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Home My WebLink About92-2834 BUILDING PERMIT d-O-cTV CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2834.8 ~'o ~ 0lJ C:~ Pmperty Owne' ~ t'r.4- - ~ Job Address: ~ ~ JJ/-; . ()~ Parcell.D. # 1'/ -.:lb -d-l-O (J(){) - 0 C> ~OO .. Date /.J. - 7- ~::l. . ~G ME~AL Sewer Conn Water Conn: Water Meter: T.I.F.'s: () ('J 0 c:..> Zoning: . Energy Code: J Radon Gas: Description of Work ~ X If?' Jis{i/~ _~ NO OCCUPANCY BEFORE C.O. FINAL 2- s: C; 3 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 Contract Price .6 Y...so. dV " Inspector ~ ~' :~;~~~', ~. Company City License Registration # tG 'T''f State Certified License# Address Telephone# ~~~ C_BUILDINV . Ftr. Pre SLB Lintel FRM. tLT1;1...34.~'MJ. Insul. CL WL ~R~C~~ Tp. Servo ~ SLB Rough In/I1:. 2:14 . Tub Set Me~rCan Wa~r Const. Pole Sewer Pool Final Pre-Meter Final ~G ------ MEC~AL --- Breakers Ducts Insl. Compressor 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. APPLICATION FOR PERKIT CITY OF ZIlruIKflll..T..s BU.il.DDIG DHPARIIImn' OWNER I S _u~ (.~ C-- ~,:;> A,;? "'" J / q.s' CJ"..v ADDRESS 3cF-6?< F /ff;3J/e ~p~ J7 dq --e' - PIIOD /OtJ - '?J=-")./ w;.-v;1;.-l..-1' ~L~ .z~h1/& ./ OWNER "S JOB ADDRESS LEGAL DESCRIPl'IOJI: I.DI'(S) BI.OCK SUBDIVISION ~; /via..,... /' ~.....6A-* ./ ' PARCEL I. D. t WRK PROPOSED:_5ev Construction ~ition _Alteration _Repair _Install S. - :LgIl _tIove _De.o1ish PROPOSED USE: Sing1e F3IIily ---'I/F _, of Units _K/H _<=<<-ercia1 _Indust. _Swi.-. 1'001 Other _Restaurant & Bea1th Depart;JEnt Approva1 BUILDIlIG SIZE: x ~e Feet. Height RESIDENTIAL: COItIIER.CIAL : A1TACII (2) PLOI' PI.AIIIS & (2) SEIS OF BUlLDIIiG PLUS & (1) SE.T ENERGY FORKS. ** ATI'ACII (3) SEIS OF BUllDDIG PI.ARS & (1) SE.T ENERGY FORKS. ** **COPY' OF CORTRACT :KIlQUIRIlD. PJr.III!fT1'S REOOESTED ~UILDIlfG $ Va1uation of Tota1 Construction _ELECTRICAL AMP Service F10rida Power Corp. W.R.E.C. _KECBABICAL $ ~al'!llati~ !):f !!ecbtmic~.1 In..c;tallation _PLUKBIlIG GAS HOOFING SPECIALTY TYPE OF COlfSTRUCTIOR: _B1oc1t _Fraae _Stee1 Other FIllISBED FLOOR ELEVATIOIiS: FI' . IS PROJECT IN FLOOD ZOIiE AREA? YES NO ****************************************** ~ X. 4~/.....(. WWIIIACmR SECTIOJI RmT.DF.R ~~' COItPOY .,. _'" St:ate Cert. or Regist. , Signatur. ~ / . City License Registration f a.~~ ******* ********************************** S. ( COItPARY 1. ~St:ate Cert. or Regist. f .......J::::-:..-,~City License Registration t ** ************************************ .~ ;{ '" . . PLtItBER Signature COItPARY St:ate Cert. or Regist. f City License Registration f ****************************************** KECllAlfICAL Signature aJ!IPMY St:ate Cert. or Regist. t City License Registration I *******************~******************** O'TIIF.R S igoature COItPANY State Cert. or Regist. t City License Registration , ****************************************** APPLICATION APPROVED BY '-II 4.d<Le< s;Jl.12~ r~~~"~'M_' p~J'.' ER. l_~,_.>,.,.~,.... "" u.,. ,,'~n ,..... CONDITIONS OF PF.RMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .Iay be subject to "deed restrictions" which lay be lure .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 or contractors to undertake work, they lay 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 cited for a lisdeleanor violation 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 Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 Zephyrhills. 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 Nith a copy of "Florida's Construction Lien LaN - HOleoNner'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 prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has cOllenced prior to issuance of a perlit and that all Nork 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t Departlent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlenta! Protection P.!lenr:y - IIs!l~st~!'3b;!t!'