HomeMy WebLinkAbout95-4683
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
4683/J
Date .J;l-J?- ;>~-
~.91 ELECTRICAL PLUMBING
:~~:::,~:.n:Z~A~;t v.4
MECHANICAL
Sewer Conn
Water Conn:
Water Me!er:
T.I.F.'s:
Parcell.D, #
Zoning:
Description of Work
/~~de:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL '3 ~y q ..;
DATE
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Inspector
Permit Fee ~ - ~-)
Signature....Q~ ~) cU-: (.T~
Company
Address
Telephone#
Valuation or
Contract Price
<?-t!/73 . ~)
City License Registration #
State Certified License#
~-
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
f5il \.....-' Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
fN~L.- 3~
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall he made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
~~-.-~""'"'~~~ ~ . '1::~---->""'-;r---:~~~1; .-,; '" T-r,~... .~ ")',,'.J~:'tI ..~ ,...~..........., ~ -~'T-~-f''' '.) n ;l- "'; ~v"'I'~,.1"- _
.,...~I!',;"....i'if:i"\"':,.~~; ."".;.~,,' ".;,~/.~., ,.Af:i'~' . ..... c<""i" ":'j " ..~.,' ''It'bl~.j... Y , t " .' ~. .'.'" ,~. " ,'':'1'
;< -../\', T .' ,;.",. ,,,.,,. l' " _' - ,.... . " ..' '. .< . ",'" , . ,
~.....~. ~Jt~""~""'''''''''''1l'''1 ~~:..:;,I{ .', :.t... -r~.. i '.t .,' . ~ "'.. ,~... ' F J. d
,(i~:~':.:;.."~ ~ ""'~ ';l"C. l~ , ..If. '*., ~.-- ~ . ~ ..,r. . .,' , ~ . ~1
lilt ~:1I if. .. '. '. '... ,_, J l ('.. .:. f <
{;,":' '. ~... .':'"'.," <. < . ... \ f "c. , :
Mi,"
,,'
,
~~ ;-
i ".
.t..
r ~~~:.. ." ..
t:,..... .';
.ft;',;'}
i',~~-:"-,~'- ,,::
t "
i
-~. ,;~
..,.,;:
.,.;,1.- ~
{': ~
. .
:}f'"
, . .',~-
{
"'-'" .
~t:'..
~"'!" .'.
.~'<i.,.f,
.- . -'.l(l ;'t,~-'" ~... _ _ ~, 1. .,..J! . " ,"', '"!'tJ- ~'!"',..... 46.""-- --____.. ._-v>: ~ . r .cS.t1 ."...;.".. -'. -
j..- .:- 4:.l.T'" - ,.. - .,.... -~/i ~ )' ,';.<:",,;r:- ,.' -' ~'_'t. ',- ,.' <(. j:." ,.'." -te. "...
;"~~'-r~'}'~-:.:~~:~-'~~, .-..:~;. ~ e~#:<3>'~:r<'.-iJl> ,.: ''', '. ,>. '.': :.' ~ ~[c t-j' "~,"~~~~' ",.,~
. .' ':,. .t'.,. .
~ .~.
;.r: #
A _
'; f~
. f
-'
. ,;t '.'
':,d..' ,StRtJt OEA<H B(Nf '
. SlUL Pl 2OG.A. (CAlY.)
(trP.' EAOi rom
1..~~..
." '''LWffil,t lAP sONG R(1S
1 i . BR(l(;ING .
2.. 8(Nr (trP~
,.. .'"
I" ".
/ ~WIWY [A\(
I . . 8ROONG
\L4NOO, <>>'ENlNGS
SIUL SIlJO ANCHOOS
(TiP. 0 rAm S1W)
('J(({t fl'P( l\)
2. . OOfTCU ~T[
'i." Pl)"ftOO) fl~
2 . 6 ~-'C(R
.' .' 6' ALUUiWY ??oo
'I LOCK
I 1/." ucellE 1Ja( SfR.1.F'f'UI
&. UP 00 S1\JO .
"lUUNM TRIY
~ ." ALUUH.lU IJP $(llHG
2 - 2 . 6 8(ALI trP
ISOME TRIC OF BUILOING
1/" - (ort
lJ( 'G.IlVANl(O LAC 1(1<(. ~
_/1 - 2"d/a- G.'lvmlEO .
WAS:lr.R 00 1 - 2 Ill' . $f"/' J '
G.Il'ml(O - . U
-:J
20 CAlXt l'.~" CAl,V}JflEO
f\A ItS tMl fU WMcnoo
AHACH(() _1M I. I I "."
cot. HAtS S t OO<<c~
PER S((Tl1'(I.L loll
C(H(C ~ POiNTS.
