HomeMy WebLinkAbout92-2205
BUILDING PERMIT
Property Owner:
Job Address:
Parcell.D, #
cAV~
0E;;RI~
fL-"4;o;~ ?r; ~l[:p;t..t/L
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 2205~
:1-I:l-Cf~
#~
0u,~
Date
PL~'
ME~L
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL .., - Zo. c}"2..-
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
C.O.
Valuation or . r1 0 ff
Contract Price /}. I 7 d" ·
City License Registration # ;2,,~?~
State Certified Lice e#
Inspector
P."m;t F~ /f 5"" ~
Slgnatu". <<--; ~ ~ - ~ ..L-
Company' r /
Address
Telephone#
ELECTRICAL
PL \lMBf1\fG"-
--
MECHAI\JlrAI
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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 tel the person owning
same.
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Florida
Power
CORPORATION
N~E
ADDRESS
CITY
-Q<SJ,.v J ~ II.. ~AmIISaL-
8:,7 () I 8174- STi
..z;afJy 14I1u:.s
~The pool proposed for construction at the above address DOES NOT
conflict with any underground or overhead facilities of Florida
power corporation, provided that the pool is installed in the
location shown on the attached site plan provided to us by the
pool contractor.
The pool proposed for construction at the above address DOES
conflict withl OVERHEAD UNDERGROUND
facilities of Florida Power Corporation.
Arrangements have been made with us for relocation of the
facilities 80 as to clear the pool area shown on the attached
site plan.
F~!~RATIif2/?Z-
Cost for relocation of electric facilities will be paid by:
OWNER
POOL CONTRACTOR
PRIOR to relocation of facilities and construction of pool.
38231 HIGHWAY 54 . ZEPHYRHILLS, FLORIDA 34248
A Florida progr." Company
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CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER
S7t? / eLL ~-r
//-A& -2/ ..:i:..r3~ lf~ s
I?jl~ S?
JOB LOCATION
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED S
& SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
?{ tiA c; t I
STREET
Y;'~ q
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
.p E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
APPLICATION FOR PERI-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
JOB LOCATION
)l11/-5"j'{C/L ;f5s'Efr?BL'( eM p~ ,yJi2vV'
/~f343 O-,AkY)ttJk-DR PHONE 97b--/~2-7
//{/IfL7~
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LEGAL DESCRIPTION: LOT (S) -::s J 4 I 6-
, .
1/ - Zw ~ 2 /
/1/~'1AjE
S-7t? I
LOT SIZE 76" x /-10 AREA
BLOCK S7 SUBDIVISION
SQ. FT.
APPLICANT
ADDRESS
OWNER
PARCEL I. D. jf
WORK PROPOSED: ~New Construction
_Addition
_Alteration
_Repair
_Install
_Sign/Temp.
PROPOSED USE: v'Single Family
_Sign
_Move
_Demolish
_M/F
_If of Uni ts
,_M/H
_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 FORI1S. ,,,',
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOID-IS. H
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~UILDING
/,",......-ELECTRI CAL
JJ
_MECHANICAL
$
/778,97
Valuation of Total Construction
AMP Service
Florida Power Corp.
_\-l.R.E.C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
J?J. ilL >4 /, JONTRACTOR SECTION
// /1 :$ ~ ~/5-16'- ( L t'??=, Company
~ )c: "'2 . / State Cert. or Regist. If
____ -~ P4-r- City License Regi~tration IF
**~**************************************
C I~G C' 5" 25_';$ -s;-
...<. !:>-
BUILDER
F.T ECTRICIAN () \J\.JY"-Q..r'\..--" Company
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Signature
Company
State Cert. or Regist. #
City License Registration #
**********************ft*******************
PLl:MBER
Company
State Cert. or Regist. #
City License Registration ;~
******************************************
MECHANICAl
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
*
******************************
PERMIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which .ay be lore restrictive than Citv
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 .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 lay be
cite~ for a lisdeleanor violati~n 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 Depart.ent, (B13l
788-6611.
Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!sl 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 2ephyrhilIs.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2,
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 promise in good faith to deliver it to the
"owner" prior to COllencelent.
, E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
I a~plicable laws regulating construction, zoning, and land developlent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no worK or
installation has coalenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies aay 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 but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water l1anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f De artaent of Health ~ Rehabilitative Services Environaental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f Environlental Protection AQency - Asbestos abate.ent
I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
addressing a "colpensating volule" Nill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit 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 ~rait prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becole invalid
unless the work authorized by such per.it is coaaenced within six aonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tiae the work is cosienced. One 90 day extension of tiie, lay be
alloNed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEI1ENTS TO \OUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHENCEHENT".
SIGNATURE: OWNER OR AGENT
E: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befcl}-e me this
was acknowledged
19_ by
STATE OF FLORIDA ,'\ A C' /\ 0
COUNTY OF ~rT~ _
. The foregoing instrument was acknowledged
befol-e me th i s /2 il-f JJARtlt 19 qz. bv
, -'
who is personally known to me or who has
prc1duced
as identification and who did/did not
take an oath.
WA YAlE k. f)J A-[TOJJ
who is personally known to me Dr who has
produced PL DR w4:3Soset j LP4 4D7-0 ( t= q,)
as identification and who did/did not
take n ~h~ ~_
(Sign- 'U}JAJ I
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
NOTARY PUBLIC, STATE OF FLORIDA
My commission expires Jan. 28, 1995
Bonded thru Patterson. Becht Agency
(SignatLll-e)
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC