HomeMy WebLinkAbout93-3095
BUILDING PERMIT
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QUILQ~
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
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_ 3095,8
s. - 11- 91J-
Date
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Property Owner: ~. >f.... '~~ n. "....at/J1J...1
Job Address: ~- 4- - / q n ,
Parcell.D. # //-2l- - :L/- /)0/0- //?SDO- () IOU
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ME~~-ewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
~. ~ 1- q~J3
NO CCUPANCY BEFORE C.O.
DATE
Zoning:
Description of Work
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
City License Registration # --------
State Certified License# ------
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Permit Fee
Signature
Company
Address
Telephone#
Inspector
Valuation or -J.. <;? ~
Contract Price ~ f? 0 .
BUILDING
ELE.YfRlCAL
~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre.Meter
Final
PLUMBJNG
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MECH~/'
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~:~sls~.fr9~ @~N
lo~\~Cl\o ~~
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Lintel
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 ($15.00) 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.
.
'RED DEUEL to ASSOCIATES, INC.
) 1st Avenue .North
Petersburt;j, Florida 33713
) 822-4151
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5TH.
A VE.N/..IE.
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SURVEYORS NOTES
1. No underground tnstalhtlons or t.provements have been loclted .
except IS noted. .
2. Ho instruments of record reflecting easements, rtghts of 'way,
Ind or o~ershtp were furnished this surveyor except IS shown.
3. This survey was prepar~d without the benefit of I title search.
A~Y
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INDICATeS EXf5TIN{j ELEV
c. FRED DEUEL & ASSOCIATES, INC.
5151 GALL BOULEVARD
ZEPHYRHILLS, FLORIDA~33541
(813) 782-6717
ACCORI
DATED
ZONE I
e-reby cerlify that ''''5 survey was mode in accordance wilh the minimum ,tondQrd delail requirements for lond tit~ surveys jointly eslablished ond,pdupted
'1 the Florida Deportment of RegulOliOflI 600111 o1.L.ond Sla-veYOfl. Chq>t", ZJ 11H.6 Qf poeido Administrohv(' Code effeclive Octobtr 1,1981. _
0666
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT .Jl1Jl i Q m::J-, lr"ne I:~' o..no.IO(l) Ih. tr I (' i a... A 'JO; n e Ii)
ADDRESS t5?ldcJ fC)+ll St7~h4J?J1ill<.;, tI3?JS<lO PHONE S}3-78\d-'7)~ltJ
OWNER .~~.!JPI.f
JOB LOCATION 5~::::J-j ,q'!.!o:5+ 2~h'l;>..h II-s LOT SlZ~;:;EA SQ.FT. 52? pi
LEGAL DESCRIPTION: LOT(S) If) r / I BLOCK /7 r"~"'SUBDIVISION
PARCEL 1. D . tt /1- 2- c,...-:. L( -- () 0 I 0 - / 7 r- if (J .- tJ I (r ()
.
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
'.
____Sign/Temp.
PROPOSED USE: ~Single Family
____Sign
____Move ____Demolish
~/F
____4t of Units . .____M/H
_Commercial
~Indust.
____Swim., Pool Other
____Restaurant &.Health0Department Approval
BUILDING SIZE: ~.:~~: ~ !l.g'V Square Feet,
JYi
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
~RRMITS REOUESTED
_BUILDING
$
3/~(o
valuation of Total Construction
_ELECTRICAL
AMP service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
.
____PLUMBING
.; ...
TYPE OF CONSTRUCTION: _Block _Frame _Steel Dther
FINISHED FLOOR ELEVATIONS' FT. '71D ~ /FL 7Y~ ~~;f,-u
..................................*....... . ~ CZ)~~
CONTRACTOR SECTION ~.
Company
State Cert. or Regist. ~t
City License Registration #
******************************************
,
mJTLDER
S~t. r
Signature
Si2nature
Company
State Cert. or Regist. #
City License Registration #
******************************************
f,LECTRTCTAN
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
'PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
'.
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
******************************************
PERMIT OFFICER.
APPLICATION APPROVED BY
{#II> '.J
CONDITIONS OF PERMIT AFFIDAvIT
A. NOTICE UF DEED RES1RICTIONS
The.undfrsigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restr.ictive tha~ City
regulations. The undersigned assules responsibllitf~!or,"colpliance Nith any applicable dl!ed restrictions.
