HomeMy WebLinkAbout92-2490
BUILDING PERMIT
,.-'
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 2490~
7- /4- r~
. ,
55
~.
Date
EL~
PL~
MES,tiAM16"C--' Sewer Conn
:::::,~:~e' _g~~~~,~____)
Parcell.D. # I~-=- _, - _-=-'- -t)- _ ~
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
J I
DATE
Inspector
Valuation o~ f I/: r:; I) ")' .~
Contract Price I
City License Registration # 850 ~6 .
/1,1< I'D~O;2~
Permit Fee
Signature
Company
Address
Telephone#
)
ELE
-'
CAL
P
MEC
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
DriVeWay'7- 2o.qz
~
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.
APPLICA'I'IOl!ll FOR PERKIT
CITY OF ZEPHYlUIILLS
BlllIJ)DIG DRPAlt'IKUI'
OWER'S lWfE ~ r-\~ho~ '-/ rrW~R -t-9-l (
OWER'S ADDRESS ~ <1 '71 (;,.,
JOB ADDRESS 3CJllCo Mf:A1>Ol-.1
PHONE
rnFflcl aU) WOO1"J Ko ap
~)P )....~
LEGAL DESCRIPTION: LOT(S)
BJh.';.'K
SlBBDIVISIOfil
PARCEL I. D.'
/:3- :J&- 2/-/f(- D- ~
KORK PROPOSED:_lIfev Construction --i\ddition _Alteration ..2C-Repair _Install
_Sign
_!!love
_Deao1ish
PROPOSED USE: j<'- Sing1e Falli1y
_KIF
_' of llfnits
_K/H
_~rcia1
_Indust.
_Swill. Poo1 '
Other
l.(,r) ~ L
BUILDING SIZE: L. X _...J . .:>,
_Restaurant &: Hea11:h Deparblent Approva1
,.S:
/'70D ..+J.
Square Feet,
Height
. , RESIDENTIAL:
COttKERCIAL :
A'l'TACII (2) PL01' PUUIIS &: (2) SEI'S OF BUllDDiG PLUS &: (1) SET ENERGY FORKS. **
ATTACH (3) SEI'S OF BUII.DIlIG PLUS &: (1) SET ENERGY FORKS. **
**copy OF CORTRACl' JUtQUIRIlD.
PElDlITS REOUESTED
_BUILDING
Z/
$ ~{">~C' C5>
Va1uation of Tot:a1 Construction
~ELECTRICAL
~flECllAlUCAL
~PLUKBIHG
TYPE OF COHSTRUCTIOllf: Y B1ock. _~ _Stee1
MIP Service F10rida Power Corp.
W.R.E.C.
s
10/0 Va1uation of Hecbanica1 Installation
GAS
ROOFING
SPECIALTY
Other
FInSHED FLOOR ELEVATIONS:
FI' .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
COJIIIlTRACIOR SECT'IOIN
BIJTTJ)ER CO!tPM'Y ~'"? EG, H5J.:.J~ Y I q..) C_
tV\. M State Cert:. or Regist.' C ~ CO~~ ~<;.c,
Signature ~~ City License Registration ,
\ ~ ***************************************
ELECTRICIAH
SiPllature
~/f1
CO!tPAJNY
State Cert:. or Regist:. ,
City License Registration I
'******************************************
PI.OttBER
CO!tPARY
~ . State Cert. or Regist. ,
~ } A City License Registration I
~************".*************************"'**
Signature
KECllABICAL
Signature
(/'0/ r
,
aJIIPANY
State Cert:. or Regist:. ,
City License Registration ,
******************************************
OTHF.R
Signature
N/f1
aJIIP.DY
State Cert:. or Reg1.st. If
City License Registration .
*************~********~*************"'*****
APPLICATIOH APPROVED BY
PERKIT 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 Dr contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If tht t~tfactor is not ~ictnsed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the OWft@r or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, IB13l
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 r,sponsible 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 pertitting privileges in'the
City of 2ephyrhills.
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, wit~'a copy of "Florida's Construction Lien Law - Hoteowner's Protection
Guide" prepared by the Florida Departlent of, Agriculture and Consuter Affairs. If the applicant is soaeone other than the
"owner", 1 certify that 1 have obtained a copy of the above described docu.ent and protise in good faith to deliver it to the
"owner" prior to cot.enceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this applicati~n.is accurate and that all work ,will be done in coapliance with all
applicable laws regulating construction, zoning, and land developtent.
" " .~. :, I .
