HomeMy WebLinkAbout01-0631
BUILDING PERMI1N2
0631
BUILDING
l~7. '3-
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
7~. '!.Y
Permit
qql,~
Date
I o~- /1- 0 I
PLUMBING
7r ~
~. -
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
iff,"Y,.h: II ~
4 0 lo~
gu.tUeJ
.)+
~-te/"
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
o ..(.,C <..~ re-,.,o v~-+-:o '"
Radon Gas:
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
T".e ~.
. F Le4
ELECTRICAL )570
Valuation or
Contract Price
I ~ 0 Of) Q!;!.
/
City License Registration #
State Certified License#
if
')82
PLUMBING
Breakers
Ducts Insl.
Compressor
Final
Tp. Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
fll!1Y Y-IL/~ 10 "/~-t)lff.8
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five 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,
Haskell Corp.
Office Renovation
SQ. FEET PRICE
MAIN OR LIVING: $ 40,00
OTHER AREA UNDER ROOF: $ 15.00
OTHER: $ -
V ALUA TION $ 165,000.00
FEE SHEET $ 665.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 997.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 997.50
ELECTRICAL: $ 139.14
PLUMBING: $ 75.00
MECHANICAL: $ 75.00
RADON: $ -
TOTAL $ 1,286.64
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
SUB-TOTAL $ 1,286.641
SIF'S'I $
97.5% $
2,5% $
TIF'S'r
99% $
1% $
TOTAL: $ 1,286.64 I
k\." . t', ""'
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBP~MBNT 5335 Sth STRBBT ZBPHYRHILLS, PL 33540
(,' . I Phoi\~IIS13-7S0-0020 Pax:S13-7S0-0021 ,
L L" . I~. ._-/. ' DATB RBCBIVED r-1.J.6/o I
. CV)~I (, ~./ PLANS REVIEW PBB
OWNER'S NAME -2e.-i,"f'~1 (l.':) i::h~\ch~ PHONE CONTACT?OY- r'i'I-'1Xo
f" I .<3& t..f f 3('{
JOB SITE ADDRESS '133<.:; .:).c M SI-<<2d
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[JADDITION
fg) ALTERATION
[J REPAIR
D INSTALL
DSIGN
[JMOVE
D DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
DMULTI - FAMILY
D# OF UNITS
[J MOBILE HOME
DOTHER
D COMMERCIAL
D INDUSTRIAL
D SWIMMING POOL
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
Y Sct)SF
~-<( ~/)} 0 K-cp'-:. n/j~)., /','7 f-t"".,rl~/ re.'"'7oc/C( (
SQUARE FOOTAGE HEIGHT
DESCRIPTION OF WORK Dvh'\{')
BUILDING SIZE
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.
PERMITS REQUESTED
gJ., BUILDING
$ .!' 16<;}t( (~',s:/-vGllo1 VALUATION OF TOTAL CONSTRUCTION
~ ELECTRICAL
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.
D PLUMBING
~ MECHANICAL
$
I~ ~(;.'X.fukc' 4'{,"~~ VALUATION OF MECHANCIAL INSTALLATION
D GAS
[J ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
[J STEEL
~ OTHER DrywC'dl
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
SIGNATURE
COMP!\NY TCre.. ft.:t.:,ktl (o-"Yj~'f
STAT~ CERT OR REGIST #
CITY PROCESSING # c97~ i' V.
BUILDBR
**************************************************************
BLBCTRICIAN
(/
~rP
COMPANY 'EF tec\
STATE CERT OR REG 1ST
CITY PROCESSING #
#c~ c:9000517 Y
;lS"1fJ t/
SIGNATURE
******************************************************************
COMPANY 1'\..}A-J ~""?n 6vr"" <q f
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBBR
SIGNATURE
SIGNATURE
******************************************************************
COMPANY ~~p0'" 1"1..-, Mcu?'.CC:( I
~ STATE CERT OR REGIST #
~EE /l7T/lU f1tEtUl CITY PROCESSING # ~~~2. ;/-
MECHANICAL
*****************************************************************
OTHBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that t:h:Ls 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 rest:rictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOFl 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. CONSTRUC;TUION 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 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 wtiat 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 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 L ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE COMMENCEMENT. JOBS UNDER
$2,5,001 ,D NO ED RECORD AND POST A "NOTICE' CO ENCEMENT".
