HomeMy WebLinkAbout09-9776 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9776
BUILDING PERMIT
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Permit Number: 9776 Address: 3731 BLACK DIAMOND DR
Permit Type: PARK MODEL SETUP ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET -UP Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24- 26 -21- 0000 - 00100 -0090
Improv. Cost: 2,400.00 1
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Date Issued: 11/23/2009 Name: MAJESTIC O AKS LLC
Total Fees: 175.00 Address: 3731 BLACK DIAMOND DR
Amount Paid: 175.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/23/2009 Phone: (813)780 -9308
Work Desc: PARK MODEL SET UP 12 X 34
A Li • N L L. M•: IL H. -U P 60.00 M A l AL 35.00
CRANDALL, RICHARD PLUMBING FEE 40.00 ELECTRICAL FEE 40.00
EASLER, LIONEL L.
BAHR'S PROPANE GAS & NC, INC.
PARK • I ET -UP
PARK MODEL MECHANICAL
PARK MODEL PLUMBING
PARK MODEL ELECTRIC
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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."
0 4 1 ��
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9776
BUILDING PERMIT
Permit Number: 9776 Address: 3731 BLAC DIAMOND DR
Permit Type: PARK MODEL SETUP ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET -UP Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24- 26 -21- 0000 - 00100 -0090
P
Im rov. Cost: 2,400.00
� � MA ,.:� < `` �
Date Issued: Name: MAJESTIC OAKS LLC
Total Fees: 175.00 Address: 3731 BLACK DIAMOND DR
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)780 -9308
Work Desc: PARK MODEL SET UP 12 X 34
Y; ' 7r.'^a O
EA L R, • L L. M • :IL ''''41 ET -UP 60.00 NI AL 5.00
CRANDALL, RICHARD PLUMBING FEE 40.00 ELECTRICAL FEE 40.00
EASLER, LIONEL L.
BAHR'S PROPANE GAS & A/C, INC.
tI
_A- KM•• L -U-
PARK MODEL MECHANICAL
PARK MODEL PLUMBING
PARK MODEL ELECTRIC
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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 �R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813 - 7800020 City of Zephyrhills Permit Application Fax -813ae0.0021
• / !, Building oeperarerht - I ! I � /
Date Received f — l 0 o Phone Contact for PermIthne 6 J - tLi I rr' _,' (p
Owner's Name VI - ,( _ Owner Phone Number 1 ?j "��Q ul �} ' i g Q I
Owna's Address . ,_ . _ . r •. fi t.: �eaher Phone Number I$1 ' 1�,3 95 t%
Fee Simple Titleholder Name tips, Owner Phone Number
Fee Simple TRlsholder Address
JOB ADDRESS 3131 12AD / ,� �� 3 ` nO1 2 _ Ge plf 1 \Y h1l 1J � / � LOTiff 1 ;* K
SUBDMSION M\c OOH rt� PARCEL KM I c7 ^ �1v ' P-1 - C)OO ' CON CO O 'O C]a
(OBTAINED FROM PROPERTY TAIL NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT Q SIGN El MOVE n DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 v SFR 1 1 COMM n OTHER
TYPE OF CONSTRUCTION n BLOCK 1 FRAME Q STEEL [ / OTHER mil l c' to . c al I
DESCRIPTION OF WORK Seer kkko park nrrcid Cr e.place to.ri) V tS1 Dream Fh-rt.
