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Home My WebLink About98-8188 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit 8188 'd/ISIQ~ 30 .UJ lS's0 ELECTRICAL Date BUILDING PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: -rti. 1 ~~ LA LiI ~ cle 1-, (' Q / ~C Wate~ Meter: Job Address: S- 3a L/ I 'j(;). T,LF. s: Parcel 1.0. # //-210 - ~/- 00/0 .. 11-L/uu - DI ~ Zoning: ---rr--}n,erg~de:. Raqgn Gas: () '" 5~ DescriPtion of Work fkJc!-UC-1 &:j . ~-....l~ ("'(~ NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price (). I C(JlY. dO ~5d-o- City License Registration # State Certified License# S.cR~ f(1 \111.:( {6-1 " BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. j Ilo/7? !dolo InSUI.~~ J II 0/97 t3\1~ Driveway ~. Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final J/~ /91 tb SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/1 00 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 REVJ:EW FEE OWNER'S NAME The Center for Independence, Inc. PHONE (727) 942-5454 JOB ADDRESS Montano Group Home 5324 18th street, Zephyrhills, Florida 33540 LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID ff .ll- dCn - ~ \ - t~)(O ~ 11-4--00 - 0 I 10 {OBTAIN FROM PROPER'I'Y TAX NOTICEl SUBDIVISION WORK PROPSED: ONEW CONSTRUCTION IXIADDITION OALTERATION o REPAIR o INSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL IKIMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL Add to existing dining room BUILDING SIZE SQUARE FOOTAGE 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 REQUESTED mJ BUILDING $ 2,000.00 VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. 0 PLUMBING o MECHANICAL $ N/A VALUATION OF MECIIANCIAL INSTALLATION o GAS o ROOFING o SPECIAL'l'Y 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK I&J FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO .;;[',i:i!::!lli!'lii;!II!;~gB:R~lf':;T~ .. BUILDER SIGNATURE ~ 5~t:tz:- COMPANY Schlotter Construction, Inc. STATE CERT OR REGIST # CGC-007984 CI'fY PROCESSING 1# 2522 Certified ****************************************************************** ELECTlUCIAN N/A COMPANY STATE CERT OR REGIST # CITY PROCESSING It SIGNATURE ****************************************************************** PLUMBER N/A COMPANY STATE CERT OR REGIST It CITY PROCESSING ff SIGNATURE MECHANICAL **********~******************************************************* N/A COMPANY STATE CERT OR REGIST It CITY PROCESSING 1# SIGNATURE ***************************************************************** OTHER N/A COMPANY STATE CERT OR REGIST 1# CITY PROCESSING 1# SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AE'FIDAVI'l' A: NO'NCE OF DEED RESTIUCTIONS 'l'he undersigned understands that this permi t may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned asswnes responsibility for 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 Sections" 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 (Cfu\PTER 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 Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to conunencement. 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 conunenced 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 ill Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" 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 conunenced 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 conunenced. 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 '1'0 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 $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT". ! ~~Q,." e ~l~' SIGNATURE: OWNER OR AGENT '~ ;J/}~ :'~ ~ 81 'URE: CONTRACTOR STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged Before me this.1.Q.th day of December , 19~ by (name of person acknowledged) 5a who is personally known to me, or and of identification) take an oath. STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged Before me this 1~day ofnp("'pmnpr, 1998 by Frank Co Schlotter (name of person acknowledged) C1ho is personally known to me, or Kl who has produced Driver's License (type of identification) and who Ddid 6(J:lid not take an oath o who acknowledgement of person t g acknowledgment l. t--l~'=)~ "",-at"" No\afy NIIIc State of My Comm. ~ Nov. 18, 1998 No~'CC-491109 Bonded Tlw effIdaI ;H.ta) JWiw 1-(800) 723-0121 N ped , APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT . ~, DAm RE""IVBD /1-.2. ~ ~ X PLANS REVIEW FEEtJ I ~ .::r;-M, ~N~ ~ OWNER'S NAME-r;s:;C,&:,u"'C"..::..1b1it. \~bC.