S
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
1L-
acknowledged
19
of identification)
take an oath.
(name of person acknowledged)
[Lho is personally known to me, or
o who has produced
(type of identification)
and who Ddid []:lid not take an oath
(name of person acknowledged)
Dwho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Narr typed, printed or stamped
AUG-08-JI WES 05:43 p~ HARPER MECHANICAL,
- f" ". ThE! H (1. ;:., k C I I l..- c' .
nlJ.G-o.~>'::ll 01: tj:3 "-.a.-J.-~ (,)1f ZEPHYRHILLS PERMIT APPLICATION
i ~QILbINa bK1AaTW&~l 5335 e'~ 8T~KB~ Z.P~~~ILL8. ~~ )3540
i ~'f. Phon41lJi13-"180-C10'O )''':l(1813~'1!O-0021
1t1': /J,. {' (%,.' {f!i DA'U aacnvn -.?I ~I 0 I
J>w.NB JUIVIIIW 1'1:&,
FAX NO, 4073227007
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p, 05
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wWNIi,F.' D 11M1S: .::.. ,:. -{. .,1" {I..... ;;:",t 'J'.. h:. PJiONS CONTAct ,,"1. { I r ! XO "
,- --. "~~.r-.:::.:.u.l.]_.~.~ ~:-'11'~ _::-
\10a i"n..: .h!mrti;,~::J i~3.;... ~,~..., )\0.''::''\ . ';
, ----"-.~-._..lo.l.-_~_____.__~_...~___~____~.,___~":'
~.,i:(~.r., n:O::SCRt%?1'rON: LefT (Sl
SLeCK.
~OR.t-: fl;:O.....nW, ONEill' CON3'fRUCrXON
p.M:tC'FfJ III #
1 _'-,....___......~~_..._...~.........._--.....---...-..__~_..,,~___________.~___.....__
.......-...~------
SU60IVISION
.......;.
DSIGN
o ADDITION
o MOV:&:
(OBTAIN FROM PROPl:RTY TAX NOueR) ,
~ ALTBRArION
o DSlMOLIBH
o REPAIR.
o INST~LL
: PROl.'Ct1fU) llSE. [105(:>1. li'Al"ILi" PWi:I.I.um
o COl".Ml!:R.ClAI.
OHUL'I't~FAMItN
o INDUS'i'RIAL
o f# OF UNITS
o SWIMMING POOL
o MoBILE HOt{ii
o OTHB!l.
CJ HESTAti'RANT Ii liEJU.TH P'sPARTMENT APPROVAL
.l~.o,- n',',;rnTl(I'" 0'" r.,.-,,",v I'\. .J.. I'J. .' ~ l. ... r-~ --.. I L
~i'''''''' ... .. .. n.....~^ ,..!.."'~. ,..:'~,s.J.L':.'l-t~1-;)'(t>~l d'1..::L~:..Llt",..,..")o ,~. ...:.err .,
~~)IW! ri(l a IZE ---_:-t 5C~~_ SQUARE FOO'fACIti HEtGH'I'
Jli:~~n;';:lH'rl\I.'1 A't'f,l\.C."l1 (:7.) .i~LCir PI..1..NS & 12l SE'I'B OF BUILDING PLANE! , (1.) S1l:T bEP.OY POll>la.
!Ct:lM~ill;RCU1'1 J.l''l.'J..t.'fl (J) Sli:1S 01'" Bt1II,OINO Pt.1\NS Ii. (1) BST ENEkOY FORMS.
"'~.Ol'ERTY 19UkVlY 1'lIl;QU!RgD FO~ .Al.t, Ni'.:W CONSTRUCTION.
P~ITS REQUESTED
F.~ ~i!J.II.!.I ~l, rl.J
I
(,1 ~LL;l..:'j'R:r:C1\!.
I
n fiL1.l'l'ml}:V;
I
G1 ~~F.;cm"JiH.~Mj
$~._.! I(;~ k!.;,'..~l'ii"J&.t...r..' V.a.Ltl~'UON oS' TOTAL CO~STRUCl'ION
---._........--.._----.~
AMP BiiW [C~
o FLOUDA POWER
o
W.R,E,C.
