HomeMy WebLinkAbout92-2806
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
280G)? ;
Date, /1 .-.:13 -rcL
~~ EL~ PLU~ M~
Pmpe"v Owne' ~~t .
Job Address: ..3 <F'--7 . ~ f3/L-o<' ~-
Parcell.D. # .;l-.;;)b --;;J..../ - /) a/ L? -- 0 t/ (9.0 0 - I) / L/ 0
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ~ Dgy Code: Ra_don Gas:
Description of Work - /"..A~T- /7Jtii'-.;t;;
r
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
1/ -/h -y~7j
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
/bO
Permit Fee
Signature
Company
Address
Telephone#
f{~~o~
Valuation or
Contract Price d~.3 o-v , cJ<.:;J
City License Registration #
State Certified License#
EL~ICAL
-----
P~
---~"
ME~ICAL
-----------
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.00) 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.
. .
AHI.ICA:t'llJN 1.'un l't::IUIl'l'
CITY OP Z~I)HYIUl1 LLS
IHIll.lHNO lH!l'^It'I't1~N'1'
l'jll.l CANT
I}cc /It-t< /Y)
IlIlHESS J~~tjs f'JlJ../i1 CRt)ve ))R.
GEoRC: E- RG~k:
lOll I.OCATlONW{./tf..J!7'1(' JlnLCA-,v
PIlONlL_-2?aZ. .2Nb
,UNEH.
c/.e .
1.01: SIZE Sf _JOeL AREA sQ. FT. ~L?_
.tG.^\. IlESf.RIPTlON: LOT(S)
BLOCK
SlIBDIVlSIC'N
,'AHCEI. 1.0./1 :J - :Jb.- d/- ~.~ tXtJot!J- LJ/I./(J
,WRK l'ltoPOSED: / New Construction _Addition _Alteration
.._Repa i l'
_Install
_Sign/Temp.
PHOPOSEU USE: ~ingle ~amllY
_Sign
__tlove
_Demolish
_HIp
_" of lJnlt~
_tl/:H
_Commercial
_lndu6t,
_Swim, PO(,L
O.~I,'er
_Restaurant & Health Department Approval
11l1l1.()ING SlZEI
/,.2 x 7 I
(
tilt
Sq\la1'e Feet I
P7b 9"
.....Jle i~h'
HE~;lI)ENTlAI.: ATTACII (2) Pl.OT PI.ANS & (2) SETS OF IHJII.UING PI.,\NS & (1) SET t::NEHGY HmNS."
COtIUEKGlAI.; ATTACJI (]) SI~TS Ol~ nUlI.DINO l'l.ANS & (1) 51::'1" ENl::ItGY l'OIUlS.'"
uCOpy OF CONTHACT HEQUIRE\l.
PERHITS REQUESIEU
~UI LOING
$ .s c ?:?O..t)D
Valuation of Total cOIlJt1-uction
_El.ECTRICAI.
AHI' Se1'V Ice
Florida Power Corp.
_\LR.E.e.
_~lECIIANICAl.
$
Valuation of Hechanlca'. Installation
_Pl.lIHBING GAS
ROOFING
~ome ____Steel
.__SPECIALTY
J~qP1. Other'
J
TV 1'1:: OF CONSTRUCTION: _" lock
1'1 N I SIIEU fLOOR Et.F.VATTONS: FT.
,\Il!1LUt:R
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.LV K LJLII/J1. CONTRACTOR SEGllON Ll;": r- .JL1 f L/ .
~ ~ COlIIl'un)' ~ ~~ )Vl.,. '.
/?/JI? -.L '0 ~ Sta~e Cert. or Regtst. II . 'C:./i!..cC> ?ifbPo---
ff~ elly Llttense'Registration II / bo .-
.......*............,...,.......".........,......" -~,--
S 11~I\(ll \l re
LLEGTRl.GlAN
Company
Stote Cert. 01' Relslst. II.