~EN'b~ u~~ \ K~. JOB ADDRESSS3.:2Y ) ~T,,\ ~,...., 7F.p+1I2.l-l",.I..~ I t=:'"........ 33S.l{o PHONE 7;1.7- ($:?,I::('" _ S'.,;z ~ 7 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION t) l1ocORTATN FROM PROPERTY TAX NOTICF.1 PARCEL ID # Jl-2lo -;l (- 00(0,- I1-LlOQ WORK PROPSED: ONEW CONSTRUCTION J81ADDI'l'ION OALTERATION o REPAIR o INSTALL OSIGN 0 MOVE 0 DEMOLISH ~~.~ \\.e~S' PROPOSED USE: OSGL FAMILY DWELLING r,g!MULTI-FAMILY 0# OF UNITS o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o MOBILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK F'l~T6'''''l-.\''' "- 1::h\J N.\~ "- C)\,\. "^-/A. .....""-- '.' ., BUILDING SIZE }3 ~ ~ )( J./ b' SQUARE FOOTAGE S~.~ 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 REQUESTED D?J BUILDING $ IS~o.~ VALUATION OF TOTAL CONSTRUCTION ~ ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS ~ ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK fi(I FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES ~ NO , ." --"" ".----.. (~Bt1ILD~ SIGNATURE COMPANy-rA:J;(f~I'L'T''''O ~ ~~~~L1{,E \\Jc... STATE CERT OR REGIST #{ CITY PROCESSING # - *' dl1,'t-*~~* * * ** * * * * ** * * ****** ********************* (/: ELECTRIC~ .J SIGNATURE COMPANy~g ~ STATE CERT OR REGIST # CITY PROCESSING # ******************************************** PLUMBER , SIGNATURE }/~//// /.. /' . /"'~~~~'~5 * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * ~~~;;;~* * * * * * ** * ** * * * * * ** ** * * * * * C,-=- .' -, STATE CERT OR REGIST # SIGNATURE t..-// CITY PROCESSING # ,.~ * * * * * ** * ***** * **** ** ** * ** * * * ** *** ** *** * **** * ********************* /- OTHER '\.. /' '\ SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT Af'f'IDAVIT 'A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for 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 Sections" 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 Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to conunencement. 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 perrnit to do work and installation as indicated. I certify that no work or installation has co~nenced prior to issuance of a permit and that all work will be performed to rneet 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 "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" 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 conunenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six lnonths after the time the work is conunenced. 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 '1'0 OWNER: YOUR FAILURE '1'0 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 A "NOTICE OF COMMENCEMENT". a::c~~~ 0: FLORID'lt----- .~~ S--,) COUNTY OF ._~ _ _ edged_ _ ) The foregoing instruwent was acknowledge~~rJ , 19-.!lV Before me this .-O~glf:l.ay of ,J..)/) t./ ,19 ~ by ~/h,:5 0. J nAJA::' 5 (name of person acknowledged) (name of person acknowledged) Dwho is personally known to me, or [1ho is personally known to me, or ~ has produced FL. ~t/Q~ /.. t', ~has produced F~ VP/t/~>^ A/~ . . (type of identification) ~1.~type of identification) ~~~~~4 and'~~~:7>~~ . e of person t king ~c~nowledgement ~~t~of.person ta in~~~Wledgment IE ' ~ ,,'7?6 fC .~ '~~/A.,r/) Name ty~~( pri~ mped Name ty~~~~print~r stamped .'.,' fi~';'~.% MY COMMISSION * CC534927 EXPIRES ~:. "'AC~~ MY COMMISSION ~ Swetland . ,~~."J'= February 22. 2000 ,,~:. :,.:; CC534927 EXPlIiE~ " ~"Z...:'d>,,': 80NDCD T~RU TROV fAIN INSURANCf,INC, r"........~',/ February 22.2000 " ',' " ".9["<;",, BONDED THRU TROY FAIN INSlIRANCf, INC, --;;.." APPLICATION FOR PERKIT GITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER' S NAKE PHONE OWNER' S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --.-.Alteration ___.Jtepair _Install _Sign ---1Iove ~eaolish PROPOSED USE: _Single Faaily ---1I/F _' of Units ---1I/H _ec-ercial _Indust. _Swia. Pool _Other ,1' -(" _Restaurant 5: Health DepartJIent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square;Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Valuation of Total Construction t _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. ---llECIIAlIICAL $ Valuation of Mechanical Installation _PLutlBING GAS . ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FIllISBED FLOOR ELEVATIONS: Fl" . IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION RIITIDRR COKPANY State Cert. or Regist. . City License Registration . ****************************************** Signature PLutlBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** COKPANY F/~ s -C- (> / I'r ~ s G/ e ~.'