HomeMy WebLinkAbout17-18316 CITY OF ZEPHYRHILLS
a ; 5335-8iH STREET ���
(813)780-0020 1$31,,�`
LP/NATURAL GAS PERMIT l�
PERMIT INFORMATION LQCATION INFORMATION
Permit N�amber: 18316 Address: 39047 SOUTH AVE ,`
Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL. �
Class of Work: GAS TANK/LlNES-NEW Township: Range: Book:
Proposed Use: NOT APPLICABL.E Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Nurnber: 12-26-21-0000-04600-0000
Imprav. Cast: 1,950.00 OWNER INFORMATIClN
Qate tssued. 4103I2017 Name: UGt� REBECCA
Total Fees: 125.00 Address: 39036 1 ST AVE
Arr�ount Paid: 125.00 ZEPHYRNILLS, FL. 33542-5205
Date Paid: 4J03/2Q17 Phone: (646 388-0419
Work Desc: INSTALLATION NATURAL GAS TANK AND LlNES
Ct�NTRACTQR S APPLICATtON FEE�
B R'S OPA GAS C IN GAS FEE 50.00 F RE P N RE EW F �S 50.00
FIRE lNSPECTION FEES 25.d0
�
� �j�/ �,�
"� �
4
Ins ections Re uired
FIR�SITE-f�1SPE ION- inal
Chapter 633, Florida Sfiatutes,authorizes the City to charge and callect user fees to pay for the costs of fire
prevention anc! protection related activities such as inspectians,plan review,administrative feesf and ather
costs related to the aforementioned.
CampleCe Plans, Specifications and Fee Must Accompany Application. Commencernent of work without written approval of
the Fire Department's Fire Marsha[ar required permits ar opening up for cammercial activity withaut an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Cades and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN Yt�UR PAYING TWI�E FOR
, IMPROVEMENTS TC> YOUR PRC)PERTY. IF YQU INTEND TC'> QBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING Y{�UR NC�TICE OF COMME ENT "
��� A �����
CONTRACTOR SIGNATURE PERMlT OFFfC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 Ht?URS NOTIGE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
�
i
� • - � � � G�as Service �n:
�� ,� PROPAI�iE-GAS
� AN� Af�. INC. Tankless
-� � Heat�
s�:
Si�ce�988 8�3-782-5013
WORIi ORDER#lSERVICEMAN 1�39L COM
SALES•SERVICE•REPAIR•INSTALLATION DATE/T I f�E TAN.EN �3/1�/17 15:48
�" -4441 Allen Rd.•Zephyrhills, FL 33541 TAKE�I BY SC �4
� a (813) 782=5013 DATE/TIh1E F�R0�IISED
, CUSTOI�ER#k/LQCATI01� 1813�
�' GHOf�E# 813-714—�9�J8 C
NOTES: CCIfVTAGT E►T LL D 2 XOfV
R(JUTE/SE�? CQh�
�
.� - ,
RYMA�i CONSTRUCTTOIV RYi�AI�. CDIVST — FOR REBECCA UGO
• 36413 SR 54• • .:,9Q�47 SOUTM AVE
� . .
�EGHYRHILLS FL 33541 - ZEF'HVRHILLS FL33�41
�
�--
y G�7�� �o�D � � l �cJ�h ��,e��
Start End Time Flow Lock Up System �Regulator Regulator Regulator Regul.
.s Pressure Pressure • Held Pressure, . Pressure OK Code Condition Manuf. Mod
Singie Stage __�-1AE:� ------- ---- ---�-W� - �,-IA�.�
- ------- �- -- ---- ------ ------ ------ ----
Two �st PSIG PSIG PSIG PSIG
� Stage
' 2nd • In. W,C. In. W.C. In. W.C.
+ „
Work Performed:
y Descrlption Amount
.� � � SeNICe
�, � Appliance
Material
" � Tax
i
r : Qty. Part# Description G8S
y Hazmat
,r
Permit
� Tank Lease
� Total Due
' AMOUNT RECENED
„ I have authorized and have authoriry to order the work as outlined above.I agree to pay all costs as represented in this document.if these charges are t�
over for collection, I agree to pay reasonable attomey's fees if this invoice is placed in the hands of an attomey or collection agency for colfection.
