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HomeMy WebLinkAbout92-2087 - ~.~ r _..~_~....-' BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit )f~ 2087 / - OJ... 9-7~ B. I I Date ca;;;LD:V ElEc~L p~ P,"perty Owne, b 1J1~ Job Address:L ?~ b.- Parcell.D, # d.s- - ~-B-I - a O~1--A-- MEC~CAL Sewer Conn Water Conn: Zoning: Description of Work Water Meter: T,I.I=.'5: - NO OCCUPANCY BEFORE C.O. FINAL ~, C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# 77 . Permit Fee Sig7ature Company Address Telephone# Inspector Valuation or Contract Price rQ /) I> [) .. oi) j ELECT~L ---........ SLB Tub Set Water Sewer Final P~NG "'-... Mrc.~NICAL ~ Tp. Serv. Rough In Meter Can Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL Canst. Pole Pool Pre-Meter Final Driveway 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. APPLICATION FOR PERl'lIT CITY OF ZEPHYRHILLS BUILDING DEPARniENT JOB LOCATION 70 t, ;1 rJt..1J 13 I T7) .., 3 <3'~ q ~ LA-M :~ IbIl/ 1hi';Z' '5' 11-7't r S',1T1t, PHONE "7!5;;L- 9~11 APPLICANT ADDRESS OWNER LOT SIZE~'{/(/!) AREA SQ. FT. V SUBDIVISION It-LPtHf /;LLfit.)E, LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 1. D. i~ 3';- ,).-5 21 fl3 sA- dVa~o 1~0? WORK PROPOSED:____New Construction ~ddition ____Alteration ____Repair ____Install ____sign/Temp. _Sign _~love ____Demolish PROPOSED USE: ~ngle Family _M/F ____i~ of Units ,_____tilH _Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COM1'lERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** **COPY OF CONTRACT REQUIRED. PERMTTS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. *********~******************************** Signature ~ .. co~rRACTOR SECTION d ~1("'(!If~fcompanY . State Cert. or Regist. 0 . .' e 4 , ' ' City License Regi~tration ii ****************************************** BUILDER 77 Si!?nature Company State Cert. or Regist. n City License Registration 0 ****************************************** El.ECTRTCTAN Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration i" ****************************************** MECHANICAl. Signature Company State Cert. or Regist. 0 City License Registration 0 QTHER APPLICATION APPROVED ~**********~************************ BY _ _ 4.....(.% ' /ZA.....I) A} , ' PERHIT OFFICER. CONDITIONS OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understands that this perllt lay be subject io "deed restrlcti~ns" whirh ~ay be ~~re restr.irtive than City regulations. The undersigned assules responslbll1tf;for, COlpliance with any applirable deed restrictions. 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the ONner has hired a c~ntractor,or contractors to undertake work, 'they lay be required t~ be lirensed in arcordance with state and local regulations. If the contractor 1s not licensed as required by law, both the ~"ner and r~ntractor nay be cited for a .isdemeanor violation under state law., If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-66 II. 