Application is hereby lade to obtain a p~r.it.to.dD NOrk and installation as indicated. I certify that no work or
installation has cotaenced prior to issuance of i,p~r~it and that all work will be perforted to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulatIons in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies aay apply to the intended Mork, and that it is
ty responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not li.ited to:
f Depart.ent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
Water/Wastewater Treattent
t Southwest Florida Water ftanaQeaent District,- Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Arty Corps of EnQineers - Seawalls, Docks, Naviqable Waterways
t Departaent of Health to RehabilHative Services.:'Environtental Health Unit - Wells, Wastewater Treataent, Septic Tanks
t US Environ.ental Protection Aqency - Asbestos abatelent
I also certify that, if fill laterial is to ,be used in Flood 20ne "A" or "A,elc.", it is understood that a drainage plan
addressing a "colpensating volule" will'.be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construe~ to be a license to proceed with the Mork and not as authority to violate, cancel, alter, or
set aside any provisions of the 't~chnical codes, nor shall issuance of a perlit prevent 'the Building Offitial froa thereafter
requiring a correction of errors in plans, CDnstruction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such perlit is cOtlenced within six lonths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six 80nths after the tile the work is cotaenced. One 90 day extension of tile, aay be
allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. A~
approved inspection lust be logged during each six tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YO INTEND TD OBT FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT SUNDER 500 IN AlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
STATE OF FLQRIDA~ ~
COUNTY OF ~
The foregoing ins rument
befctl-e me th i s
was a~OWledged
, 19 by
(\
who is persona Y known to ~e or who has
produced ~f'\~'~ L\~Q..
as identification and who did/' no.
take Od1;;.
(Si
aor611Y fuauc., 5tA.1& OF:' FLOftll)A~
.~; COMMISSION iUtRES::.ocT. 2. 1tlU.
IJOlilIlII:D THIMI '''.T....Y .U8UC IIIC..-'I",'"
//~~,
SIGNATURE: C !jRACTOR',
(Name Typed~ Printed Dr Stamped)
NOTARY PUBLIC NOiARY flUBLlC. STAT! OF FLORIDA.
MVCOMMISSION EXPIRES: MAR. 20, 1994.
.ONDED THRU NOTARY PUBLIC UNDERWRITERS.
~
../
"''' IIE/lIlt //1,.
16918 CARLESIMO AVENUE
SPRING HILL, FL 34610
.JUIIf= .,::., lCY'CJ'2
Dick Thurnp~ion
nu t Ci [J".II ".~ 1':::;
P. (J. B\J 10621:;>
BI'UCl~'::';:;\' IIp-, FL
2:;4601
Telephone:
(813) 856-9448
~00~
RE: Anthony 1'11.f'1.:e'11'
39776 Mead8wWood Loop
lepIH:.n"h i 11 ';s, FL
Ph 0 ne~t "/ fL>-' (70:5~)
..~ " ~'---:---~"'l" ",
Llall1d* 4..;cdl.....7;::.
'7BS ('.::>9 LI3 p" t,1',\[;7
T1H? f'_).\. I:H1Jing is OUI' estimat(-;? tel I~~~pail' rJdITlaCI\C! C:<1.I...L;,=~r::J I.:i/
sinkhDl
Et4ST E.: 1
H€.~movF:
llJ i I~e J."
Stuccu
P r i Into?
NORTH J
Wire 1
stuCc.u
P r i m(~
Remove'
ti: ~.
..'/(\TION 40 X 9
,lid I'\::.'SP- t l:i (J I', t
'.:Ii a~; needed
1<:,,11
".1 p d i. n t 11,a.l 1
, !:V{:y T I ON ~~;~::\ \: 9
;..11 <.1:::. needed
,.Id. .I. 1
iid pa. i nt lA/a 1 :t
~nd l'eplace damaged
(:I.)
$/. :.(1
~',O. 00
360
::::;t)O
:~.. f ..
~::I "/ t:~ . (I ()
s. f .
'J ~?6 .. (j()
.., . "'. f
,,0)1,,) S.".
~j () .. {)()
:.',04.00
1 j I) . :~~;:I
4 ~.:\ . ()c)
~H5 s.r.
step StOfIF.?5
1. ~.':l
WEST F! ~VAT I ON
Wi r.e :I. i.:h l'la 11 complete 243 s. f.
Stucco "ia 11 243 s. f .
P r. i rnf:! ; leJ paint l,/a 1 J 2<'+3 5.1".
SOUTH I
Remo y E~
Wire :I..
stuc:c:c,
P r i mt~
Hernc,v",
Hemo v c~
PI'illle
".
/
242:;.00
:.iEl8 .80
E:-5 .05
L.EVATION
i3. nd I'eset a III r) i ngs
i_: I-I a s n8~?d (:?d
'.'ie!.11 'lc1'6 ~:;."f.
11d pa i nt l,/a 11 496 -::;.f.
dr'ld r'eplacE! drivela/ay ~)40 s.f.
and replace walkway 20 s.f.
!H.l deCClrati\'f.'~ paint I,jalkll/ay Hnd
Overh",",d and Profit
l'li:;c.
p res':'~ll 'f::: c 1 ea n hOU~f:~
Rep 1 i3.C ! damaged sh I'ubbery
(1) b]'H.'2 unit (2) ~I' cedar' (1)
3 mi'::.; :.llant5
Replac bahia sod appox 1600
Perm ii;
Thank iUU,
~2h[,--
,J 0
1 ~i . 00
'::>5 .00
/93.60
l),..S .60
1. ,/ :'::1:3 " (>0
6/+ .00
Ll.~i (7' . 00
dr':i.')E" ,
'"
1 ~,O. 00
bo:.( 1 uqus t; r. i u.m
s.t.
~:~jO.(lO
40(' . 00
:j t) . (H)
Subtotal
C:J:::;:j~:; .8()
1. :;.:66.76
Total
$7,~)OO.~)b
,6.'1",
n . _.".___,>~~i_t______ .,_.__.___....___