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HomeMy WebLinkAbout17-18073 � CITY OF ZEPHYRHILLS � � ' S335-8TH STREET (813)780-0020 18 3 i BUILDING PERMIT PERMIT INFORMATION � � LOCATION INFORMATION Permit IVumber: 18073 Address: 38645 WINDFLOWER AVE Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Squ�re Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 02-26-21-0260-00000-0080 Improv. Cost: 1,000.00 OWNER INFORMATION Date� Issued: 1/23/2017 Name: SHAW WILLIAM Tot'al Fees: 60.00 Address: PO BOX 193 Amo��nt Paid: 60.00 MONROETON PA 18832-0193 Date Paid: 1/23/2017 Phone: 813-783-9736 Wo'rk Desc: INSTALL 4 WINDOWS IN SCREEN ROOM � CONTRACTOR S APPLICATION FEES HOMEOWNER BUILDING FEE 60.00 � � ./ ✓ 1 � � f�' � � � � ! Ins ections Re uired FOOTER I! 2ND ROUGH PLUMB MISC INS LATI N CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROU�H PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC 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 amount of the fee imposed for the initial inspection.or II 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 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 �, impr�vements to your properly. If you intend to obtain financing,consult with your lender or an attorney �� before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with � City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. , II NO OCCUPANCY BEFORE C.O. "'� C ��f � 'CONTRACTOR SIGNATURE PERMIT OFFI R ! PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION i CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � i i . i � � � � , � ' ��I�fVi OF INDIVIDUAL ACKNOWLEDGMENT I s ' � `. � Commonwealth of Pennsylvania County of Bradford � I � •- - 19 D c r On this, the day of e embe � 20 16 ,✓before me �eslie Fassett , the undersigned officer, personally appeared William S Shaw i � ' ' X , known to me (or satisfactorily proven) to be the person— whose ' name �S subscribed to the within instrument, and acknowledged that � he— executed the same for the purposes therein contained. � In witness whereof, I hereunto set my hand and official seal. I � I ,�?l� - i G i Notar}� Public COMMONWEALTH OF PENNSYLVANIA t�otarial Seal Leslie Fassett, Netary Public Monroe Boro, Bradford County My Commission Expires Oct. 31, 2017 �{;tt5ER,vElINSYLYFNU ASSOC1ATi9H OF NOTARIES I � I �`r`";... � ��� . PAN-1 (12/05) ��,�� . . m a � �N._�.: Phone:412-281-0678•Fax:412-281-0321 •Web site:www.notary.org•E-mail:pan@ermunro.com I i I ' , FORM OF INDIVIDUAL ACKNOWLEDGMENT Proper executiori of`the Individual ficknowleclgment ar.d in-a num.ber of different circumstances. requires that the customer appear before the notary to 2. Satisfactory Evidence - Use this method to authenticate his or her signature on a document, and that identify custoiners you do not know through the notary complete the written form of acknowledg- personal knowledge. You may accept a current ment, confirming the customer's identity and intention government-issued identification card that bears a to sign. photograph, signature or physical description of the bearer and a serial or identification number. If The Individual Acknowledgment allows one or more your customer does not have proper government- individuals to acknowledge signatures, each acting on issued identification, you inay accept the testimony his or her own behalf. of a c��edible witness to identify your customer.A Before administering this acknowledgment, you must credible wifiess