HomeMy WebLinkAbout96-5677
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BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
'~5671,g
Date
3-~1-7~
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PeroeII.D.' 1.i2.-~ -~~C>D -_7~
E~AL
ME~. Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
, -(;( If tMJ ')
NO OCCUPANCY BEFORE C.O.
FINAL
L
Complete Plans. Specifications and Fee Must Accompany Application. C.O,
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee
Signat e
Comp
Address
Telephone#
Valuation or
Contract Price
d2,3'1~. 7.s-
City License Registration # $'3 (p
State Certified License#
I~'" a&yJ~,~'~
BUILDING ELECT~L
PL~ING
,
-
MEC~'CAL
(
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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 be 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.
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Aluminum & Concrete
6017 Gall Blvd,
Zephyrhilis, FL 33541
(813) 782-7497 1-800-308-8274 Beeper
Page No,
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We r"lereoy submll soecillC;tIIOns and estImates lor
JOB NA...E
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acce tance
All m.t.r~. IS I",.r.nte..c to be .IS spe.c,he-<J All work to be compleoted In ,. ....or...m.nllk.
m..nn~( ~co"alna to st.nd.rd pracflce'5. Any alteratIon or deov.ahon from above spec,fic.-
110"' In~'\iln8 r.ctr. co"l, w,1I be' eaecuted only upon Wtltten order", .nd Will bf:come .In
~Itr.. Char.. over .nd .00.... tn_ estlm.ale. All aK,eements conl,neenl upon st'lkes, "'Cldenls.
or de,.Y" beyor\4 our control. Owner to c.rry tHe, tornado .nd other nfl:eu.ary ,nSouranee.
Our wOrll.~ .Ire fully caver..-rj by Workmen's Compens.atlon Insur.nce
Authorozed
Signature
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Arrrptanrr of JIropo.aal- The above proces, specifications
and condItions are satisfactory and are hereby accepted. You are authOrized
to ao the ",or. as SpeCified, Payment ","I be made as oulhned above,
Note: T IS proposal may be
withdrawn by us If not accepted wlthm
aays.
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ATTACHED ALUMINUM COVERS
MAX. ROOF BEAM SPANS FOR CARPORTS, SCREEN & VINYL
ROOMS AND OTHER OPEN STRUCTURES WI SOLID ROOFS 6063
T-6 ALLOY
EXAMPLE: FOR SPAN "L" ON DRAWING USE LOAD WIDTH = ''W"/2 + O,H,
2"x 4"x 0.050" TILT BEAM: LOAD WIDTH = 14'/2 + 2'O.H. = 9'
LOAD WITH = 9'; L.L. @ 22#/SF BEAM SPAN = 7'-3"
BEAM SIZE BEAM SPAN FOR DESIGNATED LOADS
BEAM LIVE LOAD WIND LOAD
LOAD WIDTH 22#/SF 32#/SF 100 MPH 110 MPH
2"x 3"xO.050"TILT BEAM OR 2"x 3"xO.OSO"EXTRU810N
5 '8'-1- 6'-7- 9'-0-
6 '7'-4- 6'-0- 8'-S-
7' 6'-10- 5'-6- 7'-6-
8 6'-5- 5'-2- 7'-2-
9' 6'-0- 4'-11- 6'-9-
10' 5'-8- 4'-8- 6'-5-
11' 5'~5- 4'-5- 6'-1-
12' 5'-2- 4'-S- 5'-10-
2"x 4"x O.OSO"X TILT BEAM
5' 9'-9-
6' 8'-11-
7' 8'-S-
8' 7'-9-
9' 7'-S-
10' 6'-11-
11' 6'-r
12' 6'-S-
2"x 4"x O.044"x 0.120" 8.M.B.
5' 12'-10"
6' 11'-8-
7' 10'-10"
8' 1 0'-1-
9' 9'-6-
10' 9'-:"1-
11' 8'-8-
12' S'-S-
2"x 5"x O.OSO"x 0.120" 8.M.B.
