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HomeMy WebLinkAbout22-52945335 Eighiik Street Zephyrhills, FIL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BNR-005294-2022 Issue Date: 01/30/2023 REINSPECTION ..v<,»«© (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. M1111i=1 R1 Vii PIT I !Ilillll!llv,alllll Jill Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. OPANCY BEFOREC.ON. CONTRACTOR SIGNATURE PE IT OFFICE *'3W A All Z, T III i'1111011 I ""A N ZZ"O "i Wj &NIZ44 IS L ty of Zephyrhill 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 1 T� �7�� BNR-00529 Issue Date: 01/ Complete Plans, Specifications add fee 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. TOME City of Zephymills Permit Application Liu#Iding C£ctpadmont Otto Received tt4tA46# ow"oes Name Fee Simple TitiollolderNarme Foe Simple Titleholder Address JOBADDRES5 5443 5TH STREET, ZEPHYRHILLS, FL 33542 LOT# SUBDIVISION F � PARCEL tote 11- 6-1-0 16x -6 1 tooTAINE0 PROPER" TAX 6iov"Unti WORK PROPOSED NEW CONSTR B AGOIA.T SIGN f INSTAL REPAIR PROPOSED USE SFR COMM OTHER TYPE CP CONSTRUCTION BLOCK FRAME STEEL a DESCRIPTION OF WORK I Construction of . a 1 BUILDING SIZE SG FOOTAGE L _j HEIGHT � � A III �kiUILDING S 136, 6 } VALUATION OF TOTAL C tSTRUCTIO i F�ELECTRICAL £t� i ........ AtitP I vl l C} PR ..,. Wa FLE.0 F'lUfv4E31NG s �,CiCiCt ,..�.� grHANIrAt k i f µ VALUATION OF MECHANICAL INSTALLATION GAS ROOFING C) SPECIALTY C=j OTHER FINISHED FLOOR ELEVATION$ F82771 I FLOOD ZONE AREA =YES BUILDER � COMPANY SIGNATURE R tcx{srEaen Address 16404 Felice Ave TamTamoa FL 33614 Lksmse 1 LcTIctA _. cr1tPAv yr€OttlC c ar , SIGNATURE �. AVoI5TCREb v rye a 1 N Address 6135L nd hir Cyr, a a FL 336 Licenses C1300 6 PLUMS IGNATURE Ei7�� COMPANY nr� eea Am icon reams Plumb'n t �nU€t Y N L Addritss 3403 W Braddock St Faro a FL 33667 Licenselt CFC14 4 3 �� f, � 3 MECHANICAL COMPANY mod - Construction and AC Faro�IN ;= SIGNATURE �._.� � � t aLrFfF o es Y Pd Address i711 t1U P ula T € it FL 33615 CAC 1 18898 OTHER COMPANY SIC.cHdA'YI.fMi raFta{rterato i" f H oCuuexew Y t ht Address Livense RESIDENTIAL Ailatil (2) Plot Plans. (2) Fels of Building plans; (l} srlt of Coolgy Follos 9-0-W Pery it for new isoliffilf0iion, Minimum toil (10) working days after submittal daW RofItsred orrelfe, C:onstruerfel Plarst, Storrrnuater Plant, so Silt rodeo testa€€tad: anilatfy fraofiffe& & I dump siw; Site We* Permit for subdivisfo arfl age projects COMMERCIAL Attach (2) cot rpade sets of Building Plans plus a Life Safely € age: (1) set of Energy Farms. FLOW Fennel for now conatnicl%aft Minifnum £arcs (10) vReXing days after suboll n dinc fletforred onsae, Consaiict,on Flans, StoaRwater Paris ed Silt Fortce Installed, sanitary FtfrAties S 1 du mpstor. Site We* Permit for all Prow pro? cts. All wrimerairl regiArom nls must mold, CoalprfarrcL SIGN PERMIT Attach (2) .sots of ErVia"red Plans. —'PROPERTY SURVEY radpvired for ai€ NEW cc tsi aI€Ot1, DItrestlEr6F. Fitt out Application Completely, Omer A contractor sign bask of applica€ion, notarized If over $240 e Notice of d err anencernen4 is required, (AtC upgrcldas over $7500) Agent (for the contractor) of Pi wrR of Atrornoy (1of the owner) would be tonteo O vAth Aotarized leffe f (MM Mier OU010tuead wine OVER THE COUNTER PERMITTING, (cceit, of c ontralt required) Reroals if sfun ries Sewers Service Upgrades AIC FooCeF (PlariSurveylFoott£ge) ClriueuvayF-Not OWr Couliter if on pJb€f: raadw ays..neods ROW 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 contact the Pasco County Building