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 sign as the contrartor, you are indicating that you, rather than the contractor, are responsible for the work. If the cc,ntractor wishes you to sign as contractor that lay be an indication that he is not properly licensed ~nd is not entitled to per~itting 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 Cc'nstruction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agricu1ture and Consuler Affairs. If the applicant is so~eDne other than the "owner", I certify that I have obtained l c~py of the above described document and promise in good faith to deliver it to th~ 'oMner' prior to cOI~encement. :1.,,'7 ' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be dene in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a perlit to'do work and install~tion as indicated. I certify that no Mork or installation has cOllenced prior to issuance of a perlit and that all work will be performed to roeet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is "Y responsilJility tel identify what actions I lust take to be in compliance. Such agencies include bllt ~'e Iie,t liaited to: .0- f Deparhe~,t elf Envir~nllenial ReQul;tion - Cypress Bayheads, lI~tland Areas and EnvirclnITientally Sensi \j,'e L3nds, Hater/Wastewater Treatment I Southwest Florida lIater'ManaQe~ent District - Wells; Cypress Bayheads, Hetland ~reas, Altering Watercourses f Ar., Corps ~f EnQineers - Seawalls, DOCKS, Navigable Haterways f Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Uells, HasteHater Tre"t~en~. Septic Tanks f US Environaental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in He,od ZClne "A" elr "A,etc.' f it is undHstc,od tho! a drainage plan addre,ssing a 'coJ!lpensating volullie" will be sublitted which is prepared by a prc,fessic,nal engineer registeied in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a licenSE! to proceed with the work and not as authority to violjte, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frolli thereafter requiring a cCorrection e.f errors in plans; constructic,n, e'r violations of any code. Every perill! t iSSIII!d "hall becc,le inval id unless the llclrk authelrized by such permit is ce'luleneed within six months c,f issuance, clr if 1iC'I~ authc<I ILed bi the perlit is suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e:le~5joll of tile, say be allowed for the per~it with fee charge of ~15.00. The extension shall be requested in "riting to the Building Official. An approved inspectie,n r.oust be logged during each six month peri(\d, or the prc,ject Iii II be cc.nsidered db';l,Gc.ned. 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. JOGS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ m,lNER OR AGENT TRACTOR DATE_______L_,~~L-~, ---------------- NOTARY AS nt"'\:'1:i!t::~W CONTRACTOR_~_'t:..-----0r--------------- MY COMMISSION Ex~~~~~J~~~-~~FL- - My Commission Expires May 11 m5" DATE --------------------------------.------- NOTARY AS TO OWNER OR AGENT_____________~_____________~_ MY COMMISSION EXPIRES______________________- S IT E PLAN PERMIT # If" (RESIDENTIAL USE ONLY :3 5';25 ,;2f 6Q 5 It 0::>00 () /55ZJ . LEGAL DESCRIPTION: SECTION TOWNSHIP SUBDIVISION OR OTHER LOCATION DESCRIPTION: ,1:C; ';~~:,j:,., '~ ~ro r 0 RANGE C~cd€AI REAR ( FT. ) / ,}> 7"8 / '-Ist7fC-t.. 9-{ 7 ,.fW .v/~ .-'~- EY677~ 5' u1-tS --: 7Y /4/5"77fC.G. t: 1~'f16 c ? s~dc--nJft. ~if ~ fa)C /-> Sue€W ~1 <.n .-. o /T1 ,....... ?o '0 Idb ....... 1LI a ...... V) ." -i Qr~ ./.... FRONT ( "7' FT. ) Show all existing and proposed structures giving dimensions and setbacks. Also, indicate any a~jacent bodies of water and roadways adjacent to the property. Indicate size of mobile homes such as: 12' x 60', 24' X 36'. EXAMPLES , {-".:' " , :~~ ~J ;, SITE PLAN PERMIT # . ;"."" " ;.. (RESIDENTIAL USE ONLY :35' ;2.c; ,;2/ c13 5 It ce>o 0 () /SSCJ LEGAL DESCRIPTION: SECTION TOWNSHIP SUBDIVI$ION OR OTHER LOCATION DESCRIPTION: . "~;:::J- \, ':::5 ~ (L 0 c. ~ L RANGE C~6€1I/ REAR ( FT. ) / ,/':> 7Y /^-I~ 9-{.? ~A/(~ ' ~ ,~_____ EY/S-77~ -- -- 5LA-;6 ..