HomeMy WebLinkAbout93-2955
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
2955A:
/ -d..d-~
N<!
.30. ov ;;[C)~ ZJ])
~' CELECTR~
p,"p,rty Own", ~'-"~
Job Address:,?' .:2-6 ' ~ cJ~
Parcell.D. # /..5--,;[6 --02/- oD~(!)'- 0 CJ~OCJ - 0/..5-0
Zoning: Energy Code: RadJ'l Gas: ), /3
Description of Work '-;11#~ M L~- <11.# /..1
Date
..:2 0 . trtJ
~UMBI~
M~L
Sewer Conn
Water Conn:
Water Met~r:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
P"mit Fe~o-i!
Sfgnature 1..-;;( ~.y
Company
Address
Telephone#
Valuation or
Contract Price
;z?-yy: CiV
./
City License Registration #
State Certified License#
~L
ELECTRICAL)
t';'k~
PLUMBING
ME
ICAL
Driveway
1..2. '8~" 8 /1/JJ
Tp. Servo
Rough In 3~lq.91
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~
SLBV)'...22..-93 f3d1 Breakers
Tub Set '3-7..'14 ~ ~~ucts Insl.
Water Compressor
Sewer Final
Final
FRM.
Insul. CL
WL
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.
APPL1.GAi".HJIF'J i"O:"'. l"~tt,,'iiTT
CITY OF 'lR'PIIYRlIT1..LS
BmLDTI!ilG DEPARl:IIfEJiJ1.'
OWNER'S
NAKE ~ennP{h -I- Deborah Ploefz- mmrn 7Sg- dl'/o'f
Ave) ZefAyr h',/Is} PL 33stjl'
Gare1en C()()"f
Ib BLOCK '2 _.SUBDIVISION S Aaw)s A.dJ,1-tO'Vlfu
3 7g 2 "
a hI) u-e.
UJr(S) L,+ /5"" Yz.
l;lft1Ufr~
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION:
PARCEL LD.' /-.5--;26 ,-eJ-/ - 0 CJ;L 0 - D D:J-.O 0
WORK PROPOSED:_New C'oo.struction V Addition
o /..5- 0
_Alteration
_Repair
_Install
_Sign
_Hove
_D~lish
PROPOSED USE: V Single F3IIily
_H/F
_, of Units
_K/H
_~rcial
_Indust.
_Swi.a. Pool
Other
_Rest:aurant &: Healt:h Departaent Approval
BUILDING SIZE: '/0' f'r X /0 tg:'
Square Feet,
Height
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PLOt' PI..MlIS & (2) SEI'S OF BUILDING PI.ANS &: (1) SET ENERGY FORKS. U
ATTACH (3) SEI'S OF BUILDDlG PI.ANS &: (1) SET ENERGY FORMS."''''
"''''COPY OF COIN1TRACT REllUJrI'RED.
PERKITS REQUESTED
V BUILDING
$ "-S p 5/Y OZ)
Valuation of Total. Construction
_ELECTRICAL
AKP Service
Florida Power COrp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
_ _ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _i"rar>e __S teel
Other
FINISHED FLOOR ELEVATIONS:
FT..
IS J?RO.JECT IN FLOOD ZONE AREA?
YES NO
"''''''''''''''*''''''''''''''',*.~**'''**,fd''''''''i!:*'''''''''*'''*'''*****'''''''''**
Signat:.ure
COIJ'l'RACIOR SECTION
OOMPMYC7l~~~~
State Cer1:. or Regis1:. ,
City License Registration ,
****"''''*''''''''''''***''''''''''''**''''''**''''''*'*'''*'**'''*********
BUILDER
ELECTRICIAH
OOlIPANY (=?I ~ ~ ~.Lht~
State Cer1:. or Regis1:. ,
City License Registration ,
*"''''''''''****i!:~**'''****''''''******",,,,*,,,**,,,***,,,,,,,,,,,,**
Sismature
Signature
ctll!fPMW .~~
Stat:e ee;::1:. or Regis1:. i#
City License Registration 41
*******"''''**''''''*''"' ..1-'ii:*"'**'************+......+.-"'-Ac....'!!-'!:
PLtllKBER
HEC'BARICAL
CUlfPMD
Sta~e Cert. or Regist. ,
City License Registration I
****"'*********~~~**'**"''**''''''*''''*'*'**'''*'''*******
Signature
OTHER
C:CiIfP~~,,!.c
State Cert. or Regist. i#
City License Registration ,
**"''''***'*'''*'**'''*''''****'***'''*'''**'''***'***********
Signature
APPLICATION APPROVED BY '-It a."",,~ ~(/v/lAY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTICNS
The undersigned understands that this perlitlay be sub;ect to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance wi~h any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS AND CONTFi6CTOR RESPONS I B I LIT lEt;
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 COntriictOr i!:fIilC licensed as required by laM, both the owner and contractor lay be
cited for a lisdeleanor violation under ~tate law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they a,e advised to contact the City of Zephyrhills Building Departlent, (8131
788-6611.
Furtherlore, if the owner has hired a contractor 0, CrCttlQctors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which ~i.,~y 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 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 2ephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2.
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been 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 prolise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work lIill be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit +'0 do ~ork and installation as indicated, I certify that no work or
installation has cOllenced prior to issuance of. a perlit and that all work 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 goverr.mental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not limited to:
. Departlent of Environmental ReQulation - Cv~ress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. ArlY Corps Df EnQineers - Seawalls, Docks, Navigable Waterways '
t Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
. US Environlental Protection AQencv - Asbestos abatelent
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to permit issuance.
A per.it issued shall be construed to be a II~ensE +'0 pruceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codesj 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 work authorized by such perlit is cOlmenced withi: six Bonths of issuance, Dr if work authorized by the permit is
suspended or 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 permit 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 ~Dnth pericd, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCt OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DC NOT N~:il TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
was acknr',.,ledged
19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befclj-e me th i s
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
vJa.s acknovJl edged
19_ by
who is personally known to me or who has
prc.duced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(S i gna tLll-e)
(Signature)
(Name Typed, Printed or Stamped)
NQTARY PUBLIC
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
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LEGAL DESCRIPTION
... .__ ,. ...._ 7- A?.A C'T' /8-- -- -.-.. ---
2~, ,lo7": c.~.. (:'. 1~,4t/\/L.)...."~. ,~~;~ 2...." l.c.:'<-~. 6,
Nor-VALID UNLESS
EMBOSSED Wi n I J\ SEAL
TII\( <;T il ~'}\l-) I'r: RED
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Lot 15 and the East 1/2 of Lot 16, Block 2, SHAW'S
ADDITION TO GARDEN COURT, as recorded in Plat Book 2,
Page 109; Public Reco~ds of Pasc6 County, Florida.
FOR: Thomas L. & Mary Jane O'Neal
DATE: February 25, 1988 ~BOUNDARY & LOCATION SURVEY)
ORDER #7969-ZH
CERTIFIED TO: Amerifirst Mortgage Corp.
Thomas L. & Mary Jane O'Neal
SURVrTOltS lIOns
1. "0 underground Inslallltlons or'l~v...nts hive been lOcated
ucept IS noUd.
r. "0 Instru.ents of record rwflectln9 Ils.-ents, rights of ~1,
Ind or ovnershlp were furnished this surveyor except IS shown.
3. This survey WlS prePAred wIthout the b<<nlflt of . title Sllrch.
7'hu lnl'tifi.. t1tdt tM prcp.l'tv a..cf'ib.d "~on wee
eUJ"\J~<<l IUlthr '"V diNati"" tmd ...".Mri.eicn, t1tdt tM'
.k.te" "...."" u a t...... and ac",,-,,<:fA repl.....tcticn
of tM eaM, and that i-lti. ILCI''Ilry ttVr.t.. tJUI rrrinimuft
. tcnda:rrU of C1Iap U~ 21 RH - ~ , rl.4~-ida. L<Itn' nie tra ti".
Co<J., to tM but of "'1/ !:r.(J4oIl6~" .::r.d NU.,. I firtd
no encroaolPNnu IIJOCrp't a. .h<JVrl .,,""""".
C. ~)yed C/)eutl.. ami ~S$oci4t~3,I"e.
Sf. P.t8l'3buTg - ZtJphyrl1l1/s" ,
RICHARD C. HUMMEL
OWII. by: ~
Ckd. by: