HomeMy WebLinkAbout93-3120
BUILDING PERMIT
Permit
_ 3120R
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ECIRICA '
CITY OF ZEPHYRHILLS
(813) 788-6611
N~
Date
P~-'_.'
"'-MECHAr4ICAL''''
Sewer Conn
Property Owner:
Water Conn:
Water Meter:
Job Address:
Parcell.D. #
Zoning:
NO OCCUPANCY BEFORE C.O.
FINAL
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#
DATE
Valuation ord:. / ___ aD
Contract Price "J'I=! (p I ~~ &-"q .
City License Registration #
State Certified License#
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I g-e~55
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"?"204~ i?t}'-.
Tp. SeN. SLB
Rough In V'4-~;\-G\3 ~ Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. ~- :r:l-q3 B~
Insul. CL
WL l\--:~.:~.-~ 3 ~
Driveway
~vu..c.. ul !Jrc~ tt-2-ti3
8~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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Page No.
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MEL'S"AtUMINUM
_ ~1llov L~ne' \
Zephyrtfllls; Florida 1).S41
(813~ 783-6752 '\.
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STREET.
JOB NAME
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CITY, STATE ANI:!.' ZIP CODE
JOB LOCATION
ARCHITECT
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DATE q,. PLANS
JOB PHONE
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We hereby submit specifications and estimates for:
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JIlt 'ropose hereby to furnish material and labor - complete in accordance with 'abo've specifications, for the sum
dollars ($ 6 j6 3 f \ ~
of:
.....
All material is guaranteed to be as specified. All work 10 be completed in a workmanlike
manner according to standard practices., Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders. and will become an
edra charge over and above the estimate. All aareements 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.
AuthoriZ*/ ~
Slgnatur
. Note: This proposal may be
withdrawn by us if not accepted within
~c4;~! 0
/...
days.
Date of Acceptance:
SignatX&~tj:;]. Ur;n~
Signature 0 . .
!\tttptatltt of 'roposal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
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CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
JOB LOCATION
OWNER
PARCEL I. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
jO
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T 1 0'
S I
E N
D G
20'
FRONT PROPERTY LIHJJ:
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PROPERTY LINE
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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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LAWRENCE E. BENNETT
CIVIL ENGINEER B DEVELOPMENT CONSULT AI
P.O. Box 4368 Sou1h Daytona I FI..3212t-4?
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Notice to all contractors concerned with concrete for the design,
fabrication, and erection of Aluminum Structures Only.
Patio Slab's: Minimum 81x12" footer w/211 5 rebar.
Effective November 15, 1990 concrete shall be installed as required
in detail below.
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AFPi.I.:::AT":Oil FOR PEr.:UT
GI'IY OF ZEPHW.HTT.V.S
Bur.wIIiG DEPARIl/IE!i;T
OWNER' S
RA1fJlA!rki IJ ~.
ADDRESS .Ft'3',/ ~ .;j,-Ll~ 5L
~.J?tl~ ~~~ ~<<' j?4~f
./
PHOSE
0WlIIER · S
JOB ADDRESS
LEGAL iJESCRIPl'ION: WI'(S)
~_SUBDIVISIOil
PARCEL LD.'
WORK PROPOSED:~5ev Construction _Addition _Alteration _Repair _Install
_Sign
_ftove
_De.olish
PROPOSED USE:
Single Faaily
_"'F
_, of fuits
_K/H
_~rcial
_Indust.
_Swia. Pool
Other
_Restaurant 5: Hea1th ~t ~roval
BUILDING SIZE: / ~ x.21Jh. I /..2i ~7 Square Feet.
7~
Height
RESIDENTIAl.:
COffttERCIAL :
Al'TAGII (2) PI.OI' PLANS ci; (2) SEI'S OF BUll.DIMG PLUS 5: 0) SET ENERGY FORKS. **
ATI'ACII (3) SETS OF BUllDDIG PLAlIS &: 0) SET ENERGY FORKS. **
**COPY' OF CONTRACT RI1J.!m::RED.
__BUILDIBG
o
tj../t? 3JY
$-..- -
PEmfITS ~~OESTRD
_ValtW-tiOO1 of Total Construction
_ELECTRICAL
_MIP Sf':rvi,~.:i:
_Florida Power COrp.
___W.R.E.C.
--.JfECHANl<':AL
~~.