!~P!!t I also certify that, if fill laterial is to De used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a "colpensating volule" Mill 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the Mork authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six lonths after the tile the work is cOI.enced. 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 pellod, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROYE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CllII__T. 10BS,lIlIDER '2,500 I. VAlUE DO NOT !lEEo TO IlEtDlU>~~"J~ V .~~ ( J2 . SIGIAfURE\~,~R AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF 'PA.c.,c..O The foregc.ing instJ-ument If/as acknc.wledged ~efore me this 17e~, 1 , 19~ by E I WOO d Ko ;x who is personally known to me or who has produced as identification and who did/did not take an oath. ~ f). t::~ e...Ll/i~' (Signature) 7) J::o..-I-!-,e",--iNe.. Martl'IV -#FCCI37~i1 (Name Typed. Printed or Stamped) !:-!OTARY PUBLIC NOTARY PU~LI~ ~;.ti:E~~ :,~g~~I~~'199S. :~;E~~t~~s~gTARYi'UBLlC UNDERWRITERS. STATE OF FLOR~ COUNTY OF ~ The foregoing ins~ument was a. ck"nowledged befc.re me this J~~, 19..,~~ by :Ja>n e. s ~S 1J,.v who is ~ersonallY known to me or who has produced as identification and who did/did not take~n oat . ? ~ ' ~ {/. <~_.~- (Signa-c!Jre) At) UIS/I- A. (Name Typed, Printed NOTARY PUBLIC /YO/X or Stamped) ito LOUISA A. ROIX State of Aorida My Camm. Exp. Dec. 1, 1995 . COMM#CC164347 .-----~-_._'-_.__..._... 3619 Castle Drive, Zephyrhills, Floi'ida 33540 ROIX ALUMINUM (813) 782-9010 Proposal Page No. of Pages PHONE DATE ?d.-d.-? //-;1/-7~ ~~ ~ /4 -€-. JOB PHONE cF tJ -- JOB NAME ---L- :3 3-.5~ 0 JOB lOCATION We hereby propose 10 lurnish materials and labor necessary for the completion of: ,E;/,..,-;..'y'- Yo .d~ 2,;--<" 1; i!f",~du'- )5"ft,c_y-., .. All 'yuterlal Is guaranteed to be as specIfied. All work to be completed In a sub. stantlal workmanlike manner. according to specifications submitted, per standard practices. Any alteration or deviation from above specifications Involving extra costs will be executed onlY upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accIdents or delays beyond our control. Owner to carry fire, tornado and other necessary In- surance. Our workers are fully covered by Workmen's Compensation Insurance. Not.: This p,oposal may be withdrawn by us if not .cc.pl.d within days. ACCEPTANCE OF PROPOSAL The above prices. specifications and condi- tions are satisfactory and are hereby Accepted. You are authorIzed to do the work as specified. Payment will be made as outline above. SicnaluII JfJttP/l.:< ~i/ ~Y" ,-, . ,/ (~ Oat. of Acc.ptanc.: / ~/'/ ( 1/ c i' L SicnatuII OWNER 3 i/~~ITY ~F< Z~~:Y:ILLS BUILDING DEPARTM~NT . 30B LOCATION 5' h;!: ~,./ c(/.-- ~-<- PARCEL 1.0. # SHOW ALL EXISTING & PROPOSED STRUCTURES-GIVING DIMENSIONS << SETBACKS. ~ aJ-.,- ) ~;9-F" 1 0 10 I ,IJ,ptl? zf,c ~ 1/- ~1J ~<--- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. XD/Jf -!- :);//;3 I ~iJ~J~ r 8' I~ r ~ jY'",,; . " ,1)1,7I?'" I "-'If ~\ ,.., ..... v, -\ \~ -;. ... 't- ..... \ FRONT PROPERT~ LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZON~NG 601 2. SETBACKS FOR R3 ZONING 60' 101 ...P E- R X 0 I 10' P 5 10' 0 T S I E N D G 20' 1 O' 10' 10' EXISTING 10' PROPOSED 20.' SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE fOR CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FO~LOWING: (1) DESCRIBE WHAT TYPE: FREE' STANDING OR ATTACHED (CIRCLE ONE). (2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? (3) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT MANNER?) .. (4) GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: (5) GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: (6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN.