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HomeMy WebLinkAbout19-21021 CITY OF ZEPHYRHILLS 5335-8TH STREET ` (813)780-0020 21021 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21021 Address: 39623 DAWSON CHASE DR Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: HIDDEN RIVER Est. Value: Parcel Number: 24-26-21-0100-00000-0150 Improv. Cost: 6,350.00 OWNER'INFORMATION Date Issued: 4/01/2019 Name: JACOB, JEFFREY& BONNIE Total Fees: 112.50 Address: 39623 DAWSON CHASE DR Amount Paid: 112.50 ZEPHYRHILL, FL 33540 Date Paid: 4/01/2019 Phone: Work Desc: CONSTRUCT SCRN RM 14 X 12 SQ FT W/SLAB CONTRACTORS APPLICATION FEES TRA CONSTRUCTION INC BUILDING FEE 112.50 n i Ins ections Required FOOTER 2ND OUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH 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 Rennspection 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, 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 notice of commencement." Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INSTR#2019053433 OR BK ykSt$1 PG;Sbb( Page 1 of 1 04/01/2019 12:19.PM Rcpt:2041573 Rec:10.00 DS:0.00 IT:0.00 Paula S. O'NeiG'Ph D Pasco Countl_!Clerk&Comptroller Permit No. I b 2 f ParcellDNo Zd1 Z6 NOTICE OF COMMENCEMENT state of jc/ County of Pa zeo _ THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Stabiles, the following Information is provided In this Notice of Comma enC 1. Description of Property.Parcel Ides'ficalfon Na i/P✓//►sa[05 tft 7 O?1 GC fr siroet Addresv: '396�3 t✓avn .4 S e P v`i.%/Ct�, 2. General Desolpton of Improvement EOM �]C{/l!/>YYlO�"' W i 3. O,yner Information or Lessee Information If the Lessee contracted for the Improvement I 396L3 Name gwson kSe ARZGP`i�/v ��I1' ssryo �/ Address City Slate Interest In Property. Name of Fee Simple Titleholder. (If different from Owner listed above) C State 4. Contrcior. CO/1 STh/yG O» y � IO5/S$NameC�f, fl� r J t v v is 3s��t P �/ C�co State o>'sTelephonaNa SIT-7-70-8860 surety:Name a/s+ Adds city state Amount of Bond:S Telephone No.: S. Lender. N14 Name Address coy Stale Lendefs Telephone Nm: 7. Persons within the State of Florda designated by the owner upon whom notices or other documents may be served as provid a yt✓� Section 713:13(1)(a)(7),Florida SMtes: AI Name eSi ii w : Address city s Telephone Number of Designated Person: a B. In addition to himself,the owner designates, to receive a copy of the I.lerwfs Notice as provided in section 713.13(1)(b),Florida . ^ Telephone Number of Person or Entity Designated by Owner. e. �►�` 9. Expiration data of Notice of Commencement(the expiratim date may not be bbefore the completion of construction and final payment to the 2� contractor,but wig be we year mom the date of recording unless a different date Is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1 SECTION 713.13. FLORIDA STATUTES, AND CAN (A 'D O —( --I (Y) RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE D Z X 2 -q WITH YOUR RECORDED LEND L AND ENDER AN ATTORNEY BEFORE COMMENCING WORK R RECORDI ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF NG YOUR NOTICD TO E OF COMMENCEMENT.AIN CONSULT c m- m — Under penalty of per)ury.I declare that I have read the foregoing notice of commencement and the a facts stated therein are true to the best Cn m D Mof my knowledge and belief. Q �j STATE OF.FLORIDA -G (7 COUNTY OFPASCO o O O m r ofOwneror ,or s sAuowrimd -DG D "O X ;O!C) Iredor/Partrher/Manager r O Z C M Z, - om owo -< v SignetagrsTite101fice m z 0 0�D The foregoing Instrument was acknowledged before me this Ktday of G,2ds by Q V' M O D C) as n G! c uth e.9.,officer,trustee,attom m act)for -n -<—i C (nor a of of en I. M O O = = Personally Known 13 DR Produced Identification P(._ Not.-AL—At.