HomeMy WebLinkAbout98-8126
BUILDING PERMIT.
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8126
II!I9/qr-
Date
lOS,'0U
BUILDING
J~, 3(,0
ELECTRICAL
PLU~G
.;(, s -0 C)
MECHANICAL
Sewer Conn
Water Conn:
~&.
Property Owner: b rdJ\o...f'\..,c:L "" I ~ J'1'Q/1, d)
Job Address: -=t~4 'd.. Asb!o..~~, tn.
Parcell.D. # 35 - ;A5-c2/ - 0050 - OOUc) 0 h () ':51 0
Zoning: Energy Code: Radon Gas: cd) - '3 'I
Description of Work ~ {tdc-l'; f,'1"YJ I ~ e...n-u~
qt -hrr...fl, ./u- -.It 1 I
NO OCCUPANCY BEFORE C.O.
Water Meter:
T,I.F.'s:
FINAL
9
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
uu H\.QA
lJ~
Inspector
Permit Fee \ <0 0 .
~nature
Company
Address
~ephone# 8/'2. ? 8 ~ .. 7:>3/
g:~~~~~ 5l~
h
Valuation or
Contract Price
~ OOd . () U
City License Registration #
State Certified License#
SLB
Tub Set
Water
Sewer
Final
MECHANICAL
BUILDING
ELECTRICAL
Ftr. ~II lSD/en gJ-
Pre SLB '" '
Lintel
FRM. I;),fn/qy ~
Insul. CL
WL
Tp. Servo f
Rough In /,2{17 '7y ~dJ
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers 11
Ducts Insl. PIn f ft}
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 ($ 25.00) 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME 3~Zr~A-^,D 1'7#4~G-S~ 0,MAlZ.,D PHONE 8/~-?8&-?~3/ /"
JOB ADDRESS '7~~~A-5H<'Lfl;yj) 2)/2/;"'4- 2'6-PHY~H/;"(S PL, 33G"""4'O /y,.....,
LEGAL DESCRIPTION: LOT (S) ;, J BLOCK SUBDIVISION fJ~~ Vi 1 Jfi,<{1
PARCEL ID #, '35-;)S--~/- ~SD- cc.:.eo - 0:3/0
WORK PROPSED: [JNEW CONSTRUCTION ~ADDITION
[J SIGN [J MOVE
(OBTAIN FROM PROPERTY TAX NOTICE)
[JALTERATION
[J REPAIR
[J INSTALL
[J DEMOLISH
PROPOSED USE:~GL FAMILY DWELLING
[J COMMERCIAL
[JMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
BUILDING SIZE
D RESTAURANT
WORK OOf'-1 fJd.r-~ fr~
,I ,
(?X /8
,
TH DE?ARfrENT APPROVAL
t:I /YIl/ V(}JO M
FOOTAGE J J <;
DESCRIPTION OF
SQUARE
HEIGHT
80//
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 REQUESTED
dBUILDING
$
6J()O &J
VALUATION OF
AMP SERVICE A
TOTAL CONSTRUCTION
~/ELECTRICAL
FLORIDA POWER [J
W.R.E.C.
[J PLUMBING
IbVMECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
~OOFING
[J SPECIALTY
[J OTHER
dFRAME
[J STEEL
[J OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
~/
BUUDER ~ ~
7:.- /-
SIGNATURE t ,/ ~/ ~ ..#"
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
Qwt0en
******************************************************************
ELE=CI~ ~
SIGNATUR{ / ~.,.,,/' C~
COMPANY tJ"LNrJdJ
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
SIGNATURE
COMPANY OWNt/l.
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
* * * * * * * * * **.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *~** * * * * * * ** * * *****
....CHANICAL & . COMPANY tl
~ STATE CERT OR REGIST #
SIGNATURE 4~~~c-~~ CITY PROCESSING #
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
k. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be
may be more restrictive than City regulations. The
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 regulations. 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH of this application for which they
will be responsible. If you, as the owner signs 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 the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerH prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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 construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AH or "A,etc.H, it is
understood that a drainage plan addressing a "compensating volumeH will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 provisions 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 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 90 day extension of time
may be allowed for the permit with fee charge of $15.00. 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST ^ "NOTICE OF COMMENCEMENTH.
l/?~~~
:rfGNATURE: OWNER OR AGENT
STATE OF FLONDA
COUNTY OF ~e.l'l
The foregoing instrument was,1cknowledged
Bef<(fe Il}e this ~ day of N() J , 1919
by Qe\r~lT7Jd S " r)\ MGd
(name of person acknowledged)
~WhO is personally known to me, or
Dwho has produced
(type of identification)
and whoD did I)['did not take an oath.