5' 15'-2"
6' 1S'-10"
7' 12'-10"
8' 12'-0-
9' 11'-S-
10' 10'-8-
11' 10'-S-
12' 9'-9-
2"x 6"x O.OSO"x 0.120" 8.M,B.
5' 17'-2-
6' 15'-8-
7' 14'-6-
8' 1S'-7"
9' 12'-9-
10' 12'-1-
11' 11'-1-
12' 1 O'-S-
TABLE 2
EXAMPLE
8'-0-
7'-S-
6'-9-
6'-S-
5'-11-
5'-r
5'-4-
5'-0-
10'-5-
9'-6-
S'-10-
8'-S-
7'-9-
7'-5-
7'-0-
6'-9-
12'-4-
11'-3"
10'-5"
9'-9-
9'-2-
8'-9-
8'-4-
8'-8-
14'-0"
12'-9"
11'-10"
11'-1-
1 0'-5-
9'-11-
9'-5-
9'-0-
1 0'.11-
1 0'-0"
9'-S-
S'-8-
8'-1-
7'-9-
7'-4-
7'-0-
14'-4-
1S'-1-
12'--,1-
11'-4-
10'-S-
10'-1-
9'-8-
9'-3-
16'-11-
15'-6-
14'-4-
1S'-5"
12'-8-
12'-0"
11'-5-
1 0'-11-
19'-2-
17'-6-
16'-2-
15'-2-
14'-3"
1S'-7"
12'.11-
12'-4-
8'-1-
7'-4-
6'-10-
6'-5-
6'-0-
5'-8-
5'-5-
5'-2-
9'-9-
8'-11-
S'-S-
7'-9-
7'-S-
6'-11-
6'-7-
6'-S-
12'-10"
11'-S-
10'.10"
1 0'-1-
9'-6-
9'-1-
S'-8-
8'-3-
15'-2-
13'-10"
12'-10"
12'-0"
11 '-3-
10'-8-
10'-3-
9'-9-
17'-2-
15'-8-
14'-6-
13'-7"
12'-9"
12'-1-
11'-7"
10'-S-
120 MPH
7'-5-
6'-9-
6'-3-
5'-10-
5'-6-
5'-2-
5' -()"
4'-9-
8' -11-
S'-1-
7'-6-
7'-0-
6'-S-
6'-3-
6'-0-
5'-9-
11'-3"
10'-8"
9'-11-
9'-3-
S'-8-
8'-3-
6'-10-
7'-6-
13'-10"
12'-8"
11'-8"
10'-11-
10'-4-
9'-9-
9'-4-
8'-11-
15'-8-
14'-3-
13'-3-
12'-4-
11'-8"
11'-1-
10'-6-
10'-1-
LAWRENCE E. BENNETT, P.E.
CIVIL ENGINEER &: DEVELOPMENT CONSUU'ANT
P. O. BOX 4368 SOUTH DAYTONA. Fl 32121
PHONE 1 (904) 767.4n4
FAX /I 1 (904) 767-6556
C COPYRIGHT. 1996
NOT TO BE REPRODUCED IN WHOLE OR IN FART WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT. P.E.