City l.icense Regi:. r.n.tlon II
....*.......*.....**....**......,.~*.~....
51cnn.ture
Company , ~ _, ,___
State Cert. 0 'IRegis~, II
Clty l.iccllse Peaht.-7nt;iol\ I.
...................................w......
,',
l'LUUllER
.~knature
:-',
'\
UECllMUGAl.
Compony
Stale Cerl. or Real5t. II
City License lteBl~t1.ut'(l1\ It
..*.*........*.......**..............~*...
Signature
"
S I gila ture
Company
State Cert. or Regist. II
City License Reghitrotlon I.
UTIlEI(
Al'l'UCATION APPROVED BY
PER~llT Off'lCEH.
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(). ~oU CE OF DEEP REST n I ~~T J ON~
,,'
The und~nigne(".,ndenhnd' thit lhh ptrelt.uy, h ."bjecl to 'deed rl5trhtillrl.1 ::dlh uy be IlIn ruhilhve ~:,.n Cily
regulitlo~'. lfie undersigned .ssules responsibll'Iy for clIopll.nc, wllh .ny .ppll':iLI, d~ed re"ricli~n'.
D. IJNLlCE~SEO CONTRACTORS AND CONTR~CTOR RE~pnl'ialDILITI~S
If Ihl lIwntr hai hired a clIntrac'or or contrl~'or' ,. undlrtak. wor.~. thlY lay bo r.,ulrld 'lI bl lic.ns,d in I;r~rd.nce Nitti
.lih .nd loul regulitllln5. If the untuclor it no' Uunnd Ii requhlld by hll, bot" lh. ollner Ind u.nh.'c'H uy be
cited for a .hduunllr vlolitlon under .hll I.... If 'hi uner'lIr Inhnded nnhathr arl uncertAin Ii h IIb~L Iiuh\ing
require.ent, lay apply fllr the Intended wor~, 'hey ar. advised 'lI [lIntlcl '~I CI1V .f l.phyrhilli Building pep~ft.e~t, IBI31
188-6611.
Furtherlore, If 'he lIlmu tin hired a nntuctDr If nntrllhn, h. Is Idvhed h, baYI! 'he unlrittc.rhl "gn !.mtlorI5 lIf tile
'Contr.ctor Sec'lons. of this .ppllc.tlon fllr whit~ 'h.y will be respllnilbll. If ~~~l .. lhe IIl1n.r .Ign .. 'h. 'lIn'raCi~l,
y~u are I~dlcatlng that YllU, !ath,r Iban Ihl ~lInlr.['or, .re re'pllnslb'e fllr lhu wlIrk. If Ibe lllnlr',IlIr IIlshts YllU III ,i~"
i5 trInlract~r lhit liY be in Indlc.tilln 'hil h, h no' ,rllperly liur.nd ar,' Is "ot ...IUtl,d to penlttlrlg prllllhgn il. tI.I'
City ~f Zephyrhllls.
C. TRANSPORTATION IMPACT FEES AND UTILITY CPN~~CTI0N FEES
D. CONSTRUCTION LIEN LAW CCHAP!ER 713, fLORI>>~ ,STATUTES, AS AMENDEU)
I eerllfy th., I, the .ppl'e.nt, hiye been provl.e. wllh.. copy of 'Florid.'. t~P.Iluc'l~n lien laN - "~.e~~nfr'. Pr~II'[Ii~h
Guide. prep.rld by 'hi Florid. Dep.rt..n' of Agrlcullure .n' [onlu..r Aff.lr.. ~f thl appll,an' I. 'D'I~~I D'~ur thin t~.
'~..nfJ., I urtHy tll.t I hiVl ~t.hlne. a un of 'hi abovI dunlbtd dllcu.en' ,.rl' ,rulll In tr.od filth to dt,nvtr il lu II,~
.~..ntr. prior to co..ence.ent.