Si~~::: taking acknowledgement
Nev ~ ~ f-fi~-,,(~ NEVADUFFII=LU
Name typed, prlnted ~,1~ pedMy Commission CC418106
*". ;,..![J * Expires Dec. 18. 1998
Cj."i~~' Bonded by ANB
J'~.f't O. Fl~"\"'''' 900-852-5878
subject to "deed restrictionsH which
undersigned assumes responsibility for
SIGNATURE:
CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrwnent was
Before me this _____day of
by
acknowledged
19
(name of person acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type of identification)
and who Ddid []::lid not take an oath
Signature of person taking acknowledgment
Name typed, printed or stamped
_ .....,...'-._w_ '. ".___w~~.,. _._... ,_. _. ."..--,-...... .....".~....,..~.~~.'-,..-.
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600C-97 Residential Limited Applications Prescriptive Method C
Small Additions, Renovations & Building Systems Department of Community Affairs
Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6OOC,97 for additions of 600 square feet or less, site- installed components
of manufactured homes, and renovations to single and multifamily residences, Altemative methods are provided for additions by use of Form 6008,97 or 6OOA,97,
PROJECT NAME: BUILDER: C...L:hVG:
AND ADDRESS: PERMITTING CLIMATE D r;;t D
;:: OFFICE: ZONE: 4, 5 l.&J 6
OWNER: fl.tA + In PERMIT NO. JURISDICTION NO.: o=cIITI
SMAll ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C,1, 6C.2 and 6C,3 apply only to the
components of the addition, not to the existing building, Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment Is Installed
specifically to selVe the addition or Is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must
meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building),
Prescriptive requirements in Tables 6C.1 and 6C'2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUilDINGS, Only site,
installed components and features are covered by this form. BUilDING SYSTEMS Comply when complete new system Is installed, Ple..e Print CK
./
./
1. Renovation, Addition, New System or Manufactured Home
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units cover~d by this submission
4. Conditioned floor area (sq. ft.)
5. Predominant eave overhang (ft.)
6. Glass area and type:
a. Clear glass
b. Tint, film or solar screen
7. Percentage of glass to floor area
8. Floor type and insulation:
a. Slab-on-grade (R-value)
b. Wood, raised (R-value)
c. Wood. common (R-value)
d. Concrete, raised (R-value)
e. Concrete, common (R-value)
9. Wall type and Insulation:
a. Exterior:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
b. Adjacent:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
c. Marriage Walls of Multiple Units* (VeslNo)
10. Ceiling type and insulation:
a, Undei attic (lnsulation R-value)
b. Single assembly (Insulation R-value)
11. Cooling system*
(Types: central. room unit, package terminal A.C., gas, existing, none)
12. Heating system"': (Types: heat pump. elec, strip. natural gas, L.P. gas,
gas h,p., room or PTAC, existing. none)
13. Air Distribution System*:
a. Backflow damper or single package systems* (YeslNo)
b. Ducts on marriage walls adequately sealed* (VeslNo)
14. Hot water system:
(Types: elec., natural gas, other, existing, none)
'" Pertains to manufactured homes with site installed components,
-1-
CENTRAL 4 5 6
1.
2.
3.
nOOI TI 0-
:!~
4. ?J~ V
5. "2- ./
Single Pane Double Pane
6a. ~D sq. ft. sq. ft. .,/
6b. sq. ft. sq. ft.
7. cZ8 % ./
8a. R= 0 .0 lin. ft. .,/
8b. R= sq. ft.
Sc. R= sq. ft.
8d. R= sq. ft.
8e, R= sq, ft.
9a-1
9a-2
R= sq. ft.
R= " J3~ sq. ft. -./
R= 7 /'/~ sq. ft. V
.
R= sq. ft.
9b-1
9b-2
9c
10a.
10b.
R= j10_ :2../ <e sq. ft.
R= sq. ft.
Type: Nf ~XI"Tytij
SEERlEER: /1./ ',4-
Type: IV/A- ~{.sl7-'
HSPF/COP/AFUE:
V
11.
./
./
,/
-./
12.
13a.
13b.
14,
y\d~
/LJltt'
Type:
EF:
~
J
V
V'"
V
Review of plans and specifications covered by this calculation Indicates compliance
w~h the Florida Energy Code, Before construction is completed this building will be
inspected for compliance in accordance with Section 553.908, F.S.
