HomeMy WebLinkAbout97-6469
BUILDING PERMIT
Permit NC?
CITY OF ZEPHYRHILLS
(813) 788-6611
6469.'8
'10. r/D
~LDI~
Pmperty Owne' fp~4
Job Add,ess-S 7 ~ _ - _ A L ?;..f/ LA-<.~
Parcell.D, # J -=--- - ;:JJ - ~ - t:J.- 0_
Zoning: Energy Code: .I! ~
Description of Work ~.J?~ .4 __ ~
/
Date, Dl - / '? - 7' '1
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Radon Gas:
~h1
~'. d.-g---
NO OCCUPANCY BEFORE C.O.
FINAL
7"
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
bl)
~~
Permit Fee
Signature
Company
Address
Telephone#
~- ~-r
. ~ .{kee~
Valuation or ---
Contract Price--5.. ~, /J'7:>
City License Registration #
State Certified License#
h )16>v:J-
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
~:~ SL2~/~&
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.
L
Notice to nll contractors concerned with concrete for tIle design.
fubrication, and erection of Aluminum Structures Only.
Patio Slnb's: Mintmum 8"x12" footer w/21 5 rebar.
Effective November 15, 1990 concrete shall be installed as required
1n detaU below.
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---7
ATTACHED ALUMINUM COVERS
- -
TABLE 4
continued
---
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.0I0" ROLL FORII*
11'-0" 3,600 200 164 150 113 65
12'-1 A" 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.O&O" SCALLOPED OR FLUTED EXTRUSION 1063 T-S ALLOY
11'-10" 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
17'-10" 1,491 83 68 62 47 27
3"x 3"x O.IO"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
17'-10" 2,268 126 103 95 71 41
3"x 3"x O.125"TUBE EXTRUSION 6063 T-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 O.125"TUBE EXTRUSION 6063T-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
· AllOl' 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 a SI2E 100 MPH 110 MPH 120 MPH
POURED CONCRETE
1'-o"X 1'-o"X 1'-0" 29 25 21
l'-4"X 1'-4"X 1'-4" 86 72 61
1'-S"X 1'-6"X 2'-0" 163 136 116
1'-8"X l'.S"X 2'-0" 187 156 134
1'-8")( 1 '-8"X 2'-6" 275 229 196
2'-o"X 2'-o"X 2'-0" 346 288 257
2'-S"X 2'-6"X 2'-S" 463 386 331
PRE-CAST SLAB WI 80# SACK-CRETE
1& BACKFILL OVER SLAB
l'-4"X l'.4"X 2'-4" 117 97 56
LAWRENCE E. BENNETT, P.E.
ovn.. ENGINEBR &: DEVELoPMENT CONSUlTANT
P. O. BOX 4368 SOUTH ~YTONA. Fl 32121:
PHONE 1 (904) 767-4n<4
FAX II 1 (904) 767.6556
~
o COPYRIGHT. 1996
NOT TO BE REPRODUCED IN WHOLE OR IN ~AT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E.
3
52
ATTACHED ALUMINUM COVERS
MAX. ROOF BEAM SPANS FOR CARPORTS, SCREEN a VINYL
ROOMS AND OTHER OPEN STRUCTURES WI SOLID ROOFS 6063
T-6 ALLOY
EXAMPLE: FOR SPAN ilL" 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. 0 22#/SF BEAM SPAN = 7'-3"
BEAM SIZE BEAM SPAN FOR DESIGNATED LOADS
BEAM LIVE LOAD WIND LOAD
LOAD WIDTH 22#I$F 32#/SF 100 MPH 110 MPH
2"x 3"xO.05O"TILT BEAM OR 2"x 3"XO.o50"EXTRUSION
5 'S'-1" 6'-7" 9'-0"
6 '1'-4" 6'-0" 8'-3"
l' 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'-3" 5'-10"
" rx 4"X O.GlO"x nl T BEAM
5' 9'~
6' 8'-11"
T 8'-3"
8' 7'-9"
9' 7'-3"
10' 6'-11"
11' 6'-7"
12' 6'-3"
2"x 4"x O.044"x 0.120" S.II.B.
5' 12'-10"
S' 11'-8"
7' 10'-10"
8' 10'-1"
9' 9'-6"
10' 9'-1"
11' 8'-8"
12' 8'-3"
2"x S"x O.050"x 0.120" S.M.B.
5' 15'-2"
6' 13'.10"
7' 12'.10"
8' 12'-0"
9' 11'-3"
10' 10'-8"
11' 10'-3"
12' 9'-9"
2"x 6"x O.050"x 0.120" S.M.B.