.� • ' •
Customer Signature Date Technician's Signature Tech#
Pasco County Building Schematic Page 1 of 1
� •
Generalized Building Schematic
12-26-21-0000-04600-0000
Card: 001 �
Nat sf�srern: '
F�4lOi = 1012 �
�2 '
33 FCF 33
� 22
, F' � 13 9.2 ,
6 10 18
� 2Z
15
�� 33 33
FEP 25 Z5 Z6
25
3
4a
�J 48 �� 4
�
1� 12
4
5
F4 7
5 43
2�6
1�
18
Pasco County Property Appraiser
Page Layout Modified: 9/6/2013 8:36:26 AM
The Local Time Is: 3/28/2017 8:46:11 AM
http://www.appraiser.pascogov.com/search/traverse/traverse.aspx?parce1=2126120000046... 3/28/2017
, � ZE��Y�H�L�.S �1RE �E�ART�EN`T
38410 6th Ave Zephyrhills, FL 33542
f F�RIE �ERVIGE ��ER �EES =
Occupancy No.: � ����
Plan Na.: Contractor: s ������� �
BusinessName: � _�I.QU � . BillingAddress:
Business Acfdress: � �
Business Phane Na.: Billing PFione No.:
'� Business Fax No.. Billing Fa�c NQ..
Contact: Contact:
' PLAN REVtEW FEES INSPECTiOFI fiEES , PERMIT FEE FALSE�4tARM FEE
I n,Site Plan N!C Annual N/C Sprinkier $50 1st Alarin WC
�Mu�tt-Fam�tytCommerctai A8 sf 1s#Re-inspection NIC Standpipes $50 2nd Pdarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
❑Plan Revisians DB� 3rd Re-inspec#ion $250 Hoads $50 4th Alarm $140
4th Re-Inspectfon $500 Fire Alarm $50 5th Alarm $150
i SPRINKLER SYSTEBIIS (Bnsiness closed untif , �t LP 6#h Ala�rn $200
8 0-25 Heads $50 violations corrected) : tural Gas $50 NON COMPLIANCE $150
26 plus Neads $104 SPRINKLER SYS7EMS �uel Tsnks- pertank $50
STI�iDPIPE SYSTENI Hydro Undergrounds $45 Spark�ers $100
�Per Ri&er $5p Hydrostatic Test $65 per sysfem Fire Works $500
FtRE Pi3NlP AcceptanceTest $45 persystem Camp Fire $25
�Per Pump $100 Hydrant Flow $75 Controlled Bum $100
i FtRE ALARi►+J SYSTEM FtaodlQuc# $50 •
8 0-25 Devices $50 FIRE ALARM SYSTENi Place of Assembly $50 nnnuai
26 plus Devices $14Q Sys#em Acceptance $50 Fire Profection $25
SUPPRESSIOM SYSTEMS Recall Acceptance $50 Flammable Application $50 �w,uei
Wet $50 OTHER Waste Tire Storage $50 rmnua� .
Dry $50 ' WSm�_e�e►at_i=$� an Generator<KW $100
CO2 $5 ' LP�Ca�"f $2� Generator>30 KW 150
Other - $50 F�a�T- as $2� per sysiem BiaHazarct Waste $100 Annua�
KITCHEN EXHAUS7 Fumigation Tenting $50
�Hoodl[}ucts $50 Tent'10'�s14'or greater $15 Per tern Torch PotlApplied $50
T�""OTH�R����` Fire Pump $45 Haz.Materials $100 Annual
latien-pertan3r---$5ff Fire Suppressfon $30
, Fuel Tank Installation $50 System Acceptance
{per Tank} $50 Exhaust HaodlDu�t $34
�Naturai Gas instailation $50 Re-inspeCtion DBL
(Per System� (other than annual)
�Spray Booth $50 � tnspectian scheduled DBL �
and cancelled less than • '
24 hours
� ConstrucBon Insp: N/C
�Emergency Vehicte As $50 FALSE AtARM
I PLANS TOTAL J INSPECTION T07AL �-,5 PERMIT TOTAL TOTAL�
GRAND T4TAL ,������ �
Comments:
Date: ""'�� �� � .� .' -
� t�C�---'..
