HomeMy WebLinkAbout08-8221
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8221
Permit Number: 8221
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5222 8TH ST HIST RIC
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-16800-0190
3,900.00
Name: SONS OF SAINT JOHN TRUST
Address: 5222 8TH ST HISTORIC
ZEPHYRHILLS, FL. 33542
75.00
75.00
8/15/2008 Phone:
INSTALL HANDICAP RAMP FOR THE HEALING TREASURES
FI1~
() ,,2,5-oB
FOOTER BOND DUCTS INSULATED SEWER MISC,
ROUGH ELECTRIC LINTEL MISC MISC,
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC,
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPEC110N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
CONTRACTO SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyr hills
BUILDING PLAN REVIEW COMMENTS
Site:
r;(; Ie- {J,-tJ~' ~S! ~i<<i IJn ~C
e" l3~ oS
0'2-2 2- f3~ G I
~~'cyJ !-}{/-mP
Approved withe below comments: ~ Denied withe below comments: 0
Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments: I:l
:) ,~ A-""")\Ae-\kw\.~ --p) 7""~
1L '
It' rY-J.
I
This comment sheet shall be kept with the permit and/or plans,
.. elL 'JJ\ . ~(~/O8'
Contractor and/or Horn owner
(Required when comments are present)
ti{ce
Date
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8221
Permit Number: 8221
Permit Type: ADDITION/AL TERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid: Phone:
Work Desc: INSTALL HANDICAP RAMP FOR THE HEALING TREASURES
Address: 5222 8TH ST HIST RIC
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-16800-0190
3,900.00
75.00
Name: SONS OF SAINT JOHN TRUST
Address: 5222 8TH ST HISTORIC
ZEPHYRHILLS, FL. 33542
lo~J
;JoU/
, fj!vckl?Uf"/ / j&
~~i'f'C#'
I ULA I
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC,
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC,
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC, MISC,
CONSTRUCTION POLE FRAME MISC, MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
Dale Received
Owner's Name
City of Zephyrhills Permit Applicatio - k B-Z::V{
Building Department i:Yf
Fax-813.780.0021
SbI Nt l<::v ,;:'L. 3 397l{
2<::-'1h~~.us, FL 33'5(('2.- LOT # l,qno
I PARCELlD#III-~'21- 0010- (V~c.?- O\tio
(OBTAINED FROM PROPERTY TAX NOnCE)
E3
D
D BLOCK c:KJ
1 AiJ4 Ccm~L7rlt-J\ I..Je,.;DI <!.f::(?
I sa FOOTAGE I
1$.3/ t100 ~
1$
1$
1$
D
Owner's Address 15'2. -z:z... ~ S,
Fee Simple Titleholder Namll.ao~ c~ 57, ~.,..;
Fee Simple Titleholder Address I PoGo 'I.. ~:3J
15'2. '2- -z.. 871- c;;,-,-
1
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
B
~
NEW CONSTR
INSTALL
SFR
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
D GAS
ROOFING
FINISHED FLOOR ELEVATIONS I
~"r
-~Yl -(:)f3J..
