HomeMy WebLinkAbout92-2441
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 24418
6~rJ- If - 7' :L
Date
~
~E
Property Owner: .JJ1.
Job Add,..., 1C1~ -K~<-, ~ JL__
Parcel I. D, # - c::l b - ;;Lj - 3 ' -' D 66 c') ~ 6 .:L Y u
Z Ra~n Gas: 7, 9:1...
A _ J;- r--AL .,L
~
~
M~L
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: 2 Energy Code:
Description of Work - A ./~A1 A~
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NO OCCUPANCY BEFORE C.O.
FINAl2-
z.
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
P~rmit Fee ~
Signature ~ _ _ --
Company
Address
Telephone#
Valuation or
Contract Price ~ r2 /77} ~ d7J
City License Registration # / /:, 0
State Certified License#
a~ ~ () L~/),yJ
CBUI'~
ELE~L
~LB
~ING
-------
M~ICAL
~
Breakers
Ducts Insl.
Compressor
Final
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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 ($15.001 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.
APlIL1CA'l'lON FOR IIEIUIlT
CITY OF Zl!lIIlYlUlllJ.S
BUILDING OEI'AHT/'IENT
i\PPLlCANT
/}CE ItLt1fr>,
WIlRESS 31S't.fs plJJ..P) (}.ROtlc ,0/2_
OHNER J:)LL-EP /YIIL. E.s
Jon l.OCATIO~r~t/ ttJ36 ~//)CE WilY J)~.
PHONE
7P.;}-c2,"/~
,
1.0'1' SIZE6.Lx/lIt/ AREA SQ.l-'T.
79,<
U:G..'I. DESf-RIPTlON: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D ./1
-1'-.;11, -~/ -b1/st'j -~tP-LJ.;JIfL)
\WRK PROPOSED:_New Construction _Addition _Alteration _Repair V-;nstall
_Sign/Temp.
l'lWPOSEO USE; vS Ingle Family
_Sign
_Hove
_Demo 1 ish
_H/F
_IJ of Uni t5
_~I/II
_Commercial
_lndu6t.
_Swim. Pool
Olher
_Restaurant & Health Department Approval
IIlH \.In NG SIZE:
7 ~,
a
Squlll'e Feet I
9T~ ?'
,lie i gh I
IU:SIDENTlAL: ATTACH (2) Pl.OT PLANS & (2) SETS OF BUUDING 1'l.ANS & (1) SET ENERGY FORtiS."
coUm:KClAl.; ATTACIl ()) SETS OF UUIUllNG l'l..ANS & (l) Sl::T EtH::RGY l~OIUlS."
.~COPY OF CONTHACT REQUIRED,
ffRMITS REQUESTED
.,.-/
_UlJTLDTNG
$
/e2t>O,oo
Valuation of Totul Construction
_El.ECTRICAL
MIl' Service
Florida Power Corp.
__\l.R.E.C.
_MECIIANICAl.
$
Valuation of Hechanical Installation
_1'l.lI/'tBING
GAS
ROOFING
SPECIALTY
.
TYPE OF CONSTRUCTION; ____Block
____Frame ____Steel
ALUm,
Olher'
fINISl\ED fLOOR ELEVATIONS: FT.
, ,
..........................................
Slgnoture
I1cE rlLM/1'),
~--L.:--
CQNTRACT{lli 5EG.TliUi
Company /S1LE 8J,...L/M
Stare Cel"t. or Regist. /' ~c..o :?o/bP'O
City License Registl'ution /I /60
.......r.........*.*....~.........~....*...
.\ll! lLU f' R
~LI::GTRTCTAN
Siunal~re
Company
Slate Cerc. or Regist. a
City l.icense Registratlon U
...~............*................*'*......
Company
State Cert, 0' Regist. a
City License Registration I~
..........................................
fLmlllEH
~~knature
UI;:CllAtUCAI,
Company
Slale Ccrl. ur Reuibt. U
City License HeaistnLtioll U
............**..................~....~....
Signutul'e
S i gria ture
Company
Stale Cert. or Regist. a
City License Registration II
OIllER
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I'ER~llT OFfICEK.
APl'l.1CATlON APPROVED BY
~ .... MUJMT.
,;l> '!'4 ~ mille
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COi'm 1 T 1 Ul~';3 :,')F I'.
