HomeMy WebLinkAbout97-6381
BUILDING PERMIT 0 - 6
CITY OF ZEPHYRHILLS Permit N. , 38tB
(813) 788-6611 Date /- /0 -97
rY.-f). crD
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
:::::,~.:~e,Z 11 !1/:24~
Parcell.D. # J 1- :26 .-,;l/-r' 001 tJ -,;JJd 00 - () Y /I- d-
Zoning: Energy Code: Radon Gas: .;;1. ~L
Description of Work &A. ~ L1-''t.}I--
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
1-/5-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
DLL
Permit Fee
Signature
Company
Address
Telephone#
.~~
"
D
Valuation or
Contract Price
%"79. c:ro
R-3
City license Registration #
State Certified license#
? f.J'- .j., ~ I h
~t:7~
.
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
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.
ATTACHED ALUMINUM COVERS.
(2) 1-1/2" x 1-1/2" x "t" ANGLE
OR (1) U CHANNEL x "t"
TOP Of GRADE
3" x 3" POST SEE TABLE
(1) HAT CHANNEL x "t"
"t" IS 1l11CKNESS Of
REOUIRED POST
3/B" x 3-1/2" BOLT
BO LB. 2500 PSI CONCRETE
PRE-MIX
1-
~
I
I')
..:4'
'. 4
.
. .
'4
3"x3" BASE
I
16"
1
ALUMINUM CONVENTIONAL CONSTRUCTION
PORCH POST CONNECTION
POURED CONCRETE
POST IN CONCRETE w/ 14 . BAR
12" LONG
~
3" x 3" POST TURN BOLTED
TO ANCHOR RISER
C\
2-3/4" x 2-3/4" x 2-1/2"
LONG x 1/B" TUBING
WELDED CONNECTION
REFER TO TABLE 5
-----
>
"- ~
LL-lV
12" x 12" x 1/4" PLATE
f
2'-0" MIN.
BEFORE SLOPE
3-1/2" CONe. SLAB
BASE ANCHOR CONNECTOR
FOR POST TO SLAB CONNECTION
NOTE: IF LOCAL BUILDING DEPARTMENT HAS A
MINIt.lUM FOOTING SPECIFICATION, THAT
MINIMUM SHALL SUPERCEDE Tl-tESE PLANS.
1~30LA TED FOOTING
1V
(1) 14 BAR CONT.
;""i:::.l,:Ii1,ulli;i,';, "e,', ;]'11["';'1' W-'
'-" ; I ~ I'I ;1!I: i :. I!'_j il!....'jll' ~.I . .i;.
NOTE: FIBER MESH CONCRETE DOES
NOT REQUIRE WIRE MESH
rLA T SLOPE / NO FOOTING MOOERA TE SLOPE FOOTING
o - 2"/12" 2"/12" _ 1'-10"
NOTE: NO fOOTING EXCEPT WHEN ADDRESSING EROSION
MIN. 2500 P.S.l. CONCRETE wI 6 x ,6 - 10 x 10
\'IHOED WIRE MESH OR FIBER MESH CONCRETE
SLAB DETAILS ADDRESSING EROSION
STEEP SLOPE FOOTING
> 1'-10"
'-
LAWRENCE E. BENNE'IT, P.E.
C1Vll.. ENGINEER &: DEVELOPMENT CONSUlIANT
P. O. BOX 4368 SOUTH DAYTONA, FL 32121
PHONE 1 (904) 767-4n4
fAX' 1 (904) 767-6556
Q COPYRIGHT, 1996
NO r TO BE REPRODUCED IN WHOLE OR IN FJt.RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E.