is a person personally known to positively identify your customer using one of the you and to your customer who testifies under oath following methods: to the identity of your customer. � 1. Personal Knowledge -Use this inethod if you Fill out the Acknowledgment using the instructions have known your customer for a length of time below and complete your register entry. Instructions for completing the Form of Individual Acknowledgment: 1. Complete the venue.The venue contains the name of the state and county where the notarization is FORM OF INDIVIDUAL ACKNOWLEDGMENT performed. 2. Wnte the date the acknowledgment is taken. The date must be the date the customer appeared before Commonweaith of Pennsylvania you and acknowledged the signature. The date of County ot �1Q�egReku �'�` the document the customer signed may be different. 3. Write your official name and title. on this,the � day of �eCew�ben ,20 05 ,before me '� �Donot� �Doe a Kotan ubQiC ,the undersigned o�cer,personally 4. Write the name and address of your custoiner after ;,_. identifymg the customer according to law. appeared Ja�es aKd Cu�tP,�a JoKes, 123 BP.00w�iu� LaKe, P�ttsbun�R, � 5. If there is more than one customer making an p� ,known to me(or satisfactorily proven)to be the personS whose � " ___ _ __ 3Ckn�w1_edgment,_add_".S'_' to `_`person". Otherwise, nameS_ Qhe-: subscribed-to the w�thin instrumen!, and-acknowledged- ^� - —,--. leave empty. that �he1¢ executed the same for the purposes therein contained 6. If there is more than one customer making an aCltiloWledgment, add"S"t0 "narile" and wrrte In witness whereof, I hereunto set my hand and official seaL I "are" in the next blank. Other.wise,.leave the,space, after"name" empty and write"is":in the next , �� � blank. a . ; ' ,Oe�,�a-� �:�' 7 Write"he","she", or"tl�ey" as appropZi.ate.� , Notary Public 8. Sign your official signature above your title. ���������"""""""1°",,,,�„ \\�p�o�pTHy� i�/ COMMONWEAL7H OF PENNSVLVANIA •4 9. Place our official rubber stam seal near our si - �� o� °"'"`�so�'%, NOTARIALSEAL y P y g _ DOROTHY DOE,NOTARY PUBLIC T 1 — ` ov = PLEASANTBORO,ALLEGHENYCOUNTY Il[l�l�f'.. 1 ly ll�t t� �Ver13p y�uI�$lgll$�re�r any = � MY COMMISSION EXPIRES MAY 1,20XX text on the document. �OT��"r�v'`�J yti��� Member,PennsylvanlaAssociationofNotaries ��ii�i//,9/Rll Nn�J�\\\\\\e �� - - 1.0 Impress-your-embossing seal on-the-document r_Par - ---- ---- ---- --- -- -- - - - - -- your signature.Although this�s no longer required PAN-1(12I05) by law you are permitted to use an embossing seal '3'='� ' "' ' ) � P�rno.E1t3B1.0618 Faa:Af1.281-0311•Y1oEsko.rv.w,rwuryorg Erad�pnQorm�nxo.rnm if you desire. T� �-�ord.�r, call �00-9��w�790 or �rd�r or�line �� ��rw.a�o�ar�.orge Pennsylvania Association of Notaries • Phone: 412-281-0678 • Fax: 412-281-0321 • E-mail: pan@ermunro.com � ������ ������ "f -�' � .�Q _ ������-� �a �z ., .� _ � � �" �,� , � �'��� �;���`� � ,�/ �2 � �qi'o ,. d ��2-c �'�9�� - - -�- f! S �!� `!/' ��l'"t� ��� ��'/h� �.�l.�i�/r-� / a� �1 / i j C� � , ,� 0,� f'�, �S�� ,�% ✓���f,� - � � ��� � / l / -�� �� �/��� ��/� %2 �e� r�, flv� .� , . �1` d �� "� . �1e ��.9ir�S� � /�`Ir .��5 ��_� �, � � � � : , `���, ��/ ��° � ,���� /r,3 � � �����f� q /���� � � � " ��D - Z�,i'- ���� r. I� �� - a��-beaoozo City of Zephyrhills Permit Application Fax 813-Tsaoo2� , Building Departrnen4 Date Recelved • < ,i � • :;;.Phonejco�+���ror.P��mic�n � 8/ ?Ss3 - -9736 Owner's Nar�v� `c�y L L l�u 5'�j q i.