HomeMy WebLinkAbout91-1698
STATE OF FLORIDA
City of Zephyrhills
/'
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
PermitN~ 16986
Date 9- (p -71
,
)/J
Type of Permit
~
E L.Re11frCAL
PLU~ ~,.
Property Owners Name:
Job Address:
5l:c;: ;fu71~ n(/r,L'
Legal Description:
Sub.Div"g~~ ;;;'S-~-i)O$ /7- It9bO()C)' 1~~iJ3'k.
Zoning CI:
Description of Work
~ajJ~ .
8/YJ,e..I!f)'5> /~
~~kf~) Z; ~~~~
OCCUPATIONAL LICENSE #
~ (2Lp1-U~)
Fee; ~ :;;;:
SIGNATURE ?a-- ~?
COMPANY
ADDRESS
TELEPHONE #
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
4 49 ' &Q
Estimated Cost: '. 00
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
ELEC
ME&HANIC'~L
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Pre SLB
Lintel
FRM.
Insul.CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of I ,I. f1.llO)
dollars shall be made for each e.i;1. Tra..d-e (/...:5-' tJ7) )
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
PASCO COUNTY BUILDING PERMIT APPUCATION
CENTRAL PERMITTltiq OFFICES:
. Dade City:' (904) 521-4206
410 E, Meridan Ave, Rm 234, Dade City
, New Port Richey: (813) 847-8126
7432 Utile Road. New Port Richey
. Land O'Lakes: (813) 996-2203
9930 Land O'Lakes Blvd (US 41). Land O'Lakes
THIS APPLICATION MUST BE TYPED OR PRINTED IN INK
------------------------------------------
lll:
9 , OWNER'S NAME:
III JOB LOCATION: s 2' b
ffi PARCEL 10#: s..3.5::..- T ~ R ~ SUB 00..0)/9 BLK
~ OWNER'SPRESENTADDRESS: 38S'/9 7rd/is .5f
o
. FEE SIMPLE TITLEHOLDER'S NAME (if other than owner):
address (if applicable): CITY STATE ZIP
:-;)ESCRIPTlON OF WORK - jJ,,"7,ii if / ~ ;-;;:- -;fA;;; ~ ~1!'; Xi 51-fnj -st"{f[ - - - ~ - --
lll: LIVING AREA: PATIO: GARAGE: E Y:. TOTA UNDER ROO~~
9 # BEDROOMS # BATHROOMS: _-_ TYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER:
III
z
o
i=
Q.
iC
o
II)
W
Q
. CONTRACTOR:
SIGNATURE:
lll: ADDRESS:
9 STATE L1C # (if applicable):
III
e . ELECTRICAL CONTRACTOR:
~ SIGNATURE:
II: ADDRESS:
~ STATE L1C # (if applicable):
8 POWER CO:
. IF MOBILE HOME OR RV: MAKE
YEAR
SIZE
. WORK CODE:
PLANS ON FILE?: 0 NO
~ES
VALUATION: $
19~" ~
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---
. BONDING COMPANY:
.~ ADDRESS: CITY STATE ZIP
9 . ARCHITECT/ENGINEER:
III
II: ADDRESS: CITY STATE ZIP
w
i!: . MORTGAGE LENDER:
0
ADDRESS: CITY STATE ZIP
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---
PHONE#( 90'/) Sic 7 () -?()3
STATE ft: ZIP 33.(".....) "
TER 10#: ',( 7 ,
PHONE # (
CITY STATE ZIP
PASCO CO COMPUTER 10#:
SAWPOLE: AMPS:
. MECHANICAL CONTRACTOR:
SIGNATURE:
ADDRESS:
STATE L1C # (if applicable):
ONEW OALTERATION VALUATION: $
PHONE # (
CITY STATE
PASCO CO COMPUTER 10#:
(Required)
ZIP
. PLUMBING CONTRACTOR:
SIGNATURE:
ADDRESS: CITY
STATE L1C # (if appl1cable):
# FIXTURES: - SEPTIC PER #:
PHONE # (
STATE ZIP
PASCO CO COMPUTER 10#:
SEWER: WATER:
WELL:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---
. OTHER CONTRACTOR:
SIGNATURE:
ADDRESS:
STATE L1C # (if applicable):
TYPE CONTRACTOR:
PHONE # ( )
CITY STATE ZIP
PASCO CO COMPUTER 10#:
VALUATION: $
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---
RECEIPT#:
JOBS UNDER $2,500 IN VALUE DO NOT NEED TO
RECORD AND POST A "NOTICE OF COMMENCEMENr
(permit form 4/91)
EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLETE AND WILL NOT BE ACCEPTED BY CENTRAL PERMITTING STAFF
.... NOTiCE....
