HomeMy WebLinkAbout92-2838
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N<! 2838
Date/2 -g- ?y!
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am-~~wer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
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NO OCCUPANCY BEFORE C.O.
FINAL~2 -~'? .. q L
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
Permit Fee
Signature
Company
Address
Telephone#
Inspector
City License Registration #
State Certified License#
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Valuation or
Contract Price
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BUILDING
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ELECTRICAL
___ PL\:J.MB II J u --------
1\4€e:I'I"\''IlcAL
Ftr.
Pre SLB
Lintel
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo SLB
Rough In J2.-(]-'1l...MrTub Set
Meter Can .JI V Water
1) Y\
Const. Pole 4 ~ $' Sewer
Pool \V ~ Final
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 ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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MEL'S ALUMINUM
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8041 Lov Lane
Zephyrhills, Florida 33541
t (813) 783-6752
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PHONE
7f
OATE
JOB PHONE
ARCHITECT
We hereby submit specifications and estimates for:
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hereby to furnish material and labor - complete in accordance wittr above specificati5ns, for the sum of:
dollars ($ J'"'j yS:~
Payment to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner accord,ing to standard practices.. Any alteration or deviation from above specifica-
tions involving 'extra c.ts will be .~uted only upon written orders. and will become an
extra charge ovtir and above the estimate. An agreements contingent upon strikes. accidents
or delays beyond our control. Owner to carry fire. tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
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;./ Note: This proposal may be <.. 7
wi'thd~awn by us if not accepted within
~ttptaua.:>>f;: frn\tn,ui - The above prices. specifications
and condifions are satisfactory and }re hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Da\e of Acceptarfte:
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Signat~ ~: .c.{; r ~~:-IrJ (7'/ c.-c..,d:./..(f-C~
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Signature
CITY OF ZEPBYRHILLS BUILDING DEPARTMENT
OWNER J}efly !Jt{ l/ork
JOB LOCATION .3-111 4vml\.
# ;0- ;2..6 - ,:;../_ ~IJOO '" OO!()() - c1000
PARCEL I.D.
SHOW ALL EXISTING &: PROPOSED STRUC'l"ORES GIVING DIMENSIONS &: SETBACKS.
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
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1. SETBACKS FOR R1f R2 ZONING
60'
10'
P E
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10' P S 10'
0 T 1 0'
S I
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20'
FROR"l" PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
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APPLICATION FOR PERl"lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTt-1ENT
APPLICAN~ ~I/nc ~
ADDRESS ,~-7/f C; f)t1y~^
PHONE
OWNER
JOB LOCATION
LOT SIZE yCJ X .10 AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.,~ /0 P! '1/ 0060
BLOCK
SUBDIVISION
WORK PROPOSED:____New Construction
tJO/o n Ot?Or>
~Addition ____Alteration
_Repair
____Ins tall
____Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_Hove
____Demolish
~M/F
_t~ of Units
,._MfH
_commercial
_Indust.
____Swim.. Pool
Other
_Restaurant & Health Department Approval. f'
nUILDING SIZE' /1') x;2?:. ' Square Fce t, cZ 3 0
Height
RESIDENTIAL:
COl'11'1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'lS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'lS.;'-/'
**COpy OF CONTRACT REQUIRED.
~ILDING
$ .5-:2;1~!Y
Ef,RMITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
** ** ** i'*i:*.************** * i,*i, ,~* i, *;r"r ,',,., ,', ,', *,., *,.,
~ONTRACTOR ~ECTION
Company
State Cert. or Regist. #
7/'-
City License Registration n ~_l
*********************************
Company
State Cert. or Regist, fl
City License Rep,istr<:ltion il: 1.::51
******************************************
~
Signature
Company
State Cert. or Regist. a
City License Registration 1
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
MECHANICAl.
Signature
Company
State Cert. or Regist. 0
City License Registration iF
.oTHER
******************************************
PERl'lIT OFFICER.
APPLICAT10N APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understa~ds that this per.it .ay be subject to "deed restricti~ns' which ~ay be ~~re rcstr.ictivc than City
regulatIons. The underSIgned assules responsibilitf:for..co.pliance with any applicable deed restrictions.
'.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired a c~ntractor .~r 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, b~th the ~~ner and contractor ~ay be
cited for a Disdeleanor violation under state law., If the OHner Dr intended contract~r are uncertain as to what licensing
require.ents .ay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the OHner has hired a contractor Dr contract~rs, he is advised to have the ce,ntractor(s) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the ~wner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are responsible for the w~rk. If the c~ntract~r wishes y~u to sign
as contractor that may be an indication that he is not properly licensed ~nd is not entitled t~ per~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713t FLORIDA STATUTES~ AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Celnstructi~n Lien Law - Ho~eowner's Protection
Guide" prepared by the Fl~rida Depart.ent of Agriculture and ConsuDer Affairs. If the applicant is s~te6ne other than the
"owner", I certify that I have obtained a c~py of the above described d~cument and pr~mise in good faith to deliver it to the
"owner' prior to co..ence.ent.
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E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all ~~rk will be dDne in c~~pliance with all
applicable laws regulating constructi~n, 20ning, and land developDent.
Application is hereby .ade to obtain a per.it to. do work and install~tion as indicated. I certify that no work or
installation has cOI~enced prior to issuance of a pertit and that all work will be perf~r~ed to meet standards of all laws
regulating construction, City codes, 20ning regulations, anrl land development regulatj~ns in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply' t~ the intended work, and that it is
IY responsibility te, identify what actions I lust take to be in compliance. Such agencies include bill ~le Ile,l Ji~ited to:
...
I Depart.e~t of Envir~n=ental ReQul;tion - Cypress Bayheads, H~tland Areas and Environmentally Sensi tive L~nds,
Water/Wastewater Treatment
I Southwest Florida Hater. ManaQe.ent District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
I Aray C~rps ~f EnQineers - Seawalls, Docks, Navigable Haterways
I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Hastewater Treat~fn~, Septic Tanks
I US Environaental Protection AQency - Asbestos abate=ent
I also certify that, if fill latHial is to be used in Fle.od Ze,ne "A" e.r "A,dc,', it is underste.e,d t1.ilt a drainage plan
addressing a 'colpensating volume" will be submitted which is prepared by a pr~fessi~nal engineer registered in the State of
Florida prior to permit issuance.
A pereit issued shall be construed to be a license to proceed with the work and n~t as authority t~ yiol~te, cancel alter, or
set aside any pr~visions of the technical codes, nor shall issuance of a permit prevent the Puilding Offici.l fr~1 thereafter
requiring a ce.rrection elf errors in plans; ce,nsiructic,n, e,r violations of any ce,de. Every per~it iSSIIl!d shall bece'le invalid
unless the wHk authe.rized by such permit is cc.mmenced within six months of issuance, e,r if He,rk alithe" lZed by the per.it is
suspended or aband~ned for a period of six lonths after the tiJe the ~ork is c~.menced, One 90 day e=te~5jDII of tile, may be
allowed for the per~it with fee charge of $15.00. The extension shall be requested in ~riljng t~ the 8uilding Official. An
approved inspectic,n oust be lelgged during each six Mnth period, Dr the prc,ject ~i 11 be ({,nsidered ~bdlld{orled.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR
DO NOT NEED TO RECORD
SIGNATURE
0. e . Notary Pubiic, State of Flat"
PIRES__~~~~~~~~~~~~~~~~__