"
.:>
43
ATTACHED ALUM..NUM COVERS
TABLE 4
continued
3"x 3"xO.040" ROLL FORM*
10'-0"
11'-8"
13'--4"
15'-0"
3"x 3"xO.060" ROLL FORM*
11'-0" 3,600 200 164
12'-10" 2,700 150 123
14'-8" 2,100 117 95
16'-6" 1,575 88 73
3"x 3"xO.060" SCALLOPED OR FLUTED EXTRUSION 6063 T-6 ALLOY
11'-10'" 3.408 189 155
13'-10"2,556 142 116
15'-10" 1,988 106 87
17'-10" 1.491 83 68
3"x 3"x O.90"TUBE EXTRUSION 6063 T-6 ALLOY
11 ' -1 0" 5, 1 84
13'-10" 3,888
15'-10"" 3,024
17'-10" 2,268
3"x 3"x 0.125"TUBE EXTRUSION 6063 T-6 ALLOY
13'-9" . 6,912
16'-1" . 5,184
18'-4" 4,032
20'-7" 3,024
4"x 4"x 0.125"TUBE EXTRUSION 6063 T-6 ALLOY
15'-9" 9,312
18'-5" 6,984
21'-0" 5.432
23'-8" 4,074
· ALLOY' 3105 H16
1. THE SMALLER ROOF AREA OF LIVE + DEAD LOAD AND WIND LOAD SHALL GOVERN.
2,381
1,786
1,389
1,042
TABLE 5
ISOLATED FOOTINGS
132
99
77
58
288
216
168
126
384
288
224
168
517
388
302
226
108
81
63
47
236
177
137
103
314
236
183
131
423
317
247
185
99' '"
74
58
43
150
113
88
66
142
107
80
62
216
162
126
95
288
216
168
126
388
291
226
170
74
56
43
33
.~
43
33
25
19
65
50
38
29
62
46
35
27
94
71
55
41
126
94
73
55
169
127
99
74 ...-"
113
84
66
32
107
80
62
47
162
122
95
71
216
162
126
95
-~
291
218
170
127
MAXIMUM ROOF AREA IN SF FOR CARPORT POST WI ISOLATED FOOTING
FOR BE:LOW LISTED WIND VELOCITY .
UPLIFT LOADS
FOOTING TYPE Be'SIZE 100 MPH 110 MPH 120 MPH
POURED CONCRETE
1'-0"X l'-O"X 1'-0"
1'-4"X 1'-4"X 1'-4"
1'-6"X l'-6"X 2'-0"
1'-8"X l' -8"X 2'-0"
'1'-8"X l'-8"X 2'-6"
2'-Q"X 2'-0"X 2'-0"
2'-6"X 2'-6"X 2'-6.~ "
PRE-CAST SLAB WI eo, SACK-CRETE
.\ BACKFILL OVER StAB
1'-4"X l'-4"X 2'-4"
29
86
163
187
275
346
463
117 '
25
72
136
156
229
288
386
97
21
61
116
134
196
257
331
56
LAWRENCE E. BENNETT, P.E. .
CIVIL ENGINEER &: DEVELOPMENT CONSUL:fANT
P. O. BOX 4368 SOUTH Ott.YTONA, FL 32121
PHOHE 1 (904) 767.4774
fAll . 1 (904) 767-6556
C COPYRIGHT, 1996
NOT TO BE REPRODUCED IN WHOLE OR IN "'RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNEH P.E.
3
52
ATTACHED ALUMINUM COVERS
-----
'S~T ,
~" " ~ HEADER EXTRUSION
~~, " . ' 18 x 9/16" TEK SPACED AT /0
~~ Er O.C. BOTH SIDES . / /
, ___ S~T
110 x 1-1/2" S.M.S. OR WOOD
WOOD SCRE.'w (1) PER RAFTER
OR TRUSS TAlL
EXISTING TRUSS OR RAFTER
110 X 3/4" S.M.S. OR WOOD
SCREW SPACED AT 12" O.C.
3" ROOf PANEL
.. EXISTING FASCIA
'---/'
~-
-
SEALANT '
~ ~HEAoEREXTRUSION
~ ~, flS w,9/1o TEK SPACED AT
~ ~ ti O.C. BOTH SIDES
, ___ S~T
FOR MASONRY USE 1/4" x
1-1/40 TAPCON ANCHOR OR
EQUAL SPACED AT 24" O.C.
