HomeMy WebLinkAbout92-2166
BUILDING PERMIT
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P<ope~y Owne'_ f)~lll:!~
Job Address: ~ 7-.5 .
Parcell.D. # / () - .;Lb - d: - / () A
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
2166E
Date ;2 -::ltf- - 7 ~
MEC~.
Sewer Conn
Water Conn:
~fl-~A.O)
Water Meter:
T,I.F.'s:
Zoning: ,} Energy Code:
Description of Work ~o (/I ~.I>-YI
/14" /ad:;:;~
/
NO OCCUPANCY BEFORE C.O.
FINAL 9-'
2.,
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or P', ~.. .....-,-..._\
Contract Price ~v (/ C/ ~
Inspector
Permit Fee Q 9 /. i 0
Signature ,g ~ ~
Company
Address
Telephone#
City License Registration # 3 (;L0
State Certified License#
fJt/-M. J;~ ~ ~L ~
C B~LDING ~
Ftr. i~" l,L-
Pre SLB ; ~
Lintel
ELE~
---
~NG
-------
~ICAL
~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre.Meter
Final
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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 ($1 5.00) 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.
OWNER /Jo/IJA/d
JOB LOCATION Tree.
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
'pp To (' MAN
J...~tVe l) ,'II~y~
PARCEL I. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS .5-;' - .s
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION. FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2 ) STREET {JA Y If?,v
1. SETBACKS FOR R1, R2 ZONING
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2. SETBACKS FOR R3 ZONING
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349099
.AN LOWI! CONSTRUCTION INC.
38344 THEEL AYE.
ZEPHYAHfLLS. FL 33540
('13) 711.7107
:~d'~';2.~~- ~ P:Z;c:=-oC-.~~ DATE
CUSTOMER'S
ORDER NO.
City .? x:~ ~~ Stote 7/~ - SHIP
VIA
Sh,,,,-To oAJ - ~ 6::>
SALESMAN
CASH I CHARGE I C. o. 0, I PAID OUT I RETURNED MDSE. r RECEIVED ON ACCOUNT
QUANTITY ./""\ DESCRIPTION PRICE AMOUNT
~V~ /0 Xl./O ~~ .- ..:;;;i!..;.
/~ ~~,e? /?--- - j~-~
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- /l
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"ll j. ~ . ~;Q - .nii..:rCIilZ.;: lr"~fl
SIGNATURE fJ ~ Claims and R~ed Goods MYJ!)Be Accomp~y~ Bill ~~r/,.,.(
__.L/ ~ ...9~ ~"
-
./
APPLICATION FOR PERN'IT
CITY OF ZEPHYRlIILLS
BUILDING DEPARTt-1ENT
APPLICANT PO /J/ A / d fetr:e ;., /vl 14,.J
ADDRESS .5?S / t:7 /9 Tz>,J $ r; r;.~e J~A/P vii fry" PHONE
OWNER /74/f/A I cI r'e Tr-:'r NI A,v t- "ue.
JOB LOCATION rre e Il1ttJe V,'llefof' LOT SIZE X
? ~r ~ siIJ '?
"
AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S)
PARCEL 1. D. ~~ (l,<-..
BLOCK
SUBDIVISION
,A~./~',LV'- ~ ~
PROPOSED: ~w Construction _Addition _Alteration
/ tJ .... c2 G - ~l/ - / () A-
WORK
_Repair
_Install
____Sign/Temp.
_Sign
'~/F
_~love
_Demolish
PROPOSED USE: ~ingle Family
_IF of Units
,.~/H
____Commercial
~Indust.
_Swim., Pool
Other
RESIDENTIAL:
COMMERCIAL :
_Restaurant & Health'Department Approval
~ "'- X "Yo ,1,.. --1'- --. y'C4A,. f?,rJ- Square Fee t, rftJ
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.**
**COPY OF CONTRACT REQUIRED.
~eight
/
ENERGY FORMS.**
BUILDING SIZE:
_BUILDING
sty ttf rf~
EERMTTS REQUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_NECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
~_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
nUTT,DERI7/9,J ~()w~ <!..nvsJ.
Signature ~ ~~
~ONTRACTOR SECTION _)
XtvC.. Company /JAM "owe- Ce~$r ;J:tvC
State Cert. or ReGist, il (!..8<!....ol'l ~:1..'i"
City License Registration iF J :t'
******************************************
Signature
Company
State Cert. or Regist. iF
City License Registration iF
******************************************
ET.ECTRTCTAN
Signature
Company
State Cert. or Regist. 0
City License Registration iF
******************************************
,PLUMBER
Signature
Company
State Cert. or Regist. 0
City License Registration 1
******************************************
MECHANICAl.
PTHER
Signature
Company
State Cert. or Regist, 0
City License Registration iF
APPLICATION APPROVED BY ~;:::~~~::'~:;*'**'*~*"""'*"*'
PEllinT OFFICER.
CONDITIONS;O~,PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The,undersigned understands that this per.it aay bl 5ub3ect io "deed restrictions" which ~ay b~ ~ore restr1ctive than City
reguhtions. The undersigned aS5Ules responsibilHf:for.,co1pliance with, any applicable d~~d restrictions.
. ' . "w".., , ' ' .
.. "
B. UNLICENSEDCbNTRACTORS'AND'CONTRACTOR RESPONSIBILITIES
If the OllnH has hired a contractor 'Or contracton to underhke'work,'they lay b~ r~quired t~ b~ licensed in accordance with
state and local regulations. If the contractor is not licensed as requ(red by taw, both th~ own~r and conttactor ~ay be
cited for a .isde.eanor violation under state law.; If the o"n~r or intended cont\actor are uncertain as to what licensing
,.'.i....... ,., .ppl, f., '" i....d.d .,.k, ..., ... .d.I..d 10 ,....,[ ". 'ii, .f Z.,.,,'III' ,.ildi., D.p.""", lBI'1
722-6611.