~a1.tli3"t.iOlli of Kecbanical Installation
___PI.UKBDfG
GAS
ROUFTJIG
SPECIALTY
TYPE OF COliSTRUCTION: _Block __F'raIk __Steel
..
Other
FDITSHED FLOOR ELEVATIOlliS:
PI' .
IS P.RO.JECT DI FLOOD ZONE AREA?
YES liO
********~****~~*******,c*******************
amrRAcroR SECTION
BUTIJ)F.R /7 fDfPAu.4.J'l A /.s' 4~",.,./) q/YI-../
~ /' ./ / ~ State Cert. or Jregisr. I
Signature ----.- ~ .'( ./. Y ~ _ City License Registration , :1 / ~
~ **..** *......********************..****
si_ru4,...~C' ~,q~~) ~:~ ~e:~~:~i:" I /'J'j
~. ~~ [I' --***~........*..*..*...
PLOIBER cm.;pQY
St'"lte Cert. or Regist. I
Signature _ ____ ~_ Ci.1:y j.jr~'c;;p Rpgh;t".r~"ion I
***********.*~~******~**~~****************
KECllAlUCAL lr...aPANY
State Cert. or Regist. ,
Signature City Lic~e Registration I
**************~***************************
01HER. COIIPJ.HY
State Cert. or Regist. ,
Signature C~ty License Registration ,
************._*.::-,....*..a-*******......**...*...*...***...**
APPLICATIOR APPROVED BY PERKIT OFFICER.
""'AIJI'.A~ !JIll T
~
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CO\-.JD!. T: LlMj GF PERM I T AFF I DAV I T
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
regulations, The undersigned assules responsib~lity for cOlp!.iance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTR~CTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake Mork;-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 IaN. 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, (B13l
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 aay be an indication that he is not properly licensed and is not entitled to perlitting privil~~es in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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 Corisuler 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 accura~e and that all Nork will be done in cOlpliance with all
applicable laws regulating construction, zoning, ~nd land developlent.
Application is hereby lade to obtain a perlit to do work 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 constr"rtion, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, ~nd that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
, Depart.ent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and En~ironlentally Sensitive Lands,
Water/Wastewater Treatment
, Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docksj Navigable Waterways .
, Departlent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, S~~tic Tanks
, US Environlental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete,", it is understood that a draina~e plan
addressing a "coapensating volule" will be sublitted which is prepared by a professional engineer registered In the State of
Florida prior to pertit issuanc:e. "
A perlit issued shall be c:onstrued to be a license to proceed with the work and not as authority to violate, canc:el alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official from thereafter
requiring a correction of errors in plans, cOIl!:;'~rm:tion, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by suc:h perlit is cO~jenced within six aonths of issuanc:e, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOltenced. 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 dllriJllj each si~ t!llit!1 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 FOR IHPROVEnENTS 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 ~QM"ENCE"ENT..
~~~1 c:l9 ~~
SIGNATURE: OIlNER OR AGENT / ~
STATE or FLORIDA
COUNTY OF
Pasco
The fDregoing instrument ~~5 ~~k"ow~
before me this 03/26 , 19~1- by
Robert D Johnson
who is personally known to me or who ~as
produced ___Personally Known
as identification and whc, HU/"id not
takJ;;~ otH, 81 h ~01j
.....
(Signature)
Gail W Burkett
(Name Typed, PriD~ed or StampEj)
NOTARY PUBLIC .<~".'.;'!4:'.. GAlLW.8URKETT
~:y &..\..t:~ tl'f COMMISSION /I M 694972 EXPIRES
~~'~'~l August 31. 1993
"*, 0; ;~., BONllED THRU TROY FAIIIINSURANCE. ItIC.
'UtH"
JC
STATE OF FLORIDA
r';UNTY OF Pasco
1ne foregoing instrument was 2cknowledged
before me tnIs 02/26 19~ by
Melvin C Wade Jr
who is personally known to me or who has
produced Personallv Known
as identification and who )IDQ!I/did not
ta')2 C\2...o~th.. _, b~
~,1.JfJA~ J(L~ Dill
(Signature)
Patricia S Bazzell
(Name Typed, Printed or Stamped)
NOT ARY PU~.I C
.'~" ..P,t;;-. PATRICIA S. BAZZEll
!~"ii]",;; M'I COMMISSION /I CC 169840 EXPIRES
~. :~g December 23.1995
....~1:.~.~,f:\\ ~ BONDED THRU TROY FAIN lNSURANC!.INC.