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5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-MOO21 M BAC-003084-2021 Issue Date: 01/1012022 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 23MEMEMEMEM VUffJ-P,r*-f W-le-7-07 11W M M, I IT 7i T �* 0 117 M WAT 7771 fq�r-d ir accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 24mid 111 0 0 1 :FAT Contractor/Homeowner: N-M WMMIM O-I,Z f V4) A -A cA City of Zephyrhills Approved w/the below comments: A r4um&c� This comment sheet shall be kept with the permit and/or plans. B 4iu Lrg-e s �s —wilding Official Date I 91S•78t?002D City Of Zophyrhiiis € erfnit AppliCati@r> Building Department [rota Received � � � �Ptrono Contagt for F ormiRin � L� � S Owncea Name ., nor P noNamtorOwner a Addroao @»nor hana Numtor Poo Simple Tl eider Namo r orPfaonsNumaar Foe Shmplo TideholderAddreso JOB ADDRESS LOT# SUBDIVISION e, r PARCEL IDS ° 47 —00 0 (04TAINED FROM PROP@ATV TAX NOTICS) WORK PROPOSED NEW CONSTR ADD}ALT ISIGN DEMOLISH REPAIR PROPOSED USE SIR COMM E= OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRtPTftlN@FWORK 4? //j !« f f'`dY.�S /, BUILINNG SIZE St2 FOOTAGE HEIGHT rl61I0..C11Ntr $. VALUATION OF TOTAL CONSTRUCTION ° , ELECTRICAL AMP SERVICE PRN GY]t.R PLUMBING 4J r ir° MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATi , ` 0 I v [=GAS [D ROOFING [3 SPECIALTY N - OTHER 1,111X jX0 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES e6,O V ME go Address License# ELECTRICIAN COMPANY SIGNATURE ReasTenaq t rEEcuhae } Address jj) License # ! ^' PLUMBER f1TNATi1NAT RE GCOMPANY SAaoerEaeo YIN Address .. { ,. _,.�.. License It ^' 1 der MECHANICAL COMPANY � t SIGNATURE �._ RE( sTEAEo IN eEEctrRReN YIN A Address -�- License #OTHER...._. SIGMA COMPANY SIGNATURE €tnal3TeREo IN rEnumRoft e Yt�y- �. Address S�ORSS�S�d 6RWS[RdSS.e�,dB aRR��ARA��SRtffiESSSRSfS�NSSA MS4Sd�>'fO#p SdS HiSS�t RESIDENTIAL Attoctf {Zj Plot Plans; {2) seta of Bumf tg Plano; (!}sot of Energy Famai R 7kW Pomuit for no�v ggn3tfucoon, Minimum ten (gj wo king doya shah sutmit#a1 tlato, Required smelts, Cgnalructlnn Plana, Stomtwator Plans tvt Silt Form Installod, Ssatiary Fagilttios d t dumpstor, Siie Wori6Potmit for 8trbdivlSiansAarga ptgjoets COMMERCIAL Aflaoh {2} compldto Bois of Bugding Ptor $ pros a Ltla Safety Pogo; (#} oat of Engfgy Farms. R C? W Permit for now construction. Minimum lam {i0} wq a tng days alter sittxnitial dale. Required onalko, Oon3tiu don Plana, Sioimwotor P{tine wt Silt Fence installed, Sanitary) sets oa n 1 Engineered or. silo V7o k Pormlt Car o4 new profoeEa, AIt e unma gloi raqutramonts must moat compttanco SIGN PERMIT Attach{2)sotsglEnginaorgdPtana. —'PROPERTY SURVEY required for all NEW construction. Dtrontlano, '�"�"a' Fill out application compfolely, Ownoh d Contractor sign back of application, notarized if or $2500, a Notice of Commencement is required. {A}C upgrades over $7800) " Agent (for the contnclor) or frowor of Attomoy Or in$ owner) would be someone with notarized totter then over authorizing Como OVER THE COUNTER PERMITDNG (copy of contract roqulred) Names g shinglce Sowers Service Upgrades A1C Fence$ (PlotlSurvay}Foolege) Drivoways-Not over Counter If on puhlie, madwayti,meeda ROW 4f-{v t 1{G d 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Owner's Name Owner's Address i L) f',�% Fee Simple Titleholder Name Fee Simple Titleholder Address JOB ADDRESS SUBDIVISION f ',— m ^- -e WORK PROPOSED NEW CONSTR e INSTALL 8 PROPOSED USE SFR a TYPE OF CONSTRUCTION BLOCK III" � I � � �I Illil QI IIIlI II � ■.y �11F —� -- LOT #� PARCEL ID# v° ¢' (OBTAINED FROM PROPERTY TAX NOTICE) ADDIALT REPAIR Comm FRAME —J SIGN = DEMOLISH OTHER STEEL~' . 