()oo'l ~~. ~ I<t-(E ~.. .'1
))Nt (I 00i' <- 12V
. . . . '..
(2) 2.4 OOiJ ,.~ . -
rR~$. ..CONNEC. J{..E~.. WI.. ".
104 ~..lt:O/C .,
.' .";,,;:: _ ~~ J: __ ----:f!!'
1 . .t 88t<<JlQt(;tl. 2 1 .. ,,: ....
(f~ 0 (AOfJCHt ,. ..~ .,.
: ~ri1 O~~O~r(D ~ ,~
2').6-"'... ft2~. 11& c~.,
(tV( $ TlO HAlS/c~e ~.....
214 00JE\t: 6,(Nt
N
eoT.
2(
~fE$ eulP,t~f~s ~L 8( ~~" TlfE L ~.Ui.EAAiH.~s , '
.'~.:' ",\t.lHl~'~O BY Sf)U ~sr ($~, f\~iOA W.lJtff 5tXlOlSS,
c.. 'C. " .' ,'. ." ...." '.'.' t.. " ... '.:
. ..'. 'C' ~.SYSTtu.ro (;Rl)J)-O P(R. LOCAL. 8UlOlNO.CW€ (QV WUR1 ...
,. '/O"~~',~' ~.jl@Tti~$'~ 1-~f1~~"(ACH n.o ~<<'1l.lf!.NO<' 8'..Q" U,i.X. $P~'
".., ...~.. .... .. SHAll. $f.. PVt(O..CH nit S.IO( AAl$ EX.W T ~ ~.. 0 IS PlA. <<0
. Ntxt TO Alt ()GSTm ~'Ili ",f<;H CASE nt: ~~ T ~ W
elf 1}-( f&l NfXf TOn.Wl~ ~L ~'PlA<lOc ~lliE (}D WAlL'NOT
TO fi.( EmiljG ElUtlOlNO f.. .
.' ~
'"
N
. BUILDING AUCHORD~J AI~
fUs:. ..... . .,.. .
, rAttE, t ~~ AN~ r() C~J(~S .
SHEO ~nf 'UPlIfT / S(( (I.SH(/). ~ SPACING I sa:
t.' l311 1'-.'
It 2~ , 1'-3-
10' m, 2'-0"
~ 164 , '1-6'
~ 123 , J' -0"
PLAN '\i1EW
(NO, SENT (JIl'f .
-,,,'
PlAN V(',
.
S([OO lUVA~ WI
000t r~ NO.
Nor~.... '
:/'
l)(~ lO}.()$
. ... niX8 U'w€ LOAD ---..,..--------------.2~ lbs/sq. fl
2. R<XILM LOAD --------:-------.,.--..--34 'tJs./~ ft.
. 1 VN() lOAD --..----+......------..-..----~I20 I4PH
'. sac CHAPIER 1m lWl WOCtf
ctNERAL NO TES
1.lJ.o:R JOISTS.....O 8(AIIS SHAlL ~ PR(S9,}RE lI1AJEl) S(jJr~ P\N(.
~Plh\(lOO n~ ~AlL 8( ".- TIfO( soon-lf<<'PM, ~ PlY, O~
~, Tcoo.t" N'(). QlOO',f'. (\I.to 00 KAlEO.
1 2 . 4 WAlL ANj) ~ rRALtiNO $iAt,l 8( fRAMt (1W)( Sf'RtJ<< ffi
~~ PK" ' .,.,
.. .~ $li}.lt. el'~ ~. SOO,WH PINt . '
,5.IW..~WAll~ $'U. St 11'r C~AT[O ALWJNl.J\I 'MTli A
'2.01' f1tdf al.((lAPSIOiNt1 \IltJ1i,A 'It' ST(? oorn ~l
ElE I.W-.iIJf~J\~{f) ffi(;\f 0,02.': n-iOC' 9UT AlUtmJ1.l J105 H-t. ALlOt
5. O;R(}l(D f AS~ eM JLWuM RfH AND SIOm SJW.L E( AS '
rqlO~.t. ~ - 18 . J/....W~R (().(l(O $(filS.
,. , 2. R(yJ-. 119' 11/1' Sl.:Rr" 'lAtH N(cmN( CASI<US
,ANj)J/1 ).WA~~ . "., .,
-:. ~ ~ ~ ~ I
t , " ",. ..:: hi ~ flAJE < .. t. .:.