I
"
ADD/ALT
REPAIR
D
D
D
(2 ~Tf\ P
I
D
MOVE D
DEMOLISH
SIGN
I
D
COMM
FRAME
OTHER
STEEL
OTHER I
HE'GHT
I
I
I
I
D
I
VALUATION OF TOTAL CONSTRUCTION
D
PROGRESS ENERGY
:;c/c
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
OTHER
DYES
DNO
FLOOD ZONE AREA
I~Q~ k-~oA:.~ &C~ -;.rM- I \:i~
BUILDER COMPANY 7i-
SIGNA TURE REGISTERED N FEE CURRENT N
Address J352/,'5 Sa. 64vJ Z -(..ht-l'> 3').jL{( License # leG<: 1508 ).'7?- I
ELECTRICIAN I I COMPANY I
SIGNA TURE REGISTERED ~ FEE CURRENT ~
Address I License # I
PLUMBER I COMPANY 1
SIGNA TURE REGISTERED Y/ N FEE CURRENT ~
Address I License # I
MECHANICAL I COMPANY I
SIGNA TURE REGISTERED ~ FEE CURRENT ~
Address I License # I
OTHER I COMPANY I
SIGNATURE REGISTERED ~ FEE CURRENT ~
Address I License # I
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Pennit for new construction,
Minimum len (10) working days after submittal date. Required onsile, Construction Plans, Stonnwater Plans wi Silt Fence Installed,
Sanitary Facilities & 1 dumpster; Site Wor1< Pennit for subdivisions~arge projects
Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fonns. R.O-W Pennit for new construction,
Minimum ten (10) working days after submittal date. Required onsile. Construction Plans, Stonnwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commerdal requirements must meet compliance
Attach (2) sets of Engineered Plans,
....PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
Directions:
Fill out applicalion completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Nolice of Commencement is required. (AIC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of ApplicatIOn Only)
Reroofs Sewers Service Upgrades NC
Driveways-Not over Counter if on public roadways..needs ROW
Fences (PloVSurveylFootage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions.
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
CONTRACTOR'SIOWNER'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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "YO unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "N In connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill Is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included In the application. 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 codes. Every permit issued shall become .invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\job is considered abandoned.
e
:-E
:!f:
-- .'t,fir.,'tWfl I!oncledThfllTroyFoink*nncuio.3B507019
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
Rug 05 08 04:06p
F-lll en Roman
(3521521-0722
p. 1
To Whom it May Conccro:
I , Elaine Roman. Trustee of the Sons of St.John Trust, give Power of Attom~y to
Stephanie Magbrio to act as my ag<:nt to sign any documents pertainine to the COnstruction
of a Handicap Ramp at the property located at 5222 gill St. ZephyrhilJs,Fl. 33542.
Dnted ttlis 04lk day of August, 2008.
Z~ ~M~ ___.
Elaine Roman 3j-;). - J-O(r;J . ("J J...:)--o
Date::
6'-J-'O'8
NOTARY
_--"i~ ,~ \
The fore~uinH instrumenl wu.'i acknowledged before me this_~ -day of ~~.l S 1-
2008, by t\(Ll I"€. \~O\\l("/)'~~ as C':uVVd~AL
for
Type oEID Ft./et - RS~D S 85 o"'B'7ZLtO Or
I
~,..y., LOIS G. GAINES
:Nd. MY COMMISSION # 00650899
").~ EXPIRES: March 14.201)
S I.X",~.~f)T'~' FL Notary Discount Assoc- Co.
hoo\l\-""l.7.',. "'l.<<,~~
Personally know to me .
Notary S;gna.ure cJ).:a jj ~~
Nolary print name lul'~ ~. GeL L Vl e'S
..
tI
1/1 :d
22l.012S2S[:Ol
:W()tj,j dLt? :f:0 2002-9-NtjI
T1-t.1 \.-- -"--'j--"-' '-I'~ I ,'-,r-. -,.- ,...., ~ r-
1111111111111111I11I11111111111I1111111111111111111I1111111I
2008118843
Rcpl: 1197677 Rec: 10.00
OS: 0.00 IT: 0.00
08/13/08 Dpty Clerk
JEO PITTMAN PASCO COUNTJf CLfRK
08/13/08 12:5~m 1 1310
OR BK 790'+ PG
Legal Description
11-26~21-0010-16800-0190
Assessed in Section 11, Township 26 South, Range 21 East
of Pasco County, Florida
CI1Y OF ZEPHYRHILLS PB 1 PG 54 LOTS 19 & 20 EXC EAST 28 FT BLOCK
168 OR 6569 PG 529
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No. I ( . L. ~ .. 2..1 - 00 ( () - , C. 8 o~- 0 I q 0
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713. 13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
I. Description of property (legal description :)
a) Street Address: l.:L
2 GeneraJ.descnptl(~ of improvements .' C;
~D t}- C&I\^ PI-; 4'lJ,
3 Owner InformatIon r _ n <' _ ,..,
a)Nameandaddress...:::xu5 of SA.,~\ ::Jbk~ "/tut.:.r "0-&'."" ~'!)!J Jf"L~ Ii-'- 33~?1.{
b) Name and address of fee simple tItleholder (If other than owner)
~ c) Interest in property ~~ "SlI'v.p1..l.:f
Contractor InformatIOn.