� Owrner Phone Number C��7/��tc �orl` �j r i rr .�` ownePs Adareas �8�a yS �i h�I�Gd.w�e� //gv e. � f,;.: � 7�'3� 9�36 , 3 S�! ' OwnerPh'one.Number• Fee Simple TIt1eHolder.:Name Owrner Phone Number ;,� _ _ _ Fee Simple T tleholder Addresa - JOB ADDRE53 $'6�/S` �.V ' ol LDW�r�ve, z� � ,./:Ll5 F` 3�S�f 2 LOT# � SUBDIVISIO , � PARCEL ID# � • ° ' , .. (OBTiiINED FROM.PROPERTI(,TAX NOTICE) WORK PROP SED � NEW�CONSTR ' ADD/AL7' �� SIGN" 'Q ' Q ;DEMOUSH .,. ;.e�- . �;INSTALL � ....,REPAIR. ' PROPOSED..US� , .. Q SFR, �] COMM . 0= �OTHER' " PQ i��p -c�/ip�1 ow-- dr G.�- en TYPE OF CONSTRUCTION'4: �` `'•'BLOCK r Q FRAME '� '�' STEEL 'Q I . . ,,.. � . / DESCRIPTIO OF WORK' • ��- �c!cQ �'c r� N/`�`�IL w i r�d o rv$ " r { . �._ BUILDING:SIZE` � � � • 'SQ`FOOTAGE�; HEI,GHT �i ,� - �BUILDING $ � VALUATION'OF'T'"OTAL CONSTRUCI'ION^~ ` I .vr��, Oo .. . . - - � ,.,- _; , . QELECTRICAL $ - AMP SERVICE. ' ' Q . �PROGRESS ENERGY Q W:R.E:C. QPLUMBING � .$ - ' ' � .� _ r r �� ( {�a� ./ . .�; � l./ QME Hi4NICAL . $ , "VALUi4TIQN OF�MECHAN,I,CAL�IN$1'ACLpITION. �. ; . . � 'r: v � .,. , .- . QGA [� , ROOFING w0; -:,- SPEGIAL'lYr:O.�.:OTHER; ,.' _ � FINISHED FL�OR ELEVAYIONS FLOOD�ONE AREA ,QYES. ,IVO ' � ... .$�'i � _..� c.� .• „ F. - ' ' ' ' 't' .'Y " .f.- .i f 2•' _`{3,: ' - ' BUILDER . _ - � _ �>J ��OMPANY`" .. . . . -�:..� , . _;�r • , . SIGNATURE �/�f��-�Y2f �Z���� REGISTERED Y/ N ,`�°`��FEEcua�:.' ""' Y/=N' " � .: -, �.- .<� _ °,_ _+,: - .. ., . .. _. Address �- ;,• s,-., . , �.� ., :.=,Llcanse�#''. �4' ' ' ' 3 .. ., . , �.:� ;�� ` .�' _ .. ,.� . i . . � .. , ... .. ELECTRIC . � , . � . - t�CpfNPANY; - �>'; ��^��`':'=;��'-:� , ., SIGNATURE� � �REGISTERED ,f Y/ N !FEEtCURRE��`=( 'r �'tY/.N={ . `, _, .. - . _ , ';�':,_z:;' ,•„ ,..,z:._•:i ,. �.., ., ,,� Address • ' � . . . _� ., .. ,.�. _ , . . � License;#��•_ ' , ,., . ' '�% '^ �k_::.� �' � �_ ' . ' ' • - . - : , PLUMBER' .. C.OMP�,ANY � �;..,._.��:�� , , ..t.�� _; ;..� ,_ , SIGNp►TURE�'''- "� � , : , � � ' - TREGIBTERED� .Y:/,;N:� ~:fF�;cuwte�:•: �Y�LN..;;.::x. _ . , �. _ _ , , „ . . . . _ . > - . -� 'y.1 . ... �,Y� ' c�. _ "' Address � , . ' �" " � .Llcen�se,#, � � � _ � � _, , .. .,.. _ . ,,,:._. � +r,,= - .. .. .� .: ... �=- ,� �. — ... , . :.:p.. _:.:...:.:. �MECHANICAL . � . � - . � . ' ' ' COM�PANY � �. - -. • • .. ,�;•1, . ; SIGNATURE:_ - ^' _, ., .. .. , _ , �. : , .. ,_, ,„,.. , ., .:,,...�:>;�..,.,.�. .,.. , FiEGiSTERED Y/,N FEE CURRED:. Y./N:` __,r_- _ _ - , , - �f' - - - --.. . _ ,.. �.,. t - e . , _ �. - ' - � ' . � ., ' ""' "'�..����� • • � :r - ' t.:, -' , '. � - e4` . , r . a; , Addre�'r>,._, - , � �,: ,;�r;�. , �:�. . . ., - . _ , .,,,_.. �,- ..� .._ ,. .�. . . ,,., .;�. ,-: - _ . , . , . ....._... _ ......... _. ._ . _ _._.. .�,.._ �Ltcerise#y � , . .. , _ -. . . .,. .. _.: , : : :�. ,�, _ - . OTHER •.. � s,„M1. - , • ..- � ��•::.� . . , , _ . ,. r= ..a.. ' " ,COIIAPANY ' _, .. _ . . SIGWATURE�: _ ,F '.;>. :� .. -���t . i ' �`y' � `REGISTERED ..` , .Y/'I�F:..,. 'FEE CURRE�`� . l(7 N �,•. ... . -.. : ..., <.. - �,". � l�ddress �::�.�.tp;,,�,:,...::a� f:r�-.ra�:�:• � �'.' �-> :.�.:a - _. ' �:-:. . , _ . .. s ..�:: "L(cense#�� ,.r.:._ ' .- ,.�:: "� ' _y�a. �,:rv�_ !`c�R., 'y-`EE�, ��:� Jw�:��E�x..:�.-:i. i���"�'iw:" . " - ,: ,.. , 13ESIDENTI,,_ ;'x;�Attact�;:(2);Plot;;Plaris;;(2)§ets;of'BulltlingtPlans;a(a�)'set'of Energy��For►ims;�aR-O=W�f�erm`IC#o`r-new�constriicNori, . ... •�, rr.:s. iwx., �r, ; � �_...�-.,w.._,,,��, 2r�-Minimum�,�en.(1,0)�wori�ing;d�y,s�aftei�sybi%�iltal'date.