.
U ~J\!I
L_"t{ t.l':3.J'-'\,.h:!~.:...\~_ VI'.LUA'tWN Olf MRCKANCIJU, .IlIISI"Al,LATIOH
[j .l<f.;(ff'IN<l
[} Bt'ECU_t.Ti'
o OTHER
,
'ftt"E Ol' CON3TRUC''l'TON: D SLOCK 0 FRAMi
!;,hrnfl\i:p {fu.)CR ll:t..EVJI.TIONS
j -'--
o S'l'EilL ~ OTHBR. br'(~vr.,11
1:8 J?ROJEC'1' IN FLOOD i:ON! MEAD YEa 0 ~o
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COHP~y_7(~_ ~~tJ '(U""'f~'t
STA~~ CERT OR RBarST .
CITVP~OCES9!Na H
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AUG-08-~1 WED 05:44 PY YARPER MECHANICAL
: ...,'"...../i..... /. I
.~O"ATOR;._L,;;;adL c: ?/((/'~ _
FAX KQ, 4073237007
L:UMrAAY~.J~' .~.......
STATE C8RT OR R~GrST *
CITY PROCESSXN~ ~
p, 06
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COMPANY H-t".."o!.-::...t!1~, ~In",,'t~t'
STATS CBRT OR IU!(HtiT # r,Ili\SQtl~'J...."5.(l2
CITY PROCESSING #
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Ct~y P~ESSI~G #
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AUG-08-Jl WEL 05:44 pr HARPER MECHANICAL FAX NO. 4073237007 p, 08
- . ~ -- ...It P t1 T I-l E' H ',1 :1"".. k r,~ I J ..... a . 7lr FI ""V
nU,;--L\:,,-(.), I". '-' T . -_..~.....,j.VH" v.': rt~I"\.'lJ'L'.. ........ l't . .
h.' Iw\nlX,: C~' l:i;!;E:l) R.!l:$TR!CnOJU
T/1", lJrld.(f1:B1~nt'lc'i !.mder"tanda thi\t. thl. pe:n;n1t In..y be iII~bjec:t tg "deed re.tr1c;:tigt.t'" which
lMly bll [',ClUj CIl'J5td.ctlv@ t:l'1.a:l city .tftgulat:lon~. 'rh. ~T'.Qud.QU.d a.~Wl\n re"ponllli~il.lty fo!:
<:ILimpH!t!,,:,~ ....I t:h /Any "9p11c~b.1e deed J:eI~tdQtJ.on.!l,
~.: tJNLX('tNe~t.J CONtMC1'OR,3 AND CON'fAA-crOFt RtSC'ONSl8ILITIES
If, the ""iHd:: lUl.oll htu.d . cont:.rrlot;or 01: c:cntt.C:\;o.ra to undtl~t;.kdl work, they lI1ay b, reqlJl1:e~
to, hilt U~lll'lii.411<:J :1.n ,!!,ccaj;d!lnce ~nth ",tate and lo~al tllgula1:1ol"l'. It the c:ont;netQ~ i, nc:~
J ip'~n",_" j .. 1:1 r:Hjlll ~ed by lll~, b .;It;' t.l'lo C>l-ine~' and eOl\t.t:. ctOl' lnJIy pe t;! t.d for " lIl1.l'JQem.~hO%'
vi1;;ltlU_(Jl', tmder ~t.:i!'tto:l law, If thlll owne.t or intl'lndarf contcactor a;-e .unce.r:t8.1n 11.11 to wh~t
1I.~',<>n3.ti'~i ('Il'ri\,l! tolrtLf.tO,t:S l.,ay apply tQr the intended work, l.:h6)" u:e ..dYl.ad. t.o (:onl:aol: the
Cl~i' of 2!'.l}nj'J:ld.Lh Buildlrtg P'Jpl.l.ttlllt'nt, 913-7138-6&11. .
Jiur~:h",z:,,,":?~;~,. if t"~ O!rlnC':r; hlu h:l::l::cl il ,::ontro;actor Qt c:ontriQt:ot'8. h_ ':'CI advised to hllve the
C:CM:,t'aG1;:;Q;: (>>Jl e1.9n por.tion. ot thol "Contractor 5e~tlcna'" of thill application for lwhtch th!ll:i ,.