B. UNLICENSED CONTRACTORS ANDCdNTRACTOR RESPONSIBILITIES
If the ONner has hired a ceon.tractor:or contractors to undertake work, they Day be required to be licensed in accordance with
statt and local regulations. If the contractor Is not licensed as required by law, both the owner and contractor lay be
cihd for a .isde.unor violation under state laH..r If the ollner or inhnded contractc.rare uncertain as to what licensing
re,quiruents uy apply f[,r the intended Hork, they are advised to c[lntact the City [If Zephyrhills Building Deparhent, (813)
788-6611. ;., .'
Fur thenore, if theoHneT has hired a contractor or contractors, he Is advi sed to h.ave the c[,ntr actor (s ) sign port ions of the
.Contractor Sections. of this application for IIhich they lIill be responsible. If you,as the [,wner sign as the c[,ntractor,
you are indicating that you, rather than the contractor, areTl!sponsible for the wc>rk. If the c[.ntractor Nishes you to sign
as contractor that lay be an indication that he is not pr[lperly licensed and is not entitled toperaittlng privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES., AS AMENDED)
1 certify that I, the applicant, bave .~een .pr~vided "i.th a copy of "Florida's Const~uction LienLall -.~o.eollner's Protection
Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs.. If \heapp;lit;ant is sue{,ne other than the
"oHner., I certify that I have [lbtai,ned a. copy of the above described docu.ent andprc.mi.se in goodfai th to deliver it to the
'ollner' prior to c~l.ence.ent.
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E. CONTRACTOR'SfOWNER-S AFF1DAVIT
I certify that all the inforl~tion in 'this application is accurate and that all ~ork Hill be done in coapliance llith all
applicable lalls regulating construction, zoning, and land developaent. .
Application is hereby .ade to obtain a penH to'do Mork and inshlliltion as indicat.ed. I certify that no work or
installation has cOI.enced prior to issuance of a perlit and that all work llill be perfor~ed to leet standards of all laNs
regulating constructi[ln, City cod~s, zoning regulati~ns, and land development regulations in theiurisdiction. I also
certify that I understand that the regulations of other governiental agencies may apply'to the intended 1I0rk, and that it is
IY responsibility to identify IIhat actions I lust take to be in COMpliance. Such agencies includeb'll~le neot li.ited to:
'"
t Depart.e~t of Envir~n.enial ReQulation - Cypress Bayheads, Wetland Areas and EnvironlllentallySensitive l,Hlds,
Water/Wastellater Treat.ent
f Southwest Florida Water ManaQuent District - Wells; Cypress Bayheads, Wetland Areas, Alteringllatercourses
t Any CDrps 'Df EnQineers - Seallalls, Docks, Navigable Waterways
f Depart.ent of ~ealth ~ Rehabilitative Services. Environmental ~ealth Unit - Wells, Wastellater Tr~at.en~, Septic Tanks
t US Environlental Protection AQency. - Asbestos abate.ent
I also c.ertify that, if fill uterial is to be used in Hood Zone "A" or "A,etc.., it is understo[,d tli~t a drainage plan
addTessing a 'co.pensatingvolule" lIill be sublitted lIhich is prepared by a professional engineer regist~ied in the State of
Florida prior to per.it issuance.
A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to yiol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the ~uilding Official froe theTeafter
requiring a COTrection of errors in plans; construction, or violations of any code. Every per.it issll~d ihall beco.e invalid
unless 1be lIork authorized by such perlit is C[lI.enced Hithin six lonths of issuance, or if Hork authOIJied by the per.it is
suspended or abandoned for a period of six lonths after the tiJe the work is commenced. Doe 90 day e~tEnsio\l of tile, aay be
allowed for the perlllit llith 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 period, or the project lIill be considered dbdlldoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
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
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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SIGNATURE_~-~_~~-~-----
CONTRACTOR-~~~
D~E..__________~/j.!GO~~cfL. --------------
#l--<<?.e' (?-:~;r~ rL~7lZ/ OA" '"
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MY COMM I SS ~lg~AR~~~B~~5'f"ff-eF-ri:OftttH',.,.------
MY COrl'iailSS10N EX.'IRES; NOV. 2.7. 1992:.
q,{~~ i<::'~' TH>-o:U NOTARY PUBLlC l!NDE::h:WRITERe.
SlGNATURE_~-Ci~~~~--------
OWNER OR A-~:.rU/":"
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MY COMMISSION EX~~~B~_~~~~~2l~~~~LQ~C~---
1..1' \.-\J"....I;:;;::;iUN L;l"IRES: NOV. 27. 199"f.
!iiUNOEO THkU NOTARY PUBLIC UNDERWRITERS:
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