E. GONTRACTOR'S/OWNER'S AFFIOAVIT
~
I [erllfy thaI .It 'he Infllrlat'~n In Ihl, .ppllt.'I~n 15 iccurall .nd Ih., III ~lIr' 11111 bl dll~e In C~'Pllar!f Nilh ill
.pplll.ble laws regul.llng elln5truell~n, l~nlng, .nd 'Jftd develop.enl.
Appllc.llon II her.by .ide 10 IIb,.ln . per.I' I. do work and 'nsl.II'II.n '1 Irdle.'e'~ I c.rllf,.IL.t n~ NJ:U ~r
In5hlla"~n hiS [Duennd pr-l~r to hsu.nn of . perl" .nd Ihal .U ..~r' 1Iit! h p!'rf~rltd I~ lul Shfldilfdt ~f ill lillS
regul.'lng ton.trucllon, Clly c~~es, lonlng regul.ti.nl_ ind lind devII~p'I~I fl,ullllllnt In 'LI .urI5dl,il~~. I .15~
certify 'h.':1 undlr.I.nd 'hi I tbe regul.'IlInl of .Iher .~vefn.en'al ..er~le5 "IW .~ply '0 Ih. In't~dld ~~rk, ind IL.I II is
,y responsibility to Identify whit actl.ns I IU" I... 'lI be In ulpll.rll'. SlIch ,.tflC~U hlclude bill .11 II~I liaill'd hI
, Dep.rtlen~ of Envlroneenlal ReQul'ltoQ - Cypre., "wheads, WI'I.nd Arias and ~nvlr~neenlilly Stn.III~e 1.lId5,
Wiler/V'IIIII.tC" 'real.ent
. S~ulhwe.' Florida N.ler "anaq,.en' Dlslr'll . Velll, Cypr.ss Baybead., Vetlah' A(t's'iAlltrl~, W.lerc~ur$t'
. eray C~r,. of EnQlh"r, . 6r'M.I'., D~(k., "'YI"~'I Villrlliy. ~
, DtPiJhent IIf "e.lth L Reh.blllhUv. ServIn', hvtronlfnhlJ!!.!Hh Unl' ~ IIfll., tlntellahr huhe,,', Sepllc lanks
. ~S [nvlf~nafn\.1 Pr~Iec\l~n AQencv - Asb..to. .bi'e..nl
.'
.
" iho certify Ihil, If fill uh:rhl II to bl 11..4 In nllod 211M 'A' or 'A,elc.', it h undenh~d 11,.1 . d'illn.gt plan
iddreuln~ . .'..ptnutln~ v~luae. ~11I be IlIbI"'" whlth II prep.re' by . pr"hnhn.1 eroglr.ur n9i5tr:fl:,j'ln Ihe Shle ~f
Florid. prl~r t~ per.I' Issuanie. I
.
A perlll ISlued Ih.ll be construed 10 bl . IIcln.. I. ,rotl.' 1I11h Ih. Mllr' anI n~' .1 aulh~rlty '0 vl~lit" l.net' illl', ~I
511 nlde iny proYllllIr.s of lhe technical COdll, nor ,hall Inuince Df i pllnll prn'nl Ih. 8ulldlng Uffic Ii. flu III~reil"l:I
nqulrlnC) . urn"lon of flnn In phn., construe'hn, lIr violations ~f .ny 'fide. tVlry ,enit I"ul!~ iiia" becue In'lilid
unless 'he lIork au'h~rll,d by such p.ratl 15 to..eneedwllhln ,I. lonlh. Df l'lu.nc'r ~r If 1I111~ .ulh6~lle~'~r Ihe perlil i~
suspended ot aba~doned f6r i perl~d of six aonlhi ifl.r Ih. 'Iae the lI~rk Is 11I.lenrt'. 'O~I YO da, ~xt,n'lov of li.I', I't L~
.1I~Ned ror "..ptrtll with h. thuge ~r $15.00. 'he uhn.I6n .h.1I be req,,,.,.'1II In IIrlUng ,~ thu 'ull,4\'11) Offlciil. AI.
i1pproved In5pt(t1~n .Ult be I~ggl!d during euh il. IlInlh period, or Ihl pro;e.. 11111 h cor,sldertd ..b...dlll,td.