ATTACHED ALUMINUM COVERS
TABLE 4
conlinued
3"x 3"xO.040" ROLL FORM*
10'-0" 2,381 132 108 99 74 43
11 '-8" 1,786 99 81 74 56 33
13'--4" 1,389 77 63 58 43 25
15'-0" 1,042 58 47 43 33 19
3"x 3"xO.060" R~LL FORM*
11 '-0" 3,600 200 164 150 113 65
12'-10" 2,700 150 123 113 84 50
14'-8" 2,100 117 95 88 66 38
16'-6" 1,575 88 73 66 32 29
3"x 3"xO.060" SCALLOPED OR FLUTED EXTRUSION 6063 T-6 ALLOY
11 ' -1 0" 3,408 189 155 142 107 62
13'-10" 2,556 142 116 107 80 46
15'-10" 1,988 106 87 80 62 35
1 7' -1 0" 1,491 83 68 62 47 27
3"x 3"x O.90"TUBE EXTRUSION 6063 T-6 ALLOY
11'-10" 5,184 288 236 216 162 94
13'-10" 3,888 216 177 162 122 71
15'-10" 3,024 168 137 126 95 55
1 7' -1 0" 2,268 126 103 95 71 41
3"x 3"x 0.12S"TUBE EXTRUSION 6063T-6 ALLOY
13'-9" 6,912 384 314 288 216 126
16'-1" 5,184 288 236 216 162 94
18'--4" 4,032 224 183 168 126 73
20'-7" 3,024 168 137 126 95 55
4"x 4"x 0.12S"TUBE EXTRUSION 6063 T-6 ALLOY
15'-9" 9,312 517 423 388 291 169
18'-5" 6,984 388 317 291 218 127
21 '-0" 5,432 302 247 226 170 99
23'-8" 4,074 226 185 170 127 74
. ALLOt' 3105 H16
1 . THE SMALLER ROOF AREA OF LIVE + DEAD LOAD AND WIND LOAD SHALL GOVERN.
TABLE 5
ISOLATED FOOTINGS
MAXIMUM ROOF AREA IN SF FOR CARPORT POST WI ISOLATED FOOTING
UPLIFT LOADS FOR BELOW LISTED WIND VELOCITY
FOOTING TYPE & SIZE 100 MPH 110 MPH 120 MPH
POURED CONCRETE
1'-Q"X 1'-0"X 1'-0" 29 25 21
1'-4"X 1'-4"X 1'-4" 86 72 61
1 '-6"X 1 '-6"X 2'-0" 163 136 116
1 '-8"X 1 '-8"X 2'-0" 187 156 134
l' -8"X l' -8"X 2'-6" 275 229 196
2'-Q"X 2'-0"X 2'-0" 346 288 257
2'-6"X 2'-6"X 2'-6" 463 386 331
PRE-CAST SLAB WI eo, SACK-CRETE
& BACKFILL OVER SLAB
1'-4"X1'-4"X2'-4" 117 97 56
LAWRENCE E. BENNETT, P.E.
crVll. ENGINEER & DEVELOPMENT CONSUITANT
P. O. BOX 4368 SOUTH DAYTONA, FL 32121
PHONE 1 (904) 767-4774
FAX It 1 (904) 767-6556
C COPYRIGHT, 1996
NOT TO BE REPRODUCED IN WHOLE OR IN ""RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E.
3
52
FREESTANDING ALUMINUM COVERS
TABLE 1
MAXIMUM SPANS FOR STANDARD ALUMINUM ROOF PANELS
OF 3105 H-28 ALLOY
WIND LOADS: CARPORTS, SCREEN ROOMS, AND OTHER OPEN BUILDINGS
O.H. CONDITION NOO.H. l' O. H. 2' O. H. 3' O. H.
3"x 0.026"
100 MPH W. L. 15'-11" 16' -1" 16'-5" 17'-0"
110 MPH W. L. 14'-3" 14'-5" 14'-10" 15'-6"
120 MPH W. L. 13'-0" 13'-2" 13'-7" 14'-4"
3"x 0.032"
100 MPH W. L. 18'-10" 18'-11" 19'-3" 19'-9"
110 MPH W. L. 16'-10" 16'-11" 17'-4" 17'-11"
120 MPH W. L. 15'-4" 15'-6" 15'-11" 16'-6"
LIVE LOAD; ALL BUILDING TYPES
O.H. CONDITION NO O. H. l' O. H. 2' O. H. 3' O. H.
