�>: , . _ . _ ..
TRAIdSPORTATI�N-IMRACT/llTILITIIES IMPACT AND RESOURCE RECOVERY FEES:-The`undersigned understands �
tttat Transportatio�t {mpact Fees and Recaurse Recavery Fees may��apply;to the construcfian of,.new builiiings, cFiarige�ofi=��^"` '�
use in existing buildings, or expansian of.eXisting buildings, as specified in Pasco County Ordinance number 89=07 and
90-07, as amended. The undersigned also understands,�that such�fees, as inay;�be:due, vuill"be identified af�tFie�r#itii�:of`���' `�;
permitting. 1# is fur#her wnderstaod that Transportation�Impac# Fees°and Resource,'Recovery,Eees must be paid prior to =
receiving a "certificate of occupancy° or final;pov�er release. !f the project��daes nat involve a certifrcate of occcrpancy�a��.'��
final pawec retease, the fees.must be paid prior ta permit issuance. Furtiie�mare,.if:.Pasco County WateclSev►rer«�Imqact.,=-�- ;
fees are due,they must be.paid prior to.permit issuance in accardanae witYi applicable P`asco County ordinances.� J
GONSTRUCTI{�N [:tEN CA1N{Ctiapter�1`3, Ft�rida Statutes,as amersded}; If valuation�of vuork is$2,500.00..or mor.e,�iK,_y,R
certify that I, the applicant, have been. provided.-with a copy_. of the "Florida Constructian Lien �Law==Homeowne�'s -
Protection Guide" prepared tiy"tfie"Flo�ida�Department of Agricutture and Consumer�Affairs. If the appticanf is s,omeone<i
other than the uowner", i,certify that t have obtained a capy of#he abave tlescritied'�document-and promise in good:,;faitfi to',.= ,,
deliver.it:tathe'>owner":pcior.to commencement. ' ` '
CBNTRACT�JR'SIC}1NN�R'� AF�IDAVIT:�t.certify:that.all�the irtformation in this appiiaation is accurate and thaf alt wark
will be done in compliance with all applicable laws regulating construction, zoning and land-development. Application is
hereby rnade to o6tain a pertnit..to:do work and installatian as�indicated. 1 certify that na twork or.Insfalla#ion�-has
commenced prior ta issuance of a perm`it and that all work will be perFormed to meet standards of all laws regulating
canstruction,.Coun#y and City codes, zoning regulations, and land development regulations in`#he jurisdiction: �1�alsa
certify.that 1 unders#and #hat the reguiations of other government agencies may apply ta the intended work, and that it is
my responsibility to identify wha#actions I must take to be in compliance. Such agencies include�but are not.limited�to: �
- Depattment of Envitanmerifal�Pr6tec#ian=Cypress Bayheads, Wettand Areas and Ertvironmentaliy Sensitive
Lands,Water/Wastewater Treatment. �
- 5authwest Flarida VUater fVlanaget»ent Distract:Wells, Cypt'ess Bayheads, Wetland Ar�a.s, Altering �
Watercaurses. ,
- Army Corps of Engineers-Seawalls, Docks, Navigatile Wafierwrays.
- DeparEment af Health & Rehabiiita#ive Services/Enviranmentai .Heal#h Unif:Wells; Wastern�ater Treatment;
Septic TanRs. � .
- US Environmental Pratection Agency-Asbestos abatement. .
- Federal.Aviation Awthority.-Runways. -
. !understand thaf tfi'e follawing re"striciions apply to the use of fill:
- Use of fli is not atlowed in F1ood Zone"V"uniess expressly permitted.
- If the fill material,is to be used in. Flood Zone "A", it is�understood that a drainage plan addressing a
"compensating volume" wili be submitted at time af,permitting which is prepared by a pro#essianal engineer ' -'
licensed by the State of Florida.
- if the �II materiaf is ta be used'in Flood Zone "A" in connection with a pet�itted building using stem wall
construction, t certify that fill.will be used only to fill the area within the stem.wall.
- If fill material is to `be used in-any area, ! certify that use af such fill will no# adversely affeci adjacent
properkies. if use of filt is faund ta adversely affect adjacent properties, the owner may be cited for violating
. the conditions`of the�building permit_issued under'�the attached permit�application, for lats less than ane (1) �
acre wti�al��are elevated by fill, an engineered drainage plan is requ�red. .