FOR WOOD USE 110 x 1-1/20
S.M.S. OR WOOD SCREWS AT
12" O.C.
30 ROOF PANEL
EXISTING HOST STRUCTURE
WOOD FRAME. MASONRY OR
OTHER CONSTRUCTION
---~.'
ROOF PANEL TO FASCIA DETAIL
ROOF PANEL TO WALL DETAIL
NOES: WOOD STRUCTURES SHOULD CONNECT TO TRUSS BUTTS OR THE SUB-FASCIA FRAMING WHERE POSSIBLE
ONLY 15% OF SCREWS CAN BE OUTSIDE THE TRUSS Buns / SUB-FASCIA AND THOSE AREAS SHAU. HAVE
DOUBU: ANCHORS. AU. SCREWS INTO THE HOST STRUCTURE SHALL HAVE MIN. 1-1/4" WASHERS
I OR SHALL BE WASHER HEADED SCREWS
HOST STRUCTURE OR FASCIA AND SUB-FASCIA CONNECTION REQUIREMENTS
LOAD CONDIllONS
GLASS ROOMS WIND VELOCITY LOADS DEAD + UVE LOADS
HOST STRUCTURE 102 MPH 110 MPH 120 MPH 22#/SF 32 #/SF 57#/SF
1. CONCRETE 1/4"x1-1/S" CONCRETE SCREWS @ 12" O.C.----->(2) @ l' O.C.
2. WOOD FRAME 1/4"x2" LAG SCREWS @ 6" O.C.------------->(2) @ 1" O.C.
SC~:EEN. VINYL. AND CARPORTS
HOST STRUCTURE 102 MPH 110 MPH 120 MPH 22#/SF 32 #/SF 57#/SF
1. CONCRETE 1/4"x1-1/S" CONCRETE SCREWS @ 12" O.C.---.-->2 @ l' O.C.
2. WOOD FRAME 1/4"x2" LAG SCREWS @ 12" O.C.--------->2 @ l' a.c.
'-.-./
BE AM SPUCE SHAU. BE WIN.
O! d-.50" HEIGHT AND
2 (d-.50") IN LENGTH
Mitt SCREWS PER SPUCE
nrTAL / SIDE Of SPUCE
2' x 4" 4/2
2' x 5- 4/2
2' x 6 4/2
2' x r 6/3
2' x S" 8/4
2' x 9" 10/5 .Co
f- d-.50" -t- d-.50" --r
++.,r + + + + +
DENOTES SC EW PATTERN
NOT NUWBER Of SCREWS
1" MAX.
SfUCE TO BE LOCATED 1/4 TO
1/3 SEAW SPAN AND
S1 AGGERED EACH SIDE Of SElf
Mil TING BEA...
+ + + + + + + +
d = HEIGHT OF BEAW
1" MAX.
PLA TE TO BE SAME WALL
THICKNESS AS BEAM
PLATE CAN BE INSIDE OR
OUTSIDE BEAM OR LAP CUT
,~
TYPICAL BEAM SPLICE DETAIL
LAWRENCE E. BENNETT, P.E.
Clvn. ENOINEBR " DEVELOPMENT CONSUlXANT
P. O. BOx <43Cl8 SOUTH ~YTONA, FL 32121
PHONE 1 (1lO4) 767...n",
FAX' 1 (1lO4) 76N1556
'J
o COPVRI3HT. 1996
NOT TO BE REPRODUCED IN WHOLE OR IN At.RT WITHOUT WRllTEN PERMISSION FROM LAWRENCE E. BENNETT, RE.
..,
44
'.