Furtherlore, 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 contractor,
,.. .,. i.di,.'i., ,.., "', ,...., "" t.. """"," .,. ...p...ibl. f,. '" ."" If ... "..",." .i.... ". " .i,.
as contractor that lay be an indication that he is not properly licensed and 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 ,..'if, ,..1 I, ... ."Ii,..., .... b... p...id.d .il' . "p, .f 'FI.,id.'. .,..1..,'1.. Li.. L.. - H.......,'. P,...,'I..
Guide' prepared by the Florida Depattlent of Agriculture and Consu.er Affairs, If the applicant is soteCne other than the
. ......, I '" Ii f, t'" I .... .bl.i "d . 'opy .f th. .b... d,,,, ib.d d".".1 oed ,m'" i. ."d f. iI' ., d.l i ". it ., ...
"owner' prior to cOlllencellent. .'
"'1 \ .:~. ': J. : : .
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
1 ,..'if, ...1 .11 'b. i.f,....i.. i. ,.1. .ppli,.'i.. i. ."."., .nd .... .11 "., .ill b' d.,. I. .,.pli.." .i.b .11
applicable laws regulating construction, loniri9' and land develop~ent.
. '
Application is hereby lIade to obtain a pertit to'do ~ork and install~tion as indicated. I certify that no work or
installation has commenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws
"g,I.'ing ""'",'i", Ci'y ..d.., ".ing .,g,I.li,.., .nl I..d 1...I.p"" ",.1.1".. '0 .., ,..i.di,'i... I .1,.
,...ify Ih.1 I ,.I"....d "" '" .,g,I.'i,n,.f .Ih" g.."."...1 .g,.,i" "j .p,ly'.. ,., i,',od,d "", ..d t'" i' i.
" ,"p...i bi! ii, t. 'I". i1y ...1 "lion. I ...1 "" ,. b, in ",pi im', ,,,. .,,,, I" "," .d. b" I '" "" Ii .iI.d ,,,
. J _~ . o.
. n"art".1 ,f E"i ..n","1 R,g.I'ti on _ Cyp"" 9.yh..I', ~,llanl A.'" ar,d E" i "..",. i1y S,,, it i" l,rod s,
Water/Wastewater Treatment
. Southwest Florida Water'ManaQellent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
. Army C~rps ~f Enqineers - Seawalls, Docks, Navigable Waterways
. De art.ent of Health ~ Rehabilitative Services Environmental Health Unit - Wells, Hastewater Treat~e~~. Septic Tanks
. US Environ~ental Protection Aqenc~ - Asbestos abatement
I also certify that, if fill aaterial is to,lJe used in He.od Ze,ne "A' or 'A,etc.', it is underste,e,d tll~t a drainage plan
.dd,...i., . .,.~,....,i.g .,1..,' .ill b. ..b.i'l.d ,'i,' i. p."...d b, . ,i.f...i.,.1 ,.gi.... ..,i.I.,.d " I'. ,..\. .f
Fl~rida prior to per~it issuance.
A p".i' i....d ...11 b. "...,.,d t. b' . li,'n" 10 p..,,'d .i" 'b' .,., ..d ,.. .. ...."i'y .. .i.I,'., ,.n.,1 .1.." ..
..1 ..id, .~ p.,.i.i... ,f '" ..,...,.1 ,.d.., n.. ...11 i....." .f . p...I. p...,ol .., ,."di'g ..n.i.1 I'.' ......1'"
,.,.i.ing . ,.".,'i,' of ".,.. in pl...; "n,t..,.I.., ,. .i.l.'i'., .f ..y "d., [..,. ,.,.il ,..." ,h.ll b.,... i...1id
..1,.. '" .." ..'h.,i"d by.". p".i' i. ",.,."d .il.i. ,i. ...t" ,f i..".o", ., il .." '''''N ",d by'" p".i' i.
...p"d.d " .bar,d",d I'" . pori.d .f .i> ...... .I\or .., Ii" ..' "or' i. ",,,,,,.d, .,." d.y ",,,,;i.., .1 li.., "y b.
.Il,..d I., 'h. p...i. .i" ,.. ""g' .r "1.00. T'. ...,..i.n ...11 b. ,'q...I,d i. ..i\'., ., I" ',ildio, Offi,i.l. A.
approved inspectie,n oust be le.gged during each si~ month period, Cor the prc,j\!ct Hill be ce,nsidered db,;\,de.r,ed.
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. J08S UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATUR~-~-~-- SIGNATURE__~-~-----------
OWNER OR AGENT CONTRACTOR
DATE__91AV"./2.,,;?-;----------~----------
NOTARY AS TO L. jJ"" ~"
OWNER OR AGENT ____r______1~-----.-
MY COMMISSION EXp~~~~fu~~m~2lli~~~--------
8y Commission bpires Apirl 2. 1992
80nded Thru 1roy Fain - Insuroflce 10<;.
DATE___~_~-~\5-~-~~--------------
~~~~~~C~~R~:--~--~~---
MY
COMMISSION EXPIRES
r ------------------
.. NefClr~ r,:.:~,:k, 51ot!! rJt tlorida
IljV (omm''<''.j '". .
., '..". ~''''''X' 'r' !'" 1 'II
lon~od Thrv Ira':'......, ';H .<. 99"
i rom - Jn~<Jrcrl'e Inc.