Inspection Division —Licensing Section at 727-e47- 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 PEES_ 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 --Homeowners 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 arid 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 taws 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 join is considered abandoned. OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this bs bed sworn f or a 9mtad) e re me s by Who is/are personally known to me or has/have produced ho is1 e s Wally knowt tome or has/have produ d as identification. ° t- s as identification. Public Commission Name of Notary typed, printed or stamped Name of Not ty nrated or stamped *= x GctrnMW HH 328672 �y aaa sg} 20268 pryry� ip t`A keM�,P OMB Public E B s224' SET NAIL h o ` / o\ 1 � h q ri do a \ T �FIP01/T (NO I D.) 0.10 N 0WE w SCALE I`=27 TOWNSHIPSECTION 11, iS FVPE1/2 0.03' hi 0.08' W 1 ,U IPA / '\ er :m N LO�pQ6 c / / d \ / d \ ml N N 6\ `Po mi9NsP. ow� mom\ Pam' � �0 - ca ABBREVIATIONS LEGEND / F I P O I/2" / (NO I II.} d flC=BLOCK CORNER (, CENTER LINE {Cj=CALCULATED ® PROPERTY CORNER {M)=MEASURED F PROPERTY LINE (R)=RECORD (P)=PRORATED PALM & TRUNK TREE TYP.= TYPICAL ,,� P.B. =. PLAT BOOK CANOPY & TRUNK TREE P.G. = PAGE F.LR-=FOUND)RONROD PINE&TRUNK TREE F.I.A = FOUND IRON PIPE sQ MANHOLE (SANITARY SEWER) S.I.R = SET IRON ROD *6 GROUND ELEVATION ` LD = IDENTI RCATION F/C = FENCE CORNER 6PAVEMENT ELEVATION B-M. = BENCHMARK 9M CATCH BASIN `ate UTILITY POLE METER (WATER) A/C UNIT MAILBOX CABLE TV BOX / 74 Xb Ns — LOCATION MAP (NOT TO SCALE) DESCRIPTION: LOTS 1 AND 2 OF BLOCK 92 OF "CITY OF ZEPHYRHILLS (FORMERLY TOWN OF ZEPHYRHILLS)", ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 1 AT PAGE 54 OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. FLOOD ZONE INFORMATION: COMMUNITY: CITY OF ZEPHYRHILLS-120235 MAP/PANEL NO. 12101 C0456F SUFFIX: F FIRM DATE: 09126/2014 FLOOD ZONE: AE + 82.4' THERE MAY BE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY THAT ARE NOT SHOWN ON THE MAP OF SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF PASCO COUNTY, OR THE RECORDS OF ANY OTHER PUBLIC AND PRIVATE ENTITIES AS THEIR JURISDICTIONS MAY APPEAR. THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT THE STATED GRAPHIC SCALE IN ENGLISH UNITS OF MEASUREMENT. ATTENTION IS BROUGHT TO THE FACT THAT SAID DRAWING MAY BE ALTERED IN SCALE BY THE REPRODUCTION PROCESS THIS SURVEY WAS CONDUCTED FOR THE PURPOSE OF A TOPOGRAPHIC SURVEY ONLY AND IS NOT INTENDED TO DELINEATE THE REGULATORY JURISDICTION OF ANY FEDERAL, STATE, REGIONAL OR LOCAL AGENCY BOARD, COMMISSION OR OTHER ENTITY. THE ELEVATIONS OF WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED VERTICAL POSITIONAL ACCURACY OF 1/10 FOOT FOR NATURAL GROUND SURFACES AND 11100 FOOT FOR HARDSCAPE SURFACES, INCLUDING PAVEMENTS, CURBS AND OTHER MAN-MADE FEATURES AS MAY EXIST. BENCH MARK: GPS - NAIL ELEVATION: 82.24 FEET (NAVD88) LEGAL DESCRIPTION WAS FURNISHED BY THE CLIENT, WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1/10 FOOT UNLESS OTHERWISE SHOWN. BEARINGS AS SHOWN HEREON ARE BASED UPON AN ASSUMED VALUE OF 525°25'06"E FOR THE WEST RIGHT OF WAY LINE OF 5TH STREET AS DEPICTED ON THE MAP OF SURVEY. LEGAL DESCRIPTION SUBJECT TO ANY DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR RECORDED EASEMENTS. THE SURVEYOR MAKES NO REPRESENTATION AS TO OWNERSHIP, POSSESSION OR OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR INDIVIDUAL. SUBSURFACE IMPROVEMENTS AND/OR ENCROACHMENTS WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY WERE NOT LOCATED AND ARE NOT SHOWN. NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER, ADDITIONS AND DELETIONS TO THIS MAP OF SURVEY BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING PARTY. THIS MAP OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREIN AND THE CERTIFICATION DOES NOT EXTEND TO ANY UNNAMED PARTY. NO TREES FOUND 20` AWAY FROM PROPERTY UNLESS DEPICTED ON THIS MAP. ak CERTIFICATION: SURVEY WS I HEREBY CERTIFY: THAT THIS "TOPOGRAPHIC SURVEY" AND THE MAP OF SURVEY RESULTING THERE FROM WAS PERFORMED UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND FURTHER; THAT SAID "TOPOGRAPHIC SURVEY" MEETS THE INTENT OF THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA", PURSUANT. TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING RULE, CHAPTER 472.027 OF THE FLORIDA STATUTES. U.S. DEPARTMENT OF HOMELAND SECURITY zo �,. � ) 01 1 Federal Emergency Management Agency ,dyl National Flood Insurance Program I q ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 1 Expiration Date: November 30, 2022 1111 11 ii I 1 1111 Jill SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: MCBRIDE LLC & HERNAIZ SERVICES CORP INC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 5443 5TH STREET City State ZIP Code ZEPHYRHILLS Florida 33542 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 1 & 2 BLOCK 92 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 28'14'13,0"N Long. 82'11'10.8"W Horizontal Datum: E] NAD 1927 Z NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1,0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? El Yes X No A9. For a building with an attached garage: a) Square footage of attached garage 418.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State CITY OF ZEPHYRHILLS - 120235 PASCO Florida B4. Map/Panel B5. Suffix B6. FIRM Index 67. FIRM Panel B8. Flood B9, Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12101 C0456 F 09-26-2014 09-26-2014 AE 82.4 Bl 0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: [] FIS Profile ® FIRM ❑ Community Determined Ej Other/Source: Bl 1. Indicate elevation datum used for BFE in Item 139: F-] NGVD 1929 X NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? []Yes X No Designation Date: N/A E] CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions, Form Page 1 of 6 ELEVATION CERTIFICATE FMB No, 1660-0008 Expiration Date. November 3, 222 In t the corresponding Information from ti FOR I Building Street Address (€n udin Apt., Unit, Suite, and/or Slag, o.) or . . Route and o o. 7C0MPAN7YUjSE Policy 7NAIC 3 5TH STREET City State ZIP Code Company Number ZEPHYRHILLS Florida 33542 WILDING ELEVATION t (SURVEY REQUIRED) Cl. Building elevations are based on: Construction Drawings* Z Building Linder onstruc i * [] Finished Construction *A new,, Elevation Cerfiftate w411 be required when construction of the building is complete. 2, Elevations Zones A I 30, AE, Alf, A (wdh SFE)= VE, t 36, V ( th BFE), AR, ARIA, ARIAE, A IAt A3 . A, iAH, AR/AO, Complete Items 2, below according to the building diagram specified In Item AT In Puerto Rico only, enter meters, Benchmark Utilized: GPS NAIL 22-5588 Vertical Datum.: NAVD88 Indicate elevation datum used for the elevations in items a) through ) below. NGVD 1929 JE NAVD1936 [] Other/Source: Datum used for building elevations must be the same as that used for the SE. Check the measurement used. a) Top of bottom floor (including beseme t, cram4space, or enclosure floor) 63 A feet meters b) Top of the next higher ftoor