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Home My WebLink About92-2102 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit -.IO .1:."' . 210~ Date :l -3 -7:;L ~ E~ P~ ME~L Pmp,rty Own" xt~~ 2J~~ Job Address: 3l?-7 71 _ _ _ ~~ Parcell.D. # :J.. - ;1 (, - ~/ - / D .. 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: _E~~:: c:je: Radon Gas: -g ~ D",,,;pt;on of Wo,k r;. ~, ~ - 0.4 --t.^ cP-"t _44.t-?>-r>-, ." f. ~ - ~ - - - l/ FINAL3. NO OCCUPANCY BEFORE C,O. Complete Plans, Specifications and Fee Must Accompany Application. C,O, All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee Signature Company Address Telephone# L/kJ. cV / t/ / ~:;~ ~.db;;' 7 ~-- Valuation or Contract Price V cJ7) . crv City License Registration # 7 a!./hAM 9 jJf~ State Certified License# ~.J/7J,~ caulLDING ~ E~ --...... PLUMBI~ ME~ICAL ---- Ftr. L -11-12 Pre SLB Lintel FRM, Insul. CL WL ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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, LEGAL DESCRIPTION: LOT(S) APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT l!W#L~ a/L'O~ , S 1>'/ j' 0 S ~ fA ~ . PHONE/ J-,y. .? 0 y-V t<Jh -efh.."'h- ~ 7'ir3-:J)IO 3 $- "/ '/ / LOT SIZE_X AREA SQ.FT. ~ .Lv SUBDIVISION UI'tC/~Q ~;O~, BLOCK APPLICANT ADDRESS OWNER JOB LOCATION PARCEL 1. D. 4F WORK PROPOSED:~New Construction ----Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish , ~/H PROPOSED USE: ____Single Family ____M/F ____t~ of Units ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & 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.*i: **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED ~BUILDING $ '(~- d?J. trt> Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E,C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMB I N'G 0'" GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature" / , J'v' CONTRACTOR SECTION Company //7 I J ,1'.///1"4 State Cert. or Regist..4F U.(IAJ-V'7 {:p~ ~itY License Registration II ******* '**** *************************** BUILDER SiQ:nature Company State Cert. or Regist. 4F City License Registration 4F ****************************************** ELECTRICIAN Company State Cert. or Regist. 4F City License Registration 4F ****************************************** PLUMBER Signature Company State Cert. or Regist. 4F City License Registration # ****************************************** MECHANICAL Signature Company State Cert, or Regist. 4F City License Registration # OTHER Signature APPLICATION APPROVED BY ~*********~************************** .a Aid JA.A'^..u-- " PEPu'1IT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions. which lay be lore restrictive than City regulations. The undersigned assules 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 lay 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 lay be cited for a lisdeleanor 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-b611, 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 Departlent of Agriculture and Consuler 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 cOI.encelent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to aeet 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include bllt ~ie not lilited to: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treataent f Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood th~t a drainage plan addressing a "colpensating volute" will be sublitted 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued 3hall becole invalid unless the work authorized by such perlit is co..enced within six tonths of issuance, or if work authorIzed by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced, One 90 day e~tensioll of tile, lay 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 aballdoned, 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMUEMENT". SIGNATURE &~~_.___~____ SIGNATURE__ _ ~C'A _~ ~-~ER OR AGENT CONTRACTOR Y.:PL~------ DATE_~_~_~/"_}~Cj~____________ NOTARY AS TO C\ - '. (\ l \ \.nrn orJ OWNER OR AGENT~_\iL~_______ MY COMMISSION EX~~1EAi~ PUBLIC STAl}: CF_El.:.9BllUL____ Nt. t'tl'<lIlrrSSTONTI!'", rtli, 21, 1995 BONDED THRU GENERAL INS. UNO. N!;'~Q T.C="te ot. Florida t,t U:.rgP 6{aT'ff't10l1~~----,_.- '-'~-'\7-mtt"--- lp,~V c.O((l\'llission FiPlft:S Ji;1.n113ry '-<I ~'RS<r"llrl'lIIII!lII '-~~~~__~~~I'__.-~.~_L. I_~_~." ",,",",110 j~ _... "...'"~",._I.,____'.. ",'"" __... ], J..;,l ~,_......",... ..' """"'='..'!'!";If"' ....c:""l!'""!.. , ",~.;., '~',"',"",''''r;'', ,"I'Jl':'.....,.;.,.=. c.ONTRACT H. W. ALUMINUM, .