BOTH THE OWNER AND CONTRACTOR OF RECORD (License Holder) MUST READ AND
SIGN THE REVERSE SIDE OF THIS APPLICATION
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understand 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.
B. 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 regula-
tions. 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 Division - Ucenslng Section at (813) 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
applk:ation for which they will be responsible. If you, as the owner sign as the contractor, you are Indicating that you, rather than the contractor, are
responsible for the work. If the contractor wishes you to sign as contractor, that may be an indication that he Is not properly licensed and is not entitled
to permitting privileges in Pasco County.
C. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES
The undersigned understand that Transportation Impact Fees and Resource 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 numbers 89-07 and 90-04, as amended. The
undersigned also understand 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 WaterlSewer Impact fees are due, they must be paid prior to permit issuance, in accordance with applicable Pasco
County Ordinances.
D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)
I certify that I, the applicant, have been provided with a copy of "Florida Construction Lien Law - Homeowner's Protection Guide" prepared by the
Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone other then 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.
E, CONTRACTOR'S/OWNER'S AFFADAVIT
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 construc-
tion, zoning, and land development.
Applk:ation is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or installation has commended prior to
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County 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:
o Deoartment of Environmental Reaulalion - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterlWastewater Treatment
o Southwest Rorida Water Manaoement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
o Armv Corns of Enoineers - Seawalls, Docks, Navigable Waterways
o D~partment of Health & Rehabilitative Services Envlmnmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
o US Environmental Protection AQencv - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A1-A30", it is understood that a drainage plan addressing a "compensating volume"
will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance,
I understand that a separate permit may be required for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, AIR CONDITIONING, OR
OTHER INSTALLATIONS not specifically included in this 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 provision 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 code. 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 months after the time the work is commenced. One or
more extensions of time, for periods not to exceed 90 days each, may be allowed for the permit. The extension shall be requested in writing to the
Building Official. An approved inspection must be logged during each six-month period, or the project will be 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.
c:{ )'1 'A,' _ /, ~
SIGNATU =~
OWNER OR AGEN CONTRACTOR
. /~ ' '/ .
DATE_}o<0/ . DATE ~~L
NOTARY ASJlr'~} . /J ;/ ~ g . /J / NOTARY ASro 1', ,. , d /, h
OWNERO~~~NTRACroR A~ ,:I/./~~1fJ
NOTARY PUBLKl,STAft Of' FLORIOA AT LARGI NotAIY "*ICII'fA'fI Of ,~. At 'AlGI
MY COMMISSION MY COMMISSION EXPIRES AI'R l. 10,1995 MY COMMISSION MY COMMIIIlON lXPIIuMlri"'. 1...
EXPIRES eONDED THJl.U AGEHrS MOlARY illOKEItAGI EXPIRES IONDED 1HIU ....'" NOtAl' 1I01Qi1A"
...-..... ,.- .' ....,
"..-.. ....'- ..->.......-...........-
.. __. .. "'. _ ,._.. ..,~ .._ ._.. ,_. n ..~.. .... ~_. .'"~." ..'''' _,.._
."._. ...~ '"~. ...,. m." _~. ~..'" .._. .,.,. _. ..,....... ~.~ "_' .~_ ._,. _
,~ ~_. ...., ',,,H ".~, __ ~'R ... ...... ~.... _._.. ."_ ..~, ._. ~._. _ .. _ '....
.... _... '".~ ..... ..... ~~. ,...,. _." _H_ _.... ~...
... .,.... ~_ ._... __ ..... '_. ,,,_ .'M~ ~_. .....
"
i'1AF''T' I 1\- !:-r:~.::;C:H.!~
-=,:;:; ;:::-, c::;: '0: ,,,,: :::,: d 1:"' ,;.(
" j
I'
., "1_. DC (-.~I TE D ,..
(:4 ~r
~':/F ('it U'1! Uj\i
F' IJE:[i \ V:=: I::
D,ADF C:i · ", F'
- ,.,. '-- ,... .. '-F' l-lC.ll\~E .-.-- --.---,
:::; 3:--:; (,; .... ':'.. ,;.1. ::.~ ~:".I
':;:(I~t~, .IStl"? '-()3t)3
: 1~;"J,::::3 1'1 I T H F? D "
: I hi Di:iDF C I TV
'_.. ,.._ m_ _._ .~~ M_ _.. .... _~ _... ....