N/A feet Meters c) Bottom of the lowest horizontal structural member (V Zones only) /A Ej feet Meters d) Attached garage (top of slab) 6.S [E feet matters e) Lowest elevation of machinery or equipment servicing the building /A [� t 0 meters (Describe type of equipment and location in Comments) fj Lowest adjacent (finished) grade next to building (LAG) 61.1 , feet meters 9) Highest adjacent (finished) grade next to building (HAG) � 82>1 feet [ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 61,7 [E feet E) meters structural support SECTION SURVEYOR, ENGINEER, OR ARCHMECT CERTIFWATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to rtrfy eiev bon information, ! cedify that the information on this Certificate represents my best efforts to interpret the data available. t understand that any false statement may be punishable by fare or impriomment under der 18 ti. S. Code, Section 1001, Were latitude and longitude in Section A provided by a licensed landsurveyor? Yes No Check here if attachments. erfiftees Name License Number } ¢ r F r JULIO C. R RI UEZ LS 69`19 A fI LAND SURVEYOR � Company Name g L� mm .. 4' GLOBAL PROJECTS SURVEYING LL Address TA �� 6526 US HWY 301 S, UNIT 1 _ ` toy '' city State ZIP Code tI ERVIE l Florida 33579 Signature t t�wWC Date Telephone Ext, Ms'an 4,X'57 3-29-2023 (81) 23-3 63 Copy all pages of this Elevation Certificate and all attachments for (t) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per 2(e), if applicable) Latitude and longitude were obtained from www,labins,org 2(e) A/C unit is to be located as the building is under construc6on, FE A Form 56-0-33 (1211) Replaces all previous editions. Form page 2 of 6 OMB No. 1660-0008 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAIC Number SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1-E4, use natural grade, if available, Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is E] feet [-] meters E] above or E] below the HAG. b) Top of bottom floor (including basement, -] below the LAG. crawlspace, or enclosure) is E] feet E] meters E] above or [_ E2, For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is []feet E] meters 0 above or E] below the HAG. E3. Attached garage (top of slab) is E] feet E] meters E] above or E] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is F] feet [-] meters [] above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments E] Check here if attachments. FEMAForm O8G-0-33(12/1Q) Replaces all previous editions. Form Page 3ofG IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No,) or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. The following information (Items G4—G 10) is provided for community floodplain management purposes, G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7, This permit has been issued for: E] New Construction Substantial Improvement G8, Elevation of as -built lowest floor (including basement) E] feet E] meters of the building: Datum G9, BFE or (in Zone AO) depth of flooding at the building site: E] feet F-1 meters Datum G10. Community's design flood elevation: 0 feet E] meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) Check here if attachments. FEMAForm D8G'O-33(12/18) Replaces all previous editions, Form Page 4of8 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022 !IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. i Policy Number: |City State ZIP Code VCompanyNACNum�r | | ! . �EPHY�H|LL8 FloridaF�33542 " . loll 1111,610MMIM11 WON, Photo One I Photo One Caption FRONT VIEW Photo Two Photo Two Caption REAR VIEW FEMAForm O86-0-33(12/18) Replaces all previous editions. Form Page 5ofS BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. 