~, Since 1973 832 602 South Avenue Zephyrhills, Florida 34248 (813) 788-3044 !"" .-~.; } } . i , I"~ 'f ~ Phone f / / Date / ,- ,:;.7 ' I (, -' Estimated Installation Date ",.J. ~ (::.:.... ... /.' I ./ ,~, Park ,/ f {.. t .. i 'County -' Street (, t.,' h 7 / Sold To ~ City Zip Lot Block Unit_______ Section Township Rangll Extrusions OBronze . 'OAnodized . ; ).." '",,, f /' ....~.- . 1,. !' I.... X I '""\ , lL ,'i... ~ . ,.,,\f\ ,-'r- Pan t " '...l E!)white Color , ~ '.Il(~ Haised Deck Kickplate ef6" White Ivory Bronze Screenroom ~ ( 1\ Il <~"~ <'. ? ... _~~:;." ,.4- Wraparound Insulated Double Roof /3:' 'X .:" , , I' >, ."~ '.', .............~ r " ";','-t- (I.. I, l:. ._J Pan System ,.'~.'i~"" . Trailer , p~_ I" ,I Concrete / c~ , ~ r ~ju(,.,. )~ t---. .I .~'.~ ;... .....,6/. "',,' " . \' ,;,,1 ).~ ~... , -'"7 Jf'-" ...-1\ /~ .) - i>"'L.-J I' ~;., ,I Siding Vynl Alum Bug Shield LIF Color Color Clean Tinted Extrusions OBronze OAnodized o White "c" Skirt Block Skirt _4-Track _______Glass _______Sizes Window Awn Custom Glassroom x x - . f j I X I }, t; , Shed ;.. ; l . w >!I>,A 111 I j I ./ {' ,,' " '. ,I Awn. Horz, S. H, i '.' .. \ ' /; J 1"1"' ..... ,'/'.--tflJ.. {..{ ~ .....~, j , / ~"~ ^, - ...,.. '\ " ; I ~ ;' Bl..~t.l,- ~.J.: J f- . !. '1.' ..,i ,. Ii t Doors Gutter Color ..,", l ')-''i(.{ I{ 1, " , ~ I r (. (. ,.' ... s(dfj Plumbing Work ,~ ^ . I ;' j -:, -f'~.J, \. /'.. (~1l' I St.ps Handrail '\" ,i , '" ':'" Factory Price"."." Sales Tax ____X.,.,., Permit,.,.,...."., .. Total Price.,.,.."" Deposit,."",. .,.", 't.~~/ <~ () :'1 (i.;~" _ .:::i /., ( ~ (v( ,( ;:.... ,,: I' I. A._ '"': / . - /1 (') ("'- $- "....-..~.....} !~" - ....."( .r".' _...-"'"'..~,.' " itr:!. .~.. ".. :.",:, <(' , \' "', f\':' 1 \,. ! \ ,C.(~ .', '-.- f .i " '\' ~ Due on Completion,.., $_ ..;; , ';2; f' '. Approved By . '- , 11/' "oj Authorized Signature /A.,./ . .. ',,' .' .. /\ / 'l.,' /.... -. ' , ."..- 'oN '. '~,f Paid Deposit _____1_____1_____ Ch. No._ NOTICE: Do not sign this home improvement contract in blank. You are entitled to a copy of the. contract at the time you sign, This proposal may be withdrawn by us if not accepted within thirty (30) days, We hereby propose to furnish labor and materials - complete in accordance with the above specification, for the s~~ of $ dollars, with payment to be made as follows: If paid within ______ days after completion, there will be no interest charge, otherwise a charge of 11% per month (annual int.re.t rate of 18X) will be added. All material i. guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practice., Any alteration or deviation from the above specifications, or price changes involving extra co.t, will be executed only upon written orders, and will become an extra charge over and above the estimate, All aar....nt. contingent upon .trikes, accidents or delays beyond our control and acceptance by home office, Owner to carry fire, tornado, and other necessary insurance, Our workers are fully covered by Workman's Compensation insurance, PAYHBNT TO BE MADB UPON COHPLBTION UNLESS OTHERWISE SPBCIFIED, IN THB BVBNT THAT AMOUNT HEREIN SHOWN IS NOT PAID WHBN DUB, ALL COSTS INCURRBD IN COLLBCTION SHALL BE PAID BY THB CUSTOHIR INCLUDING REASONABLE ATTORNEY'S FEE. . ,,-_... Licen.ed, Bonded and Insured, State Certificate I RX 0049667,'rinance Licensel HR 00441g2 Pasco CountYI 1269. 1270. H.rnando County I 0247604, Hillsborouah CountYI 7704,. Hardee County I 74 l SITE PLAN (RESIDENTIAL USE ONLY) PARCEL I,D, SEe T'W l' RNG SUllO llLOCK LOT ['ROI'EHTY MEASUREMENT CUluu-xr OWNEHS All drawings shall be drawn to scale for all parcels or lots five acres or less. DATE ...~.. --,--------,...._-,...._---~..._-~ (00 I ~r Ie? 10 ,. 10 ( lr"l-t. J 5 _)1, 1;1.. - ~ ( { ~d-- lj f Sf- '10 \6\ UJ U rt" ..pI/' LCJ.f.. c.... .7 (L- () 1\. I If! r \ /0 -;0 / 95-/ -. 3""'- I I ) L i I \ , \ SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DI.H.ENSIONS AND SETBACKS, ALSO, INDICATE M'Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY, INDICATE THE SIZE, YEP~. ft~D N~~E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD, All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE HOUSE CONSTRUCTION ItALl: 1-."" PROPOSED ADDITION 'CALC: ,.. ao' MOBILE HOME SE TUP .c.....[: ,-. 10' roar 160 fl,J ~ . ! ICl' 20' I 10' '2.CI' odd. - - 0 0 Q E.I.,I"G 7.Cl' 2 - . HouI. . ~ ~ ;; .. :10' P/L ROAD NAME ClO' 40' .. ~ .. [ 2Cl' .., :I .. z o .. o It. - ~ - o '" .., u..II"G S"oll o '" .., 7.'Y Hc"u,. 7,Cl' ~ . " . :10' ClO' ROAD NAME ROAD NAME s i lep};}l\: ,p