~-
TABLE 1
" A TTACliED ALUMINUM COVERS
' . ",' ", ,-,. ..' . ';..' . . " -', ',. ...1.- ,,' ",
MAXIMUM SPANS FOR STANDARD ALUMINUM ROOF PANELS
OF 3105 H.28 ALLOY
WIND lOADS::'<C,A.APORTS, SCREEN ROOMS, AND OTHER OPJ;:N BUILDINGS
O.H. CONDlrlON NO O. 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 1,.. L 16'-1" 16'-2" 16'-7" 17'-2"
30 It/SF L. t. 13'-1" 13'-3" 13'-8" 14'-5"
3"x 0.032" ,-
20 It/SF L. L. 18'-4" 18'-5" 18'-9" 19'-3"
30 It/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.'
qvu. fiNQNEER" D~VALO"MENT CONSUU'ANT
P. O. BOl( 43Cl8 SOUTH Dt\YTONA. FL 32121
p~ 1 (iO<t) 767-4774
fAX . 1 (iO<tj 767-6556
o COPYRIGHT. lWi}
NOT TO BE REPRODUCED IN WHOLE OR IN A>.RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E.
3
47
MAX. ROOF BEAM SPANS FOR CARPORTS, SCREEN & VINYL
ROOMS AND OTHER OPEN STR,UCTURES 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: LQAO WIDT,H = 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"EXTRUSION
5 '8'-1- '6'-r g'-o-
6 '7'-4- 6'-0- 8'-3-
7' 6'.10- 5'-6- 7'-6-
8 6'-5- 5'-2- 7'-2-
g' 6'-0- 4'.11- 6'-9-
10' 5'-8- 4'-8. 6'-5"
11' 5'-5" 4'-5" 6'-1.
. 12' 5'-2" 4'-3- 5',10"
2"x 4"x O.OSO"X TILT BEAM
5' g'-g"
6' 8'.11-
7' 8'-3.
8' 7'-9"
g' 7'-3-
10' 6',11.
11' 6'-7"
12' 6'-3"
2"x 4"x O.044"x 0.120" S.M.B.
5' 12'-10"
6' 11'-8"
7' 10'-10"
8' 10'-1-
g' 9'-6-
10' 9'-1-
11' 8'-8.
12' 8'-3-
2"x 5"x 0.050"x 0.120" S.M.B.
5' 1 5'-2"
6' 13'-10"
7' 12'-10"
8' 12'-0"
g' 11'-3-
10' 10'-8.
11' 10'-3-
12' . 9'-9.
2"x &"X O.OSo"x 0.120" S.M.B.
5' 17'-2"
6' 15'-8-
7' 14'-6"
8' 13'-7"
g' '.' 12'-9"
10' 12'-1-
11':" 11'-1-
12' 10'-3"
.ATTACHED ALUMINUM COVERS .
',,-,
TABLE 2
8'-1-
7'-4.
6'.10.
6'-5.
6'-0-
5'-8-
5'-5-
5'-2-
EXAMPLE.
8'-0-
7'-3.
6'-9-
6'-3-
5'-11-
5'-7.
5'-4-
5'-0.
g'-g-
8'.11-
8'-3-
7'-9"
7'-3.
6'-11.
6'-7.
6'-3.
10'-11.
1 0'-0"
9'--:3-
8'~8.
8'-1.
7'-9.
7'-4.
7'-0.
---
10'-5"
9'-6-
8',10"
8'-3.
7'-9.
7'-5.
7'-0.
6'-9.
12'-10"
11'-a"
10'-10"
10'-1.
g'-6.
9'-1"
8'-8.
8'-3.
14'-4"
13'-1"
12'-1-
11'-4.
1 0'-8.
10'-1.
9'-8.
9'-3"
12'-4.
" 1-'--3.
10'-5-
g'-g.
9'-2"
8'-9"
8'-4"
8'-a.
16'-11"
15'-6"
14'-4.
13'-5"
12'-8"
12'-0.
11'-5" ,
10'.11.
15'-2.
13'.10"
12'.10"
12'-0"
11'-3.
10'-8-
10'-3.
g'-g.
