HomeMy WebLinkAbout92-2083
BUILDING PERMIT
Permit
2083/3
/ - ,.1 K'--7~
CITY OF ZEPHYRHILLS
(813) 788-6611
No
, .
Date
C:~ 'EL~ P~ ME~AL
P,"perty own:~t~ W- ~A J ~
Job Address: '-- ~
Parcell.D, # /0 - ~" - tJ-/ - / - / a. 6 -:.....i'
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O. -
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
/' ~O?;(f,
Permit Fee ~ 7}'o~ ' +
Signature ~ /' ~tP JJ',-
Company
Address
Telephone#
--
Valuation or
Contract Price ~ :7 ~O. trD
City License Registration # ~
State Certified License#
ELEC
Ftr. Tp. Servo
Pre SLB Rough In
Lintel Meter Can
FRM. ~-/~ ~ I:jd.- Const. Pole
Insul. CL Pool
, WL Pre-Meter
~~ 1-3i.qz...~Final
Driveway f .... '2. q... q1- 6!/I
Breakers
Ducts Insl.
Compressor
Final
....~
SLB
Tub Set
Water
Sewer
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
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I PLANS REVIEWED
DATE:1 I--'ll ~<il-
BUILO\~~Gi DEPT. APPROVED w-116v--vr
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OATC{
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~ M,q-l\> CO"Y:';:>+Q.lK.~00) ~e......
ADDRESS ~'31~S $12- 54- Wes+- 2-h~\ts PHONE-\62--0ELl-5'
OWNER ~ (2, N es -t- '\:) ~ LA -e rL
JOB LOCATION S"\C\'d-&-- - ~ -\h f\.u e. LOT SIZE'S8.L~3'JCtAREA SQ.FT.
LEGAL DESCRIPTION: Lor(s)
BLOCK
SUBDIVISION
PARCEL I.D.#
WORK PROPOSED:_New Construction ~Addition ----Alteration _Repair _Install
~ign/Temp.
PROPOSED USE: ~Single Family
_Sign
_Move
_Demolish
_M/F
_~~ of Uni ts
_M/H
_Commercial
_Indust.
_Swim. Pool
Other
~estaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
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.**
**COPY OF CONTRACT REQUIRED.
PF.RMITS REOlffiSTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
~ECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVA1IONS: FT.
******************************************
'I':) C \ \ CONTRACTOR SECTION
BUILDER ~'1fV\.b..") ()tJ>--\eV\C'""\'IC~ Company 'R M .v CO(\) .iQI.A-C\-~Q~
~^ ~ State Cert. or Regist. II CJsc -03-
Signatu Tl.Jv"o.. City License Registration # -di
******************************************
':!: vV c.... ....
Silffiature
Company
State Cert. or Regist. #
City License Registration #
******************************************
F.T.F.CTRTCT AN
Company
State Cert. or Regist. #
City License Registration 4~
******************************************
PLUMBF.R
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
*************~*************************
/160- ~r
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to .deed restrictions. which .ay be .ore restrictive than City
regulations. The undersigned assutes 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 .ay 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 .ay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IB13}
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} sign portions of the
.Contractor Sections. of this application for which they will be responsible. If you, as the owner sign 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 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 UTILITY CONNECTION FEES
D. CONSTRUCTION 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 - HOleowner's Protection
Guide. prepared by the Florida Departtent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
.owner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
.owner. prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all wort will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cottenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlental agencies .ay apply to the intended work, and that it is
.y responsibility to identify what actions I lUst take to be in co.pliance. Such agencies include but are not lilited to:
f Depart.ent of EnviroDlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environ.ental Protection Aqency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone .A. or .A,etc.., it is understood that a drainage plan
addressing a .co.pensating volute. will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A pertit 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 per.it prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becote invalid
unless the work authorized by such per.it is cottenced within six tonths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six .onths after the ti.e the work is cottenced. One 90 day extension of ti.e, .ay be
allowed for the per.it ilith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection DUS~ be logged during each six tonth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A MOTICE OF COKKENCEftENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEN0 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CDK"ENCE~NT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEKENT..
~ ___ ~J? ~
~~ - SIGIIATllRE, . CIlll~G-
STATE OF FLORIDA ~
COUNTY OF nSf!AJ
The foregoing in~.;trument was 9~nOWledged
before me this ~019 by
f~~ _I
who is personally known to me or who has
produced
as id t who
tak
was ac:~nowledged
, 19 ,2- by
STATE OF FLORIDA
and who did/did not
'J,
(Name Typed, Pri'-Ited
NOTARY PUBLI C
(Name Typed, Printed 0
NOTARY PUBLI C
Proposal Contract
~
Ryman Construction Incorporated
37325 S.R. 54 W.
ZephyrhUls, Florida 33541
(813) 782-0825 · CBC # 035134
TO:
DATE: 1-24-92
Earl Dauer
8th Street
zephyrhills, FI
I hereby submit specifications and estinates for:
1) Forming and pouring of 20 x 50 ' concrete driveway. Driveway
to have a mono-lithic footer on west end only. All concrete to be 4"
in thickness. Forming and pouring one 8'x20' raised slab. Slab to be
4" below existing front door. Porch to be constructed of a footer to
code and layed up with 8"x8"x16" concrete block and filled with fill dirt.
Any painting by owner. Includes all materials and labor,
Total Bid 3120.00
2) Completion of front porch as follows:
Framing of gable to extend out on the newly constructed porch.
Porch roof to be consistent with existing structer. Porch to be constructed
of trusses,covered with plywood,15Ib. felt, and shingles to match.
All soffits and gables to match existing construction and be cover with
aluminum to match. Under side of porch to be covered with aluminum
solid soffitt. Two 6" round aluminum posts on front porch corner.
Does not include and electrical or painting of any kind. Owner to provide
for electrical and painting items. Includes all materials and labor
Total bid $1600.00
I Propose hereby to furnish material and labor - oomplete in accordance with above specifications, for the sum of:
doUars ($
Payment to be made u foIIowa
50%upon slab pour and footer inspection, remainder upon com9letion
All material is guaranteed to be as specified. All work to be comple!ed
in a workmantike manner acoording to standard practices. Any altera-
tion or deviation from above specifications involving extra oosts will be
executed only upon written orders, and will become an extra char(le
over and above the estimate.
c..--
Note: This pr sal may be
withdrawn b~S if not accepted
within 4, days.
Acceptance of Proposal - The above prices. specifications and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as specified, Pay-
ment will be made as outtined above,
Signature
Date of acceptance
Signature
JOB LOCATION
CITY OF ZEPHYRHILLS BUILDING
~ Qj\)<:~ ~ l)-A-lA2-. -
3.,q~~ '(,~o..UC
DEPJ\RTHENT
OWNER
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
HATION.
STREET,
FRONT PRO ERTY LINE
\S9,Z2
(., '"',r. A v ~
(NOTE EXAMPLES 1 & 2)
1. SETBACKS FOR R1, R2 ZONING
60'-
2. SETBACKS FOR R3 ZONING
60 ,_
10'
P E-
R X
0 I
I 10' P S 10'
0 T
S I
E N
D G
20'
1 0'
la'
10' EXISTING la'
PROPOSED
20'SGL FAH 30'DUPLEX
1 A.
FRONT PROPERTY LINE
FRONT PROPERTY LINE