If I am the AGENT FOIt THE OWNER; I��promise in good faith ta inforrn the awner of the permitting canditions.set forth in �
this.affidavit priar ta commencing con"struction. �!r understand #hat a separate permit�may be required far electricai work,
�,_5-�_-�=
plumbing, signs, we(Is, pools,,air conditioning, gas,. or`othe� insta(lations not specifically included in the application. -A �
permit issued shall„be construed to be a license to:proceed`with'the wo�k and not:as authority to violate, cancel, a!#er,.or �
set aside an�r prouisians af"ftie technical cades, nor sha11 issuance of a permit prevent the Building Official from thereafter
requiring a correctian of errors in:pfans;'construction or violations of�any codes. Every�permit issued shall become invalid �
unless ttie wofik authorized by such permit rs carnmenced wi#hin_six mon#tts of permit issuance, or if wortt authorized by.
the permit is suspended.or abandoned for a period..of six(6)montFis after the time the wark is�cammenced. An extension
may be requested, in writing,'from the Building Official for a,period not fo:exeeed=ninety (90)ilays and will�demonstra#e
jus#ifiable cause far the exfension: If,work ceases for ninety{90)consecutive days,the job is considered abandoned.
WAi2NING TQ OVitNER: YOUR FAI�URE..TO.RECORDs;A NtJTICE OF C.OMNOENCEMENT MAY RESUI:� IN Y�UR '
PAYING TWICE.FOR,IMPROVEMENTS_TO YO.UR;PROPERTY.::.IF YOU..:JNTEND��TO,�JBTAIN�FINANCING;CONSULT
MIITH YOUR L`ENDER OR AN ATTORNEY EtEFOR�.REGORDlNG YOUR NG1TtCE OF'CQMMENCEMENT.'
- ` FLORIDAJURAT(F.S.'E17.�3} -- __ _�
r,'"
OWNER'OR AGENT �OtdTRACTOR
Subscribed and swom ta(or affirrrted}before me thls Su scribedr�nd swa to.(pr a ����"�e1�� re me this
bY 0�3l"��„b / " 5 S'�--
Who is/are personally known to me or haslhave produced �' Who is/a,�per�pn_aNy k own to me oc haslhave produced
as tden�fication. !--[- �Li1M.�:{�i�an3�,.,ri� as ident�flcation.
..
Notary Public � Notary Pubflc
Commission Na. Commis a �
;,�,ti� ����.; JACQUELINE BOGES
Name of Natary typed,pr�nted ar stamped Name of N =r P:�r�g��d�2�2a18
��'•�,a����;� Bonded Thru Tray Fain Insurance BOp3gg.7p78 -
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2016164167 '
Perm t No. Parcel ID No
a�-a�-ar_G�ip-o�o��-a�ao
NOTICE OF COMMENCEMENT-
stat or `�,�-��'P` counry ot �RSC.�
THE� N�ERSIGNED hereby gives notice that improvement will be made ta certain real propeAy,anOd in a�cc`r.�danc�t�h�Chap�t�7��I�rid�9 t3.tu��tg$._/
the fqttowing informa8an is provided in this Natice of Commencement: O�-Z.(o'al�-�� 1
�.e Ef �d"l'
1. Desaiplion of Property Parcel IdentifieaUon No.,,,��^��t ��y�� �� ������ �`�� ���
SUeet Address: ��Z� r �� `-^a �� '` eD��'��1�5 �(-
2, General Descriplion af Improvement ���r ������f s��� W�3��"!`� � �� ' -
�1 WT �
3. Owner Information or Lessee in(ortnatlon ii the Lessee contracled for the improvemenl:
,.�J� �- S�M�� n���t s - � � � .
_���--�' �el,-1 �ald 6� �, � ��//t 33s��tate
Address '
Interestin Property:
Name o(Fee Simple Titleholder N� .
(Ii diHere from Owner listed above)
City State
Address n � -.,y C� -�-��
4. ConVactor.,,t� �Nd�1��s
$'��Y am ,�wA.A �l - C�2�(nyR.f� ��S ��o �te
Address n�3, n v�-,/! �/
Contractors Telephone No.. d' "/0 'C�O I
5. Surery: �
Name C'�Y State �z CI (�� �
Address Q�����(� U
Amount ot Bond: $ Telephone Na..
jjZ ��H -J >-
6. Lender. � U� -� � ~
�
Name Stale a � � F- w N t" O
Address C�ty � � w Z � ,�
Lender's Telephone No. o = —J
� LL �� ¢�O
7 Persons wilhin the State o(Florida designated by the owner upon whom noqces or other documenls may be served as provided by Z= O O � U
SecUon 713.13 1(a)(7),Flarida Statutes: � �. } U �
aw `�,��Y
Name �2 �UU �vW
Ciry State f' Q U 1
Address � �" U �p ti L�
Telephane Number oi Designaled Person: � � �a Z O J�
lv�iA' °t_ 0 � � V- = Q W
8. In addilion to himself,lhe owner designates
t o r e c e i v e a c o p y o t t h e L i e n o r s N o t ice as provided in Seclion 713.13(1)(b),Flonda Statutes. � U � �� L]O _„__
Telephone Number of Person or EnQty Designated by Owner: V` 0 � �
9. E�iratfon date af Notice of Commencement(the expira0on date may not be before lhe com letian of consWclion and fina pa ent lo lhe o~ Z J CA �
i-
P ^ 3J.1 (A Q .�
' conUactor,bul will be one year from lhe date of recording unless a diBerenl date is specifie�:�����5'�i1-d1' ( � � U? ��- ����
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE IXPIRATION OF THE NOTICE OF COMMENCEMENT }.. _ � z
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7'13, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN {/j �.._. F � � �a m
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSUIT
WITH YOUR LENDER OR AN A T T O R N E Y B E F O R E C O M M E N C I N G W O R K O R R E C ORDING•YOUR NOTICE OF COMMENCEMENT.
Under penalty of petjury,I declare that I have read lhe foregoing nolice o(commencement and that lhe facts slated therein are Irue lo the best
o(my knowledge and hellef.. s`�'� � �
�G'" . '• ,�`��
S�ATE OF FLORIDA �`Y�a '
COUNTY OF PASCO i ature o er or Lessee,or Ovmers or Lessee's Aulhorized �� �
������F�� fflcedDir darlPartner/Manager
60�bf1�I ff 9Y1610 0
• Mp Canm.Etpint Mtj 11.2020 �Vl '� �d ' � :� ` �
fp1El0 WOoq[i Nr10�W NOtiy A»n. ignatory's Tille/Office /�� � � s �
�7 � n.n..�c� �c1`\ � •, '�U'- � 0
he foregoing instrument�ras acknovAed ed before me this Ol day of v �S ,20 L by "� 'r •
as �����e� (type of aulhority,e.g.,o�cer,Iruslee,aflomey�in fact)for '� � �
ti
(name o!pa who ent was executed). � ,•��@,
ft
Personalty Known�O�ProduTced Identification� Notary Signature �
ype af tdenti8cation Produced w���t"��'� �' Name(Print) ��a i�J.--Q""e$ � * •* �
Kzo-�3crS3-to3-p
Re l:1808927 Ree: 10.00
DS� 0.00 IT: 0.00 PPULH 5 0'NEIL,Ph.D.Pii5G0 CLERK B� COMPTROLLER
10/18/2016 J. R., Dpty Clerk 10/18/201 0:25am PG f
OR BK g�}43 .�L_.4 _2
datalbcsfn aticecammencement�c053048
PATRIOT SCREENS, INC.
P.O. BOX 693
ZEPHYRHILLS, FL 33539-0693
To Whom This May Concern:
I, Melissa Crist,the license holder for Patriot Screens, Inc. authorize Curtis A.Crist, President of Patriot
Screens, Inc.to pick up, drop off and handle any issues that arise for permits concerning Patriot Screens,
Inc. The authorization will be in effect until I cancel in writing these privileges.
My phone number is 813-417-2916 if you need to speak with me concerning this authorization.
Tha�n� you. C/ V
!�I
v
Melissa H. Crist
SCC131149719
Patriot Screens, Inc.
Vice President
SWORN (3EFORE H� TH�-� 18Ty i�P1Y OF O�TaBE�,oZo�6
O� P�C7'�a' ;..�?.�.:"_`v:..'.=,"_t.'v^S.-'1cir�.R.1'a�`5.fb
�.�`..r�. P�\-��:(C =i' �OhTiSON
r" '�`-? .'1 :,. �t:ISSiO\�FF185347
;.=�` _ �L-`.I'i.�_.C�:a;�:s<'8.2013 �
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I SEC. �`� . TV�1P. �� S, RNG. ��Y '
F6I�D�►L��GK,.t�El�.��f'�"��E�t��
LOT 2, (�L�C't{ i ELAAR�NG iiASiS:
SI�VERA� U - F'HASE 1 A SOUTIiERIY LOT UNE OF LOT 2, BLOCK 1 BEING S 89'44'00" YI
PASCO �OUNTI', FLURIG�A. �
� T THIS SURVEY IS SUBJECT TO ANY Fl�CTS THAT
j�L lAAY BE DISCLUSED 8Y A FULL AND ACCURATE
� il1LE SEAP.CH. AL50 SUB.tEC7 TO SETBACKS,
EASEI�IEPITS APlO RESTRICTIOtdS OF RECORD.
°'� UR4(YtRGRWND r'u^u��R, 57EM WALL, AND
9 � I UhDERGROUND U17Lt11E5 ARE NOT LOCATED OR
. f SHOVN_
P_�tEPAItEt3 FO�L�c C,EI�'fi LFT?E���: � DO (�OT SCALE THIS PRfNT. DIMENSIONS AND
v NOTES TAKE PRCFERENCE.
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