3"x 0.026"
20 #/SF L. L. 16'-1" 16'-2" 16'-7" 17' -2"
30 #/SF L. L. 13'-1" 13'-3" 13'-8" 14'-5"
3"x 0.032"
20 #/SF L. L. 18'-4" 18'-5" 18'-9" 19'-3"
30 #/SF L. L. 14'-11" 15'-1" 15'-6" 16'-1"
1. TOTAL ROOF PANEL WIDTH = ROOM WIDTH PLUS WALL WIDTH PLUS OVERHANG.
2. THE SMALLEST VALUE OF THE WIND LOAD TABLE OR THE L.L. TABLE GOVERNS.
LAWRENCE E. BENNETT, P.E.
CIVIL ENGINEER &: DEVELOPMENT CONSUI.:rANT
P. O. BOX 4368 SOUTH DAYTONA. FL 32121
PHONE 1 (904) 767-4n4
FAX II 1 (904) 767-6556
C COPYRIGHT, 1996
NOT TO BE REPRODUCED IN WHOLE OR IN A&.RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E.
4
60
ATTACHED ALUMINUM COVERS
SEAlANT
~ 3'" HEADER EXTRUSION
~ ~ 1/8 x 9/10' TEK SPACED AT
~ ________ 8" O.C. BOTH SIDES
___ SEALANT
#10 x 1-1/2" S.~.S. OR WOOD
WOOD SCREW (1) PER RAFTER
OR TRUSS TAIL
EXISTING TRUSS OR RAFTER
1110 X 3/4" S.~.S. OR WOOD
SCREW SPACED AT 12" O.C.
3" ROOF PANEL
[XISTlNG FASCIA
SEALANT
~ 3'" HEADER EXTRUSION
~ ~ #8 x 9/10' TEK SPACED AT
~ ________ f!' O.C. BOTH SIDES
___ SEALANT
FOR MASONRY USE 1/4" x
1-1/4" TAPCON ANCHOR OR
EQUAL SPACED AT 24" O.C.
FOR WOOD USE 110 x 1-1/2"
S.M.S. OR WOOD SCREWS AT
12" O.C.
3" ROOF PANEL
fXJSTING HOST SmUCTIJRF
WOOD FRAME. MASONRY OR
OTHER CONSTRUCTION
ROOF PANEL TO FASCIA DETAIL
ROOF PANEL TO WALL DETAIL
NOTES: WOOD STRUCTURES SHOULD CONNECT TO TRUSS BUTTS OR THE SUB-FASCIA FRAMING WHERE POSSIBLE
ONLY 15~ OF SCREWS CAN BE OUTSIDE THE TRUSS BUTTS / SUB-FASCIA AND THOSE AREAS SHALL HAVE
DOUBLE ANCHORS. ALL SCREWS INTO THE HOST STRUCTURE SHALL HAVE ~IN. 1-1/4" WASHERS
OR SHALL BE WASHER HEADED SCREWS
HOST STRUCTURE OR FASCIA AND SUB-FASCIA CONNECTION REQUIREMENTS
LOAD CONDITIONS
GLASS ROOMS WIND VELOCITY LOADS DEAD + LIVE LOADS
HOST STRUCTURE 102 MPH 110 MPH 120 MPH 22#/SF 32 #/SF 57#/SF
1. CONCRETE 1 /4"x1-1 /8" CONCRETE SCREWS @ 12" O.C.----->(2) @ l' O.C.
2. WOOD FRAME 1/4"x2" LAG SCREWS @ 6" O.C.------------->(2) @ 1" O.C.
SCREEN, VINYL, AND CARPORTS
HOST STRUCTURE 102 MPH 110 MPH 120 MPH
1. CONCRETE 1 /4"x1-1 /8" CONCRETE SCREWS
2. WOOD FRAME 1/4"x2" LAG SCREWS @ 12"
22#/SF 32 #/SF 57#/SF
@ 12" O.C.----->2 @ l' O.C.
O.C.--------->2 @ l' O.C.
SPLICE TO BE LOCATED 1/4 TO
1/3 BEAM SPAN AND
STAGGERED EACH SIDE OF SELF
MA TING BEAM
or- d-.50" ---t- d-.50" -f
1" MAX.