. ~'. . .1........ ' .. .
b. 4r..:r, .. )" V~,S' fRill 6'.4 TO'I( -Cf ~ 4~-.:d
~Np El..(VA. '.iloo~ \\1TH '?t1NDO'N
t/" -7..0-.
2.4 2..
2. 2.4 2.. 2.4
2..2..
:.'-,
:....,:::..~:~'r.. ~/ >/r:~ ~!? ..' >~, " '-~: ," i '
. .
;:,- '~ ~):'~?, ..
'.
.' -.>~.
,
~}.
,; ~'
; < .-..~-If."': '
T _ ~
';, '. ~~~..;.',.. /> " ."~' ~l'
",':t';.$-
;/1.. ...,'
- .',~ --~,~ ,
. ':t.. .,'
~ , - 2 . 6 BEALl fOR
SlOGS. nu r EX<lEO
24'-0" H lENGllf (TYP)
NOTOf Ta" (I BEALl TO
AltO" ))Sf TQ PASS
TIiW. ~(SIC( [LEV.
'1/ ~ ANO 'MNOO~
BlDG, ~s. 6'-0"
(Ii C(N TERS !.lAX.
(fl'P. OOTH SItES)
~~l
1") i
~f ~
..,
· 1-1
10 '/."
",
r
i
-I
~
".
o
t
;..
~. In I
.,+ ~~ ~'i~ ~-:.~~'7.: '~'~~'7-- - -~~~
, ~
.~ ~-.' ~,.- t :-~," ."'-~-'~fi.'!'".,^~,- .~- ~, .t. _,$~" -, .
f::r
'---.
--
..
/ -
soos rffi 1(.0. 'Me( UNITS
$HALL BE PlA<lO 0 42" \lAX.
fOOl [ea: ($ 9 (0 WALL
ALl onm SHAll 8( ~C(O
.22" fR(Y [ea: (I $H{O Wn.L
~ t- --..~--~ -.~ '-z:~'!:'rr-'-~_-.~~~r:"~ "~
.."" ;" '.
~ ~-:-- . '2-. ..
<F r.'
,
0.,-_'" i!...:..
4<f -0- TO at: ~mo fffi 91'[ auu
00 Ulotf (H L(NGllt
V~S
~rs SPACEO 0 t -0' oc.
2 I 6 H(A(l(A
r-r -0'-1
~
-1
.
<:)
,
-:!
S
'b
,
'to
L: 2 LL 6EAJ,I
~
~
I
I
1:::::::. I r
r---- -
'. I
" I
:. :
,I I ~
't I ~
" I
" L
'. -
2 . 5 H(AD(R
2 . . 00 IT (J,f PI..A T[
(rmcAl. All AROONO)
2 I #, 8(N r (fYPICAl SfE
Sj()( WAll [lE VA '()(.NS)
3/.- Pl YYtOO) flOc)(>>:;
fLOOR FRAMING PLAN
'/.- . ..-t'
1-
!
n
j -: I..
~ r SROONG
'Lt.
.......- -~.....-...
I/.''It lAG S(;R('1 0
~ ACtiG F1:R r.tat 11 '
s~ ~ (l).JAL
1 1/.'dl STRAP'
1/."xI lit j;'(O HEAl)
(R awe ~('IINTO
su.a . Sl'ACIiG PER ~
T AIlE '1
SHED Ydm SKIO ATTACHED
ANCHORED TO SlAB
2.d"'I~d/r.lW:lr..
. VII 1-'1. '1'( I,AG
,.~'IINTO 2.6
'1-1/4.~. 1'1.~R(O
~Al) at ~ ~'1'
tHO C(t.lC StAB
sn: f-'8lf , 1 r(R
$P~cm rs..~
SHEO 'Mni SKID REMOVED
AtKHOREO TO CONCRETE
l1EAOER SECTION
2.. NAUO TO 2.. H(A((R
ANo AUMS nnE 80HS
.2 I Ol
JI
~~
N. ~.
- ---
';~, '~' -'
'.j
.- '.,-. ...
. ~ ',,' ':.
'lO" ~ 2. 4 STRUJ 0 E.ACH. (JNr
:"'l ' 1/2' UN. PI.)'WOO SHEA THHG
, ~~.
<l I J( .l 8R0CiNG . WtO~AH
~ I NOTQi 2 1 4 (TYP. 0 (AOf
8(Nl rat 8lOO. 10'x16' UP)
.~ ---
SIDE HEV^ nON WlJ!!jJQOR AND WINDOWS
If." :a "-0"
1-
,
1WIC.'\. 8(N r
r
j
~
I . .
r
Lt
~
St:( SIC( [lEVAf'KH WI ~
ANa 'MNOOWS (OR INfO.