WARNING TO OWNER. YOUR FAILURE TO RECORD A N(HICE OF COMME'''CEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS T'J YOUR PROP.ERIY. IF VlJlJ
.. INTEND TO DOTA'IN'FINANCING, CONSUl.T'WITH YOUR ~'(NDER OR AN. A'TORNEY
BEFORE RECORDING,YOUR'NOTICE OF COMMENCEMENT. J~BS UNDER $2,500 tN V{)UIE
DO NOT NEED TO RECORD AND POST lit ;OT ICE OF CCit1t~ENCEMEN r" .
. SIGNAT~~~~R-MENT;:;;;~.~GNATOOI.___~~~-~
t DATE_________;f:.2..3_::.9...2___~--------------- PATE_ ---..-___11_-..23_:.9b___ ..._________
NOTARV AS TO .......1/" /l~ ~
OWNER OR AGENT__~-- ~_ __ __
/<-f/(}It.-6i:.U . . .b/2~
MY COMMISSION EXPIRES______________________
NOTARV AH TO ~~# /J y
CONTRAcT'ln__._,..__~-.~-~
~u;~"j :jf:-J3~,.j
MY COMM! SSlOi~EXPIRES
KATHLEEN J. BROWN
Slate of Florida
UrComm. Exp. April 2. 1995
Comm.' CC 095617
KATHLEEN J. BROWN
Slate of Florida
. MrComrn. Exp. April 2, 1995
Conm. Ice 095617
.
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38545 [D~.1rn Grove Drive
ZephyrhlC1I, Florida 33540
ACE
ALUMINUM
f'#I.CAAJ c/-e., ( I?EGK)
fJ~ek I 2cPtl~f(/f/LlS rJ/}.
...:?J S-~O
.
Job No.
Phone: (813) 782-2616
11
SOLD 10 '. 1-fJ.., f?- . -
ADDRESS:.(of-/~- JJ"?t/t
SHiP TO 1/1 LLAO::-f. (],.4; 1/ € ~/}..l
DA TEll'" ;;2 < -9'Z- :
PHONE _' 7J>'02 --~276
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PERMIT
PRICE
TAX
The unders1gned agrees to pay TOTAL PRICE ~ -?~?LJ, VO
INSTALLERS IN FUll ON COMPLETION DEPOSIT
#YPL. ~ BALANa C.O.D.
I~. C eB~~~
CITY OF ZBPHn~LLS BUILDING DEPARTMENT
OWNER G--t:!(}RG..E. i. R E Clc"'
JOB LOCATION Or-I'!: .J>RJ'Ib t!iAL CAtJ ell<..-
PARCEL 1.D. # cJ,..:J.b -.:2J- !J~-- t)ootJO- ~/t/D
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dl6~P;
SHOW ALL \JXIS"1'tNG. II PROPOSED S'l'RUCl"URES GIVllfG DIHENSIONS & SE"l'BACKS.
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ALLEYWAY ACCESS FOR
GARAGE OR C!~RPOR,T -
15 FOOT SET:SACK '
REQUIRED.
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.UTILITY BUILD!INGtS
MUST SHOW SIZE ~
FOUNDATIO~ INFOR-
MATION.
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LINE
(NOTE EXAMFLES ,,1& 2) ---;TREi-;L.Dr=-/~ ..3B'7C/b V/.1t..Cfi~ C/I(...
l. SETBACKS FOR ~lt R2 ZONING
60'
10'
P E
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101 P S 10'
0 T 1 O'
S' I
E N
D G
2. SETBACKS,FOR R3 ZONING
, 60'
10'
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10' EXISTING 10'
PROPOSED
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