~ State Cert. or Regist. . O(!J)~ 7 City License Registration . ************************************* KECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** 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 lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, botb the owner and contractor lay be cited for a lisdel8anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the orner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wnrk. If the contractor wiabes 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 Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES . , . D. CONSTRUCTION LIEN LftW (ClmPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HoIeoIner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is S0l8008 other than the "owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver~t bY the "owner" prior to co..enC8lent. 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 COIpliance with all applicable laws regulating construction, loning, and land dev~10plent. Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation has cOIIenced prior to issuance of a perlit and that all work will be perfoIled to Jeet atandards 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 goveCRIentBI agencies aay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water HanagBlent District - Wells, Cypress Biyheads, Wetland Areas, Altering Watercourses I Arl' Corps of Engineers - Seawalis, Docks, Navigable Waterways" I Departlent of Health & Rehabilitative Services, BnviroDlental Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks I US EnviroDlental Protection Agency - Asbestos abat8lent I also certify that, if flll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .cQlpeDsating volUle" will be sublitted 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 witb the work and not as authority to violate, cancel alter, or set aside any provisions of tbe tecbnical codes, nor shall is~u~nce of a perlit prevent the Building Official frUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIJdt issued ahall beCDII iD,alid unless the work authorized by such perlit is cOllenced within Sil IOntha of issuance, or if work authorized by the perlit is suspended or abandoned for a period of ail IOnths after the tile the wnrk is couenced. One 90 day utension of tile, lay be allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eacb Sil IOntb period, or tbe project will be considered abandoned. WARNIIIG TO ONIIER: YOUR FAILURE TO RECORD A NOTICB OF COHHEIICElfENT HAY RESULT III YOUR PAYING TllICE FOR IMPROVIIIBIIS '1'0 YOUR PROPERTY. 111' YOU INTEND TO OBTAIN FINANCIHG, CONSULT WITH YOUR LENDER OR AN AnORIEY BEFORE RECORDIIIG YOUR NOTICE OF COHHENCBHENT. JOBS UNDBR $2,500 IN VALUE DO NOT NBBD TO RBCORD AND POST A -NOTICE OF COHHENCElfENT".. , I SIGNATURE: OWNBR OR AGRNT SIGNATURB: CONTRACTOR STATK OF FLORIDA COUNTY OF The foregoing instrument before me this was aCknowledged , 19_ by STATK OF FLORIDA COUHTY OF The foregoing instrument was acknowledged before me this , 19 by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC WALK IN INSPECTION REQUEST TODA V'S DATE: .:s /--6/'1 9' / / PERMIT # : (f] / Q )? TYPE OF INSPECTION: ~MIN."'-- <::f-~~ IN ~--c:t. DATE OF INSPECTION: :<-, /1? /99 / / SIGNATUREO--=~~ --, - ,- I (;;.\1... CGJTftL tC1L I NV~ el4.J ~Lti.- - ~ f ~ 2>'2...-"-+ l'b S' 1/6-'14$ , . SQ. FEET PRICE MAIN OR LIVING AREA OTHER AREA UNDER ROOF OTHER BUILDING: 3o,'0C ELECTRICAL: PLUMBING: ;J MECHANICAL: 5'6 ~ .Ff. RADON: CREDIT: SEWER: A) WATER: tJ TOT AL: T.I.F'sl ~/f(' CITY OF ZEPIIYRIULLS BUILDING DEPARTHENT bWNER ~1I<.CE~'T'e Do:r;Q~ 'N.'h.tE'1'4!:\.l tt..~'A.C",g' \"'C' JOB LOCA'l'ION Sa.;:;l"-/ ) ~-r,,\ ~,... Z'2.'?w,Gl""-\.....'-!. ,h...... 335-YD PARCEL LD.' ff l(-.;z"'-<<'-~(:)'O-17Jo.t~-O'.,~ ~()\oC.~ODG-, 'PI'.. )5",~t) ') SIION ALL EXISTUIG & PUOPOSRD STUU(''TURES GIVING DIHKNSIONS & SETBACKS. (NOTE EXAMPLES 1 & 2) I ( I t I I I )0' I ~ I ,.. I " ~ I III ~ I -l ! I ~ \ S'I'REE'l' 7'1 'X ..fj (I) V. III 0\ (" '" -I ~ l' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE , /<6YJI .'S-T " 1. SETBACKS FOR RI, R2 ZONING 60' 2. SE'I'BACKS FOR R3 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 1 0' 10' , 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 20' FRONT PROPERTY LINE FRONT PROPERTY LINE