BEAM SPLICE SHAlL BE MIN.
Of d-.50" HEIGHT AND
2 (d-.50') IN LENGTH
MIN. SCREWS PER SPLICE
TOTAl / SIDE Of SPLICE
2' x 4" 4/2
2" x 5" 4/2
2' x 6 4/2
2" x 7" 6/3
2' x 8" 8/4
2" x 9" 10/5
+ + + + + + + +
DENOTES SC EW PATTERN
NOT NUMBER Of SCREWS
+ + + + + + + +
d = HEIGHT OF BEAM
1" MAX.
PLA TE TO BE SAME WAUL
THICKNESS AS BEAM
PLA TE CAN BE INSIDE OR
OUTSIDE BEAM OR LAP CUT
TYPICAL BEAM SPLICE DETAIL
LAWRENCE E. BENNETT, P.E.
CIVIL ENGINEER a: DEVELOPMENT CONSUI:rANT
P. O. BOX 4368 SOUTH DAYTONA, Fl 32121
PHONE 1 (904) 767-4n4
FAX' 1 (904) 767-6556
C COPYRIGHT, 1996
NOT TO BE REPRODUCED IN WHOLE OR IN A&.RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E.
,.,
44
ATTACHED ALUMINUM COVERS
(1) HAT CHANNEL x "t"
'.q..
N
TOP OF GRADE
3" x 3" POST SEE TABLE
(2) 1-1/2" x 1-1/2" x "t" ANGLE
OR (1) U CHANNEL x "t"
3/8" x 3-1/2" BOLT
"t" IS THICKNESS OF
REQUIRED POST
80 LB. 2500 PSI CONCRETE
PRE-MIX
./l ..
. .
4
3"x3" BASE
l
1
16"
1
.
N
......
I
"'"
ALUMINUM CONVENTIONAL CONSTRUCTION
PORCH POST CONNECTION
POST IN CONCRETE w/ f4 e SAR
12" LONG
3" x 3" POST TURN SOL TED
TO ANCHOR RISER
I
I
2-3/4" x 2-3/4' x 2-1/2"
LONG x 1/6" TUBING
POURED CONCRETE
REFER TO TABLE 5
WELDED CONNECTION
Cl
i
i )*
1.-- - ~
I 1*
+- L----+
12" x 12" x 1/4" PLATE
ISOLATED FOOTING
3-1/2" CONC. SLAB
f
2'-0" ~IN.
BEFORE SLOPE
BASE ANCHOR CONNECTOR
FOR POST TO SLAB CONNECTION
NOTE: IF LOCAL BUILDING DEPARTMENT HAS A
MINIMUM FOOTING SPECIFICATION. THAT
MINIMUM SHALL SUPERCEDE THESE PLANS.
/
l' -
I-l- --
(1) 15 BAR CONT.
(1) 14 BAR CONT.
NOTE: FISER MESH CONCRETE DOES
NOT REQUIRE WIRE MESH
FLAT SLOPE / NO FOOTING MODERATE SLOPE FOOTING
o - 2"/12" 2"/12" _ 1'-10"
NOTE: NO FOOTING EXCEPT WHEN ADDRESSING EROSION
MIN. 2500 p.s.1. CONCRETE W/ 6 x 6 - 10 x 10
WELDED WIRE MESH OR FIBER MESH CONCRETE
STEEP SLOPE FOOTING
> 1'-10'
SLAB DETAILS ADDRESSING EROSION
LAWRENCE E. BENNETT, P.E.
CIVIL ENGINEER &: DEVELOPMENT CONSUI.:rANT
P. O. BOX 4368 SOUTH DAYTONA, FL 32121
PHONE 1 (904) 767-4n4
FAX II 1 (904) 767-6556
C COPYRIGHT, 1996
NOT TO SE REPRODUCED IN WHOLE OR IN A&.RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, RE.
