HomeMy WebLinkAbout92-2475
BUILDING PERMIT
Permit
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CITY OF ZEPHYRHILLS
(813) 788-6611
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Property Owner:
Job Address:
Parcel 1.0. #
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Date
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code: Rcu;lon Gas:
~~' )(.54 I ~~~) 9/~--
Permit Fee
A ~".&e12A'l4. ~
r}'/
FINAL~- ,;
NO OCCUPANCY BEFORE C.O.
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
Contract Price
Signature
Company
Address
City License Registration # ::3 ~t:, r .
State Certified License#
~~ ~~1:' ~=~~~;~
Telephone#
Breakers
Ducts Insl.
Compressor
FinaIJl",~O ~~~
SLB
Tub Set
Water
Sewer
Final~"3o-qa ~
e~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final ~, ~n ""1.!} ~
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
&&L -/I/~-;4 .:2/ - o~o -Oc) "Zoo -- DooD
GORDO,," D WI;\TER'l (RET) ROBERT G. \'flNn:RS
['[{'"dent \kl'-Prl'~idelll .'< General \LlI1agl'!
111'1.1.'\ W]'\H'R'l
Winters' Mobile Home Park, Inc.
'.SPE;\lD Y()l:J{ \X1Nn~R \X1'[1I WIi\TER.S"
\\IIFHF OL/l FHII''\/l~ \IITI
J'IIO."!' <.K151 -H21(>I'i
38(OI2!~' ;~~~'~'~~:~l);' i~~"lll'
ZEPIIYI{IIILLS, Fl{)I{II).I\
33541
CHRISTI'\!' \\l'\TER'l
omn' \tll1agl'r
~t.~C 'Tre;l.surer
city of Zephyrhills
Building Department
Zephyrhills, Florida - 33540
This is to certify that the floor level of t.he mobile
home being set up at
38107 WINTER DRIVE
,
W int.ers Mobile Home Park, Zephyrhills, Florida 1S at or above
84.0 elevation.
Signed:
@/;Z;;:J
WINTERS MOBILE HOME PARK, INC.
Recreation, Shuftleboard and Dancing
APPLICATIOII FUR PERKlT
CI'IY OF ZEPHIHBILLS
BUIIJHliG DEPAR'DIENT
OWER'S MAKE Ai ~i ~Y;a--(f/'u~.J ,4;;~ 1'{/< d~" ,,-<~ ~:-- PHOB ;/J:;' -;;;2 76"
OWER'S ADDRESS JS J0 "/ M~ '/ ~:, </ /j ;/y0!/ ;/;/.1// /2 ::;:''''$-5//
JOB ADDRESS ~~S/{\ 7 /( II II 7cl/ ,/)/( /(t"YY/;,/ AI1Uj"/ rt'// 33 Sy!
I
LEGAl. DESCRIPl'IOI!f: LOI'(S)
~SUBDIVISIOl!i a / /A- ':/(:.r) S /) .'(i, ~l ,//"--
PARCEL I. D. t
KORK PROPOSED :-=tLllew Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_De.olish
PROPOSED USE:
Single Faaily
_KIF
_, of Units
1i::-K/H
_~rcial
_Indust.
_Swia. Pool
Other
_Restaurant &: Hea1th ~t Approval
BUILDING SIZE: Z. '8 X 3(..
//J/JF
.
~e Feet,
Height
RESIDENTIAL :
COHKERCIAL :
Al'TACH (2) PLOl' PI..MlS &: (2) SEIS OF BUILDDiG PLAIIS &:' (1) SEI' ENERGY FORKS. '*'*
ATTACH (3) SEIS OF BUILDDG PI..MlS &: (1) SET ENERGY FORKS.**
**COPY OF CONTRACT RIlQIIIIBED.
PERKITS REOUESTED
~BUILDING
~ELECI'RICAL
;f( KECIIAlUCAL
$
t5
/.:0 t7tf7(J
-'
Valuation of Total ConstruCtion
/S[I
AKP Service
"K Florida Power Corp.
W.R.E.C.
$
Jilt'
Valuation of Kecbanical Installation
...LPLUKBING GAS :ROOFDIG
SPECIALTY
TYPE OF CONSTRUCTION: _Block _~ _Steel
Other
FUiISBED FLOOR ELEVATIONS: G: . FI'. . IS PRO.JECT IN FLOOD ZOME AREA?