Inspectar: �-�.
nin '
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
- Building Department
Date Received ' O�— -� �C.3 �O � _ ,j�l3
Phone Contact for Permitting
Owner's Name �ueGC'�.��` . (iL. � Owner Phone Number O��"" /�7 '"D
Owner's Address %�.3� ��� �u G'�!/�l Owner Phone Number
Fee Simple Titleholder Name Owner Phone Mumber
Fee Simple Titleholder Address
JOB ADDRESS �J �(/ OLL�� � IJ� Z-�IGC��✓- LOT# �
SUBDIVISION PARCEL ID# � "� �� �� D/CU� L�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROP.OSED USE 0 SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTIOId 0 BLOCK • Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �7�� ��� �7l �./ C%/� � � e `�U '��/��(`eS� LI�H��l7e
BUILDING SIZE SQ FOOTAGE� HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
OMECHANICAL $ �D VALUATION OF MECHANICAL INSTALLATION r�����`� ` �
�9 0 �D
' GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COAAPAMY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COiVf PAfdY
SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N
�lddress Cicense# s
PLUMBER COMPANY
SIGNQ,TURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess L•icense#-
OTHER• " iy,";,,,,,o ^" f l�y.d-�/l�h� COMPANY JAN/�S /`D y/1I� 5 �7��jL' .T/1✓�°.'�
SIGNATURE-. ��`"`�����` � ���"
REGISTERED Y/.N . FEE CURRE�' Y/N
Address T'�'� � G � �/'7/�ls � ��S�f License# �� �
RESIDENTIAL Attach(2)Plot'Plans;(2)�sets of Building Plans;(1)set of Energy Fbrms;R,O-W Permit for new construction,
, �Minimum ten_(10)working�.days after.submittal date. Required onsite,Construction Plans,Stormwater Plans w/S'ilt Fence installed,
- Sanitary Facilities.&1 dumpster;Site Work Permit for subd'ivisions/large projects �
COMMERCIAL Attach(2)'complete sets of Builiiirig Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
' Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of-,Engineered Plans.
'"""PROPERTY SURVEY required for.all NEW.construction.
Directions: , -.
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
"' Agent(for th'e contractor)or Power of Attomey(for�the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER4REF�MfTGfP1Gn��L(c�fpy*of�°c�ntractrequiF�ii) ��''�G=�:''':'R�""�"R'�"`'�""'�B"°��'"�'
s �;Sewers r, �;:S�rvid��U�P9 - ,., tt 46 .,;^,,.:•,.i w;
Reroofs if shingle � ""�� � �ences(PIoUSurvey g ) =':�''y,+;�6°'} ',r4 �_ , ",�;-;i ' �
, } rades;`A%C;�<;' /Foota e �, , ,; �, - „':
�; s 4ii�,��'f��� :i :-� � � t:'1 r iut(.�� :' laa1 1,~ . '•^. �1 v:1:�11:- . . '1! i�[fi 'S, � .+h�
Driveways-Not ove�Gou 6r s• : t •s" ' ' ��c: ��i f�:L'•.��;. � ;a�'„" ,fi' j�},:,•,� ���•
nti ifion�pUtilic'r'oadway��he�ejs RO.Vkf ,, , �;,,*,�, `�
� i;+��-F::. .✓r. �ii,'�..'��tii:�i, ';,K.-^�� �� '� c��..�f.i.:� ,. i: '� .�.�;,;if J :.;`r`,,s,:
� �P;e:,tl, h�'i�;n! .�7'�!C'�q'^1 ;r;S�7��4 ��'r:ej�:�"�� �{i ^�a:;� i�� ;f�.r�...r�i'p�o.. r.on,- ' :'.n�' �
S?� '�7Ni�'t,�'°'3�.�T4L°%�iF�"`-��'+� `d�'�c��'�y'ax�tu.s,�`-�'�'3.'�c e'r�;,-:.�°=d'o x'•��'�`+�•Y:,
e. °�+�"s*�"�y�;ar'.�i '
_._ •-�-:����:
, �. �
NOTlGE OF DEED RIESTRICTION�: TMe undersigned understands that this permit may�bet subject to:"deed"restrictions"` "�f,
which,may be,mare�restrictive.than County�cegulations: The.undersigned�assumes cesponsibility'foc cortipliance witfa-.a�ny' '�
appticable deed restrictions.. :;��:; •� ��� �
UNLIC�NSED�CONTRACTClRS AND CONTRACTOR RESPONSIBiLITtES: if�the owner�has-hi�ea�a��contractor•or
con#ractors�to undertake work, they may.be required to be ticensed in accordance with state and�local�_regulations: •:lf.:the.,� .