BUILDING SIZE LIZY X 3L 1 SG FOOTAGE 14 D 3 HEIGHT I
BUILDING VALUATION OF TOTAL CONSTRUCTION cL4 "
ELECTRICAL 11111111111111116111 AMP SERVICE r� PROGRESS ENERGY n . - .E.C. is of
1 •,./ PLUMBING
iimiliii MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' C 1
Q GAS n ROOFING n SPECIALTY r-7 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES (V(40
NO
BUILDER
GNATU RE a COMPANY I NIFE�F RE T it YiN
SIGNATURE 7, ii - 1 'i
Address No ■ r. "u 1 1 l `. ' 3Z0S3 License# 11
C fl V C � I
ELECTRICIAN
IG N T URE f ' COMPANY l ,i ueC
SIGNATURE REGISTERED / N FEE CURRENT i . /rl� I N
Address gill b Pe. k :..II ' it e ii 1,111- , FZ.. License O
nse # ` I O % Z 9 I 0 1
C
PLUMBER / COMPANY 1 . r1pp Q ,,
bl 1� ViotA. Sr. I
SIGNATURE ._� REGISTERED I( YJ N I FEE CURRENT �Yy N
Address J , ' ' L F ( / ` 1 1 It 1 [ License # 11W ()MO I
I
SIGNATURE
MECHANICAL ' � � , . �_ ' , p ly E EO / N I� i E SE NT �J N
Address s : 1 ! . . _ -_. a 1 I License# IeS10_ -1$
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I
Address I 1 License # I I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bridng Pliers; (1) set of Energy Forms; R-O-W Penns for new constructien,
M *ntsn ten (10) working days after submittal dale. Requited aerie, Construction Plans, Stonnwate Plans w/ Sit Fence installed,
Sanitary Fealties & 1 durnpster; Site Work Pewit for subdisionsAarge projects
COMMERCIAL Attach (3) complete sets of Bulci g Plans plus a Like Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days alter submittal date. Required ensile, Construction Plans, StOnnwnater Plans w/ Sit Fence installed.
Sectary Facades & 1 duanpsler. Site Work Perri for all new projects. Al commercial requirements must meet compiance
SIGN PERMIT Attach (2) sets of Engineered Plana.
""PROPERTY SURVEY required for all NEW canstnrdion.
Directions:
Fa out appication completely_
Owner & Contactor sign back of appication, notarized
I over S2500. a Notice of Commencement Is required. (NC 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 PERirTTHNG (Fret of App1cation Only)
Reroot& Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways -Not over Counter it on pubic roadways..needs ROW
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 properly 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 Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION UEN 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
certify that I understand that the regulations of other government agencies may regulations hi the wor k, a n d I also
gov agencies may apply in 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 'V 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 "A' in connection with a permitted building using stem wall
construction, l 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, 1 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 woric 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.
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 e F COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT • 'L■-
Subecnbed and sworn b (or affirmed) before me this ,,,,,,,,,�
by l�l /i�j[ by —+i17I F(
Who is/are personally known to me or has/have produced are persona, has/have produced — as identification. k 1 i ['47Y - as identification.
L G
Notary Pubfic
4111 121. 1 � •�i � J A n • • ', -2 " s Notary Pudic
Commission No. i - .IS i 1 l.. fi . .�;
comae � • . :.
Sordid ThruTroy Fein Iniuronce 800. 388-7019
Name of Notary typed, pricked or stamped Name of Notary typed, panted ar stamped
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ALL WORK SHALL COMPLY WITH ALL
PREVAILING CODES, FLORIDA BUILDING
at CODE, NATIONAL ELECTRIC CODE AK)
C 'FY OF ZEPHYRHILLS ORDINANCES
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067
.- 1 ees 4 r . , ' : Q® OLIVER TECHpoioaEB, nv r Al e -"$r ! +: a RE- A [1+N31ALI.AtION INSTRUCTIONS . - ., THE i X.3
No 155 S tt: n t. 1199 '� M Lf 4TINL B8u.nwt�x�u
° MCDEL terry-
ilk "i (SEEDS gem
n t; y � { 4 MODEL ifOf- L"'V"tQNfll3$N4L ONLY:
a ■ : (a ". FOLLOW STEPS 1 - 9
, SIAM OF : /,tja FOR ADDING LAMM. ARM :
'Ytta q rahT f .' . `� Pilaw Shops 1045 EruitNIER S STAMP
m
1. S I It the following conditions occur - STOP! Confect Oliver Teehriolog : - - t 1- 900.284 -7437 :
a) Pier h " es 48 fa) Length of Pome excel 76' c) Roof eaves exceed 16" d) Selo:veil height exceed 96"
e) Location Is within 1500 feet of coast
ffIST4tJATIDN GRJND PEON
2. Remove iireeds and oebrts in an spproxttnate two foot square to expose firm soli for each grou pen (G) .
3. Place grolind pan (C) directly below chaste l -be:am . Prime or drive pen fimiiy Inb soli Unt b us h w ith pent(D) below Sa ;l.