5' 17'-2:'
S' 15'-8"
7' 14'-6"
8' 13'-7"
9' 12'-9"
10' 12'-1"
11' 11'-1"
12' 10'-3"
"-
. TABLE 2
EXAMPLE
~
,-,.
8'-0"
7'-3"
6'-9"
6'-3"
5'.11"
5'-7"
5'-4"
5'-0"
10'-5"
9'-6"
S'-10"
S'-3"
7'-9"
7'-5"
7'-0"
6'-9"
12'-4"
11'-3"
1 0'-5"
9'-9"
9'-2"
8'-9"
8'-4"
S'-8"
14'-0"
12'-9"
11'-10"
11'-1"
10'-5"
9'.11"
9'-5"
9'-0"
1 0'-11"
1 0'-0"
r~
8'-8"
8'-1"
7'-9"
7'-4"
7'-0"
14'-4"
13'-1"
12'-1"
11'-4"
1 0'-8"
1 0'-1"
9'--8"
9'-3"
1S'-11"
15'-8"
14'-4"
13'-5"
12'-8"
12'-0"
11'-5"
10'-11"
19'-2"
17'--6"
16'-2"
15'-2:'
14'-3"
13'-7"
12'.11"
12'-4"
8'-1"
7'-4"
6'.10"
6'-5"
8'-0"
5'-8"
5'-5"
5'-2"
9'-9"
8'-11"
8'-3"
7'-9"
7'-3"
6'-11"
8'-7"
6'-3"
12'-10"
11'-8"
10'-10"
10'-1"
9'-6"
9'-1"
8'-8"
S'--3"
15'-2"
13'-10"
12'-10"
12'-0"
11'-3"
10'-8"
1 0'-3"
9'-9"
17'-2:'
15'-8"
14'-6"
13'-7"
12'-9"
12'-1"
11'-7"
10'-3"
120 MPH
7'-5"
6'-9"
6'-3"
5'-10"
5'-6"
5'-2:'
5'-0"
4'-9"
8'-11"
8'-1"
7'-8"
7'-0"
6'-8"
6'--3"
6'-0"
5'-9"
11'-3"
10'-8"
9'.11"
9'-3"
S'-8"
S'--3"
S',10"
1'-8"
13'.10"
12'-8"
11'-8"
10'-11"
1 0'-4"
9'-9"
9'-4"
8'.11"
15'-8"
14'-3"
13'-3"
12'-4"
11'-8"
11'-1"
10'-S"
10'-1"
LAWRENCE E. BENNETT, P.E.
ava ENOJNFER &. DEVELOPMENT CONSUlXANT
P. O. BOX 4368 SOUTH DAYTONA, Fl 32121
PI<<JIIIE 1 (90<4) 767-4774
FAX # 1 (904) 767-6556
C COPVRIGHT.1996
NOT TO BE REPRODUCED IN WHOLE OR IN Fll.RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT. P.E.
3
49
ATTACHED ALUMINUM COVERS
(2) 1-1/2" x 1-1/2" x "t" ANGLE
OR (1) U CHANNEL x "t"
TOP OF GR AD'~
3" x 3" POST SEE TABLE
\
'--
(1) HAT CHANNEl x "t"
3/B- x 3-1/2" BOLT
"t" IS THICKNESS OF
REQUIRED POST
80 LB, 2500 PSI CONCRE1E
PRE-MIX
. <I .,
. &
<I
.
&
. &
4
3"x3" BASE,
't--'--
S 1
I
..,
16"
1
ALUMINUM CONVENTIONAL CONSTRUCTION
PORCH POST CONNECTION
POST IN CONCRETE w/ 14 ~ BAR
12" lONG
3" x 3" POST TIJRN BOL TED
TO ANCHOR RISER
"
"*
/
J ... -- l --J "y/~
2-3/4" x 2-3/4. x 2-1/2"
LONG x 1/8. TUBING
~
I
a
t
POURED CONCRETE
REFER TO TABLE 5
+---
Vl1::LDED CONNECTION
12" x 12. x 1/4. PLA1E
2'-0' MIN,
BEFORE SLOPE
3-1/2" CONC. SLAB
BASE ANCHOR CONNECTOR
FOR POST TO SLAB CONNECTION
NOTE: IF LOCAL BUILDING DEPARllAENT HAS A
MINIMUM FOOTING SPECIFICAllON, THAT
MINIMUM SHAll SUPERCEDE THESE PLANS,
ISOLA TED FOOTING
l'
NOTE: FIBER MESH CONCRETE DOES
NOT REQUIRE WIRE MESH
(1) 15 BAR CONT,
(1) *4 BAR CONT.
FLAT SLOPE / NO FOOTING MODERA1E SLOPE FoollNG
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
SLAB DETAILS ADDRESSING EROSION
'- '
LAWRENCE E. BENNETT, P.E.