1 BUILDING SIZE �SQ FOOTAGE = HEIGHT' =BUILDING $Z, 11) Syr# VALUATION OF TOTAL CONSTRUCTION" =ELECTRICAL =PLUMBING =MECHANICAL =GAS = ROOFING E] FINISHED FLOOR ELEVATIONS AMP SERVICE 0 PRO RGY W.R, VALUATION OF MECHANICAL INSTALLATI SPECIALTY OTHER /` 17ZO I FLOOD ZONE AREA OYES ekN O COMPANY JArY 9 r L';,ej ` REGISTERED —I_YIN I FEE CURREN Address License # ELECTRICIAN- COMPANY _ SIGNATURE REGISTERED YIN FEE CURREN Y / �N� Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y I N J FEE CURREN YIN Address I License # MECHANICAL COMPANY SIGNATURE REGISTERED Y (N J FEE CURREN Y,I N Address License If F_ OTHER COMPANY SIGNATURE ���--1--^--� REGISTERED T- 1 -NJ FEE CURREN I Y I N Address License # 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 wl Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge 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 wl Silt Fence installed, Sanitary Facilities & 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. (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 t Im 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 Genteel 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 IMPACTIUTILITIES 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 1, 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" poor 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 I 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. 19A. 1-Iffl-11FIRNSPINIMr r - - . OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this In Who is/am personally known to me or has/have produced as identification. Public Commission Name of Notary typed, printed or stamped me or I— + I(Jif. identification. Ax'e— Notary Public Comnlk!ioVNO-_�7L U Name of Notary typed, printed or stamped 45-7 COMcheck Software Version 4.1.5.1 Interior Lighting Compliance Certificate 9023MIMM= Energy Code Project Title: Project Type, Construction Site: 7631 Gall Blvd Zephyrhills, FL 33541 2017 Florida Building Code, Energy Conservation Charleys Alteration Designer/Contractor: Peter A. Leptuch, P.E. 300 N. Carroll Blvd, Suite #200 Denton, TX 76201 (940) 808-0615 pleptuch@yahoo.com A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Wafts 1 ft2 (B X C) 1-Commor, Space Types:Dinino Area - Family Restaura 1527 0,89 1359 2-Common Space Types Food Preparation 421 1,21 509 Total Allowed Watts = 1868 Proposed Interior Lighting Power A B C D E Fixture ID : Description / Lamp / Wattage Per Lamp 1 Ballast Lamps/ # of Fixture (C X D) Fixture Fixtures Watt, Incandescent 1, A: Caged Pendant: Incandescent 40W: 1 10 40 400 LED 1 E11E2. Ex, 2x4 LED Panel Other 19 40 760 LED 1 D: Recessed Down Light: Other: 11 20 223 LDMMQD-,5���4�j LED 1: E1/E2: Ex. 2x4 LED Panel Other: 1 7 40 280 Total Proposed Watts = 1663 ON 0HU W �'Vr plTa 7 Manuafory requireme St 11 Peter A, Leptuch Name - Title Sign ture Project Title: Charleys Report date: 05/20/21 Data filename: C:\Users\Peter Leptuch\Dropbox\-(P-2021)\.21.103 - SRG - VG - Charleys - Zephyrhills, FL\-21,1 Page 1 of 5 - SRG - VG - Charleys - Zephyrh;lls, FL - ConnCheck (Passes),cck COMcheck Software Version 4.1.5.1 Inspection Checklist Energy Code: 2017 Florida Building Code, Energy Conservation Requirements: 0.