SPECIAL (NOTE: The longitudinal "V" brace system levee as a pier under the home ands be loaded as any
other pier. it is recornn+ended that after beefing piers, and one -half inch (112") before home is lowered completely on
to glary, complete steps 4 through 9 befoer.
INSTALLA11O11 QEJAKOMILIIINESIERII
NOTE: WHEN INSTALLING THE MODEL * f ies -Vet tONDITUDI AL SY81 1. Mar, A MINIMtJll OF a 9 7 2 5u PER FLOOR SECTION IN
REQUIRED. SOIL T EST PROSE S#4OULD �a LIED FO DETERMINE CORRECT TYPE OF ANCHOR PER - Son. CLASSIFICATION. IF PROBE TEST
READINGS ARE BRTINESN 173 a 275 A 5 FOOT ANCHOR MUST BE USED. IF PROBE TEST READINGS 4REE St1W S:N 275 8 235 A 4 FOOT ANCHOR
MAT BE USED. USE GROUND ANCHORS WITH DIAGONAL TIES AND 5 r'ABIt.I iR PLATES EVERY 5'4" . VERTICAL TIES ARE ALSO REQUIRED 0t4
HOIItrs mummy Vim VER7TCAL Tim CONNECTION Pomrs (PER FLORIDA Rem) .
4. Seieot the correct square tube brace (E) length For set - up (pier) height at support location. (The ".a- pubs is 5lWWys
used as the bottom part of the tongitudlnal arm). Nets: Either tube can be used by itself, cut and drilled to length es long as a
R) to 46 degree angle Is maintained,
PIER HEIGHT 1,25" ADJUSTABLE 1.50" ADJUSTABLE
(pprrx. 45 degrees Max) Tt+/1e Length Tuba Length
T 3/4" 10 25' 2Z T8' _1
24 3/4'13032 1/4" 37" 1 a..
33" to 41' 44" 18 " � I
-G" to 4t3"" 18 '' t
5. Frislaf (2) of the 1.50" square tubes (E {18" tube} ) into the "U" bracket (J), insert carriage bolt and leave nut loose for flnW
adjustment.
6_ Place l - beafn Connector (F) loosely on the bottom flange of the l - tarn.
7. Slide the selected 1.25" tube (E) Into a 1.50" tube (E) and attach to I-beam connectors (F) end fasten loosely with bolt and nut.
8. Repeat steps 6 through 7 to create the "V" pattern of the square tubes Loosely to place. The angle is not to exceed 45
degree and not below 40 degrees.
9. After an bolts are tightened, secure 1.25" and 1.54" tubes using four(4) 1/4 " -14 tt 3!4" seff4ap ling screws In pn .- dt1tsd holes
.8TALLATION .,...ATE .may
�" ° " it' t r' e'r^trr' kRh:ic_ F . H ®x. A.®r try
`3i= aa<.1,._t_ . � a �Ctt�ttil p 53 r�e�I� � `�„.3'�s��.a•
_ - .. : - - _
08/:30/10 @6 12135 5785745704 3RIAN VALENTE PAGE 41
40 Installation Instructions for ABS Pads
For use on all Mobile and Manufactured Homes, including
HUD approved Homes and Modular Housing
t wenrit 55.1'500 and crhcr patcrrta pending
GENERAL INSTRUCTIONSI
1. All patio ate to be installed f)at sigroitnytt. ribbed ikle nrk.
2. The ground udder the pads r'hould be leveled as srretoth as possible with all vegctstinn removed. Pad,: to be placed on fully compacted
or undisturbed soil, at nt below the frost -line, or per local ;art d!ctio 1.
3. Pier & pad spacing will be determined by the manufactured homes' R Awn set-up instructions at any kcal or state codes.
The open cede; between the ribbing on the upper side of the pads trial be filled with soa7 or antid after installation to prervc:tt any
accumulation of stagnant water in the pads.
5. A pockat penetrometer may be used to determine the actual grill: aritt if Foil - testing equipment is not available, use an
assumed soil valve of 1000 lbs. / ..yvarc font.