14'-0"
12'-9.
11'-10"
, 11'-1.
10'-5"
9'-11"
9'-5. '
g'-o"
19'-2"
17'-6.
16'-2"
15'-2"
14'-3"
13'-7"
12'-11.
12'-4"
17'-2"
15'-a.
14'-6.
13'-7"
12'-9"';':(' .:,)
12'-1.
11'-7" ".,
1 0'-3.
120 MPH
7'-5.
6'-9.
6'-3.
5'-10.
5'-6.
5'-2.
5'-0-
4'-9-
8'-11.
8'-1"
7'-6-
7'-0.
6'-8"
6'-3-
"'6'-0.
5'-9.
11'-3.
1 o'~a.
g' -11-
9'-3.
8'-8.
8'-3.
6'-10.
7'-6.
13'-10"
12'-8.
11'-8.
10'-11-
10'-4.
9'-9-
g'-4-
a' -11.
15'-a.
14'-3.
13'-3.
12'-4.
11'-8.
11'-1.
10'-6.
10'-1.
LAWRENCE E. DENNEIT, P.E.' '
avn. ENGINEER&: DEVELOPMENT CONSUU'ANT
P. O. BOX 4368 SOUTH DAYTONA, FL 32121
PHONE 1 (904) 767...n..
fAX , 1 (90<4) 767-6556
'-'
o COPYRIGHT, 1996
NOT TO BE REPRODUCED IN WHOLE OR IN ""RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT. P.E.
3
49
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APPLICAnON FOR PERKIT
CITY OF ZEPIIYRBILLS
BUILDING DEPARTMENT
OWNER I S ADDRESS
~()S~fZ 1
SO;? l'
S~mL
8UCl1ELii:
/tzt:!- -r-r-,
PHONE
7ftJ-/r2~5
OWNER 's RAKE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION'
PARCEL I.D.I (/-,d,b-d /.-. 019/0 - ..::>/a DO - t1 io~~fFROK PROPERTY TAX NOTICE)
WORK PROPOSED: ' V-:ew Construction ---..Addition ----..Alteration --.Jlepair _Install
_Sign
---.Jfove
_DeIIOlish
pmPOSED~E: ~~eF_i~
---.Jf/F _' of Units ---.Jf/H
_ec-ercial
_lDdust. _Swia. Pool _Other
--Restaurant (( Health Departaent Approval
DESCRIPTION OF WORK: t AIL Pc> f{. 'f
BUILDING SIZE: J'I' X /'1/. ~h Square Feet.
. /
, rO J' Height
RESIDEBTIAL: ATTACH (2) PLOT PLANS (( (2) SETS OF BUILDING PLANS (( (1) SET ENERGY FORMS.
COItKERCIAL: ATTACH (3) SETS OF BUILDING PLANS (( (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
V:UILDING
PERKITS REOUESTED
$
f??;-o
Valuation of Total Construction
Rl.ECTRICAL
AHP Service
Florida Power Corp.
W.R.E.C.
----1tEGllAllICAL
$
Valuation of tlecbanical Installation
_PLUMBING GAS ROOFING
SPECIALTY, .
TYPE OF CORSTRUcnON: _Block _Fr_e _Steel
Other
F1IUSHED FLOOR. ELEVAnORS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CORTRACTOR SECTION
Signature
~~~,.. .. ;', . . cOtIPARY ..4CE ,lfLt/J0,
- State Cert. or Regist.' C~6./J s'/k?
City License Registration . ~~
..............*..*.......*..**...********.
BUTl.DER.
F.T .RGTRIGIAR
COMPANY
State Cert. or Regist. I
City License Registration .
********.******************.**.**********.
Sionature
PLUKBER
GOKPAtlY
State Cert. or Regist. ,
City License Registration ,
**.***..*.*********************.**********
Signature
MECHANICAL
COMPANY
State Cert. or Regist. .
City License Registration f
*******************.**********************
Signature
OTRRR
COMPANY
State Cert. or Regist. .