BUILDING OFRCIAL:
DATE:
Climate Zone~ 4 5 6
TABLE 6C.l : PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. Ft Ind Lell), RENOVATIONS TO EXISTING BUILDINGS ANO SITE.fNSTALLED COMPONENTS OF MANUFACTURED HOMES
MINIMUM INSULATION
COMPONENT INSULATION INSTAllED
Concrete R,7 -r
en Frame, 2' x 4' R-l1
..J Frame. 2' x 6' Jt!'/
..J R,19
c(
3: Common, Frame R-11 -----
Common, Masonry R,3
Under Attic R,30 30
en Single Assembly; Enclosed
C)
z Frame R'19
:J Metal Pans R'13
W Single Assembly; Open R.10
0
Common, Frame R-11
en Slab'on-grade No Minimum 0
II: Aaised Wood A.19
8 Raised Concrete R-7
..J Common, Frame R.l1
lL.
0 In unconditioned space R-6 G.,O
=> In conditioned space No minimum
Cl
MINIMUM INSTALLED
EQUIPMENT EFFICIENCY EFFICIENCY
~ Central AlC - Split SEER = 10.0 SEER = ~.---
z ,Single Pkg. SEER 9.7 SEER --
::; = =
0 Room unit or PT AC EER 8,5. ~
0 = EER =
(.) -
Electric Resistance ANY
Heat pump. Split HSPF = 6.8 HSPF = ---
~ -
z
~ ' Single Pkg. HSPF = 6,6 HSPF = -
-
Room unit or PTHP COP = 2.7' HSPFI --
:I: = -
w
(.) COP
-<
a.. Gas, natural or propane AFUE .78 AFUE -
(J) = = -
Fuel Oil AFUE = .78 AFUE = -
-
cr Electric Resistance EF = ,88 EF = -
I-/!:! -
~~ Gas; Natural or L.P, EF .54 EF -
= = -
Fuel Oil EF = .54 EF = -
rVj~
III /;t
JV/fl
TABLE (;.:;.2: PRESCRIPTIVe Rl:aU!FlEMENTS FOR GLASS AREAS IN ADDIT'ONS ONLY
, See Table 6.3, 6.7
Maximum percentage glass to lloor area allowed is selected by type, overhang length, and shading coefficient. Maximum% = ~O Installed % = .2.B
GLASS TYPE. OVERHANG, AND SHAnllilr. r.OEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% (UPT030% / UP TO 40% . UP TO 50%
Single Double SinQre-'--- -- Double Single Double Single Double
OH.SC OH.SC OH,SC OH,SC OH.SC OH,SC OH-SC OH,SC
1', 1,0 0'- ,90 2',1.0 1', .90 3'.1,0 2', .90 4',1.0 3', .90
0'- .86 1', .86 0', .70 2'- .86 1', ,70 3', .86 2'. ,70
0'. .65 1'. .65 0', .50 2', ,65 1'. .50
0', .45 1', .45 0', .40
0'. .35
SHGC or SC may be obtained lrom the manufacturer. Single clear SC = 1,0, double clear SC = .90, and single tint SC = ,86. SHGC + ,87=SC
TABLE 6C.3 I MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather,stripped or otherwise sealed. V
Exterior Wlndowl& Door. 606,1 Max. 0,3 cfm/sq,lt. window area; .5 clm/sq.lt, door area, V
Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. V"'""
Recessed Lighting 606,1 Type IC rated with no penetrations (two alternatives allowed). v
Multi-story Houses 606.1 Air barrier on perimeter of floor cavity between floors. 11/1 A-
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion N/;"
devices with integral exhaust ductwork,
Combustion 606,1 Combustion space and water heating systems must be provided with outside combustion air, tV/Jft-
Heating except for direct vent appliances.
Water Heaters 612,1 Comply with efficiency requirements in Table 6-12, Switch or clearly marked circuit breaker (electric) ~
or cutoff (gas) must be provided, External or built,in heat trap required.
Swimming 612,1 Spas & healed pools must have covers (except solar heated). "'on,commercial POOlS must have a ~
Pools & Spas pump timer, Gas spa & pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems (including heat recovery units), ./
Shower Heads 612,1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. V
HV AC Duct 610,1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically allached,
Construction, sealed. insulated and installed in accordance with the criteria of Section 610.1, Ducts in attics must be /"
Insulation & Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets.
HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. ../
GENERAL DIRECTIONS:
1, On Table tiC. t indicate the R'value 01 the insulalion being added to each component and lhe efficiency levels of the equipment being installed, All R-values and efficiencies installed must meet or exceed the minimum values
listed. Components and equipment neither being added nor renovated may be leff blank.
2, ADDITIONS ONLY. Determine the percentage 01 new glass to conditioned floor area in the addition as follows, Total the areas of all glass windows. sliding glass doolS and glass door panels, Double the area of all non.
vertical roof glass and add It to the previous total, When glass in existing exterior walls is being removed or enclosed by the addillon, an amount equal to the total area of this glass may be subtracted trom lhe total glass area,
Divide the adjusted glass area total by lhe conditioned floor area of the addition, Multiply by 100 to gef the percent. Find the largest glass percentage under which your calculated percentage falls on Table tiC.2, Prescriptives
are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC), For a given glass type and overhang. the minimum shading coefficient allowed is specified, Actual glass
windows and doors previously in the exterior walls of the house and being reinstalled in the addition do not have to comply with the overhang and s,hading coeffICient requirements on Table SC-2, All new glass in the addition
must meet the requirement for one 01 the options in the ~ percentage categOfY you indicated: The, overhang,jp!il distance is measured perpendlculariy from the face 01 the glass to a pomt directly under the outermost edge
ollhe overhang,
3, RENOVATIONS ONl. Y. Repllcement glass needs to meet the loIlowlng requirements, Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest
edge does not extend further than 8 feel flOfll the overhang. Glass areas being renovated thaI do nol meetltHs criteria must be either single.pane tinted, double-pane ciear or double-pane tinted,
4. BUILDING SYSTEMS. Comply when new system is installed for system inslalled,
5, Complele the informalion requesfed on the top hall of page 1,
6, Read 'Minimum Requirements for Small Addilions and Renovations', Table SG-3, and check all applicable Items,
7, Read, sign and date the 'Owner/Agenr certifiC81ion sta18ment on page 1,
-2-
, ..~"'..t...
..........
DISLLOSURE STATEKENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTKENT
I.
to
(Ah/44~~~
the provisions of this instrument."
have "f'al1 and fully understand and agree
The undersigned states and affit'ms
renovating. adding to or reroofing
occupy, or will occupy by 0 S
sale. That he or she shall comply
that he or she is desirous of constructing,
his or her own domicile, that he or she actually
said domicile, and same is not for rent, lease or
with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases
of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event vari.ous phases of cOllstruction are subcontracted, he will
engage only properly licensed suucontractors and will personally supervise
such work.
If. That in the event the Building Inspector shall require corrections to be
made, the owner will assume full responsibility to insure they are made, and
upon completion will call for a reinspection before proceeding with the
building.
S. That the owner shall assume full responsibility for the construction and
will not expect supervision of his work from the City of Zephyrhills
Building Department,
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard
to social security, workman's compensation, lien laws, etc., where
applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9, State law requires construction to be done by licensed contractors. You
have applied for a permit under an exemption to that law. The exemption
allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction
yourself, You may build or improve a one-family or two-family residence or
a farm outbuilding. You may also build or improve a commercial building at
a cost of $25,000 or less. The building must be for your own use and
occupancy. It may not be built for sale or lease, If you sell or lease
more than one building you have built yourself within 1 year after the
construction is complete, the law will presume that you built it for sale or
lease, which is a violation of this exemption. You may not hire an
unlicensed person as your contractor, Your construction must be done
according to building codes and zoning regulations, It is your
responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances.
DATE, /0r:;:t
WITNESS:~. .-l~Q.,.
WITNESS:
~-€10-.
DATE, ~
OWNERl ~/~/
ADDRESS: 7,,/ -r;r ~ff?#"".i) )12 ~ Z *"YR#;:',.s
PERMIT #
>;/;1. 1.0
PH:
BERTRAND & THERESE SIMARD
7242 ASHLAND DR.
SQ. FEET PRICE
MAIN OR LIVING AREA 234 $ 40.00
OTHER AREA UNDER ROOF $ 15.00
OTHER
VALUATION $ 9,360.00
FEE SHEET $ 70.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 105.00
CREDIT:
BUILDING LESS CREDIT: $ 105.00
ELECTRICAL: $ 28.36
PLUMBING: $ -
MECHANICAL: $ 25.00
RADON: $ 2.34
TOTAL $ 160.70
SEWER'I $
WATER: $
TOTAL: $
- I
3/4" WATER METERI $
TIF'Sr
99% $
1% $
: I
TOTAL: $
160.70 I