\ --:- 7Y / /1./5'17'1(.(.- ~ ~--- lJ... i 3 'f-16 ' c=:'- '::;-)(;,.1/ c.. TV ft. ~ If L t :)~ It:;' S (:^'€EN' ,~. WtJ1 VI ...... o rrr ..-.. ":"<~ "J~"; "4-'';:''+-- .., -,- l',,", ~.~ ':0,.' '~./~ .~~~' ... ~., . -"-'~'.'i" .....0-...... ?~,) "')0 IdlJ lJ..J a ...... VI 21 .~~.~... .J.' ,-p< FRONT '?' FT. ) Show all existing and proposed structures giving dimensions and setbacks. Also, indicate any a~jacent bodies of water and roadways adjacent to the property. Indicate size of mobile homes such as: 12' x 60', 24' X 36'. EXAMPLES ~ lI)l ~ \J~~ ~, ~ l~ ~~~ ') v"-\) ~:-.. " ~~' ~ ~ ' ~ ~~ \l \l \j\ 'l - - _._____._w, -, ..--- --_.-......-. ~~ ~~ ~~ ~ ~~ - -~\. ,~ ~~ ')l.. \..~ ~ \) . ~ ".. '~ ~ ~, K \J ~ ~~ ~ ~ ~~ ~ ~ ~ '\ ~ '" *~ ~~~ ~~ ~ ~ ~'i'-.:., ~~~ \j '^ \) ~; \1\ () r- ~~N . ~'o) ~~.c ... If\ ~i~ l~ ~~ ..J/~" ~'lo! Q ~ -..l " ~ ~ ~ ~t ;;, ~ ~ . t'\ g~ ~ ") ~ \oJ '\) ... ~ , f " \ . -~ '~~ . ~---- ~~ ~~ ~ ~~ ')l., ~ ,~~ ~~ ~~ ~ \J . - "'-\i\ '- ~ ~ ~~ ~~ ~ 11\1.. ~~ \J~ . ~'- ~~~ ~ ~.,~~ , ~N ~ ~ vi ~. ~ " i .{~ ~~" ' ~ .Q ... lit ~ ~ \,}:\) ~ ~~, ~. ~ ~ \~ ~~ ~~ ....~ ~'t h. ... ... \,) ~'ll! ~~~t\ \) ~~ Q " " ...~~ t'\~ ~ \J\ ~~ ~ ... "" c{\ '\) ... /I ~ j., ,< ~ ~ ~ U g . ~ \ , -~ ..... ~~ ...... ".... --. - -- - - -, " ...... ...... """ ~ lof. '.J~ '\..Li-i.~J~I~,Gloton "'K~ 01471 roOr~PHO~lIOLLfREf 1-+,OOnS6380 ~~. ~ " / " .::0 ., ~rnpn1inl \- -\ '" G\ C ~ .~\NJsI"'v. SUN STATE ALUMINUM, INC. \C2Z1 37528 Hwy. 54 West 1.trnnc"V ZEPHYRHILLS, FLORIDA 33541 (813) 788.7308 3 ~ - L';, - "'2.1-' 06 S~ -, C-::(~b - ) S-S-o ~ ~L-~L Page No, of Pages " '" STREET PHONE M'~~V~ ~~~r PROPOSAL SUBMITTED TO JOB NAME -~ c,~ "-0 CITY, STATE AND ZIP CODE -?_-~\~S , ARCHlTrCT , V L ~ II II II i I ! We hereby subm,t spec,f,eat,ons and eslimates for: I , \h,-'~ \ I ".,..., l ,..."~,...;,......,:,,., wU\J..~,~, . ~ . ./ \ ') \~/cl\p \ Y- ~ ~~T\~JJ] \ r~ S\C) ~ \...,..... -,-~- \, ,- c, "-. ,.. ~ " .........;. .....--' C A~"C,~ ':2 ~,~ :\.~ ............)-..,.>., A 17-'f \S ~c.~ 0-3~ ~ ~cf\s..\.i.'\<.:J -ro -e:, <6 I ~ sT\:)l..-l.~ -W ~.\ \\"'0. 4 \) ~~ ~_~ I! I I I L_ l .",_m~ Jroposl' hereby to furnish material and labor - complete in accordance with above specifications. fort~:!lum~ of: I~ ,,_\J: r.. J' r-,> \ \l~ (\ 't~-c.; ~ ~ .'-- - ' ' dollars ($ ~~ . ~ ), , Payment to be made as follows ~ if- ,.. - ~ ------. -:.. ::::_..')~,~~...'::::-..__s..~~,~,."o. ~~> II ""', !~-- AI' mate,lal Is gua,anteed to be a~ :P~'C.~':"AII work to be completed In a workmanlike ii manner according to standard practIces. Any alteration or devIation from above speciflca- :1 tlOns Involving extra costs wdl be executed only upon written orders. and will become an Ilextra charge over and above the estImate. All agreements, contingent u,pon strikes,. accidents I or delays beyond our control. Owner to carry fIre, tornado and other rlecessary insUrance. ~ Our workers are fully covered by Workmen's Compensation Insurance rAttrptuutr nf Jrnpn.aul- The above prices, specifications I and conditions are satisfactory and are hereby accepted, You are authorized Slgnatur to do the work as specified, Payment will be made as outlined above, "1L ~G{ j (J ~~ ~i\~ ) ~ f! ~f' ~ ) , '~:.~~>:c, ~U;Z[~~~d~/ ,-_ .::;~?-;c,::~ .. ( -~-'4'iIoi~:ThiS proposal may be withdrawn by us if not accepted within days. L ~""'..,...'.,".'. . . "." . ,