..- .- _ .-.. .~... _... . ... _.~ '- ", .-. . .~.. ..". ..- ....'. .,. ..
: NO T P: -rei!...:" CAL.l...
: FF.:Dl'" ZEF'!-l'lF.:H I L.L.S :
, -" ...-.. -.'" ..- ..,- .. -'~,. .- ,...- -'" ~H' ..... '._. ~_. ,..~ .._~ h..' .,,_ ,.... 'u... ..,.. .,_, ~." ~.~_ _'.. "H' _.. _." ..... n~. ..._. ..._ ..._..._ '".. ~~. ..... __ ."., ..... ..". ..h. '_'. ~..._ ~
' ...... ..... .~.. --. ...... "n ..-.. ~.., __ .._..~ ~_, .__ ....~ ._.. __ __ ..~~ ~~_ ~._... ..... ..,.. ..... ...,', ~._ .._. .... _... .'_ .'".~ ~',. ..._ ~,.. ....,. _.. '.... ~... ..,_ _h_....._. "...... _ ~
. -... ..- --.- .,- "... .,.... ~.,., .. ~... <_. ___ ..... _.. ._. ~.,. ~~. ...., ~... _... '_ ~ _.'" ..>." .__ ._ _H. _ ,._ ._._
,'.... -_ _. ._.. ,.." .,... .._~ ... ........ ..__ _,.' 'H,~'_ _. .~'. ..... ..... ~ . ..._ _,. _._.._ _......_ ",.. ..... ..... ~~. ,
.---..... -- .,.. PROPUSP,i...
"W"_ 2~ -".o/'Y~_m' ._.;:H(J~E' 2fi-':c2iii~ 'cr,TE, 7~j/~i~_
'31'F<'[~i,~' T :",3:rs:-."i2_....~.iZL{..-?...,...,'_ ...,...,......._,. ...... : JOB L..Dc:r:~-I' ION: .
i.: .r. ~l::, ~ /:;~, ,:~: ,j:: ~.::"" (2ldJ~~ '"" J~tk.-44r..& ::~: ::co ~~ :=: ",=: ,,: =:: == = == == ,,::= :::,;=:~ =: 'c,::-c o=;=: "" =:.:::=~: ::~" :;:;: "" ,:0 ~,= ,,::=: :;",,::: :::: ;
I/) .." "
/, --# / ..J ,,/J.
.-L'~? -J.._Lf'V.k.? (j>. ./ d /X I S" .,2-t'~ ~vd...eY jVJ~
.j, /A /2' /J
(kYJ -f:?/2:2-d./.Lr~~ ~.J!-), .-/'I.~.("--e--t://../~~~ (7)<~ Ck'.elL./Z
I/-. r. A/ ;<'1 /. I'J " ' " ,:']" / /) /? ,/ A ...L.
'l~ , .r. C"L.//'7~4 C~ /..? If It; '-' /fd;r?C.v~ .../~7f -:~~..e-?-~)
L~.CLe// C/)/ZR .;;{~'7 ~..-/6J~tZ~?::r7. (j .L(~':;.Yl' Q c,,:_J /;';j!/)'Q_
/:;<).z ,fp~jf';'A.Lift&.