— -- T f7l g � 0 D Type of Identification Produced Name(Print) p z f= M 0 :> 3: F.Papp ^' = O O CoD ,H"her NOTARY PUBLIC -� 0 c 2STATE OF FLORIDA -n m 0pCallm#GG265252 � nzExpires 112212023 m w�emrbcshhd�cornmencemeM pc9s3oaa I CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21021 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21021 Address: 9623 DAWSON CHASE D Permit Type: ADDITION/ALTERATION EPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township. Range: ook: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: IV Est. Value: Parcel Number: 24-26-21-0100-00000-0150 Improv. Cost: 6,350.00 " OWNER INFORMATION Date Issued: Name: JACOB, JEFFREY& BONNIE Total Fee 0 Address: 39623 DAWSON CHASE DR Amo Pa ZEPHYRHILL, FL 33540 ate Pali: Phone: Work Desc: CONSTRUCT SCRY RM 14 X 12 SQ FT W/SLAB CONTRACTORS APPLICATION FEES T CONSTRUCTION INC BUILDING FEE 112.50 Ins ections Required FOOTER 2 D ROUGH PLUMB M INSULATION CEILING' FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH 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 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 notice of commencement." Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with, City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. . NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER t i . rHE SCREENMAN 813 770-8860 L-1 • ! ! !8 CRES MELD©RIVE;I�IVERIAEW.-EL.33569 STATE HED-GEtNER1�L COI�PR&OR CGC#.51,5132 JO-B-NIN4Erany�t cam, - DATE - ADDRESS PHONE 702 s 32� ^ clzr e P E MAILwli _1• f y i y y ',z ,.._ i_ -F - _ - r. . Vt' • < • :t ! 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' COidFR3LL7 R�1Lc mmcti g poset3cont�act and-accept the same,on the tunas and condiiibns,as.stated above. Porcb c Date THE MCE iS'BASED OW �Gy -MENSMM SHONH IN 4ALA.COssaaa,eC= ---'• THE ABWMS� LICENSED BONDED INSURED 813-780-0020 City of Zephyrhills Permit Application r ax-ti,i i-i ov-vuz 1 Building Department Date Received phone Contact for Permitting ...... Owner's Name N30VI 0 1 Owner Phone Number Owner's Addressl,39&-Z3 S, ON Owner Phone Number 33S 0 w6er Phone Number JOB ADDRESS v7J r i:5 zeOLt 33 J Y- LOT 1 SUBDIVISION 14416peyj I 0ev- PARCEL ID# I�7 /_1? 210 6>- 0191l5100 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH a INSTALL REPAIR PROPOSED USE Q SFR = COMM = OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL [�P 'CJ_;, >0_� S'c DESCRIPTION OF WORK 6 d BUILDING SIZE [ y J - ::� SO FOOTAGE HEIGHT ............... ILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY = W.R.E.C. =PLUMBING 1$ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO COMPANY OMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN Y L N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED FEE CURREN L_yl N_J Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN /N Address License# OTHER COMPANY = SIGNATURE REGISTERED Y/ N FEE CURREN LYL/N Address License# H.++ I 1 2 1111 11111111111111111111111111111 1 m I I I 1 0 11 111111 11 1111 1 a I I I I RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsilarge projects COMMERCIAL Attach(2)complete sets of Building 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,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&4 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. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion 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 may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - . Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone W" unless 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" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I 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, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. 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 NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swornto(or affirmed)before me this Subs�n. d and sMa6y Eo(or affirmed)beforg�me t is y b �-,nhWho is/arepersonally known to me or has/have produced W /ar rsonown to meorhas/have produced as identification. Pt WIVE;& 47-_ as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped SEC. 24 , TWP. 26. S, RNG.