City License Registration .
**.**.**.*.****.****.****.****************
Signature
APPLICATION AP~VED BY
PERHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this penit lilY be subject to Ideed restrictions I wbich lilY be lOre restrictive than City
regulations. Tbe undersigned aBSUHS responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES -
If the owner bas bired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law,' both the mmer and contractor lilY be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain 'as to wbat licensing
requirl!lents lilY apply for the intended work, they are advised to contact the City of Zephyrhi~ls Building Departlent, (813)
788-6611. .
FurtherJOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
IContractor Sections I 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 IFlorida's Construction Lien Law - HoIeowner's Protection
Guidel prepared by the Florida Departlent of Agriculture and ConsUll!I' Affairs. If the applicant is SOJeOne other than the
lownerl, I certify that I bave obtained a copy of the above described dOCUJeDt and prOJise in good faith to deliver it to the
lownerl prior to COlleDCeleDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developent.
Application is hereby Jade to obtain a perait to do work and installation as indicated. I certify that no work or
installation baa cc.unced prior to issuance of a perlit and that all work will be perfolled to Ieet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govl!l1llleDtal agencies lilY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
t DepartJent of EnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water HanageleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health' Rehabilitative Services, BnvirODJental Health Unit - Wells, Wastewater Ireat.lent, Septic lanks
t US EnvirODJental Protection Agency - Asbestos abateleDt
I also certify that, if fill Jaterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
addressing a lCOIpensating VOl_I will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance. .
A penit 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 sball issuance of a peIlit prevent the Building Official frOJ thereafter
requiring a correction of errors iri plans, construction, or violations of any code. Every peIlit issued shall beCOJe invalid
unless the lIork authoriled by such peIlit is coaenced lIithin sillOntbs of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of sil IOnths after the tile the work is couenced. One 90 day atension of tile, lilY be
allowed for the peIlit with fee charge of $15.00. The atension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillOJlth period, or the project will be considered abandoned.
WARMING 10 OIIlfER: YOUR FAILURE 10 RECORD A NOIICE OF COtHEHCBHBHI HAY RESULI IN YOUR PAYING ftlICE FOR IHPROVBHBHIS 10 YOUR
PROPERlY. IF YOU IJlfEHD 10 OBfllJl iIWC'IKG, COISULI WIIB YOOI LlHDER OR AM AnORXBY BEFORE RECORDING YOUR NOIICK OF
fJWDlmft~ ~ ~ IlIIIIID IV RmD lID POST I .~. _
SIGNAIURE: OIIHER -- SIGNAIUHf: CONlRACIOR,
STATE OF FLORIIJAJ
COUNtY OF ttJ. <.f iJ
Tbe foregoing instrument was acknowledged
before me this J - 7 , 19:z.z. by,
Il/h~/I I.- ')//YJ.8
who is personally known to me or who has
produced .
as identification and who did/did not
tp.:;:; ~~
( ignature) ,
SIAIE OF FLORIDA ,n
COUNTY OF 'jQ S C ()
The foregoing instrument was acknowledged
before me this /.- 7 , 19..22.- by
/llhp// S, /H (-
who is 2ersonally knOllg! to me or who has
produced
as i tification and who did/did not
t C?ath: / ;J./
(
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~'-;;;''H''', - PATRICIA M. CAMPBELL
I~ .~<< MY COMMI8SION , cc 2548311
:.: i~ EXPIAES: JIIIII/Y 24. 1987
IlondId 11IIu NoIIrY NlIc lJndINdn
(Name Typed, Printed or Stamped)
NOT C
..'$~:f~. PATRICIA M. CAMPBELL
[.; . ~ MY COMMISSION , cc 254635
~ EXPII&: .lIIury 24, 1997
. .. IandId 1IlII NaIIIy I'lIIlIc lblIIwIlIn
38626 2nd Ave.
Zephyrhills, FL 33640
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