V<(l~,l t,j,>. :!:nti;,cl'lc'li.ble. If you, :1l~ thE:! owner d;l'ltl U the Cf;mtl:lIetttt:, you a.r-. lndiqating th~t .
~":~\J. r..d:b"a: 1.11""1 th~ contraotor, lUll rL:l!ponaible tor the worle_ If thQ contL'lIcl;or wJ.llh..
yeu to ~lW~ as aont~actor that ~4Y be .n 1~die~tlcn tha~ he 1~ not p~operly 110Qnaed and 1.
M~ f1J'lU.U"'d \;0 peonU.t1nlJ pdvlhgea 1n tho City of Zephyrh1l1a.
c. . TilJ.l.n!.~t'Ok'l')\.'l'IOH IMP1\C'1' VEtS AND UTILITY CONlf!C'UON FEltS
I). i c6m..tftUC'J.'UlON LlEN tJ\W (CH,)"P'ftR. 'l13, rtOil.IDA STATUT!,g, As AMEND!.D)
1. ~~H':tUy th",t I, thtl rl.ppUc:anl;, hilve been prQvided \ofitb .. copy of "rlorich,'. conotruct.1.on
1.i~n tH,; - tt"r:,:~;o!,m~r' II i':t:ol:ectioI. Guidel" pl:~pated by t:he Florida. Depu:tment: of ^g'ricul ture '
iolr.'4 C.:;nsll,rn,H' .\ffairs. If the ll~p11~a':)l: h Someone ocher; I;b.t the \\plornea:", I alildE)' thAt: 1
b~,ye Obi;o.1.ro':ld. it c.opy of. the above dlilllCr1bl!ld aocmntil/lt and p.romille in gODd faith to dl!l!vl!Ir
i!~ ,to th~ '"o~n~<,l:''' prior to cc~u'wncftl'l'lent.:,
F;, ; CONf,'tA(!'i'OR.' .s/OWNEFl.' S M'rIt'AVIT
r ~l$l:t:1fy that .all 'the irlfoQzl!llll::!on in t;hlll applie:lUon l" IlI:lCl.Iu.te and thaI; .11 wed: will
bll ~dQtle .I n co"~pli!ln~~, with ..11 lilpplicabh 1_w, l:l!lgub.tinq con.!ltrl.lct:!.on, zoning, I.nd land
~llI"'1d()pl1'mt. .
^~Jplic~,t~.(~tl 1s hE!r:~by llHI,d,& to obtain - plltmit to do Wc,tk and in.tallation as indicated. I
ci::r'tHy tl;~lt TIC w,)~k Ol: install!ltlo11 hu cOlnmenl;:l!:d prior 1:0 11i19\l.nc:~ of a peonit toll'll! thaI:
~\11 wO.l:li Hil.1 o\j pElrf01:!l\itd to meet. itandllrds of all lawa r&lJulllting oont'truct:lonl. city
cod,'lAo. ;t'J!JJ.I1~ t.e1Jl.lh,t1Qll~, and lllnddev~lopment t:egulation. in the j1,u:l.d1cU.on, ! dllo
'Clil::tli,y thi\t. I lll1dt't,'1lt"nd th~t: the ngulatlona of otber goVe.l:'nmantal aljJll!Incha JIIIl}' Ipply 1:0
the: lnt~f\dl~l;J 'MOll>:;, .l.nd that it i~ my :rQeponsibll!ty tQ 1Qen~ify ..tI..t &(;t1ons :r Ir\\\et; l:.d;. to
bll tr'l ('(iI'.(~Ual\cf!, Such ag~ne:LEl8 includf! but au net limited tCH "'DlI!!partment of
EClV~rOly:,ental ~,eQ1Jl..tion-C:;pr(\l5e f3ayhcnd", 'Wetland Areas 1l.F1d Envitonmontdly Be~slt:lv=
Llin~tl, \4;\.t'~.r/W<:i:!lt~we.tel: "rJ::o~tnel)t
'f~(.!tlthl"l):~ t UOlit:l!\ ~hl.t\tr Mana(Jflr"ent Dlst:.ciet:-W~lla, CyPresfl Bayhl'!ad~, Wetland Al:eaa,
!~"H,t:rhlg WI:,t.e<.t.COUue/\
"h.."IClY Curp" er.: En)J.ln..::.ertl-SQaw;111il, DOCKS, Nav1gabllt Wat.rlo1IiY,
ti)oP.~~Ir.b:"i.t. of He31th ~ Rehlib.U:ttlltive Sc:;v!ce/:!, tnv.Li:onmentl\l Hu.lth Unit-Wells,
Wi~~Q~~ter Tl~atm~nt, SoptlQ T4hk~
'U. $. l~n\li tC:>ri.r:::ontllol Prot0otion ]\gency-All!:ic:llo., ab4tltlllent
I "h,~. eed;,:1ty thlll!;:, ,if t111 IMt"riU. ill to b~ u.!l'~d. in ~.lt'lOd zone ....,.." 01: "A,.tc,"'~ it till
l.lrtdUi3\;.;:r:,r.1. that a dcainaie l'l:u\ addte:II~1tlg .. "eomp.n~attr.g volU1l\Q'" will kill 5ubltLitt.d whic:h
13 ~:~0'1ncl oj! a t>rQfAElaton<1l1 en:r1nllleJ: ~eg1.sterl!ld 1n the State ot lrlorida prio~ to perll'l!!:
j 'I #UAil:~>1l ,
A li'o/l.tl<:!i.l i lYl.\uGd t;lulll bl!! construed to b$ .tl. licll1'\l'le to proo.ed with thu WQl;k And not as
p,ut\lOrJty to v! olllbif, cancoil, ~1 ter, or lIet aa.td~ any P.tovl.~~ns cf the t.echnical C!Od811,
1,~r: Ilb~,ll !:;t;ll,lal~et:: P:lt ~ p.nn1.l: p-.l:'~v.nl:: tna B\111din!l official irern thereafter .tequ1l:1ng a.
c::ot~l!'c;tjc.Jli of Iilr.r;orR in plans, COll.tLuction, or \l'101.tion., of any code. Ev.:ry iU~ t
iui.1ed l.h~ll hee(.:I1\$ invalid Unll!lea th'll work auth<lrhcd by .I.(ch peJ:mlt ie C:OttWllel'leC!lci within
rdl(: m/~nth'l of iSl'IUllnCe, or if w.:Irk &l.lthorJ.:z:~d. I:ly thlt pe.t1I'Iit ia .1J.pel1ded or llbllndonft~ ter II.
pU!fJd of llll.~ lY',ohth" ~fter the ti 1'Da the work 1.l.l eOlrmumcl!!d. One 90 d&}' cltt:el1d~:m of time
r~3Y : b,) ~tl h~l""E!d for the pennit with fee c;ha.r:9c of $15.00, The e~t.nlJ1on ~hi!lU b.- ~l!:qUG4ted
in. wdUn'<1 to lh" ))l,\llg1ng Offichl. M .pl=>rovl3d lflspection must kle logged during neb .Il.l.)(
.fto:.;Jfl6~ fe.:::LQI;!, Q.t: th. p:oject w.nl be c:onaidlilre;1 .blLlldohecL ,
WJ~~t~o 'j,'O OWlHi;~1 YOlJ~ rAILUF,E TO lU:eOJU;l A NOTICE OF tOMH~CE:H.!NT ~\' $lESULT IN YOUR
l?h)::h:CI 'J.Tio/ICl!: E'OR rHE'ROVU'l~'l";'J TO rOUp. l'ROt'EFl.TY. IF ~Ot1 lNTENO TO OBTAIN FINANCINt'j, CON!Ut.T
WI'l'~. 'i'o:n, I.~SF.R. OJ:/. AU A'r'tOP.NEY BUORE RECORDINC YOlJR KOTICll'~ COI-IMENCZHENT, .)OaS UNDER
~2. $0.)". '--VW';/j n.rr ~~COil.D AND P03T A "N?TI,C~F C07~ENCEM.!nJ'r" .
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3t~:\ril.E;t OWHE,~~' SIGNATURE'.' ,cm..'t'IU~'T'01:l