Ci)F'CC T F' I C(iT I ON~; i
./'crzxr;Y7
/?-R SrFp..;;';) p/'O;') -t. j)OOr. TOTAL C03T3.,.'/900.00 :
: ';". ;:..; ::,,:;:, ::: :" :::, ::.: ,,; .;,: :0, :::. ;:::: ,:: :;.; :;::; 0:: ::::: ==::::. ::co c;:; =., ;;::; ::;: ;;;: ::.:,::.:. "'"' 'p=::= ':;;:c ::::: = ',".:;;:;:0" :::::::: 0" =;:o~ "',::;:: :=:::::: :::: ,:: 4: ::::: :.:;;:::;;;;;:: :,: ::;:; :::: ::;.:: :;;: "" :;;:;:=: '/"--."":= :;::; :" "':; :'}J~~ ..._ .4:" ==:::: :
,- . , '~1 E "I T "1- .,.. ". t':" 'u'l' D .-. r .-' f-- 0 I r'w,~ --.R. JJP /J7.{!/)-G/ V')1?'-R- ~ /.R.tf!.' A/Y"J f J' ~~ F ~ _.....,
r.'r-i'fJ' .~,..' ,lJ .tic- i""r-'i L. H~)" ....L~\..) '::J~ C...-/,. --. .- ,/ ~ ~....."."""~ - q,' _A!:7P'/~ --",..' -: i
/
, ,
,
._"-_.'_."'-_.__"_'~___"_"__~_~._M_________.__._....------._____.__~_.M..___..._________..______._____._._.__._.._.__"__..,___.____.___..___1
-.-'-.--.-'---...-.-..,.--....,----~___~_____y.___.M~_."-..-'-.-..--.----.-.-____._w.________M~_____..________----..-.-.-.-.R------.-t
{\Il in,3,LE;'Yi"1.l t.:, be '':'~S ':::;pecifiec!. rill work to be ,::ompleted if, a I,"!o'rkman likE'
~)arlr)et accj~1~ding .t;o stafldarwd practicesu Any devia'tion or' al.tera'tiof'l f)-j~m above:
.,;pt'::<.i.'f.i.cc.'1ti')nE ir""lv'::':!.\li:--,g e.'l:t:fd, ':.o<::ts w111 be e:'/;ecutE?d c,nly upon ',.n~J.tten o(df?'I"s;,:
and will become an extra charge over and above the estimate. All agreements :
contingent upon strikes, accidents, or delays beyond OUY contr,)l. Owner to
caYry fire, torrado 3nd other necessary inSUrance. OUY workers are fully cover
E~d by' l.Jor'kmenr~" '::::c)inpen~;,?,tioj"l InEurance.
'.-..--."-----...-.-'y--.--..---'-.---.--------.-------.----.---.---..------.-------------.--.--.---.-...---..-,--,.-...___.__..___H._M....__l
__w._..___...___ ------..----------.~.------,...._-"-____.__..__,._.._.__-.----..-..-------~.------.--_.._-.-.-,__._~__~...____w.____.__'j
ACCEPTANCE OF PROPOSAL
The above prlces, specifications and conditions are satisfactory and arei
hereby accepted. Payment will be made as outlIned above.
'-"L- I [)
D ~::t t t:~j ,.1.. ~2-..._~_u..:....__._
-~/ .~~! )" /:~/. :
'. ",~- ........-; /. .'--'--.-d ,/
~3 i g n at U t- e _/(to C?/ It!"' fA .xC:-. /'1_::.," L:'Z:-~c___ I
\{CIU,Y- (' ...
F: f2 I:! t. ,,~, ',;, e n t ':0. t i. ,/ e ,~//..tl,.,:::::::::::::::::.:.~_
u lrJE THAt-,.W: YOU FOP YDUF' BUSf\1I ESS-....-"---..- '"'' . .__.........,.___._.._............_..
3] gi'lat u,. e
-..-'------_________H_~__.__
.., -- .,~. ~, .'~." __, _.. ".... ,,_ 4."
-. .... ..,.. ,..' ~..," '.'~ --... ,.,. _... ....
Q ~~ ~~ @~ ~~ ~.~
~ g.fJ t-:cl nil !:!! I'll
PP"'-~ _._~.- - E ~ t - ~ ~R
~~ J~~~! g~~! ~~
-1~3~~~ ~~ ~~ l~ ~
( -~.~ A" -~ ~
, . ~ I r 1. ~ '-S t1 Ii ~ 0 ~~. ~ ~
J 1+~1i inn n n
IL~~HHH:jn
} J-' 1 (\ \; ~: ~ ~ ~ ~ a ~! ~ ~
~ 1'1 J ~~ g: ~~ :)~ Ill!
"j- l tI ~ - ~ R ~ ~ ~ ~ ~ ~ i ~ ~ i
~ Q g a ~ ~ f ~ ~ 3 16 w
:. ~-a H H In n H
',j ~ ~ ~ 1 ~ i ~ I ~ ~ ' ~
tI <I ~ ~ a, 8 6 ~I~ ~
Il g - ~ ~ ~ ~ al~ ~ ti
j .= H H H _H H
~r-u... iJ ~ q i3 ~
~
!I
I
I I
~~. .....~;...l......:lIII'..,,"~'.'..""'"'.."'r' 1!f'l'. '"...'lI!" '<, .;'....,t'-.,~ j1O._ ~'I"",,,,Ch' ;;'I'!'_
e 1 " ~
!)!II~.!~!ilP/ 1!jr I
! 1 tIll L! I ! ~ !: .11 j I II
j. ~lll
III l\l~
.: ' I ! 1
f h 11 ILl.
