HomeMy WebLinkAbout93-3129
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~ 3129
Dat~5-3([) - C:;5
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Pmp,nyOwn" ~" ~1~ -~ Af/flrr W''',Met"
Job Address: _ _ (~__~ ~ T.I.F.'s:
Parcell.D. # "2.. -~ -2 ( ~z.<P - ao ~OO - QQt 0
Zoning: Energy Code:
Description of Work
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
Permit Fee ~.61 <5>
SlgnaM' ~ If
Company _ .
Address
Telephone#
Valuation or
Contract Price
/9~~~
~
610
City License Registration #
State Certified Lice~#
~KA ~,
~IL~~
~111
----- ?"Lu..1Blr~u -----
~I1N~L
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
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.
. ,,'
APYLT{:P_."'"XOINI YO:K PEJ.JtITT
CI'IY OF z..lJ'PIO'RIllI.LS
BUUJHJ!iG DEPAR'DiE:NT
/J (tfi Y)(g"73
(-..'JI-J ./ i7
OWNER'S RAKE
Z A- '" \(.IS
tJ H 1-<:::' t P ~ fA t) R" :~ ~ " :.'-: ~:PIIOH
~78Z-2Q/~
.
-.
OWNER'S ADDRESS
JOB ADDRESS '3 g- ~ e r< IE S ~ i? JUJ'
LEGAL DESCRIPl'I08: I.OT(S) ~t:~ S.
PARCEL LD.' O~ -d6. - ri!./ -Oodo - 00300 - 00/0
WORK PROPOSED: lSlew Construct~on _Addition _Alteration
ZEDH RH(I-~
/
_Repair
_Install
_Sign
_Hove
_Deaolish
PROPOSED USE:
Single Faaily
_KIF
_, of llInits
_M/H
_~rcial
_Indust.
_Swi..-. Pool
Other
_Rest:.aurant &: Hea1t::h Depart:aent Approval
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL :
COHKERCIAL :
ATTACH (2) PLOT l'I..MiS &: (2) SEIS OF BlJJII.DUlfG PIJUilS &: (1) SEt' ENERGY FORKS. **
ATTACH (3) SETS OF BUlI.DDlG l'I..MiS &: (1) SEt' ENERGY FORKS. **
**COFY OF COwrRAGr REQUllBED.
_BUILDING
$1/ q
PERlIfITS REQUESTED
f5 0 {' tJ 0 Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power COrp.
W.R.E.C.
_MECHANICAL
s
_Valuation of lIfecbanica.l Installation
_PUJMBING GAS __ROOFING
SPECTALTY
TYPE OF CONSTRUCTION: _Block _Fra.e __Steel
Other
FllfiSHED FLOOR EI...EVATIONS :__FI' .
IS PRO.JECT IN FLOOD ZONE AREA?
YES NO
****************..*..**.******************
BUILDER
Signature ~ IJ
(/
COln'RACIOR SECTION
mlfPAHY ~ Ji ,lCi
~1 State Cert. or Regist. ,
City License Registration
***.****.*.*~**.**.*****.*****************
ELECTRICIAN
CO!tPMY
State Cert. or Regist. ,
City License Registration f
*****.****..**.******...******************
.~'
Sismature
PLUKBER.
cmlPAlSlY
State Cert. or Regist. ,
City License Registration I
..**....***.*.*.*...*.**.****.***.********
Signature
KEGlJARICAL mlfPMY
State Cert. or Regist. I
Signature City License Registration I
*********ft**.*..**.*****.*****************
0'I1IER COIIPANY
State Cert. or Regist. ,
Signature, City License Registration ,
******************************************
APPLICATION APPROVED BY PERKIT OFFICER.
"
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to .deed restrictions. which lay be lore restrictive:than Ci!y
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor~or contractors to undertake work, they may be required to be licensed in accordance with
state and local regulations. If the contractor is nof licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. 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, (813)
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
.Contractor Sections. of this application for which they will be responsible. !f 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 Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
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 - Hoteowner's Protection
Suide. 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 cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a pertit 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 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 .ay 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 limited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water ~anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
f Departlent of Health ~ Rehabilitative Service~ Environler.tal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
i US Envirunaental Prvtection AQenr~ - A~t~sto~ 'hate~~nt
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "compensating volule. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per_it issued shall be c~nstrued 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, con~truction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such per.it is cOllenced within six months of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed f~r 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 lonth period, Dr the project will be considered abandoned.
WARNING TO OWNER: YUUR 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".
~
~E'~CO"T~ ~
was acknowledged
19_ by
STATE OF FlORI~
r.mnnv OF V~~c...Q
The foregoing instrument was acknowledged
befcq-e me this 26%~""~~ 19~ by
~k.. ev \ DY\rV ~ t1
who is per~onally k~own.to me or who has
produced C
as ident' ic-tion a~ ho did/did not
take an oa
STATE OF ~lORIDA
COUNTY OF
The foregoing instrument
before me this
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath.
(S i gna tLll-e)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER
JOB LOCATION
PARCEL 1. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES 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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(NOTE EXAMPLES 1 & 2)
STREET
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1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
-r-
la'
P E
R X
0 I
la' P S la'
0 T 1 A'
S I
E N
D G
20'
FRONT PROPERTY LINE
la'
la' EXISTING la'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
1'" .
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Proposal/Contract
FROM: JAR ALUMINUM CO.
40030 East 54 A
?;.~~540
/C-(813) 782~59~
,
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Submitted to
J
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NAME
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Z 1//
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PHONE
:;z / 1'9-
ADDRESS
CITY
STATE
DATE
'2 ..~ ,....
'v 3 ~
ZIP
lJ
We hereby propose to furnish all the materials and perform all the necessary for the completion of:
s~? X 11.(,'
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~R~t to
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with payments to be made as follows:
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings
and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars I.
I tJ' -;R' n l!J D
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Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will
become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation ond Public
Liability Insurance on above work to be taken out by
Respectfully submitted
Per
Note - This proposal may be withdrawn by us if not accepted within days
ACCEPTANCE OF PROPOSAUCONTRACT
The above price~, 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.
Accepted
Signature
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