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen, For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided, Section # Plan Review Complies? Comments/Assumptions 9JD: C405,6 Plans, specifications, and/or OComplies [PR17)1 calculations provide all information []Does Not with which compliance can be determined for the electrical systems []Not Observable and equipment and document where E]Not Applicable exceptions are claimed. Provisions are made for metering individual tenant units. Feeder connectors (for feeder and branch circuits) sized in accordance with approved plans with maximum drop of 5% voltage drop total. ICI-03 2 Plans, specifications, and/or OCom ' plies PR4 1, calculations provide all Information DDoes Not with which compliance can be determined for the interior lighting E]Not Observable and electrical systems and equipment ONot Applicable and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations, wattage of bulbs and ballasts, transformers and control devices, Additional Colmments/Assulrnptions 1N gh Impact {Tier 1)mmTM 2 Medium Impact {T er 2)T ow Impact (Tier 3) J Project Title: Charleys Report date: 05/20/21 Data filename: C:\Users\Peter Leptuch\Dropbox\ (P-2021)\�21,103 - SRG - VG - Charleys - Zephyrhills, FLI,-21.1 Page 2 of 5 - SRG - VG - Charleys - ZephyrhilFs, FL - ComCheck (Passes).cck Rough -in Electrical Inspection Complies? I Comments/Assumptions Re C4o'J Lighting controls installed to uniformly ----------- — ------ OComplies [CL�� 5 reduce the lighting load by at least E]Does Not 50%. Eslot Observable ONot Applicable C405.2,1 Occupancy sensors installed in [EL18]' required spaces, E]Does Not E]Not Observable EJNot Applicable C40521, IC405�2,2, Independent lighting controls installed ------ ElComplies - ----- 13 per approved lighting plans and all manual controls readily []Does Not [EL23]2 accessible and visible to occupants, E]Not Observable ONot Applicable C4� 2. �7 Automatic controls to shut off all E]Comp h e s 1 [[E building lighting installed in all DDoes Not ILE 2 buildings, E]Not Observable []Net Applicable C405.23 Daylight zones provided with QC omplies [EL16]2 individual controls that control the E]Does Not lights independent of general area lighting, E]Not Observable E]Not Applicable C405.2.3, Primary sidelighted areas are 11C405,23, 1, equipped with required lighting E]Does Not JC405Z3. controls, E]Not Observable i2 E]Not Applicable [EL20]1 C405.23, C405,23. Enclosed spaces with daylight area under skylights and rooftop monitors --------_--- - 0-Complies EJDoes Not 1, C405,23, are equipped with required lighting controls, E]Not Observable 3 []Not Applicable [EL21]1 �40�52A Separate lighting control devices for OComplies 'E 1_4r- specific uses installed per approved ElDoes Not lighting plans, E3Not Observable EJNot Applicable [E40_�_2,4 Additionalinteriorinterior —lighting power --EIC—o [EL8]', allowed for special functions per the DDoes Not approved lighting plans and is automatically controlled and []Not Observable separated from general lighting, E]Not Applicable FE4_6�, _37 Exit —signs _- d —on o t —exceed 5 —watts —p_e_r__'_1_:_3C__o_ mpli es- rEL61: face. []Does Not ONot Observable E]Not Applicable -------- -- Additional Comments/Assumptions: High impact (Ter 1) _T ow mp 2 !Medium Impact (Tier 2) act (Tier 3) Project Title: Charleys Report date: 05/20/21 Data filename. C:\Users\Peter Leptuch\Dropbox\-(P-2021)\-21,103 - SRO - VG - Charleys - Zephyrhills, FL\-21.1 Page 3 of 5 - SRG - VG - Charleys - Zephyrhills, FL - CorriCheck (Passes),cck Final Inspection Complies? Comments/Assumptions C303.3, Furnished O&M instructions for 0--o m- pie -I _'_s___ ------ C C408,2.5, systems and equipment to the []Does Not 2 [1`1171j building owner or designated representative, []Not Observable E]Not Applicable - ---- ------ C405A.1 Interior installed lamp and fixture ElComplies See the Interior Lighting fixture schedule to,- values, [FI18]1 lighting power is consistent with what E]Does Not i is shown on the approved lighting plans, demonstrating proposed watts E]Not Observable are less than or equal to allowed E]Not Applicable watts, C408.2.5. Furnished as -built drawings for ElCorniplies 1 electric power systems within 90 days E]Does Not [FI16]3 of system acceptance, Not Observable E]Not Applicable C4083 Lighting systems have been tested to DComplies [F1331,' ensure proper calibration, adjustment, E3Does Not programming, and operation, E]Not Observable ONot Applicable Additional Comments/Assumptions: Pigh Impact (Tier I) 2 ; MMedium Impact (Tier 2) 3 Low Impact (Tier 3) Project Title: Charleys Report date: 05/20/21 Data filename CAUsers\Peter Leptuch\Dropbox\ (P-2021)\ 21103 - SRG - VG - Charleys - Zephyrhills, FL\_21A Page 4 of 5 - SRG - VG - Charleys - ZephyrhilFs, FIL - Com—Check (Passes),cck Project Title: Charleys Report date: 05/20/21 Data filename: C:\Users\Peter Leptuch\Dropbox\ (P-2021A -1 2103 - SRG - VG - Charleys - Zephyrhills, FL\-21,1 Page 5 of 5 - SRG - VG - Charleys - ZephyrhilFs, FL - ComCheck (Passes),cck INSTR#2021276845ORBK10514PG310 Page 1 of 1 12/29/2021 12:37 PM Rcpt: 2395042 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki ALvwqz:aQw-IQs_E� p C tro proptly 14=oficw= 3367q TH4umDbstip mbnby&lvsbftm YOU UWQWbVmvwWWM bemufttamtskma m m m b. :xs- X 2 cn E 0 Z) n! sus T 0 0 uj J�, 0 0 0-0 cl- 0 8134 g.GQ20 City of Zephymiti5 Permit Application Fax-$I3.79D11821 Bung Doparanam Date Received L aaaaaaaa s- Name '',, a. P« SiMIP18 TH1 haldar Name Fso 3I-30 or s kl{ W ' "�"" JOB ADDRESS SUBMWoNswMN s WORK PROPOSED NEW Ct]NSTR ( INSTALL p jL1aY#m'31 rRCM�aR yax iiaYHGf) ADWACT SIGN �] DEMOi15H Rfakrc� PROPOSED USE Q SFR E:] cow OTHER TYPE of CONSTRUCTION C3 BLOCK t_._i FRAME STEEL DESCRIPTION OF WORK LSfNG.SIZE � SQ FOO"fA6fi s MRJBHi mm w _ 'R'R'ii['a'Y""4'#C't['S'i'a�'R'A`aE"C'1l"4�Ct'.R'tC'R`1C"�CKt'�aT't'A'C"1g7C''t'�Ci�'1C"a.'a'['�K't['rC"Ci"R`a'YK'i"at"fiR'SY'!'R.'s['K't iGR't [=DBUtLOING .# VALtfATK3N OF TQTAL GONSTRUGTTON ;,} Tj(i . ©ELECTRICAL S? AMP SERVICE GY -... W R,s"."•"- PLUMBING FV 4` �MEGHANIGAL S Je� � � VALUATION OF MECHANICAL 4NS'{'kLl ��`" . j.; � ��} leo xj�,%'s i U- © C:3 ROOFING Q SPECWLTY OTHER FINISHED FLOOR ELEVATIONS I'— Z,,7— FLOOD ZONE AREA ( YES elizo �vRHF.. ,eFd�-a•f-e�i�F t^a s-8 ems„ ` � BUILDER COMPANY SIGNATURE WaATEM Y t N ...I n crom IN Address ELECTRICIAN SIGNATURE �7 !COMPANY i RecasYaRRP ; N rt� T V t N ..._._ma —.^--- Address Licaase# j ..._ .,..;�' /� f /s""• PLUMBER _..... . SIGNATURE COMPANY " ""'...."•t ....._.._.___ ....._._...,... ..__ Rear€xen Y! t N ? _...` Address LlMnsa # l Ml SIGNATURE COMPANY 5. r SIGNATURE 1, RPusTskeo �4 '_,FEH WRRF.N �Yt Address ' �:.. .. g Uconss OTHER � COMPANY SIGNATURE .. as a aafaa*a a a a a a a a aaaa# 66RESIDENTIAL Affich(2)PbiPln;(2)�tsofSuMngPup,{I)�etofEmae &RFtms;R-0WPam*twRawoasrcgw, aat Minimum {i(}) workie>S} days submpGgl Vie. Roquimd ansrie, ConsWolion Pdare., SMmmsftar Plans wt Sit Feme kWoflad. Stsn#ary FaaiBka 6 t dumpssae; Sita WOrkPo9mRhw auifdivisiars�o Projads COMMERCIAL Adadn (2} eanPlelo s of Bui)dk>g Pt pkis a 4Me SaYe1y Paga; (f) sat at Enetyy Fomna. R-tY-W Parmfl tar crowW.AlWIM, tan (itt) days r stdxni@a#dais. Rsautrerl n i'fsrrs. Stormiratm Plans wt Sih Fance kwtaiod, SsrrNary F 8 f dumPsta. Site Wok Patrnif for ag •. AU ! raqufi'omaras mnixt meat tarwe SIGN PERMIT Adar3n{2}eats of Engi Platre. .PROPERTY SURVEY. MqutMd fw Ed] NEW ewsbUcWm oke,comw Fa aid on OwW 6 Cor*00W 80 lac of apphcaficn, exNa—d If over s2wo, a Notice ofCorsmsenowns"t is voquk44 (AtC ups Ower €7500) Agent (for the Contractor) a Power of Adomay (kr We ow W) VvMM be sanoorw mth notarized Wor hem miner authorizing same OVER THE COUNTER PERM (OoPy Of contract required) pe,ows H shingtss m Sa oe Upgrades PIC Fences (motrsmeytF } IRivoway"ot over Gounkw If on PUW roadways -needs ROW :�^ ,\i ::l, «�t» ® ^{ \ }� } � . :m �� � � } 2 ` � ^ « 2 \� �� � !� g , . � « .( } a � � / �, .� � » � ° i