`;Requlretl onsite;'Constiucdon-Plans;�Stormwater�Rlan's w/Stlt Fen'ce�lnstalled, � •C. ",�j� .:1 ' ' _ �S.,ay_ny:r^ a„�� ' - - Santta FadllUes&R1��dw,m ster.Site°Wor,k�P._,ertnit;for;sutidiv_i'sions/la e� ro ects,-w.��,;." - ' ` � �' ry ... -,, -'s. �s.�r P •... ... �.: . . . .5- ,r9�.P, 1�-.,:m. ;��=:..: =' .;;;:;.;-`";Y:. ,_: ,._ < �:,�.v _ COtYIRA�RCIA!! Attach(3)�eortiplete sets'of'Buililfng'�Plan's'`plu`s a Life Safety'Page;(1)set of Energy Forms.R-O VN4Permit�for new construotion:� �• • � Minimum ten(10)worlcing days�after submittal date. Required onsite,ConsUvcdon Plans,Stortnwater Plans w/Silt Fence installed, . Sanitary Facilttles�1 dumpster.Site Work Permit for all new<projeots::All commercial s,e,pulrements_must meet compliance � �� '- . SIGN PERMI Attecfi"(2)"sets of`Enginee,�edrPlans.SC°`A.=Fp�` .. <5'� "i'�i.. � - .-- .'• �. , - �r•._. i "'•PROPERI'1'SURVEY required for all NEW oonstrucH'on.,.. '__ _,f�. . _ -. _ - �-. Dlrectlons: .-r��;.:,:�;,..,::.-� .. � - - , ,. . Fill out ap 11caUon oompletely. Owner 8 Contractor sign back of applfcatton,notarized If over�2500,a Notice:of;Commencement Is requlr�d. (�IIC upgrades over�T900) .. II ''Na4..�`./�:d'ut'��:`yfp:�; " - . " Agent(fo II Bie contractor)'or_Power of�Attomey jfo�;the owner)would be someone iivith notarized letter irom owner authorizing same .._, , , , , ; .�, �VER'THE.COUN•T.ER�PERMITTiNG�••,-�;--(Eront�of-Application-Only)�rr-- ' ` ' Reroofs if shingles Sewers � ,Service Upg;rades' NC., ��Fences(Plot/Survey/Footaga) ,_ Ii, _._ ._......_..,__�._o., __...' _��.:w�:•..:_<•� ;:..., -.�..;;,:,..-__ > , '. .-, , • : , W .: .;:. _ , r.��° �'!'Ny,".M.". f' `:t �-;. Driveway�-Not over Counter if on-public roadway§::needs I�OW� . ....-.,.-- ��' . i , I � �1 ' �r '� _ � i 5 • � ♦ y .� �� • •,.s,�s i:;x�;=<`. Mi�T#CE 9F�DlEED RES:T.RIC7tQ�S: The.under�lgned:unde�tands�th�t;a#hls�;��rt��t�nay°be�.subfe„c,t;,.to;�deed";restr�c#Iorts�TM�,�._,�;.;,w-� � ' "' F. .":Gr-. ,.rt- �„ ... . r„�t-..y. z� ..�. .�.3.e•..y,��?Ca"-�. ..7_;' .;c' a A ' i k�7..<',�iK.n"hxs..a;.w.a.��x 4.,i which majr�'tie�=mare.;"r:'�stt�ottve�tfi���Corin.ly�ii`�g�l�t�cng`s�'°The^underslgned��a��urri�s'�responslbilfty�far"compilance with�eny. . . :. appUceble�desd=res#cictlons. �.,. .:� . �: i� � .. _ _ . _.�� ...,-, .- _. .�-„ ;,t;..�;.s,.::,,�,?; �. ,..e..��. � �a a^�:>� f; � .M1v`+t..,�..;y,:YJ � +�..�`v.....,...,..:.,.. UNl.tCENS'ED�.;CONTf�ACTCiRS�:ANb CtlN�►C'��R-ltE�PON�18l�1lT�i�S:=.}tf�t�te�rtiwner��h�s�:;iiii�d`""a�`.�riti�actar or contra�actors.to undertake work,�:ttiey may.:bs,.c�iqerlred�to;At���llcensed�in;accordance 4with;state.ands Inaal�;cegulations:��If�the�;.=�.g.,,����a �:�r�. it"s.':�'«-n�W.i- k contractor.�lsrr�ot�1lcenseif�=as=�%eqi�ilrod'Eijr'-fi�w,�tiotfiT��lie �er amf��atrati==tor{�may�ber�clted��for�a`mi�'cleiiieanc�r vlola#lon � under state taw. If the awner.ar Intended�j�ontr�i!�to�:are;;unc��tain.as=to,uvhat Ilcensing;requireKn�n#s��rriey��appijr��ir;��!'tiie"�-vr�=�s�=��� intended woi�k��_tFl@ ��A adYIS@LI"t6"ca`°ntact`ttie:P"asco±County 8ulldl�i�Flnspei:tlon�Dhtxl�ion-�.icensJng Sectlon at.727-847- � .Y_., ....�_�_.,.:...� _.�....�_..�_u. ,...:_.wz..�..,.,,.k<.:...r:�_.. .. ,a� � .._ r �>.t.....__�...�� . , 8009. �ur#tiermare, if #he awner`tias"'htn����coinUactoT"oT coriti�ctors� he is ad`vtsed to hav�;:the contrsctor(s},.sign�. . I � I ilceti nafor.whlch.:the will•be�.r.es oasible- It: ��"���"�"#`�' '4.�''.