G. All pad sixes shown are nominal dimensions and may vary up to 1 '8 ".
7. The maximum deflegina in a *ingr)e pad 1,11/1: meaawaxt frt,m tl:t highest point to the lowest paint of the true face. (1�(rrE: Acrual
test result% were lean than 5/8 ")
8, In frost arms, a 6" deep confined gravel base inr;t*Ced in wed drai,,ed, non -frost susceptible soil is r+emtnmetsdeci
0 Pad loads are the soma when using single stalk or double snack bt• .ek .
111. The maximum load at any intermediate soil value may be dr:tr:rrri:sed ax the average of the next k,wcr and it higher sail valtic
Oven in the table below.
11. Any configuration (:see 'erotic side) may be used to replace a hone ntanufaccureis recommended concrete or *nod base pad.
12. I f the home manufacturer shows soli densities greater than 3000 lb. when using AILS pads. do not ettreed 30001b. soil pier spacini
per set up manual.
Pad Size ID No. Pad Are 1000 PSF Sol) 2000 PSF Soil 3000 PSF Soil
OVAL 16" x 18.5 1055 -2 '
288 sq. in. 2000 lbs. 4000 lbs. 6000 lbs.
OVAL 17" x 22" 1055 - 360 sq. in. 2500 fps. 5000 lbs. 7500 lbs. ----,
OVAL 173" x 22.5" 1055 -21 384 Ai, in. 2667 lbs. 3334 lbs. 80001bs.
(NAL 17.5 "x 253" 1055 -17 - 432 aq. in. 3000 lbs. 6000 lbs. 9000 !ha *
t. ATAL 21 "x29" 1053 -22 576 sq. in. - 4000 lbs. -w 8000 lb& * 12000 lbs. *
( NAL. 23.25" x 31.25" 1055 - 20 675 sq. in. 4694 lbs. 9388 lb*. * w 9388 lbs. *
Pad Size 1L) No Pad Arra 1000 PSF Soil 2000 PSF Soil 3000 PSF Soil
16" x 16" 1055 -14 256 sq. in. 17801bs. ---- 35601b'. 5333 lbs.
7 18.5" x 18.5" 1055 -9 342 sq. in. 2375 lbs. 4730 Ibs. 7 r
r 20" s 20" 1055 -7 140
400 eq. in. 2750 lbs. .550' s
24" -' ?A" 5-13 105 82501b
v
576 'kl in. 4000 Het. 8000 lbs * 8000 lbs.
' Concrete blocks are required to be double blocked.
13. ALABAMA ONLY The 1fintle ID# 1055 -14, IP x 18.5" ID# 105543, x 22" ID# 1055- 1 6, 17.5" x 22.5" ID# 1055-21,
175" x255" JD# 1055 - 17 are the only pads approved in the state of Alabama, and mot not have more than 3/8" deflection.
Sec chart below for details on correct installation in Alabama.
14. TEXAS ONLY: 17.5"x22.5" ID;# 1055 -21 and 23.25"x3L25" ID# 105540 may not be installed in the State of Texas.
13. Steel Pion: AB pads are tested with steel piece on 1000 PSP soil density unless otherwise noted. (#16) Attach with four (04)
2" #12 X 1/2" hex tech *crews, use foul (04) 4 inch screws if pads are double snacked.
16. Available pads tested on 2000 PSF soil density are: ID#'a 1055 - 13, 1055- 9,1055 -7 and 1055 -13.
Exannolr: 16' x 80' section
PAD SIT_tl 1000 Lb Psf 201101.5 Psf
16 "x16 "Pad 2'9" 5'6"
■
16" x 18.5" Oral Pad 3' 0" 6' 0"
17" t 22" Oval Pad - 3'9" 7 ' 6 "
17.5" x zZ5" Oval Pad 4 0" `' 8' 0
17.3" x255" Oval Paul 4'5" A'0" is I
21" x 29" Oval Pad 6' 0" 8' 0" Re.ieian 10/04
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: L S1_ H ae—J 1C—
Date Received: } 1— 10— 0 9
Site: 3 31 Black b i aryl o
Permit Type: P --r -K rn 6 de_ ( p kacee^e tr 1
Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: 0
/ , 1
This comment shee all be kept with the permit and/or plans.
i n lA/? y �� K .S — Plans Examiner Date ontractor and/or Homeowner
(Required when comments are present)