~ ~c L" (C7/cA./<- YES NO
****************************************'**
antBA&nHl S~O. ~
BUlIJlER / ,~~ ="AIIY:E/o:\'e~:: ~'-'h~;,t ";;C,v4k-/'L #{ob~
Signature~ ,[/ -Y.: / ",~ ,'Ii Y". City License Registration I .3 ~.
**~~**.."''''''~'''''...:....:-.......''. ~
L_,;)J-,,-~,<~ t?"h' ~ ;P~
" 7. ~ ~ St:ate Cert. or egist. ,
Si City License Registration t ~~ 3y
******************************************
PI..UKBER
Signatur~;2e~
;/
. ? OO!IPMiY ~{~ 4A~
L State Cert. or Regist. I
. ,~... City License Registration I
******************************************
/~~
MECHANICAL /
Signatur~LCP--
m!lPANY J'iaLM %~~ A'-? '/I,K-
State Cert. or Regist. I
City License Registration I .d-7tf
***********************'*******************
0'I1IER
Signature
OO!IPMY
State Cert. or Regist. ,
City License Registration ,
*****************************************'*
AFPLICA
'BY
CER.
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. CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this penit.ay be subject to "deed restrictions. which uy be .ore restrictive than Citr
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI~ITIES
If the ollner has hired a contractor or contractors to undertake 1I0rk, they aay be required .to be licensed in accordance with
state and local regulations. If the",.-.ctor is nl)i ~icensed as required by law, both the owner and contractor .ay be
cited for a .isdeleanor violation under state laM. If the OMner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB13J
788-661 L
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions. of the
.Contractor Sections" of this application for which they lIill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the 1I0rk. 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 FEEg
D. CONSTRUCTION LIEN Lr~~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have b~en 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
"ollner" , I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
"owner" prior to cO.lence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
applicable 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 Mork or
installation has co..enced 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 develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies lay apply to the intended 1I0rk, and that it is
.y responsibility to identify Mhat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treat.ent
f Southllest Florida Water "anaQe.ent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f 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 that a drainage plan
addressing a .colpensating volu.e. Mill be sublitted Mhich 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 Mith 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 permit issued shall becole invalid
unless the work authorized by such per.it is co..enced Mithin six lonths of issuance, or if worK authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the worK is cottenced. One 90 day extension of tile, lay be
allowed for the perlit 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 COHHENCE"ENT "AY RESULT IN YOUR PAVING TWICE FOR IHPRoVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~"7BEN:..(~OB: .uN~rn '2 v~,~.: ~T ~ro TO 'EroR>> MD,'DST' ;~Tl:~ u:, :~~~~., " _
s
ATURE: OWNER OR AGENT ~ ~ ~.v""1'-
SIGNATURE: CONTRACTOR
~d
tJ<.-U?---
STATE OF FLORIDA ,r)
COUNTY OF r d.,(J e.-D
The foregccing i'nstl-ument lo-Ia~ acknc,wledged
befc1re me this I~ ~ , 19~ by
!J/;.LSi?1J RV M AAJ
who is pel-sona 11 y knc,wn to me fir ut'le ha!l
~ree!u,-ed
as identification and who ~did not
take an oath .V'!/~# # (1~i?
~.//iJ y-' ~7--~
(SignatLrre) ',._
)<-AT1--H r-- F ~ I <r, J ~ f2&-r J ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA /J
COUNTY OF r fl>4. e b
The foregoing instrument was acknowledged
befc,re me th i s tt..J!.j ~ ,19.!l2::. by
JJe'-~oAJ 4<IfM/1,U
who is persc'nall y known to me ""'" \lho has-
'preduEcd-
as identification and who ~/did not
take an oath '''-// .' /1 /J . /1 --1;;( .
~,J Lt., ilk~(.~
(Signatul-e) .. {/
t<A-TH1S~ ~ ':'1. hR.01.....ltJ
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~~~"..'.'"
o G
;;t ~. ('1
-
KATHLEEN .I. BROWN
State of FIaIIda
U,=S'tll,-