��'� �"'��'��'::��v ponians�of the,-�.contr,acta�..Black":.of,th e,;ap�p .!� , Y- . P .�•- You;�as�:the owne�r's��n�''as�th�'w contraotor;#hat•rriay�b� an indir.��on tliet'�ie�-is"nait:piope�y`Itcensed"anil�''1"s riof"e��ed'fia�permlt#ing�pFiixll'ege� tn'Pasca:�;� ,. � COUII�. , :, ' ' 4 �,�,� aw'_�: .�'� TR�►MSPORTAT�pN-lMPACTIUTIL�t'IES=I�P�C'�'�=ANb RE�AU1tCE RE�:qYERV f EES:�'T�1e�u�itletsl�riei�`understartds that Transpartatian Impact Fee�s:andrvReco.urse Recavery:Fees,may;apply<�to�ti�e..construction.,of nev�►buildfngs,ichan�e��of:��r�'„�=���n� use In.existingAbufldings;{�i�r,�expangl�rr of�e�ias�iM�,buildings, as speciited.ln Pesco Cvunty Ordinance number 89-07 �nd_ 90-OT, as arr�end�rd.*_T.i;�re� undersigned also;�understatids; tFia�#:�siich fees;n��sm$jt;��.due;Y��iiFrbe.I�eri�ifiad a##hs�ti�i±��-_���:�fl���'.�` {":. ' y :- S ...., sc�''y...'� permilting. It Is iui�ther understood that Tra�sp��ortation Impact'Fees artct`•-Resouraa.:Re�c'o3e'ry��Fees�.mu�t be pald priar to recei�ing:a'ce�ittcate�af=occupa�cy"i.or�f�nei,power.�tease:�.,�1fit_h�.proj�,��ld�es�:'rt'�invotve�a�certiftc,ate of accttpancyhoc��'�'4,�.�-� final poviiec�retea�e;��iiierfees-riiu9it�'bie paid��p�ior#o,;,pecmft lssivaiice. F��the„rmore;::i��Fascc,��Gount�"VkiaterlSewer:impact;=;�$���•:� ::, . W , _.. . ..� . << ... fees are due;,they:mustbe;:pald;pttoc,�a�;.permitsls.s.tlence;�n.accoiilance w1tFr:appllcatite.�Pasco�County��oiiltnances. • COWSTRUC"�ON'i:IEN t.J�Y11�Ch�pter T73�Elor�c@s�t�t�#���as arn�rrd�tl}: Ifi vatuallon of work i��2,SOO.OQ�or.�more;:;l��:�° <;��=; cerlify tFiat��.l, �he:;applicent;_;have:;be.en__prvvideif ,wlth a=copy°�.of��tt�er�"�lo�ida��'Gor'istructiort`�-Lten-:Law--Homec�wrter's Protection Gutde"prepatted by'tlie Ft��ida Depart�me�t;of Agrtcultt�re and C�nsr�,m�r,;,Affah�."s. If the eppltcant Is,sameo��;.,�..:;-.:•--;� other than ihe'owner", I certifj;+,_.th�t l,h�ve;��t�ineitl�'a��copy.of..#be�;abQve:riescrlbed:�loaii�ent��ad: t�i�i�ii�e`;Iri; 'ood:�faith�to�.. .t., °;�w de!(ver It to.�,lCis�"ov+iriei�`p'rioi-�fawcorn -�. �'`', � - ; �� � ., � . �., , . - °p g . - mencement; .-..'. ., :,;.,.: ,.:�.. . .,: �.,�,.r. �-. , . . �.. , �ONTRACT�R'��4WNER'�aFFIDAViT: 1.cert,�y,#Fi�#:�.ali:�the��ir�tormatlo»iJ��thi�sppllcatton is accurat�.�nd thatall�wark will'be done in compliance with all.applicable lav�s.�egulating c�nstructlon, zonin�g antl:�land�'tlevelopm�nt. Appltcation is hereby made-.,#o;obt�lii;:`a permt#,;�te�;doa±n�o��;and:=ftf;i_"s:#allat�on es 1ndl�etetl:�-�=>I>ceitiity that no work�ar Instalt�tton�t�ais:, commenced prio� to tssuance of.a p�armit'"and that":all��rork wlli be pertormed�to meet:standards�af-all lav�►s�regulating� corasbuctbn, Goun t�t !9 9 P �9 � . .� �`. !y and C� codes,.zonln re ulatians, and land dev�ta mer�t .-::`"utat�ons�1n-fhe�'rlsdlc#1ori:}�`!'�al'so= . certiiy that 1 u�der�tand that the PeguMatlons of other�government agencies may�apply_;#a.the:.intended.:work� and that tt Is . my responslbll(ty ta identity-•what,acttons l;must�take�to.be,;ln�oorrfp!lance:T;Sit�h;age�cfes�lnclude bu#=are;not fimited to: � -�� - 4 �•'s,�b;`�.^.���.{.f2x.� X�:37�.f.. : � <�1 h i .<+.��3i.t:i - Depactimen# af E�vironmenta!'>Protectian`-Gypr���."BayFiead�, V�e�end Areas and Enyironmentatiy Sensitive I.ands,WateNWaslewater Treatmen#. ', ' �'` . - � :. - Saut#fuvest Ftar�da W�ter Mettsgem+ari��'�:'�Isb,lct..Wet1's;'`3:t;ypt�ess.�8ey#�eail�;- 'Wetland' Areas, Altering �8t@I'COl1fS@$. '»r.: �,-':?- _.