NO r 9-lOiIH
.....;...
~
-
i
. ,
1. . ~ BRACE 1l'P.
A r (WR COONlRS
(12'-0. vr<< BlOG. CM.Y)
~
>c
'"
- (j' 0,
(TYP.)
-'
S1<OS fOR If~-o" v.a: IHJS
~l. eE PlA(:[O 0 .~ WAX.
fR(u (0(;( ($ ~O ,WAlL
AlLOraAS StVtl 8( PlAap
o 2t fRCf4 [()(;f; (j' 9(0 WAlL
,
-~-..- ..---- ~----...-~,....-,J'---...~-rr-~.-...,...........-..."...-.....~~-..-:';'1t':..-~- '- ''/.~'
. ~?S R~V^l1ON y.\niOUr QOOR, QR\\1NPOWS n<EOESI~ 'SHOlltl "EREON U S niE ~'~Ji::I!~l
, CHAPTER .1205 sac .991 EOtnON fOO J20 MPH'MtiO ~QAO
i., t
, 1. '
. .,
. ~ '"
~. .
, ,
, .
"" . . >'~'~,,:~"".: '
\
.f OOJ PlA
-t '
"- ~~.
. . ~ ~,,'.-' ..
',(.:,,:..~ .,,~;~~.~\;
:",
....
.' ~
.' ;';..~~ ,'" ,-:-- .
~
. i"
;r-
RE\1SEO;
~
,>1
,~
.1
. -
,,,,"~ '
, '.
l'.
l,~...r-'>l t
. j
I
..
1
.!
~
. '
<
. 'j'
, i
,;'
. t~
"
'"1
.',
,
..:J
\i.
.01
, ,~
';i
.
'\" ,:.J
4.
ffi
w
tj
l5
...~
U
f
, '00 t-
z
r1r\H ~ .
~)- "
. 5.~
(It~N
Z'N
o n
$->.,. t....
".. .t""
'~ .it '
U.J .-i
~. ~~r
~.~~~
j: ~g~ie' ,
w . ~ .--c,
c'~~! "
- .,
~ <).~- '~'i
. '.,-' .Ii .'11
,0_ .,!O-" .
i';','.'!l'~.
, ',~:';; ~1.t
,;' '-
... '^ <
~~;
. "'f
.. ;;j
'>~
":~
" ,';:,~
, '~~
,"' ',-'1
. ,'. '~.:
~ ; .;;::t
",..
J
';~
.....~~1j
'-..1
"-'j
o. j
:~
t,
,<
',f
,~
/ j
'j
1
:~ ; i
..~:~i~;1
;.;,,>\.i~
,'(i~
;. ' -:;~f~
,c' ..:(,~~
./:i
:::,1"
~'. i '
.. ,/' ~v.k Ib
... ~
OArt:... $/,H "
" 0i[Q;(0: L[~ " ,.:.~
"'S(,q,t: ".-."--:/;1"
. ~
. it ',"
-..
w
'<)
"
L l
......
r-~'-1
T PRApoSE. 0
~' srof?AGE
.~ 13 LoD.
Il//~
<
-CAR
pa R. T
D
R
,
V
E
tJ
A
(
.......
- - ~ - - 0 [ 5 I G IV A -r t: s P R It P6$ E D F [; ;{) C E.
CHl1lN L-'''Jf( 4~H'GH
I
I
I
I
I
I
I
I
I
f
I
, .
I
I
1
I
J
r
"
"
"-
t/ If ~ If
/''1 :-;) 0
'"
.......
.. -'.
.-,
p
o
R
c
H
Hoo s E
.
. I
.,
-- f -
fo Rc H
"2 C(/
~ui"
~ ~~V,\J.....-,,~ . ~~'J..,
f~A()V ~ r'(l'\ . ~ f\l
f.P~ ...-Ai' \l
~L . 5\T1~'
. i.Y""",-
v
I
~~-..........--.....__.._-~-_._~--------- /.J 0
_-........... _ f ....~......
--1
/7X;/. STReeT
tJ
~
~~
t'--~
,C<
r--19~-1
~
I _
seRVIce:: R()~O
R 'C H l~ R P + tJ 0 f< 0 r l-( '( tv 0 0 0 w ~ R T- t(
5609 /7H Sf.
Z e: P ~I r R f-I / L- l- S / F '- A
PHoNE /63? /66
'<:)
'-..I:>
,
101
~-_........