"
.>
43
APPLICATION FOR PERKI.T
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
. 1
OWNER'S~w
t-r~ 3- 3D~~
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESGRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL I.D.' 1 d - 81o - dl- DOl () - CJ::J::J::.J:)-()'J4QOBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction .......-Addition -..Alteration _Repair _Install
_Sign
_Kove
_Deaolish
PROPOSED USE: ~ingle Faaily
_KIF
_, of Units _K/H
_eo..ercial
_Indust.
_Swia. Pool _Other
-..JI.es~ & Health ~_nt Approval .
DESCRIPTION OF WOlUt.: ~ cc;t-z . 0 \..Y{~ ....... EA.)/ f) cUx;Ys
BUILDING SIZE: I \ X 1~,S, I L\-~ ,ro Square Feet, 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.
_BUILDING
sa34~1 ~S-
PERMITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MEGllAlfICAL
$
Valuation of Kechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEvATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
. .
YES
NO
******************************************
BUlI.DER
COlmlA=~c:nv ct d Con '6tLucl1 ~
State Cert. or Regist. .
'ty License Registration . ';3 ~(o
***** ***********************
ELECTRICIAN
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
SiQllature
PLUKBER
COMPANY
State Cert. or Regist. .
City License Registration f
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration #
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
~ . CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to 'deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES ~- ,
If tbe owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be
ci ted for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departtent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections' of this application 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 laY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HoeJIfDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consl1ler Affairs. If the applicant is SOJeOne other than the
"owner", I certify that I have obtained a copy of the above described docUleDt and prOtise in good faith to deliver it to the
"owner" prior to couencetent.
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 cotpliance with all
applicable laws regulating construction, loning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOIIeDced prior to issuance of a pertit and that all work will be perforted to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
certify.that I understand that the regulations of other governteDtal agencies laY apply to the intended wort, and that it is
If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treattent
t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departtent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Environtental Protection Agency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone "A' or 'A,etc.', it is understood that a drainage plan
addressing a "c~pensating volUleR will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical 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. Bvery pertit issued shall beCOle invalid
unless the work autborized by such perlit is cOllenced within sillOnths of issuance, or if wort authorized by the pertit is
suspended or abandoned for a period of six IOntbs after the tile the work is co.enced. One 90 day extension of tite, laY be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned.
WARMING TO OVHBR: YOUR FAILURE TO RECORD A NOTICE OF ClJIHBNCEHBMf HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBHBIft'S TO YOUR
PROPBRTY. IF YOU IMfBliD TO OBTAIN FINANCING, COlfSULT WITH YOUR LBJIDBR OR AN AnOlllfBY BBFORE RECORDIHG YOUR NOTICE OF
COHHBHCEHB JOBS UNDER $2,500 IN VALUE 00 HOT MEBD TO RECORD AND POST A" CE OF COHHBNCEHBMf".
STATE OF FLORIDA
coum OF ~A S c...o
The foregoing instrument was acknowledged
before me this liIJh'e,h Il?" , 19~ by
llAV ~n ~ lAne.;in
who is personally kno to me or who has
produced 't< 1) Q IN ()
a "dentification and who did/did not
ejlno
STATE OF FLO~DA
coum OF A s. co
The foregoing instrument was acknowledged
before me this MAI"~ \~ , 19~ by
llA.VP,'() A . ~A{)~
who is personally known to me or who has
produced k f) 0 w ()
"entific on and who did/did not
e an o.
,'r;.~'fi;,", LINDA JEANNmE NEWSOME
/~ "~~ MY COMMISSION' CC 482-161
=.: ~.:
{Jff EXPIRES: July 20. 1999
f(.~,,:-.., Bonded 1llru NolIrY PullIIc lhIerMllIr8
;i~~:~~ LINDA JEANNEITE NEWSOME
: ~... MY COMMISSION' CC 482-161
: - EXPIRES: July 20, 1999
BondIId Thru NoIIIy PlIbIIc UncI8nwIlIrs