�t .:.;j,,;ry'.t�,'. • . , .. .. ,. , _. - Army Corps of Engtneei`s�e�walls��Docks,Mavlgatit��Wetetways. , , . - - Department:..of�,Nealfh�;t&,.:;Re�aab�litative�,Settiices/Envitonmental;.Hea1#h�Unit=tiVetlsi�VlFaste�ait�r2•Tre�trnent; - ' Septic`T�nksi,:. .3'1 J'�t. '_.. u, . .. .. ' _ ... + . - US Envlronmental�Protec#1on A�encyAsbesto��bateme»t. _ �Federal A.vlat�on::Authv,yiy.r:�Runuvays:� ; � � � ` 1 understand 1hat.tt�e:followirig;�res�trictlons appiy fo ttie usa af flll:• - Use of flti is not ailowed iniFiooc�xZone'°1�uniess express{y permitted. - if tlie.zfllf'me#ei�lal�-ls��to��b.e �usetl�In.:flood 2one. "A", 1� is understood tfiat�a dratnage plan addressing a "compensating volume"will be subr�ritted a##ime af�permitting wtxfich is pr�pered by a professtona! engineer- � � Ooensed_tiy'#fie;:�tate of'FMotida: �� °�� - - . !f th��flll meterta`rl;ts-�to-bea.used In Ftood �one `A° in�connec�Eon�wlth�a��ermitted b�llding using s#em wall,,, ., constnua#ion,�I.certify;th.at�,flil:vVail:b.e�used only.to fiil#h�area•within�the•skem��wall: , - If flA matenal'Is��to'pe` used-9n.any .+ar+�a; ! �certfty��hat ,usa oE,such flll will not adversesy at�ect adJacent _ ., properties.:_.iF use;;of.fill�ts.�#ot�ncFrto-advers.�sfy:..��ct..aafac�r�t��pc�pe�tie��.#he owner may be`ci#ed for a�i�tating. - �„ ., ._ � , the cond�fons.�of�the bulldiu�g'perrriit i�s�ed�under tlte"sitt�cFied��pecmit�applicatlan,�for�:lots:less ttian:`one (4) acre vutiliati.gre elevateii�tiy.�1tl;,,��t-engineer�ed dr��nag�plan is required, � .. . If I am the AGENT�,FOR;,TM��.OIMNER;;I;promise:.ln:.good,:f.alth,to Inform'#he�ownec.of�thia permitting condRtans set forth In thts affidavit"prior fo comit�eiacing constrt�otlon. �1 uri�erstarid that azseparate�permlt may be tequired for etecMcal.work. • . . ptumbing,.s�gns, wells,,.poofsi.alr conditianing;.gas;�;ar othe� insfall�i�;ns no��spec�ficaliy inciuded�in.fhe�apptica#ion. .A - permit Issue�°"shall be coiishued to'�be;�a'Iicens�`to><proceed vvith�tFie.;,.viro�k and`.•not�as:authoHty�:to;vialate;�'cancel�-alter, ar set aside'any�pravtsfons of t�ie:tecli�tc�tl c�des;,nor shati is�u�nce�af a.permlt.prevent t�e 8ulldlrig{?�fic�al from thereafter � requirtn,g a_coc�ectian;af.,errors,in>pl�ans,.�constiuctlon.or.violatlons of�any�codes:�.�very�p�armlt"�I.ssu�d��stialf-tiecoine�invalld unless the work authortzea.by�uch permlt:�ts.cosnmenEed�wlthln sf�c,,months of�permlt fssuance, or#wcrk aufhnrized by � #he permit is�suspended:cr�:abar�doned�for:a;period;of�six+�f6)�monttis�:aRer:the:tinae the�wor�ri�commenced.. An entensian- may be requested,�in.w�i#In`g;,ir`om:tfie�Building,Offl�lal�for a perlod.,not.to exceed"nfn�t��(90)��ajis ei�d4w111~demonstrs�te Just�f�bl�'causs for:�#he�ckenslon. tf wor[c ceas�.for nlnety.{90j cons.ecutive:d�y.s,..the�ab�1s.considered aba�doned. . ... . .. ,_ ' , ,... . - . . - --.. .. .,, ... _ . WAItNtNG TO 4VYNER; YO,UR.;�Ail.t�lRE;;Tta..;R�E.CQ�tE�.�A��G�;lCE�:O��•�COMM�M��ME�T�,lIItAYxRESUE:T�iN�YUUR � PAYiNt3 TWICE;FOR�IMPRO�'/EMEN7`S�TO;Y�Ui:��PR��ER�;7Y:��I�-:YO.U�I�V'�'�E�VI'�TTE�`�f5H7%AIN�F1NAp�IN�;,�Ow5UL7 WIT D N� O FO. t, ��� :,, . � ; :�d ..� .> . . t�.o��^�;�t���z���a�+�;v.L_� . .,. . ,.....-:�._._.�___°��---='.; _ :_:...-_ •. _.�_= ' `__ : - ' -- � - ;__ ..�,., -�.....r,. ;. . .�:�.7 .,.v:_' _ 3.:••'1 -?.:�.,<<, . ... .... —:�.._ " ' __�.......--_ .. , � / ""`.. ' _._��.._-. �._ �_ OIMNER OR AO�NT , - � GCyM'RAR:TOR �-rJ�n�( � r�w.�—�.