A. NOTICE OF DEED RESTRICTIONS
lhe undenigned undenhnds \hit thii penH uy be iubiee\ \0 'deed rnhle\lllr.s' which IiY bl! allrt- re~tnc\iYI! \l..1I ell
regulition~. Ihe undtriigned a~~Ull!i re.pon.iblllly for [lIlpliallce Nllh any ippllci~le d~ed Jt~IJlctlllni, I
B. lJNLICENSED CONTRACTORS AND CONTRACTOR RESPON~JPJLITIES
If thi 1I11ntr ha. hired i clIntractor Dr contri~tor, \. undertikl .ork~. thlY aiy bl rl~uirld \1I be 'icenied in iccoJdinCe Nilh
It.le and 10Cil regulitillni. ~f the eontrictor 1. no\ 11een.ed i. r~quir5d by liN, both the ONner ind cllntricl"r IiI be
cited for i al.duunllr vloli"~n under .lite lill. .,.!f thl."Nner lIr Intended untnctllr ire unClJliin u h IIb.t 1\Cl!haln~
requireaent. aay apply fllr the Intended lIor~, they irl idv,.ed tll [lIntiet thl City of Zephyrhilli Building Depirtleht, 1813)
188-bU I.
Furtherlore, If the IINner hii hired i cllntrictor Dr eontrictllr., hi i. idvi.ed tll hiYI the cllntr.ctllrlil .ign portillni IIf IIII!
'Conlrictor Section.' of thl. ipplicatlon fllr IIhlcb they 11111 be re,p"nilbt.. If YIlU, ii the 1Il1ner Ilgn .. Ih. cllll'ric~~r,
IIIU are indititlng thit YlIU, rather thin thl [lIntrittor, are re~plln.ib'e '(lr the 1I11rk. If the tllntriC\lIr lIi~htl YIIU tll ~1~1l
i' tllntrictllr that .ay be an inditatilln that he i. not prllperly liten.ed ind i. nllt entitled tll perlitting privileges in II.I!
City (If Zephyrhill..
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAP!ER '113, FLORIDA STATUTES, AS AMENDEO)
1 tertify thit I, the applitant, hive been provided lIith.. tOpy of 'florid.', ClIn.truttilln ~ien ~.II - ""leIlNner'l Prllltclillll
Guld,' prepired by tha Florida Departlent of Agritultur. and ConlUltr Affilrl, If thl applicant il I~e.~~t ~'~.r t~an ItM
'IINner., I c'rtlfy thit I hive IIbtiined I CIIPy of thl ibllve de.cribed dllcueenl and pr~III' In 9~od f~lth 10 dellyer II I~ II,~
'IINner' prlllr 10 tOllente.enl.
E. CONTRACTOR'S/OWNER'S AFFlPAVIT
I terlify that all lhe infllraatilln in this appllti\i~n i. accurate ind lhit all MlIrk Mill be dllne in [~eplia~ce Nllh .11
applicable liNS regulatln9 tlln~trutti~n, z~nin9, ind I~nd d~Yeloplent.
Application il hereby lade t~ IIbtiin a perllt to do Mork and Inllallitllln ai Indlc.led. I [,rlift Itlil n~ MlIrk IIr
installililln ha. tOI.enced pr~lIr to i..uance of . per.it and lhat all lI~rk IIltl bl perf~r.ed t~ .eet siind.rds IIf ~II I~~~
regulit,ng tonslru,tion, Cily c~~es, lllning r.gulatlonl. and land devll~plen' regul.ti~n~ in It.e juriidi,',"n. I .1111
cerlify Ihit:1 under.tind that Ihe regulilillns of .ther 9~vernlenti' igencie. ..t i~ply t~ th. intended MlIrk, and Itil it i~
'Y ruponiibillty \0 idenUfy IIhit itUOns I .u., \I" h be in tUpHirlt.. Suet. i9tJj(~" include bill .11 1I111 ill.lid 1(,1
~
I pePirtlen! of Envlronlental Requla'lll~ - Cyprlsi liyhladl, Wetlind Ar.as ind Envl'lIna,ntilly Stn5ili~t I.lids.
Witer/WiiteNit" lreatlent
t SlIutllNut Fhrida \Iahr KanaQuen' Di.,ritl. - Welh, Cypress Bi,tIUd., Wetluld Areu, Allerir,g lIillertr.urWi
, Bray C~rp. of Enq\~eer, - SeiMalll, D~ckl, "ivi'iblt W.t.rN~Ys
I D~p.rtlent IIf "eillh L Rehibilltative Servic,s. Envlroneent.l Heallh Unl\ - Well., Wi.teNittr lreil.ent. Septit lanks
. ys Enyir~naentil Prlltec\i~n Aqency - Ashe.lo. abalel.nl
I also tertify that, if fill laterial ii te. be used In flr.od Ze.ne 'A' or 'A,el'.', i\ is under.tll~d Iltil i dlainagt plin
iddrelsing i 'tll.pinsatlng vlIlule' lIill be Iubaitt'd IIhith ii prepir.d by i ~ro...,ir.ni' ,nginter re~i51~I~d' in Ihe SIile IIf
Florida prillr tll perlit iisu.nt.. I
,I
.