r .. .1l!Hlll:!ljlli!d II
ii~IWI'~lll!lll WI IJ
2~n~d }. !hH ~~ 'i[
III I
I ~
~ I i{
;t!l
i 1 ! I
i i I ~
u ~I
.~ ~
,/ I
IJ
,~
&
~
I 9. J / ~
/ 1.1 d ~
'-
, ~H ~
~
I
-
I ~
It ~l \ l t !
l~ 1j \ I I ,I ,I I I
I ~ ~ j' I 'I
1 ~ ;. ~i' , , "
',. "g 9 oJ "~ ~ ~
~ " ... 0 ~ l-
I I , I I I I I I I
~ .q .q .~ .~ ." '~ .~ .q i
1 ~ ~ . ~ ~t ~, t
iO Q .g Q '4 lj 4 Q
I I I \ I I .I I t
~ .~ .0 'It '~ .4 '. ~ .~ '4
I 1 f ! a H ' 1
.1 LQ
~ .1 l ~ ~
'Q "N .1 'rJ '~ '~ '~ .~
f l ~ ~ ... ~ . ~ ~ ., ~
9 q a ~ 91:
I I I t I I I I I
~ ~ '1 '~ .~ .~ 't '01 'I) '1
1 ~ . . ~ i ~ ~ . ~
I I 9 " III : " o ~ :
I I I , 1 I I I I
'~ '4 '11'} '. m ~ '. "1 '0')
n ,5 { ,I ~ I l I 1 I 1 1 .
) ~ ) 1 i 1 l l ~
i 'U ) II iI 6 '!I .~ ~
I ~
.11 Ij t
.:, .~
~ -
, 1
I ~
I l
d
Ii ~
, I
I I
~ ~
! j
II
--.'-. '."'"'~~-~----"'-'"'""-_..'-'-c.(.,,,,,,,...,,,,,,_._,;~,-~,..,-..:...:~...:;;.,,-"!IIlI'.-;.......,. man __~_~~':-u..:..~..
.-- -
~.~._.,"', .
SUN ROOMS . ROOF OVERS . WINDOW AWNINGS . SCREEN ROOMS . VINYl WINDOWS · CARPORTS · SHEDS
MARTIN RESOURCES, INC. D/B/A
HYE ALUMINUM
OUA MOTTO
!B61 mW,J81 SOUTII
DADE CITY, FLORIDA 33525
(904) 567.Q]03
TOlL FREE FROM ZEPHVRHILLS
./
/
/// D~
/ ir
/ 9t1{~{II
// r:/' (}JJ {\? '
~ / ~/ II ~r ~~ / "
-~ ,,//'-<- '?> /, '
~--- /;' / ",
~. ~ -!'.
i _ -'-::::--"'__,~
, ---
-.....----.,.......
/~~-
/'
/
EKTI7{ cI
#e4JJ~~
..,
.l
\
J
\
.,
,.
e
~
"
l'
:J
\'
.'J
()
o
R.
~~
flaro{d lr)oJJrn
SITE. PLA.N
(RESIDENTIAL USE ONLY)
PARCEL 1. D.
'1"\011'
SUBlJ
(J () IJ t::['
BLOCK
/:, '
SEC
l\NG
LOT
PROP~TY MEASUREMENT
CURRENT O\olNERS
DATE
/ ,
8/','/;',
be dr' awn to scale for nll parcels or lots five acres or less.
All drawings shall
~ tS-~
F- - - -1
I
i
"e
C,
Ct\
~
4,.
/ ((l
- 31
'/3~--- >
1-
,;If.., I 7~ 51,('" t.,a /,('
'-V
SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
AA'Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPERTY. INDICATE
THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETWOOD.
HOUSE CONSTRUCTION
'C.ALf; t". 6()'
PROPOSED ADDITION
SCALC: ... eo'
MOBILE HOME SETUP
l'ALI: ,.. 10'
roor (60 ".)
w
::I
'"
:z:
~ 7.':\'
o
Q:
I~ .
20' . 10'
)2.!'l'
odd.
P/L
~o' 40'
D2!'l'
:: -
-
0 0
..... ...
'" 2!'l' Eo/ll1no '"
- Shod
.. .
... "
.
00'
ROAD NAME
HClU..
-
7~' ~
-
o
Q
E.I.t1no
H ou..
o
7.!'l' 0
..
"
..
.
"
~
.
..,
.
20'
70'
ROAD NAME
ROAD NAME
sitepl;Jll:cP'