- 21 E. RECORD SURVEY (FINAL) BEARING BASIS: LOT 15 NORTH BOUNDARY OF SUBJECT PLAT BEING S 89*40'43" E HIDDEN RIVER PHASE ONE 8 THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE DISCLOSED.BY A FULL AND ACCURATE PASCO COUNTY, FLORIDA. TITLE SEARCH. ALSO SUBJECT TO SETBACKS, EASEMENTS AND RESTRICTIONS OF RECORD. PREPARED FOR&CERTIFIED TO: 0 UNDERGROUND FOOTER, STEM WALL, AND CALATLANTIC TITLE,INC, IIUNDERGROUND UTILITIES ARE NOT LOCATED OR SHOWN. NORTH AMERICAN TITLE INSURANCE CO. DO NOT SCALE THIS PRINT. DIMENSIONS AND EAGLE HOME MORTGAGE,LLC NOTES TAKE PREFERENCE. JEFFREY A.JACOB 6 BONNIE R.JACOB U) DESCRIPTION NOT CONTAINING PLAT BOOK AND t PAGE INDICATES THAT PLAT IS IN PRELIMINARY STAGE AND IS SUBJECT TO CHANGE AND/OR REVISION. CERTAIN DATA SHOWN HEREON BASED ON ENGINEERING PLANS PROVIDED BY CLIENT, STRUCTURE TIES SHOWN HEREON DENOTES MEASUREMENT FROM FORM BOARDS/FOUNDATION TO PROPERTY LINE. THE EMERALD POINTS TRACT RV RESORT PHASE THREE PURPOSE OF SURVEY-.TO OBTAIN HORIZONTAL LANDSCAPE & (PLAT BOOK 38;'PAGES 7-11) AND/OR VERTICAL DIMENSIONAL DATA TO SHOW BLIFER EASEMENT CONSTRUCTION IMPROVEMENTS. HIDDEN RIVER PHASE ONE A (PLAT BOOK 74, PAGES 101-121) .. . . .. = 10' DRAINAGE/UTILITY EASEMENT FIR 5/8 FIR 5/8" 5' DRAINAGE EASEMENT _#6900 S 89'40'43" E (P&M) 60.00' 6901) .1-0 so PT BOULANDARY 0 0 q o 0 0 40.0' 17.5 1 .i I I LOT 16 I 1 STORY I E.-15 A' LOT 14 MASONRY RESIDENCE LOT 15 cov CO 24.7'ENT RY 0 Ry 0 z 01 4' * ' . 10. 15.4-J� ' FIR 5/8- NO ID iCONC :C-4 f W LK A WALK FIR 5/8' :GONG' q 6900 N, 89'49'43" W (P&PLAT_,J BOUNDARY 5' CONG WALK `l,_PRM(P) �1 0 00. 2' CONC CURB-E/P DAWSOW' CHASE DRIVE HIDDEN RIVER PHASE ONE A (PLAT BOOK 74, PAGES 101-121) LEGEND: (50'R/W) E-00.0 = EXISTING GRADE LOWEST FLOOR ELEVATIONS: LIVING AREA: 76.42' GARAGE AREA: 75.89' DESCRIPTION: ELEVATIONS REFERENCED TO LOT 15, MAP OR PLAT ENTITLED "HIDDEN RIVER PHASE ONE B", NATIONAL GEODETIC VERTICAL AS RECORDED IN PLAT BOOK 076, PAGES 077 THROUGH 082, DATUM OF 1929. MEAN SEA OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LEVEL= 00.00 Fr. APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL NO. 120230 0460 D EFFECTIVE DATE: 9/30/1992 Project Number: ISquare Feet., 6600.00 LENNAR HOMES LEGEND; (C)= CALCULATED DATA, (D)=.DEED DATA, (M)= MEASURED DATA, (P)= PLAT DATA, q= CENTERLINE, A/C= AIR CONDITIONER, B/C= BACK OF CURB, C/S= CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CLF= CHAIN LINK FENCE,,CONC= CONCRETE, COV.= COVERED, 'E/P= EDGE OF PAVEMENT, ESM*T= EASEMENT, F/C= FENCE CORNER, FCM- FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE, FIR= FOUND IRON ROD, FN&D= FOUND NAIL & DISK, FPP= FOUND PINCHED PIPE, LFE= LOWEST FLOOR ELEVATION, MAS.= MASONRY, OR= OFFICIAL RECORD BOOK, PB- PLAT BOOK, PCP= PERMANENT CONTROL POINT, PRM= PERMANENT REFERENCE MONUMENT, R/W= RIGHT,OF WAY, R= RADIUS, SIR=SET 1/2" IRON ROD & CAP No. 4493, SN&D= SET NAIL & DISK, TBM= TEMPORARY BENCHMARK, U/P= UTILITY POLE, W/rF WOOD FENCE Drawn By: I' HEREBY CERTIFY THAT THIS SURVEY HAS BEEN MADE UNDER MY JOHN R.BEACH&ASSOCIATES,INC.t SMS RESPONSIBLE CHARGE AND MEETS THE MINIMUM -TECHNICAL 911 WEST ST. SURVEYORS AND MAPPERS Checked By: STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PETERSBURG DRIVE JR8 PROFESSION Ai�%LAND SURVEYORS IN CHAPTER 5J-17.050, FLORID ONE OLDSMAR, FLORIDA 34677 AD NISTR IVE CC I NT TO SEqZ4R 472.027 FLORIDA WAY (813) 854-1276 FAX (813) B55-8370 Scale: S 1.=30 NOT VALID WITHOUT THE SIGNATURE AND JDate: THE ORIGINAL RAISED SEAL OF A FLORIDA FINAL 12/28/18 DJB AT E )DATE b� LICENSED SURVEYOR AND MAPPER o JOHN R. CH Revisions: FORM BOARD TIE IN 10/9/18,,JMM, FOUNDATION TIE IN 10/17/18 JMM FLORIDA RE , LAND SURVEYOR No. 2984 LB#4493 JEFF M. HARTIEY SURVEYOR & MAPPER N6<7123 Q _ 1 � �s f��•-L.OPIOP City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: 7KA T Date Received: 5— Site: 3 J�AXS6'h C , - Permit Type: SCrA r/h 1 7� 2- 6 15,1a,6 Approved w/no commentr Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. MAR,, 2 4 2919 Kalvin S er—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present)