CIVIL BNOINEEJI. &: DEVELOPMENT CONSUlXANT
P. O. BOX 4388 SOUTH ~YTONA, FL 3212~
PHONE 1 (90-4) 767-4774
FAX' 1 (904) 767-6556
o COPYRIGHT, 1996
NOT TO BE REPRODUCED IN WHOLE OR IN ~RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E,
,3
43
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ATTACHED 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 NO O. H. ,. O. H. 2' O. H. 3' O. H.
rx 0.021-
110 MPH W.l. 15'-11" '8'-1. 16'-5" 17'-0"
110 MPH W. L. 14'-3" 14'-5" 14'-10" 15'-6"
120 MPH W. L. 13' -()" 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.
~. THE SMALLEST VALUE OF THE WINO LOAD TABLE OR THE L.L. TABLE GC1IIERNS.
LAWRENCE E. DENNEn, P.E.
ova ENOINEBR . DEYIiLOPMENT CONSUU"ANT
P. O. BOX 43S8 SOUTH MYTONA. Fl 32121
l'HONI1 (1lO4) 787-4774
flU' 1 (filOo4) 787-8558
o COPYAtGHt 1_
NOT TO BE REPRODUCED IN WHOLE OR IN INITWlTHOUTWRlTTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E.
3
47
ATTACHED ALUMINUM COVERS
.,.."tI
SEALANT
~ ;S' HEADER EXTRUSION
~ ~ *8 x 9/16" TEK SPACED AT "0 /
~ ______ f5' O.C, BOTH SIDES / .-
___ SEALANT
110 x 1-1/'L' S,M.S. OR WOOD
WOOO SCREW (1) PER RAnER
OR TRUSS TAil
EXISTING TRUSS OR RAFlER
'10 X 3/4" S.Io\.S. OR WOOD
SCREW SPACED AT ,'L' O.C.
S' ROOF PANEL
... EXlSTlNG FASCIA
SEAlANT
~ ;S' HEADER EXTRUSION
~ ~ /#8 x 9./1f5' TEK SPACED AT
~ ______ f5' D.C. BOTH SIDES
___ SEALANT
FOR MASONRY USE 1/4- x
1-1/4" TAPCON ANCHOR OR
EWAL SPACED AT 24" O.C.
FOR WOOD USE 110 x 1-1/2"
S.M.S. OR WOOD SCREWS AT
12" O,C.
;S' ROOF PANEL
EXISTING HOST STRUCnJRE
WOOD FRAME. MASONRY OR
OTHER CONSTRUCTION
ROOF PANEL TO FASCIA DETAIL
ROOF PANEL TO WAU, DETAIL
NOTES: WOOD STRUC1URES SHOULD CONNECT TO TRUSS BUTIS OR THE SUB-FASCIA FRAMING WHERE POSSIBLE
ONLY 15" OF SCREWS CAN BE OUTSIDE THE muss BUTTS / SUB-FAsaA AND THOSE AREAS SHALL HAVE
DOUBLE ANCHORS. All SCREWS INTO THE HOST STRUCTURE SHALL HAVE t.4IN, 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,jSF 32 #/SF 57#jSF
1. CONCRETE 1/4")(1-1/8" CONCRETE SCREWS @ 12" O,C.----->(2) @ l' D.C.
2. WOOD FRAME 1/4"x2" LAG SCREWS @ 6" O.C.-~----------->(2) @ 1" D.C.
SCREEN. VINYL. AND CARPORTS
HOST STRUCTURE 102 MPH 110 MPH 120 MPH 22,!Sf 32 II/SF 571/Sf ....."I
1. CONCRETE 1/4"x1-1/8" CONCRETE SCREWS @ 12" O.C,----->2 @ l' O.C.
2. WOOD FRAME 1/4")(2" LAG SCREWS @ 12" O.C,---------:>2 @ l' O.C,
SPlICE TO BE tOCATED 1/4- TO
1/3 BEMA SPAN AND
5T AGGERED EACH SIDE OF SELf
MATING BEAM
1 d-.50" ----of- d-,50--1
+ + + + + + + +
DENOTES SC EW PATiERN
NOT NUUBER Of' SCREWS
1" MAX.