cantractoc is nat licensed as r�quired tiy taw, both the owner and:cont�actor rriay��be-eitedxfor=.a iriisdemeanor violation.
under stafe law. �If the owner ar intended contractor are uncertain as to what licensing requiremepts.;may�apply'.for-;tlie:���'
intended work, they are.advised to coritact the Pasco Caunty 8uiiding tnspection�Division-=Licensing Section at 727-847-
8009. -Furthermore, if the. owner has hired`a can#ractor or contracta�s, he`Tis advised to��have the contractoc(s} sign ,.,
partians af the "contractor Black" of this applica#ion far,which they will.be responsible.. !f you, as��tt�e owner�sign as>ttie `' �
contractor., that may be an indication that he is not praperly licensed and°is not entitlecf to permitting privifeges in Pasco
County. ` � , ' `. , .
TRANSPORTATION IMPACT/.UTILfTiES iMPACT AND RESOURCE RECGIVERY FEES:'The undersigned understands `
that Transpartation impact Fees and Recourse Recovery'Fees may apply to the construction of new buildirtgs, change"of`� " �
use in existing bui(dings, or expansion af existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and �_
90-07, as amended. The undersigned alsa understands, that such fees, as may,be due, wifl�be�identified at:the`time of � -
permitting. It is further understoad that Transportatian impact Fees and Resaurce•°Reeovery Fees inust be paid priar to �
receiving a "certificate of occupancy" ar�nal power release. If the project does nat involve a certifcate af occupancy.�oc�.-
final power release, the fees,must be paid prior ta permit issuance. Furthermare, if Pasco County Water/Sewer:impact_ �
fees are due, tfiey must be paid prior ta permit issuance in accordarice with app(icable Pasco County ordinances.
GONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuatian of work is$2,50Q.QO..or more,�!-;.., -
ce�tify that I, the �appticant, have been pravided with a capy_of -the "Florida Ganstruction Lien Law—Homeowner's �
Protection Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant�is sameone, �
other than the"owner", I certify that I have ob#ained a capy of the abave descri6ed'document and promise-in,good faith to .
deliver.it ta the."owne�'prior to commencemenfi.
CONTRACTOR'S/OWNER'S AFFIDAViT: l cerkify that all the information in this applicatian is accurate and'that a!f work `
will be done in compliance with aA applicable laws regulating corrs#ruction, zoning and land�devefopment. Applica#ion is
hereby made to abtain a perr�it to do work and installatian as indicated. t certify that no work or installation has
commenced priar ta issuance of a perrriit and that all work wili be performed to meet standards of a!I laws regulating ,
construction, County and Cify codes, zoning regulations, and land development regulations in the jurisdiction. f also
c�rtify that I understand that the regulatians of other government agencies may apply ta the in#ended woric, and thaf it is
my responsibility to identify what actions I must take ta be in campliance. Such agencies inctude but are not limited to: �
- Department of Environmentai Rrotection-Cypress Bayfieads, Wetland Areas and Environmentally Sensi#ive
Lands,Water/Wastewater Treatment.
- Sau#hwest Florida Water Management District=Wells, Cypress 8ayheads, Wetiand Areas, Altering
Watercaurses.
- army Carps of Engineers-Seawaiis, Docks, Navigable 1Nateruvays.
- Department of Heal#h & Rehabilitative Services/Enviranmenta! Health Unit Wells, Wastewater Treatment,
Septic T'anks. �
- US Environmentaf Protectian Agency-Asbestos abatement. �
- Federai Aviation Authority-Runways.
I understand tha#=the fo(lawing restricEions apply fo the use of fill:
- Use of fi!! is not allowed in Flood Zone"V" unless expressly permitted.
- !f the fi!! materia! is to be used in Fload Zane "An, it is understood that a drainage plan addressing a
"compensating votume" will be submiited at time.of permitting which is prepared by a professional engineer `
iicensed by the State of Florida. •
- !f the fil! materia! is to be used in Flood Zane "A" in connection with a permitted building using stem wall
canstructian, !certify that fil!will be used oNy ta fill the area within the stem watf.
- Ef fitl material is to be used in _any area, I certifiy that use of such�fill wi!! not adversely affect adjacent
praperties. If use of fill is faund to adversely affect ad�acent properties, the owner may be cited for violating
the conditions of the buildirtg permit issued under.the attached permit application, far lots iess than one (1) •;
acre which are eEevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in gaod faith to infarm the owner of#he permitting canditions set forth in ;;
this affidavit prior to commencing construction. ! understand that a separate permiit may be required far electrical work,
plumbing, s�gns, wells, pools, a�r conditioning, gas, ar other installations not specifically included in tFre application. A ;:
permit issued shall"be canstrued ta be a iicense ta.,proceed with the wark and not as authority to violate, cancel, alter, or
set aside any pravisions of the teahniaal codes, nar shall issuance of a permit prevent the Building C?fficia!from thereaf#er
requiring a correctian of errors in plans, construction or violatEons of any codes. Every permit issued shall became invalid •
u�less the work authorized by such permit is commenced within six months af permit issuance, or if work auth'orized by
the permit is suspended or abandoned far a periad.of six(6}months after the time the work is commenced. An extension
may be requested, in'writing, from the 8uitding Officiat for a period..not ta exceed•ninety (90) days and will demonstrate
justifiable cause for the extension, 1f work ceases for ninety(90)consecutive days, the job is considered abandaned.
WARNING TO ClWNER: YOUR FAILURE TO RECQRD A MOTICE OF,Ct3MMENCEMENT MAY RESUI.T IN YOUR
PAYtNG TWfCE F�R IMpROVEMENTS TO YOUR:t'ROPERTY. IF YOU.�INTEND.>TO OBTAIN FlNANGlNG,CQNSULT
I WiTH YC1UR CENDER'OR.AN ATTORNEY BEEORE RECORDlNG YOUR.NQl'IG���Cf?!1!!l�AENC�I�ENT: � � " � ���
FLQR(DA JUF2AT(F.S..1.17.03)�- --- � — f- L
OWNER OR AGEN ��37't-Q LC�SL�X�.., CONTRACTOR
Subsc'b and s o t (or affirmed)before me this S scribed and sw n to(or affi ed)before me this
3-�'�jr1 b���tme L, t'1'lrse.r7�' a8�r �. r� �-
Who islare ersonally kno o me or has/have produced � Who tslar ersanalty knawn o me or haslhave praduced
as idenUfication. as identffication.
1 •
r
Notary Public Notary Public
, ,
mission mission No.
���N1y p4j4� SYIYIA A.CAMPBELL � ;�;►A';A;;e�.; 'SYLYIA A.CAMIPBEtI
�p't1� U��r �O .+:
Name of Nota �'y t��� ° xp'rres Ju!19,2017 Name of Notary typ .�t��m..Expires Jut 1$,2Qt7
%�, `� Commission�FF 03Q230
•'�:,�oF f�u;:�'• Cammission#FF 034230 °�n,g;;,,.�'�� g�nded'throu h Hationil N61a Assn:
'J��+�����' Bonded'fhrauph Nation�l Notary Assn: 0 � �
.
� -� � � - PROPANE�GAS�� ` " =as = =ervi ce �
--� - _ AND AIC atvc: TanHeat i
;�:,
' �:
�KGe��88. , $'�3��82•50'I3 WORI'. ORDER#ISERVI_CEMAN 1`39L COM
SALES•SERVICE•REPAIR•INSTALLATION DATElTTI�E TAN.EN �+3/15/17 1�:48
�" 4441 Allen Rd.•Zephyrhilis, FL 33541 � TAN.EhI PY SC �4
+ a � (813) 782-5013 DATE/TIh�1E PROI�ISED
. CLlSTOf�ER#k/LOGAI"TQi�I i813�
� F�HOiVE# 813-714—�►9`�8 C
NOTES: CCIfVTAGT L�I LL D T XOhI
.�_ ,
FcDUTE/SEG? C01�
� �
RYI�AI� CONSTRUCTIOhI RYi�AI� COI�ST — FOR REHEC.CA UGO
; �641.:, �F� 54• ,:,��47 SOUTM AVE
�. .
� ZEPHYRHTLLS rL ��541 ZE�'HVRHILLS FL33�41
� �
�' �'�,��rtr-u.� /�D ; � l �� �� � ,
Start End Time Flow Lock Up System fZegulator Regulator Regulator Regula�
.y Pressure Pressure • Held Pressure-. Pressure OK- Code Condition Manuf. Mode
� Single Stage ---���. ---- —�—��.� — ��.�
' � — ------ ------- -- • --- ------ ------ ------ ----
Two �St PSIG PSIG PSIG PSIG �
y Stage -
I ' � 2nd • In. W.C. In. W C. In. W.C.
,�•
Work Pertormed:
�, Description Amount
' ,. ' Service
�, '�t', ^ Appliance
, Material �
�, � ' _ - Tax.
k : ; Qty. Part# Description G8S
,, ' Hazmat
y - Permit '
Tank Lease
„ � _ Total Due
' � AMO.UNT RECENED
,,, I have authorized and have autfiority to order the work as outlined above.I agree to pay all costs as represented in this document,if these charges are tur
over for cbllection, I agree to pay reasonable attorney's fees if tfiis invoice is placed in the hands of an attomey or collection agency for collection.
� : -�
.Y • ' •
Customer Signature Date Technician's Signature Tech#
I
� �ITY SUTLDING DE]PARTMENT
4WNER r��C�.IJ�, �.(�.,,� l
�
JOB LOCATION' ���} � �,I,_, � ,N'}/l �" �i�, ,��� �....
PARCEL I.D.# f �� �� � ���C� ���Z� �D,C✓[.� '
SECTION TOWNSHIP RANGE SUBDIVIS[ON � BLOCK LOT ,
SHO''VV ALL EXISTING &PRdPOS�D STRUCTURE5�I'�ING DIMENSIONS & SETBACKS
� �
� '
. �.j`-�- �
s
� �
, �oU�� � .�
� . o ::t��. � , =��:, �� v
� ti� , � _„ "'#�'�" ,� oD
7 �_�
�:
. ` 's. +
',� .i
,� �
�,}, -
_�q �r
- ,,.
y r
'""`,, ,,•. ,r ..
-,. ..�z..�<. � .,
���
..�� � �ar� �!G �
�����r� ��x
��....-�` - � �a�W�si w�+-t
, �1�" ��, ��ltryrau
_:�.n.�..;.
��'RONT PRO�ERTX LINE �"`��'"` �'��� � �f(-}
--t�
ST1t�ET ��y�,
------.__---_.,-------------------------------------------------------------------------•----___-------------.,--___________----___------.»__------. "�
, �l.C`�''7 ��
�- —