1 0 0 1 X Building Street Address (including Apt., Unit, Suite, and/or Bldg. No,) or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAKCNumber Photo Three Photo Three Caption LEFT VIEW (FROM REAR) Photo Four |Photo Four Caption RIGHT VIEW FEMAForm O08-U-33(12/1B) Replaces all previous editions. Form Page 0ofO EY SECTION 11, TOWNSHIP 26S, RANGE 21E. PASCO COUNTY PROPERTY ADDRESS: 5443 STH STREET, ZEPHYRHILLS, FL 33542 ( FOLIO NO. 11-26-21-0010-09200-0010 ) DESCRIPTION: LOTS 1 AND 2 OF BLOCK 92 OF "CITY OF ZEPHYRHILLS (FORMERLY TOWN OF ZEPHYRHILLS)", ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 1 AT PAGE 54 OF THE PUBLIC RECORDS OF PASCO COUNTY. FLORIDA. FLOOD ZONE INFORMATION: COMMUNITY: CITY OF ZEPHYRHILLS - 120235 MAP/PANEL NO 12101CO456F SUFFIX F FIRM DATE'. 09(26/2014 FLOOD ZONE: AE + 82A' THERE MAY BE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY THAT ARE NOT SHOWN ON THE MAP OF SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF PASCO COUNTY, OR THE RECORDS OF ANY OTHER PUBLIC AND PRIVATE ENTITIES AS THEIR JURISDICTIONS MAY APPEAR. THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT THE STATED GRAPHIC SCALE IN ENGLISH UNITS OF MEASUREMENT. ATTENTION IS BROUGHT TO THE FACT THAT SAID DRAWING MAY BE ALTERED IN SCALE BY THE REPRODUCTION PROCESS THIS SURVEY WAS CONDUCTED FOR THE PURPOSE OF A TIE - IN SURVEY ONLY AND IS NOT INTENDED TO DELINEATE THE REGULATORY JURISDICTION OF ANY FEDERAL, STATE, REGIONAL OR LOCAL AGENCY BOARD, COMMISSION OR OTHER ENTITY. BENCH MARK: CPS - NAIL ELEVATION'. 82.24 FEET (NAVD88) WHEN FIELD CONDITIONS ARE NOT FAVORABLE TO SET MONUMENTS AT PROPERTY CORNERS,A WITNESS WILL BE PLACED OFF SET' AND THIS REPORT WILL BE UPDATED. LEGAL DESCRIPTION WAS FURNISHED BY THE CLIENT. WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ABBREVIATIONS LEGEND 'N 6C-BLOCK CORNER C' CENTERLINE \ (C}CAICFILATED =F PROPERTY CORNER 9 (M)=MEASURED P PROPERTY LINE .R RECORD - p,,, ,)PRORATED TYP- TYPICAL s) MANHOLE{SANITARY SEWER) mmL �'✓F -PLATBQOK v CATCH BASIN G. PAGE UTILITY POLE BC ` F I.R. = FOUND IRON ROD F.P-ROUNDIRON PIPE 'NA METER CNATEN, ^I F,IP.IV (NO 10-) SIR- SET IRON ROD O_ IDENTIFICATION FIC - FENCE CORNER 9 M. =BENCHMARK SCALE: V - 20' Y MAILBOX N' CABLE TV 30X ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1/10 FOOT UNLESS OTHERWISE SHOWN. BEARINGS AS SHOWN HEREON ARE BASED UPON AN ASSUMED VALUE OF S25'25'06"E FOR THE WEST RIGHT OF WAY LINE OF 5TH STREET AS DEPICTED ON THE MAP OF SURVEY. LEGAL DESCRIPTION SUBJECT TO ANY DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR RECORDED EASEMENTS. THE SURVEYOR MAKES NO REPRESENTATION AS TO OWNERSHIP, POSSESSION OR OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR INDIVIDUAL. SUBSURFACE IMPROVEMENTS AND/OR ENCROACHMENTS WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY WERE NOT LOCATED AND ARE NOT SHOWN. NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS AND DELETIONS TO THIS MAP OF SURVEY BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING PARTY. THIS MAP OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREIN AND THE CERTIFICATION DOES NOT EXTEND TO ANY UNNAMED PARTY. CERTIFY TO: MCBRIDE LLC S HE"AIZ SERVICES CORP INC ISMAEL RIVERA SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY'. THAT THIS "TIE - IN SURVEY" AND THE MAP OF SURVEY RESULTING THERE FROM WAS PERFORMED UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND FURTHER, THAT SAID "TIE - IN SURVEY" MEETS THE INTENT OF THE 'MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA". PURSUANT TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING RULE, CHAPTER 472.027 OF THE FLORIDA STATUTES. SA 'o IPA ig 5 L a� v� r � M1A5- a 69 LOCATION MAP {4) (NOT TO SCALE) Pi PGOI SSONAL EtDOATE TUPN 225580 5R:�E OR Af3C F A. PER rzevwnns. SHEET _. tHe� E) 2.3 Y F3J7$4. ps1'S$F`, f%$$91iik .avaw {pf ttonCa.naa anw CAL -­aF0RGFANDTREE TREE PROTE-, 20'MIN. Measured from Edge of Trunk PTS LEY` a4i5.14' rcFE.E,6A 6E tLSV= >Z5.41' 20-1 3%S cl=elnlnIY llj Z2 E2 NT5 PI, 1/,2 Alex C� PINE % -Al , li6 e2z E SET NAIL PIP 1/2 �NO LD,) t RLP 1/2" (NO la) O/S 0 OTEJ 6UTTER-- O.OSW NI TREEgo "Ap, CA yi Soo" ;A vo-, ti .t.Pm my 112' taxi I.D. GJVN 0.W WE PROPOSE NEW RESIDENCE PL NEN F F E:Lrl- r L SECTION A -A JOB N., 221-22 DATE 10129120 SHEET N., wall, 0 i r F.t.P O 92" (NO {.D.) 0-10' N O.OS' E w SCALE : 1" = 20' �OUNDARY & WOPOORAPHIC SECTION. COUNTY 003N s } / y6� gU v Nkc / & v0 } y 1p lC �A G} w ABBREVIATIONS LEGEND i) / F LP 01/7 / (NO I.D.) / BC=BLOCK CORNER (` CENTERLINE (CrCALCUEATED 0 PROPERTY CORNER (M)=MEASURED PROPERTY LINE (R)=RECORD IP)=PRORATED TYP.= TYPICAL PALM & TRUNK TREE P B. = PLAT BOOK � CANOPY & TRUNK TREE P.G. = PAGE F.I.R. = FOUND IRON ROD %',I` PINE & TRUNK TREE F(.P = FOUND IRON PIPE MANHOLE (SANITARY SEWER) S.I.R = SET IRON ROD , 6 GROUND ELEVATION i. D = IDENTIFICATION F/C = FENCE CORNER bPAVEMENT ELEVATION B.M. = BENCHMARK M CATCH BASIN `D_. UTILITY POLE 61,E METER(WATER) ® A/C UNIT MAILBOX CABLE TV BOX / fA� LOCATION MAP (NOT TO SCALE) DESCRIPTION: LOTS 1 AND 2 OF BLOCK 92 OF "CITY OF ZEPHYRHILLS (FORMERLY TOWN OF ZEPHYRHILLS)', ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 1 AT PAGE 54 OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. FLOOD ZONE INFORMATION: COMMUNITY: CITY OF ZEPHYRHILLS - 120235 MAPIPANEL NO.12101CO456F SUFFIX: F FIRM DATE: 09/26/2014 FLOOD ZONE: AE + 82.4' THERE MAY BE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY THAT ARE NOT SHOWN ON THE MAP OF SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF PASCO COUNTY, OR THE RECORDS OF ANY OTHER PUBLIC AND PRIVATE ENTITIES AS THEIR JURISDICTIONS MAY APPEAR. THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT THE STATED GRAPHIC SCALE IN ENGLISH UNITS OF MEASUREMENT. ATTENTION IS BROUGHT TO THE FACT THAT SAID DRAWING MAY BE ALTERED IN SCALE BY THE REPRODUCTION PROCESS THIS SURVEY WAS CONDUCTED FOR THE PURPOSE OF A TOPOGRAPHIC SURVEY ONLY AND IS NOT INTENDED TO DELINEATE THE REGULATORY JURISDICTION OF ANY FEDERAL, STATE, REGIONAL OR LOCAL AGENCY BOARD, COMMISSION OR OTHER ENTITY. THE ELEVATIONS OF WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED VERTICAL POSITIONAL ACCURACY OF 1110 FOOT FOR NATURAL GROUND SURFACES AND 11100 FOOT FOR HARDSCAPE SURFACES, INCLUDING PAVEMENTS, CURBS AND OTHER MAN-MADE FEATURES AS MAY EXIST, BENCHMARK::GPS - NAIL ELEVATION: 82.24 FEET (NAVD88) LEGAL DESCRIPTION WAS FURNISHED BY THE CLIENT. WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1/10 FOOT UNLESS OTHERWISE SHOWN. BEARINGS AS SHOWN HEREON ARE BASED UPON AN ASSUMED VALUE OF S25°2606"E FOR THE WEST RIGHT OF WAY LINE OF 5TH STREET AS DEPICTED ON THE MAP OF SURVEY. LEGAL DESCRIPTION SUBJECT TO ANY DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR RECORDED EASEMENTS. THE SURVEYOR MAKES NO REPRESENTATION AS TO OWNERSHIP, POSSESSION OR OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR INDIVIDUAL. SUBSURFACE IMPROVEMENTS ANDIOR ENCROACHMENTS WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY WERE NOT LOCATED AND ARE NOT SHOWN. NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS AND DELETIONS TO THIS MAP OF SURVEY BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING PARTY. THIS MAP OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREIN AND THE CERTIFICATION DOES NOT EXTEND TO ANY UNNAMED PARTY, NO TREES FOUND 20' AWAY FROM PROPERTY UNLESS DEPICTED ON THIS MAP. LDREDGE URICR S JR SURVEYOR'S CERTIFICATION: i HEREBY CERTIFY: THAT THIS "TOPOGRAPHIC SURVEY" AND THE MAP OF SURVEY RESULTING THERE FROM WAS PERFORMED UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND FURTHER, THAT SAID "TOPOGRAPHIC SURVEY" MEETS THE INTENT OF THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA", PURSUANT TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING RULE, CHAPTER 472.027 OF THE FLORIDA STATUTES. Re: 5443 5th st der Shane LeBlanc <sleblanc@cizephyrhills.flus Mon 9/18/2023 11:57 AM I To -Jackie Bages <jboges@ci,zephyrhills.fl.us> Yes, I approved. The contractor re -graded the lot and matched the grades to the new sidewalk, which is what I requested. Public Works Director City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 Office: (813) 780-0022 x 3561 EME v Miming L.Fn United States Navy Veteran Sent: Monday, September 18, 2023 11:50 AM Fal) CI-SIW- f -aX (glei- Subject: Fw: 5443 5th st dw i need in writing that you approved did not received only received your call , this will need to go into the permitting file. MMEM From: Shane LeBlanc <sleblanc@ci.zephyrhills.fl.us> Sent: Wednesday, August 9, 2023 12:54 PM To: Jackie Boges <jboges@ci.zephyrhills.fl.us>; Bill Burgess <bburgess@ci.zephyrhills.flus> Cc: Rob Funnell <rfunnell@ci.zephyrhills.fl,us>; Conor MacNamara <conor@brwcontractingorg>; Greg Harnick <gharnick@bgeinc.com> I Subject: Re: 5443 5th st do PERMIT APPLICATION City of Zephyrhills :�_F�h t 53358 th Street, Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 111, a-1111111), PROPERTY OWNER M CONTRACTOR: Phone: Cell: YOV-75VJ� ' Fax: Name: Firm Name: p ress: Cit1v � State: zi State License #: Phone: Cell: Fax: DL i_ay_,t1RvM� -RESIDENTIAL DRIVEWAY -----COMMERCIAL DRIVEWAY -PUBLIC ACCESS DRIVEWAY CONCRETE HEARWALL A9Q9j9M R 0. G 11 R) tfil oqnft.!OR ff ±P M j S 4 -1 v ON H OF DRIVEWAY WIDTH OF DRIVEWAY _Q ® 9KCAY&Tja_N -DEPTH LINEAR FEET 9MLYERIEB99M REINFORCED CONCRETE CORRUGATED MATERIAL BOX CULVERT OTHER (EXPLAIN) - NOTICE TO -APPLICANT: If actual work exceeds scope of this description, additional permits or drawings will be required. e K51.a.7 T o 7aN 1 905'E SCALE: V=IIT BOUNDARYf . fSECTION 11, TOWNSHIP M, RANGE 21E, PASCO COUNTY caw t / � V yCT 1I �3E 5q y6t O: 1 l w � b f ABBREVIATIONS LEGEND =aa�om BC-'8LG.M CORNER CEI—R LNE fC CRCGS.AiE6 O �—C6RNE-R jM}=MfhSllRED (R)=RECORD � CRCYPERTY L;NE tF7=PY20RaIE,'I §a PACTS$TRt'NKiR*�' TIP._ TrPtCAL "�' P.B.=FLAT W— y ? CAfi-TRIttYFTREE PG PAG 11R='0JMD fRCN RED nJiiE 631UNN ?REE a =<613NG 3A0lw?t?E � kAM1tY,d E;5RN?kfuiti 5ENERI 6 t,N=SEI RGbtfEm .? C+K—ELEVRiH3N t.o=rorrur-,warrow FfC=PEIY„E:,(5RN5,R PRNEMENT E£EVkTfOti R.M.