8EM4 SPUCE SHALL BE MIN.
ot d-.sO" HEIGHT "NO
2 (d-.50") IN LENGTH
MIN. SCREWS PER SPLICE
,TOTAL I SIDE OF SPUCE
2" x 4" 4/2
2" J( 5" 4/2
2" " 6 4-/2
2" x 7" 6/3
2" x 8" 8/4
2" x 9" 10/5
+ + + + + + + +
d = HEIGHT Of BEAt.4
1" M"X,
PL"l~ TO BE SAME WALL
THICKNESS "5 BEAM
PLA TE CAN BE INSIDE OR
OUTSIDE BEAM OR LAP CUT
TYPICAL BEAM SPLICE DETAIL
LAWRENCE E. BENNETI, P.E.
eVIL 1lN0IN1lBIl . DBVBLOPMENT CONSl1l7ANT
P. O. BOX 4368 SOUTH ~YTONA. FL 32121
PHONE 1 (~) 767-4774
FAX' 1 (904) 767-6556
,-"
o COPVRIGHT.1996
NOT TO BE REPRODUCED IN WHOLE OR IN Rt.RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNET1: P.E.
3
44
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BtiI CONSTRUCl'ION
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.JJ)7D.I064
~.. i.IlUTO: SO{. CD(L(2-f //1,. DATI: :J-J 2-9_7
.-.-. ~ ~~S- PP-APO ~ .
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.
~ts!~~
Notary Public. State of Florida
My Comm. expire.s June 22, 1998
Comm. No. CC 386272
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
,1
d~J'
OWNER'S NAME :r <9 r.: C 0 (2../2... E I J4
OWNER'S ADDRESS "5 7 7 0 ~ fill'! f)D j) (2 ,
JOB ADDRESS 5rrll1/~ tf 5 A-tt. ~ V/~
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
5 - 2- & - ~ J- I 3 - 0 - ~ 1
WORK PROPOSED: ~Construction _Addition _Alteration
PARCEL 1.D.#
(OBTAIN FROM PROPERTY TAX NOTICE)
_Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: ~le Faaily
_M/F
_, of Units -LM/H
_eo..ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK:
c/tfl f)()/tr c:; vrl-(l
,
'7
If-ttlf} 1200 r
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
CONTRACTOR SECTION
COMPANY 8~ H CD,.JSrIW0nOrJ
~ &. k State Cert. or Regist. , CfJco
j 'I . City License Registration #
******************************************
OF COJ IflAl-- F L- ~
577 t52- V-
..2(.,.
Signature
F.T.F.CTRICIAB
COMPANY
State Cert. or Regist. t
. City License Registration t
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SiRllature
PLUMBER
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MECHANICAL COMPANY
State Cert. or Regist. t
Signature City License Registration .
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COMPANY
State Cert. or Regist. #
City License Registration t
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Signature
OTRF.R COMPANY
State Cert. or Regist. t
Signature City License Registration t
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APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to .deed restrictions" which JaY be lOre restrictive than City
regulations. Yhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, tbey lay 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 Jay be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave 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 perlitt~ng privileges in the
City of Zephyrhills.
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 - HOIeOWDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other than the
Downer", I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the
"owner" prior to cOllellcl!lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, 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 COIIenced prior to issuance of a perlit and that all work will be perfOrJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies lay apply to the intended lfOrl, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater Yreatient, Septic Yanks
t US EnvirODlental Protection Agency - Asbestos abateJent
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 "cOlpensating volUle" will be sublitted which 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 technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOJe invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntha after the tile the lfOrk is couenced. One 90 day extension of tile, laY be
allowed for tbe 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 six IOntb period, or the project will be considered abandoned.
WARNING TO OIIlfER: YOUR FAILURE TO RECORD A NorICE OF COMMENCEMENT HAY RESULY IN YOUR PAYING BICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU IIfTEND YO OBtAIN FIMARCING, CONSULY WIrH YOUR LENDBR OR AN Anomy BEFORE RBCORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO Nor NEED '1'0 RECORD AND POST A NNorICE OF COMMENCEMENY".
~h~b""
ll'l'URB. OWNBR OR AGEIfT
SIm~
STATB OF FLORIDA
coum OF P;:t5co
The foregoing instrument was acknowledged
before me this "2-/'Z.- ,19 97 by
STATE OF FLORIDA /)
coum OF rN 5c 0
The foregoing instrument was acknowledged
before me this 1- ._/ L ~ 19-L.L.. by
who is personally known to me or who has
produced ~[)rA(..(...-'< ICA/~
as identificati and who di not
take an oath.-....
)
who is personally known to me or who has
produced ~L?
as identification and who di
take an oath.
(Signature) r? i? ',r). .; _
1"';;>1<" (/C& ,A. /-r S I~/.:::. c..
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
f3;<-ucC: P. Ii 5J3EL
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
BRUCE A. ASSEt
Notary Public, State of Florida
My Comm. expires June 22, 1998
Comm. No. CC 386272
BRUCE A. ASSEt
Notary Public, State of Florida
My Comm. expires June 22, 199B
Comm. No. CC 386272