LlT b.-
-
- - -
- -~ -
------11 l\
APPLICATION FOR PEKKlT
CITY OF ZEPRYRBILLS
BUILDING DEPARTKENT
OWNER'S NAME ti ,{. f-/ r4 f< D
OWNER'S ADDRESS :5 {, () !.(
~L-.. {' C D G'.-. ( r< r. (_/
( '( .cl S TeE E T-
PHONE 7 ?'3 ) /.. t (, .
2. E pH (> f! If / L L ~-,
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL LD.' II - ;i- 6- ,) f -00 i ()- II Lf () ()- {) {J II
(OBTAIN FROM PROPERTY T4X NOTICE)
WORK PROPOSED:_New Construction ~ddition --Alteration _Repair _Install
_Sign
---1Iove
_De-.olish
PROPOSED USE: _Single F8IIily
---1I/F _' of Units _K/B
_ec:-ercial
_Indust. _Swia. Pool _Other
.-Restaurant & Health Depart.llent Approval
DESCRIPTION OF WORK:
BUILDING SIZE: 8
-5' r 6 R. /16 r.
.;> Ii FD
,? /
X {,!
6t{
,
Square Feet, g Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) . SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
_BUILDING
$ ZO(),OO
Valuation of Total Construction
_ELECIRI.CAL
AttP Service
Florida Power Corp.
W.R.E.C.
---1IECBAIIICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
Other
FIRISHED FI.OOR ELEVATIONS:
Fl.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUIIJ)ER COMPANY
~ 1t-~ State Cert. or Resist. ·
Signature .. I City License Registration .
, **********.......*......**...***....**..**
ELECTRICIAN COMPANY
State Cert. or Regist. .
Sianature City License Registration .
.*****.*.**..*****.**********.************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************.***********************
KECBAHICAL COMPANY
State Cert. or Regist. .
Signature City License Registration ,
******************************************
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Ihe undersigned understands that this penit tay be subject to 'deed restrictions' wbich tay be lOre restrictive than City
regulations. rhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ~er bas hired a contractor or contractors to undertake work, they .ay 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 tay be
cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents tay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections' of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that tay be an indication that be is not properly licensed and is not entitled to penitting privileges in the
City of Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Florida's COnstruction Lien Law - BoIeowner's Protection
Guidell prepared by the Florida Deparl:lent of Agriculture and ConsUlleI' Affairs. If the applicant is SOleOlle other than the
'owner", I certify that I bave obtained a copy of the above described docuIent and protise in good faith to deliver it to the
"01fnerll prior to cOllenceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOJpliance with all
applicable laws regulating construction, loning, and land developlent.
Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that DO work or
installation bas ~ced prior to issuance of a perllt and that allwor1 will be perfoDll!d to .et standards of alllillfs
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies tay apply to the intended work, and that it is
.y responsibility to identify wbat actions I lUst take to be in coapliance. Sucb agencies include but are not 11Ilted to:
t DepartJent of BnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Ireattent
t Southwest Florida Water Hanageaent District - lIe11s, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, lIavigable Waterways
t DepartJent of Bealth & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic ,ants
t US BnvirODleDtal Protection Agency - Asbestos abateaent
I also certify that, if fIll taterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
addressing a 'c0JpeD8ating volute' will be subtitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball 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 tecbnical codes, nor shall issuance of a perlit prevent the Building OffIcial frot.thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued &ball becoIe invalid
unless the wotk authoriled by such perlit is COlleDCed within sil IOnths of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of sil IOnths after the u. the work is ~ced. One 90 day eltension of tile, laY be
allowed for the pertit with fee charge of $15.00. Ibe extension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during eacb sillODth period, or the project will be considered abandoned.
WARlllffG 10 OIlIER: YOUR FAILURE 10 RECORD A 1I001eB OF aJDIBffCIJIBWl lilY RESULI Iff YOUR PAYlIIG !lIICK FOR IIIPROVIIIInS 10 YOUR
PROPBRIY. IF YOU IIDJID TO OBrAIlf FIlfAIfCIIIG, COIISULr WIIB YOUR LIIDD OR All AnORIBY BIFORE RECORDIIfG YOUR DICK OF
COHHBIICBHBffT. JOBS UIIDBR $2,500 III VALUI 00 liar IfBBD TO RECORD ARD POS! A 'II01ICB OF COHHBIICBIIBJiI'.
SIGlfArURE: aIIIBR OR AGBffT
SIGNArURI: COffTRACIOR
SrAT! OF FLORIDA
COUIf1'Y OF
The foregoing instrument was acknowledged
before me this , 19____ by
SIATB OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19 by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to .e or who bas
produced
as identification and wbo did/did not
take an oatb.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY' PUBLIC