- ' Snbscrib�and swom ta{or�flfrrr�ed)betore me#hts Stibscrfbad and'swom�p{ot aflir�» rttb tti€�� , by ' ��by....(/c�heL;�( ����,�'�,ti lo�re personaliy.knovm to.me.or.:heslhave,produced , � ts/�re p.ersonally.�Cnammm�to�ma-.or#iaalhave��troduced. •.. , a ae I�aiidRi�f1�». _ ' ; _ C� c�rzc .,-s Crcnn� as Iden8Rca8an. , � No�ry Pubitc ' tary Public i � Commisstan No;` � Com� s1 •hta 84��5 ' :���'����`�'': Commission#FF 2 8 �*= ber 12, 01 tdame of Notaey typed,Printed or atamped Name of Natery typed, o n,�T,���t�+�C° ,. ''�nR��rth`�, . ,1 � � � , � . .a. 0 �"� _ = _*"�,� . H=.A;, � 4 + 3 `` _ "'+�� .z`""..Jr. City of Zephyrhills ' BUILDING PLAN p�EVIEW COA�VIENTS � Contr c � � �, / �`�` I ` actor/Homeowner: di�il�,(.tJ. l/(// G��l I �� Date Received: � Z_��-1� Site: i ��lO��� ��d� / � �-7T`•� � , - ,l��y/'V � � 3T Permit Type: �s�'�C�.�c�S ��I�S�f I`e�'� ��nd?G� �S'C�^rt �-� � Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑ � � � � � , I his cornrrient �heet shall be kept with the pennit and/or plans. . , �� � '��� � ��S"P �� � ��' Date Contractor andlor Homeowner II (Required when comments are present) � i ■■■ ■ ■.■�■■■■�■■.■�■■■■■■■■■■■ �. ' � ' r � � ,��� ������a������������a■� ■ ��■�■ - � : Q� :��� � ����1 t, !��l��� �■� ..� ����. � =� ������� , Y ����� � ���� ■ � � �■ ���1 ��n • , .� ��� ■�H����r ���l� '�' ■ . :: ��� �- � � � '.■■ ■ ■■■■.■■■■��� F.� � � ,, a� . �e�' , � -� : r ■■■■■� n ` n �.�� ■ ■ _ ■�n� � � . �._ _ • � . �� _ ���wi �I■.■ � � �� '.4�' � � 14 � ■ ■ j ■ '�■■■■ ■■■��■■.■■. ` � ' ■ • 1 ■�■■ �■� �■,��� ■ '��� '. .�� . . -' r ■■■■■■■ � t .� ■ ? , : :• ;4. . 0.� ■.� �� �� ��� ■ ■�a■�■ � � ■ � � • ��i� ��� ■ � ��'������. ��f���� ■■ � � . �. ���.�� :����i�1 . ���: ,��.� �r �i►,��� ����� , ,, �, .� � � ���;� � ��. i�� �l� . � ,: : � -� �!� �� �� � ����I'�.,■■� i �,■ ` �I. ._ �7��■� . �� ,���X � �� r.. �■ � _ '� ; � �� � _ . � ������._ . . � ,..__. , , . . _._. . � ,''. ��� /� ���. {� ��■ I�,�■����� �■.■■�I �■ � �r� � $�� . ■f�i■ � ��� � � � _ , , ��� ��� � : �� ����� � � . � � � � �� � �r��� . .������.� ����. _ ��.. ._ _ �.� �- . .� w� _ , ._ ; , �� � � y� � �q ./ , r ■ �� � � ■ ■ '�� . . ��� ■ � : , ; �� � �� N '` -, ��� : ■ ' �■� �. �� ■ . ■. . �� �■' � ■ ■ . � �� �■■ �! � � _ �■ � � � ��� � � � ��� ��� _ � � � � ' �, � ■ � �� ���1� .� ..al �� � ■ � �� ■ �i � \�i ■ " ��5�� ■ 1 � � ■ ���� ���� \, ��� ��� ■ �� �1�► 1�1� � � �� �i� ■����i� ������ ��������� ��� ■ ■�� r�� �rr� �rr����■ �r������ �� �������■��� ���� ■�� ■ ��■� ■ . s + � ��rs ������ ���� ��r��� � - � � ` ��� ����� i�� ■ ������ � �� �r�� ° � � �������t ��� ��t�i��� �t ���� ■ �. � . Q���r� � �������� �, . �i��'. " .�� n � „ � .� ' �� ������ ��� � �� � ' a � ����1�1����� � ��� ' '°1a/� ���� v�v� r��v ������� �r �r��� �� � �� ������� . . ■��� ■ �� ��1��1�� _ � ��. ����1��� �� . �v ����v�������"''.��:1 � � ��� �Ill��i:���� ���[� ��� f i�l������l1� � ; � �1��� ��I��i� ���ii�t�ll� ��� �i� ��� : . .. �s� �� �������m���t���� r.� � ��v ■� �„ �� ��"� r�� � � ��'"`i�■o�.������ � � � � �� � �� � � � � ������� � �. � �� ��� �1�11�� ��� , � � ���■■ ���� � ��.������� ���������� . �: .. ����� � ������� ■� . ��� , ����� � � ����������� �. � ���� � # ! �� ��� ' '� �� ������� � � ���.��� �� � � �� �■ i ������� � , � �1�����■�. �������■� �■ . � .� ■ ��inii��ii�r �������:�:�r���� ��� � . � r . ��� �����v ■ , , ������ ���vt� �� � � ����� ��� �� ������ . ��� ����� �� ��. ��������s� � � � - ���������� � ���� � ��� � ■��� v� ��� ■ �■. ■w �v �� ��� ������ � � � ��r� �����■u��� ■ ■ ; �■�� �� �� ���i��� �� �i ■ ���t�� ■ � �� �� �T 4 � � — __... .�.__ --_--� HYNE�-.�I��+CUUNT '� �����,�-;;,:'�= ; I, � M4B1LE HOME SUPPLY CENTER :s=��.��., ,. k ONE OF THE LARGEST 8�LOWEST PRIGED . "�,�;� � �,,.� re ,.a�;,. SUPPLtERS t3F MOBlLE HOME PARTS!N FLORIDA � �"'l� � ' �Prodi►cdi= .� ,r � ���-�;',�; _ , ti_ �I,, n. r ;�`� . . � . �� SERV/NG ZEPHYRHfLLS SfNCE i98? �, � ��.� ��� ' � �-���� PH. (843� 783-2930 .,,} . ,;�''. 5217 GAL! BLVD •ZEPHYRHILLS '� °�"' AT THE CORNER OF U.S. 3Q1 � S.R. 5�W. , . � ..�._. . .,< <, y,�, STORE HOURS:MON-FR!8.30-5A0 / SAT 8.3Q-NOt)N -+ � � _�._.._,-.___------- -_______�___..____-- ���:r"-����AHt�NTAS ALU�{�NUNP ViiINDOWS � ' �=,,. :�.,.. ' � �� ye�...� _ ..;:_:..q,r���w�_.�.,, . =�,cahontas Aluminum windows meet or exceed all _ _ _ - .�h ._ =,i���-�;-;��-�=.:=�-�� .�;�•<`�,.y..-..Q.,..:;�,rY..,.,.�r�, `,f'.�_ ";.:,n .' :-:� .l -� �!e test criteria set forth in AAMA 170 `���'�ij�Y�=�:��"� �`�" � - :�::� _ � �V.`s..h'+i-%+�:a'3..a::1a�:.j.`�3:`}� ,�ilica 22-02 and % _ . ��.:� „. �$-X� � ��:;��licabie ASTM standards for weatherization and optiona! ;,,,'� • �s �. '=;:� = '-��=�ra�ctur�l performance for Wind Zone ili (155 mph)as :?`�_� '� �j>: ;� ���v�2rericed in CFR 3280.3054.This testing inciuded ` �'=>i �� ;<yN': a==.+- ����`'Air Infiitration Test,Water Resistance Test,S#ructurai �- } -.�..,-- _ - �. �''� .s�a i N • ,Y} � _ �z�� ��Y. :....�_ h..�_y-t �_.v„'�;,�. .. -:. .,�.�s�ormance Tast tExteriar and lnterior Pressure},and an ;��,-�' _ �°I�=�� ; -���j�tiotial`increased Structurai Performance Test. �a:�?' ' �`�'�' � ;;,{� �_.y: . � kk n. "r'�':. C..M1" ta 71 �w�. 'Y�C wind�ows also passed structurai bading at+1-85 PSF ��=�'� _ x ' L ^^k:' ;-y�:':»3:,i::.v.�..�1.,�. ' �_, t184.5 MPH and 16" N�Cl3. A..,�F �`;�: - _ ., . _ �,.-,���-J.-=J-= _ _ ' ` �, , x' ,.;:�.i' _`T�t�_� " 3 `�s .. �", � � � ','�#� `�a"i�`�}'� .*��,!T wF� t. �' �h f r�E F-rb. � �� •Ve ical an N z ,,•.��-,..,�t�'.�,�^�~� `�.: .�"�. h�, :;�_;�;.,,.:.,..�.,`� tt d ori onta!Slider Windows. ?<= • �'�� '����'�:�, � �,'r��= '��,�:a;=� �,�. '�f�"� .��,,; s-'� ~�'t�M�;;�:,`�'a`v":�r�sx"�:.. � � h���„_ ,�?,��`;�-���'�d;�r;'`�` �� ' �� a �` �3 ��»�=,;: Q Muiti ie fixed o en �_r=,r;f.��� �a - _ >������` �-�:__ ;� ,� i � . ��`�: ��' �=�:>�r P P Positions. k;-�_°�:.�. �� •�"„ �'';:,;;._ �;,:-'.:. Bulb vinyi seai on sliding insert and vinyl sea{ed �" : - �'�Y'a Y ' ���� �.` .- - .� � � • � ':r � ,_�:;` `��r�.�:,� �.� . ..:�• '�~`� -.� , � • ; interfo�cking meet'tng raii far�excellent weatherization. �` ` #=� ';�, ;�;.,` ;;��'�*:: -�' S A9�4DE'tN:: , �` ��,� ; • Pile weather-s#ripping in siiding raif far lang-lasting seal. '�"�' �� � �r�'� '�� � t ���s�, . _ � � ;�<{, ���'.�.��< ,�� ,.:. • Remavable spring loaded screen. - *!�'"� �=;� . t�=�--:�=::�;�:�;.:#G._( ."� r,;�;�....�, � ��:a��z�''�� _� • Pre-p�nched mounting holes. . -- `��" _ _ '_'"'��� ��4�-';=- :�': �"'"p S�z.~.�=;`.-i ��' ��::,�� ��- µ,�iT -�Ali star�dard mobile hame sizes available. -�'^'�';���,��..�4i`;�_�`'� � A,-,.Y-`� w�--_w.�.�-__.�_ - I �.a,:a.�........-..=..,.^+:�ei«_ .'a..,.-:. �.'K..[.� . � Miil or ainted frame. l.�` �: Hori on a hroa Windaws �-. , z �t nd Bat m i ,. � , � � T4-U4"X27-1116" 0462572 � 30-1/4"X14-7116" Q462590 0462636 ' �� 30-1t4"X24�� 0462591 30-1t4"l{34k' Q4fi2526 , 36"X8" � Q462596 4462596 04fi259d* 0462595 46-2J4"X2�-IlI6" 0462593 �462597 A6-1/4"X39-51$" 0462505 0462624 � d8"X98" � • Od62598 *stationary,does no#a e� � _...,. — . � � - . ; �t�� � - , y`;� .*