.
A pereit Issued shill be construed to bl i 'ic.nll t. proceed wllh lhl NlIrk and n~t il iulhllrity III yi~I~Ie, 'inctl .lllr, ~I
set a.ide iny provlsillns of Ihe technltal tlldei, nor ,hill ISluinc. of i per.lt prevent the Building Ufficiil fr~1 Ih~reifltl
Jequirin~ a t~rrt'c\ion of l!lIHfS in phni, tllnstnltHlIn, r.r vlllhUlIns lIf illY C(ld~, Every ptrait isslluJ il.;" beelllf ili'I.1 id
unltss the work authorized by such peraB Ii u.unced Nithin Iii. aon\ll!i of iSiuinu, lIr if 1I111l iull'llllzed by the perai\ i~
suspended or ibindoned f~r i peri~d of II, lonths .ft.r Ihe t'ee the w~Jk Ii ~1I1.enced. On, ~D dit ~1'~fi~IOII of liat, .~t ~c
alhlled for thepeuit Nith fee r::harge ~f $1:1.00. lhl e.hnilllll liha" lie requuhd In IIrUing tll U,1l Building Offici.1. All
ipproved inspettilln IUlit be lllgged during lich ,i, allnth ~eriod, or the proictt .ill ~e [(lnsidered ~b.l~lIli~d.
WARNING TO OWNER, YOUR FAILURE TO RECORD A NOTICE OF COMMENI:EMENT MAY
RESULT IN YOUR PAYING OR IMPRUVEMENTS TO YOUR PROREFHY. IF YLJll
. INTEND TO OBTAiN'F NCING, ~ONSULT WITH YOUR LENDER OR AN AITORNEY
BEFORE RECORDIN OUR'NOTICE OF COMMENCEMENT. JOBS UNDER $8,500 IN VnLlJE
DO NOT NEED T ECORD A POST A "t.OTICE OF COMMENCEMENT".
SIGNATURE ---~--ii~NEA-iii~ii~~dlr ~UAE_____~..."t~~ ~
'PATE___L2~~~1~c------_--------------- PATE____~~~~~------------------
~~~~~VO~sA~~NT-~~_ ~_~ ~~~~~~C~~R~~_~~~~~~~
f<1'r7JI~6-..zgr:.:x -!J'C~ .tV K/l-TJ//-EeAJ -p:Z';;;j';J
MV COMMISSION EXPIRES______________________ MV COMMISSION EXPJRES__________________
KATHLEEN J. BROWN
StIle 01 FJortda
"'=~,=r-
38645 Palm Grove Drive
Zephyrhlh, florida 33640
ACE
ALUMINUM
Job No.
Phone: 18131782-2818
~
SOLD TO _ ~ R-- fV\ -J 8L6-S IJL '-eN /'1/ /; ~ .>
ADDREss_l.Dr~~1f ~tJ:)b IfJ/JG.€. WAY /JR.
SHIPTO UPH'fe. I(JOG.-E frl/J-I Plt~./" 2f:rH Je..l-lJu.S All-. JJSr/
DATE b- ;).:2 ~9~ '
PHONE, 1 P;; - ;llJ..7 I:,
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..... .............. ",10 fIllY TOTAL-PRICE /_ ) o/) /)0
INSTALLEIS IN fULL ON i DEPOSIT
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IAl.ANCE C.O.D.
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SITE PUN
(RESIDENTIAL USE ONLY)
PARCEL J.D.
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PROPERTY MEASUREMENT
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CURRENT OWNERS
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SUBD
~
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LOT
1'101.,;.
DATE
(p-.2a. -92-
All drawings shall be drawn to scale for all parcels or lpts five acres or less.
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
M'Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE. PROPERTY. INDICATE
THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS 121 x 60'. 1981. FLEETWOOD.
HOUSE CONSTRUCTION
PROPOSED ADDITION
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MOBILE HOME SETUP
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PARCEL 1. D.
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PROPERTY MEASUREMENT
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CURRENT OWNERS
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SHOW J\LL EXISTING AND PROPOSED STRUCTURES GIVING DIH&,.ONS AND SETBACKS. ALSO, INDICATE
M'Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE. PROPERTY. INDICATE
THE SIZE, YEAR, AND NAME OF MOBILE: SUCH AS 12' x 60'. 1981. FLEETWOOD.
HOUSE CONSTRUCTION
PROPOSED ADDlTlm
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