HomeMy WebLinkAbout93-2964
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<! 2964iJ i
j- cJ7-f:.$
Date
S ELECTRICAL PLUMBING MECHANICAL S,w" Conn
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Parcell.D. # 11- ---.6~_~_~_ b__
Zoning: Energy.~:
De""'p"9n of wo,..;;f;. "p 4:e.,;.. L (j
4> 4-t:t~ 4
NO OCCUPANCY BEFORE C.O.
Radon Gas:
<I Lj <4'-... /Lr ~ ~ J--r)
-4'A-h L(7
FINAL
-/0-2:..
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
:~;~~:;:e f~
Company (,
Address
Telephone#
Valuation or
Contract Price <5 't hJ'--ZJ - ch)
City License Registration # 6/.. s-
State Certified License#
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EL~AL
-,
PLOM8.ING
------.
M~ICAL
---
Ftr.
Pre SLB
Lintel
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
FRM.
Insul. CL
WL
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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APPLI~7.IO!lil FOk PERMIT
CI'IY OF ZEPIIYRHI'w:.S
.6IJJILDIRG DRP~
OWNER'S NAKE \J \ c....o'i"2-? 72--~~...>~TS... 1A......
PIIOIN1E ~-eDo Sll 7S-S-0
OWER'S ADDRESS c..foo IN - %"7lA= Av.;;;
~Co.
JOB ADDRESS 5:;2.-1 '+ ~ I!::>l-V ~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL L D.I
WORK PROPOSRD:_lNfev Construction _Addition _Alteration _Repair _Install
~Sign
_!!love
_Deaolish
PROPOSED USE:
Single Faaily
~~rcial
_H/F
_' of Units
_H/H
_Indost.
_Swia. Pool
Ot:her
~Restauran.t &: Healt:h ~t Approval
7 t? ,:, ,=>5:(.1"
BUILDING SIZE: - J X Square Feet.
Height
RESIDENTIAL :
cottHERCIAL :
ATTACH (2) PI.OI' PLANS &: (2) SEI'S OF BUIIJ)ING PIJ\NS &: (1) SEI' ENERGY FORMS. U
AtTACH (3) SEI'S OF BUllDDi!G P1..UIS &: (1) SEI' ENERGY FORKS. "U'
**COPI' OF COlN1TRAcr RIl1lllT:6nID.
l-'ElmITS REQUESTED
__BUILDING
$
3q~-
ValuatiOlll of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_HECHAlUCAL
$
i?Talgation of Hechanical Installation
_PLUMBING GAS ROOFlliG
SPECIALTY
T~E OF CONSTRUCTION: _Block __Pralle _Steel
Other
FInSHED FLOOR ELEVATIOBS:
PT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTHACIOR SECITON
BUILDER <D!fPANY
State Cert. or Regist. #
Signature City License Registration #
******************************************
ELECTRICIAN COIfPMY
State Cert. or Regist. I
Signature City License Registration t
******************************************
PLOKBER CO!IPAm'
State Cert. or Regist:. #
Signature City License Registration I
******************************************
KECHMUCAL CO!IPMY
State Cert:. or Regist:. ,
Signature City License Registration I
******************************************
01'1IER OO1IPAhfi ~UI't^- ~c..,.,-- Co.
~. ' ~ State Cert:. or Regist. I e:. 0l0D00 76
Signa1:ure LA. c:> =- ,City License Registration i
, ***********t***~***.**********************
APPLICATION APPROVED BY
PERKIT OFFICER.
't'::'.-----.-
,~-_.. --~...~. ._--'-
._._..~. -- .~.----.,
COND I T J. r-;8 :IF j"':'ERtlI T ('iFF I DA'Y' I T
A. . NOT I CE OF DEED RESTR I C'i . .JNS
The undersigned understa.lds tLat this perlit 1\,; bE! sul:jeL:t tl' "deed restrictirms. which lay be lore restrictive than City
regulations. The ~ndersigned assules respofisit:"~~y f~r cb.pliance with any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS r- L~~", :::.~r",,-\j'=-~{",CTOR HESF'ONS I B I LIT I ES
If the owner has hir2d ; contractor or cDntracto' '- .. bndert3k~ lort, they aiy be required to be licensed in accordance with
state and local regulat~ons. If the contra[t~.' ';' iicens,; as rl!~uired by law, both the owner and contractor lay be
cited for a lisdeleanor violatinn under statp 1./. i th~ ONnir or iniended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, th~i 'r2 adv~sp.~ to contact the City of Zephyrhills Building Departlent, (8131
788-6611.
Furtherlore, if the owner has hired a contractor ~r contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they will ~e 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 thai he is not properlv licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION LIEN LAW (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
"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
"owner. prior to cOltenCelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this applic~tion is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, 20ning,'a~d land developlent.
Application is hereby lade to obtain a perlit to,dQ work and installation as indicated. I certify that no work or
installation has cOltenced prior to issuance of.'a per~it and that all work Mill be perfor.ed 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 govern.ental 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:
I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
I Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection AQencv - A~bestos abatetent
I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.', it is understood that a drainage plan
~~~rp~~inq ~ .rDeppn~~tin~ vnlu,p. will hp ~~~i~torl ~h;~~ iv n~a~~rpd by ~ nrnf~~5innal enginppr TegiEtered in the State Df
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 work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths after the tile the work is comlenced. One 90 day extension of tiDe, 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 tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOP. IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19 bv
STATE OF FLORID(l.-, ,
COUNTY OF \- ')ri>!.('I()/11f--
The foregoing instrument
befc,re me th i s / /:;J/~
,
STATE OLFLORIDA
COUNTY OF
The foregoing instrument
befol-e me th i s
was ac k)lc'IoJl edged
, 19.:L.3- by
At\.c,~) -l) l-\('\A0
who is pEq-sonally knOlo1ll to me -en 10'1/10 lid!!!
['\I-nTh .rpd
~s identification nft
ta, a)"'I oath.
/ ./ /J/
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
nature). , ~
(,.41,,') ~E C:::::;, ~\~~U
(Namp Typed, Pri n.t~d., CIT ,St~mped'>
NOTARY PUBLIC '
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5TH AVE.
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LEGAL DESCRIPTION:
.
PARCEL A: That portion of the vacated Seaboard Co,st Li~e
Railroad right of way located in Section 11 , Township. 26\"South "
Range 21 East, Pasco County, Florida, and being' more' parti'cu1Arl~'
described as follows: Commencing at the most Northwesterly
.comer of Block 167 of the Map of the Town of Zephyrhills, ~s
recorded in Plat Book 1, page 54, of the Public Records of
Pasco County, Florida; run thence South 67. 26' 15" West, (assume,
,bearing) a distance of 60 feet along the Westerly extension of
the' Northerly line of said Block 167 for a Point of Beginning,
said point lying on the Westerly right of ~ay line of 7th Street
as per aforementioned plat: thence run South 22. 34' 41" East,
along the Western right of way line of 7th Street, a distance
,of 250 feet: thence run South 67. 26' 15" West, a distance of' ,
'199.93 feet ,to a point on the Easterly right of way line of U.S.
Highway 301 (S.R. 39); thence North 22. 30' 00. West, along the
Easterly right of-way line of u.~. Highway 301 a distance of 250 I
to a Point on the Southerly right of way line of 5th Avenue; thenc
North 67. 26' 15. East, along the Southerly right of way line of
5th a distance of 199.59 feet to the Point of Beginning.
PARCEL B: That portion of the vacated Seaboard Coast Line
Railroad right of way locat~d in Section 11, Township 26 South,
,Range 21 East, Pasco County, Florida, and being more particularly
:described as follows: Commencing at the most Northwesterly
~corner of Block 167 of the,..Map of the Town of zephyrbi11 s ,: as I
recorded in Plat Book 1, page'54, of the Public Records of Pasco
County, Florida: run thence South 67~ 26' 15" Wes,t, (assumed
bearing) a distance of 60 'feet along the Westerly extension.ofthe
Northerly line of said Block 167 to a point lying on the Westerly
right of way line of 7th Street as per aforementioned plat: thence
run South 22. 34' 41" East, along the Wes~erly right of way line
of 7th Street, a distance of 250 feet to a point of Beginning;
thence continue South 220 34' 41" East, a distance of 49.9 feet
to a Point on the Northerly right of way line of 4th Avenue; thence
South 670 17' 19. West, along the Northerly right of way line of
4th Avenue, a distance of 200 feet to a point on the Easterly,right
of way line of U. S. Highway 301, (S.R. 39): thence North 22. 30' OC
West, along the Easterly right of way line of U. S. Highway 301, a
distance of .50.42 feet, thence North 67. 26' 15" East, a distance
of 199.93 feet to the Point of Beginning.
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IF
5317 ASHTON COURT . SARASOTA, FLORIDA 34233 . PHONE (813) 921.5511 . FAX (8131 924-2027
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