a) Name and addres . {; ~ &; -,.t:- .=3S;)6 Scz f:JI (Jo.J
b) Telephone No ( - ( CGo Fax No. (Opt.) B,~ -;1
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6. Lender
a) Name and address:
2..
~:36<11
...,-~
Fax No (Opt.)
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713 .13( I ) (b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording Wlless a different date is
Specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TOYOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN A TIORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE F CO MEN CEMENT.
STATE 0 ~ LOIS G. GAINES .-/1",
COUNTY ~~ M~~i:~S~~;~f#I~~;'~~99 ~ (/f/(
~ ~ ~~:,,, i:i',lr;~!!,:~' .:
"-',.,!"._.,\,.>'~- ....,'...../':
.,';/....
The foregoing instrument was acknowledged ~efore me this 1 ~day of A:-u (). lA..5 ~ , 20 ~ by ~<"\~:-G-
rv\~Cd () as l)_lt'-'-+ C,.(. Ov..>,\~ ' \ (typeofauthority,e.g.officer, stee,attomey
in fact) fi <.l (name of party on behalf ofw . m instrument was executed).
Personally Known ~~uced Identification _ Notary Signature
\...D I. -c; G. G. c-,- I. .,; So
Type ofIdentification Produced
Name (print)
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts statea in it are true to the best of my knowledge and belief
Signature of Natural Person Signing Above
FORMSINOC,rvsd2007
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MAP OF: BOUNDAR Y
SURVEY
SURVEYOR'S NOTES:
,
I
N
A
W~'~"E
Y. SCALE'
s ," = 30'
1. ThI. ,. Q 1Iaundcl'Y ~. ..- ..... \1M _ ..- "- __ DI D _ ....._ s...,.,.,....
aM ,,--. FWd _ ... ~ .... 04/05/00
z. ~ a... ba_ D'" th.. Norlhoa"tflrly RIW line of 8m STRm os:
N. 2S'OO'OO"W., ofUlumod.
J. No ~ ulJitin.. ~ .oco_._,," ... .....1cIiftg ,__ .... _ or _
... 0 part 01 - -.y. .- __ ~. T_ _ ....... _ 1Doaled, ...- _ __
4. n.lo "''"'7 - __ """ the __ 01 .. ~ s....." ......... _ 10 _ _ to
- - ...-...,. ~ 01 _ _ --. nogIaoW or _ _. -. __ ....
...... ...- or _ _, Iloonl. __.......... or _ _ .....,.
:I. lNo __ - -- _ "'" __ "'.. _ 01"'-", "*'" ""'Y"'_
r\gIl---... -- -..-, ----_ _...... or _ __ .-,.,. af
...- _. not ~ on _ _.
II. ~ ...... _ _ ... Q _ .....I-......Ilo.., at "- ~ _ _ ...... ... ......
-. p<lorlo ~ ~~_ Joe __...._...___
7. - . _ to "'" teet _ _ __ _ _ _.-- or -..., In .... d_ lD
<.,..ud-.. n.1o - Joe _In'" -_"","" _ obtanInt _ dolo.
II. "IHI5 SUlIII:Y NOT w.uo MlHOl1T lHE SIl:WiJUIlE Nfl) MDIW. IWSlD st/ll.. Of" A fUlIllQI, I.JCEHSDl
SU/ftlE'lOR NfO lW'PDl".
B
LEGEND MID A8BRf\IIA7JOHS:
f.lP.-fllUfO IIlOH Pft f.c.iI.-RX.Ml COHcROr WOHUWOIT
fJ.R.-RlUMl lION ROO f.T.[.-fWlSHED fl.OOIl flNIl1lIIH
SJ.R.-sO' IIlOH AOO P.O.B.-l'ClDfT OF" BE-.c:
f"NO.o4lJlN) P,o.c.ocPOINT OF ~
s.P.I(.-SCT __ .It IlI5IC co. T.l-GrIAlE 1llP INLT
NC~N6I COHDmONER O.ft.~ HD::OIlI) BOOK
-P--<MllI€AD I'OlKR O.8.-DaD IIOOIC
-T-iMJIHEIIII) 'lUD'HONE 5/'11~
--- o/w - llIlI\/EWAY
OONC..-alHCIlEJE
N.G.V.D.-NiII1IOfW. QDOEI1C ~ Q,lnJV
l'I/C-l1IIINClS CCIflMJI
Fl..OOD ZONE U:.It,..tt;A1E: Thhl is to certif) that the pn>perty snown hereon folia
with Flood Zone ~~.... per the Flood Insuronce Rate Yap,
Community Panel Number J'l"'t.3~ COb> ~ ,daled /Z.j/7 /9/ .
I ,.
w:K'If"n:Jj m: John Allen Roman
Sunstale Title Agency Inc.; First American
Title Insurance Co.
Bank of America
R/'W-IlICHT--(lf"-w.y
P.B.-f'lAT IlOOK
PCO.-fW:E
WIT-WOOD ftNCl:
C/l.~ ~
1SW"T.-I:ASDoIDlT
(C)-cI'C.aItAJ[D
(R).-xxJRO
c.B.-c:HDRO 8ENlN:;
Ra.~
P /....POOI. PIJWP ASSalaT
(O)-<<ED
(F)-flElD
(P)-P\AT
OI.-atClIlO
6
'\ .",,)
'i'~\..l
\ l~ SE CORNER -
~ 0.' LOT 78. BlOCK 768
(\ F.f.P. 1/2-
-\ NOIVJ,
.~ ' //'~
~ \ ._____--'(f) /
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-'~\ f'ND )c"
~'\ , NO JDJ
0.7-
f,J
2nd Floo, Wooc/ Deck
Ove, Conctet..
SURVEYOR'S CERTlF1CA7E:
THIS CCRTlFICS THAT II SURVCY OF THE PROPERTY HCReOH WAS flADe UNDCR IIY
SUPERVISION AND THAT THE SURVEY AleeTS THE 1I1N1&lUlJ TECHNICAL STANDARDS SeT
FORTH BY THE FLORIDA BOARD OF PRDFFCSIONAL SURVITORS AND IUtPPERS IN CHAPTER
1i1;f7-ll. FLORIDA ADMINISTRATIVE CODE:, PURSUANT TO SCCTION 472.027, FLORIDA
STATVTES. AND THAT THE SKE:1CH HEREON IS A TRUE AND ACCURATE RCPRCSCIfTAnON
THCREOF. TO THC BEST OF AlY KNOWLEDCE AND BClleF, SUBJECT TO NOTES AND
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0005-15
Droft
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8bbir 12
SURVEYING AND MAPPING,
'900 HIGHWAY ." NOmH. SUfTE 101
LAKE FRANCISCO PLAZA.. LUTZ. Fl. .:u549
PHONE (813) 948-2666 or 948-2999
(800)207-2215 FAX 949-5817
l1rnkins
INC.
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CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS rl DATE PERMIT # I
5' 1- 1.-'7-- i''\ S'f ~ ) ~2)A g i>'ZL'
THIS JOB HAS NOT BEEN COMPLETED, T~e following additions or corrections sholl be mode before the job
will be accepted,
~~~~'f~~~~ ~~~il>\ 16~(L :r~
frT fL.Ln4" rL.\t. hAft[ filL
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR -2~rrf)}
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.