=flEhRY_fMARM go CAT -BASIN — Enlm vas Ira #FETEFw"EF} JIB rC—T MAi 86% M, CAfli£T45QX IS 1 < 4 1 1V- i# LOCATION MAP (NtiT Tp SCALEy PROPERTY AMRESS, 3 STH STREET, ZEPH RHILLS, FL 33442 i FOLIO NO. 31-26-2T-fl0i0-U92IXY�a040 J DESCIRIP'nolIk LOTS t AND 2 OF BLOCK. RE OF "CITY OF ZEPHYRHILLS (FORMERLY .OWN OF ZE HYRHILLS) ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 1 AT PAGE 54 OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA FLO4fWZONE INFORMATION.: COMMUNITY: CITY OF ZEPHYRHLLS-120236 MAPIPANEL NO. 12101CO466F SUFFIX: F FIRM DATE:. OB26=14 FLOOD ZONE AE+ 82,4` THERE MAY BE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY THAT ARE NOT. SHOWN ON THE MAP OF SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF PASCO COUNTY, OR THE RECORDS OF ANY OTHER PUBLIC AND PRIVATE ENTITIES AS THEIR JURISDICTIONS MAY APPEAR. THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT THE STATED GRAPHIC SCALE IN ENGLISH UNITS OF MEASUREMENT, ATTENTION IS BROUGHT TO THE FACT THAT SAID DRAWING MAY BEALTERED IN SCALE BY THE REPRODUCTION PROCESS THIS SURVEY WAS CONDUCTED FOR THE PURPOSE OF A TOPOGRAPHIC SURVEY ONLY AND IS NOT INTENDED TO DELINEATE THE REGULATORY JURISDICTION OF ANY FEDERAL, STATE, REGIONAL OR LOCAL AGENCY BOARD, COMMISSION OR OTHER ENTITY. THE ELEVATIONS OF WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED VERTICAL POSITIONAL ACCURACY OF 1110 FOOT .FOR NATURAL. GROUND SURFACES AND 111OG FOOT FOR HAROSCAPE SURFACES, INCLUDING PAVEMENTS, CURES AND OTHER MAN-MADE FEATURES AS MAY EXIST. BENCH MARK: ORR - NAIL ELEVATION: 82.24 FEET {NAVORIN LEGAL DESCRIPTION WAS FURNISHED BY THE CLIENT WELL -IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1110 FOOT UNLESS OTHERWISE SHOWN. BEARINGS AS SHOWN HEREON ARE BASED UPON AN ASSUMED VALUE OF S25,2S EE FOR THE WEST RIGHT OF WAY LINE OF 5TH STREET AS DEPICTED ON THE MAP OF SURVEY LEGAL DESCRIPTION SUBJECT TO ANY DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR RECORDED EASEMENTS. THE SURVEYOR MAKES NO REPRESENTATION AS TO OWNERSHIP, POSSESSION OR OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR INDIVIDUAL., SUBSURFACE IMPROVEMENTS ANDJOR ENCROACHMENTS WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY WERE NOT LOCATED AND ARE NOT SHOWN NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS AND DELETIONS TO THIS MAP OF SURVEY BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WTHOUT THE WRITTEN CONSENT OF THE SIGNING PARTY THIS MAP OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREIN AND THE CERTIFICATION DOES NOT EXTEND TO ANY UNNAMED PARTY. NO TREES FOUND 2(Y AWAY FROM PROPERTY UNLESS DEPICTED ON THIS MAP. CERTIFY TO; ALLOREDGE UMCK 8 JR SURVEYOR'S CERTIFICATION; I HEREBY CERTIFY, THAT THIS "TOPOGRAPHIC SURVEY" AND THE MAP OF SURVEY RESULTING THERE FROM WAS PERFORMED UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. AND FURTHER, THAT SAID "TOPOGRAPHIC SURVEY' MEETS THE INTENT OF THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA", PURSUANT TO RUI E 5J47 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING RULE, CHAPTER 472.027 OF THE FLORIDA STATUTES. PERMIT APPUCATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. nat re Date Permit Technician Signature (or) Notary Signature Date Applicant is personally known to me or produced as identification. (type of identification) 1.,'a,.\`•.t'w`, �„t�., o`t:\mot �,<.0 ��. ':t\\\\.\:tt�Y, , il�4rria 4jk. .`,!; `�,, .t;.\\ a\4:i- 14 s4�r��ot,t ,. �,.tt>;in �i xv3.{\�:;, M,v. ,C+`,t:��.r�, ?��f.i,..;'icvti`l.�tz".. �N\.n ..V.. C. .��`r is. ,.-$2�?o b}vi\ �. ��<�y :,Yx Concrete (ruin, 6') Y N Asphalt Base (rain. 6®) Y N Asphalt (mina 11/2') Y N Length (mine 1) Y N Width (1 ' min — 20' max) Y N Existing sidewalk. Y N New sidewalks Y N ADA compliant. Y N Expansion material required. Y N Contiguous parking pad. Y N Triangular flare (3W x 71) Y N Visibility triangle oak.? Y N Side set back (' min. .0,W.) Y N Plan Review Fee Permit application approved by: Date: