HomeMy WebLinkAbout93-3233
BUILDING PERMIT
Permit N~ 323:>8
Date 6'"'- It) -7.:3
.
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~ ~CTRIC~ p~
&~ (J) Water Conn: -
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Parcell.D, # r:2 - ;2fo - ~ / - 0 Q 10 - // () 0 ao - /":;-00
Zoning: _ Eryjr;V Code: Radon Gas: -
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CITY OF ZEPHYRHILLS
(813) 788-6611
-
~ Sewer Conn
FINALlO-
DATE
C.O. /0 - /~-- '--3
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector W.
o
Permit Fe
Signature
Company
Address
Telephone#
Valuation or ~ [) If)
Contract Price , I~I 000'-
City Ucense Reg's".,'on' ,;;1,tL ~
State Certified License# f7 G tf.... b Cj~
~.
- - BUILDI~
Ftr.
Pre SLB
Lintel
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Insul. CL
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Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Q-(cfr43 ~Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway ~"'4~ aJt
(G)~~~:ll.lt-~5 &~
6HM'l7/~ ~~
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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APPLIC'.ATI05 FO'kt PHRHIT
CITY OF ZEPllYDBTI~l.S
BlBIIJHlIIG DEPM'OfRM',l
OWNER'S MAKE r.pllnpr/Tpmplp
PHONE (R13)7R?-nlq3
OWNER'S ADDRESS nn4i:i Rilnynn fnlJrt
7prhy~hill~J ~ln~irlil ~~~4n
JOB ADDRESS 6712 /6716 BaSiSi\"ood Circle Zepl:lyrbilh, Florida
LEGAL DESCRIPTION: LOI'(S) 14q JI. 1 ~O
~SUBDIVISI05 n~iftwood Phtl5E' Tq
PARCEL I.D.I n?-?n.?1-O?10-nnnnn-1490 JI. ]500
WORK PROPOSED:-X-lIew Const:ruct:ion _Addit:ion _Alt:erat:ion _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE:
Single Faail~'
_KIF
_' of Unit:s
_K/H
_~rcial
_Indust:.
_SwI.. Pool
Other
_Rest:aunmt: 5: Hea1t:h Departaent: Approval
BUILDIIfG SIZE: 54 X 20
1080'
_Square Feet:,
Height
RESIDENTIAL :
COItKERCIAL :
A'l'TACII (2) PI.OI' PLANS 5: (2) SEI'S OF BUILDING PLANS 5: (1) SEI' ENERGY FORKS. **
ATI'ACH (3) SEI'S OF BUllDDiIG PLANS 5: (1) SET ENERGY FORKS.*'"
**COPY OF COtITBACT JUlQIllIRIlD.
PERI!II'IS RJK9UESTED
-X-BUILDIIfG
$ 11 ,200 . 00
Valuat:ioa. of Tot:a1 Const:ruction
-X-ELECTRICAL
AKP Service
Flor;ida Power Corp.
W.R.E.C.
_fIECIIAlUCAL
$
Valuat:ion of Kechanical InStallation
_PUJKBIlfG GAS ROOFHiG
SPECIALTY
TYPE OF COIfSTRUCTIOINl: _Block _Pralle _St:eel
Other
FINISHED FLOOR ELEVATIOBS:
FI' .
IS PROJECT IN FLOOD ZOHE ARFJ\.?
YES NO
**..****.*.~.*.*..~.******..*.**.*****.**
CODn'RACIOR SEC'ITON
BmT.DER Kevin T. Roberts CO!IPMIY General Home D~\lQlopmQr:lt Corp
~ State Cert. or Regisr. # CGCnnnS6QS
Signarore 'G...-J,...rI?&.~ Cit:y License Regist:rat:fon I ??
......*...****............*...*...*..**...
ELECTRIClAIf
Si lma1:ure f~~I,~-tJf
7J,
CO!IPABY MOtIf f ^
"h. ..... J St:at:e Cert:. or Regist:. f
~ ~ City License Regist::rat:ion t
.*..***t~....~.****~.*.*..**.******.***
f:.- / e. L--}-r J <-
Eeo 0 (lIt 0
( stf
PLOKBER cmlPMiY
St:at:e Cert:. or Regist:. I
Signa1:ure Ci~ License Regist::rat:ion t
**.**.*...*.....***.*******...******....**
MECHANICAL :;;',ll"iP&iW__ "
St.",t:' CerL or Regist. f
Signa1:ure Citf bic,~e Registration I
**.........****.**...*~~.**.*...*******.**
OTHER CO!IP.DY
St:ate Cert. or Regist:. I
Signature City License Registration I
**.*****.....****...********.**.***..*.***
APPLICAT'LON APPROVED BY PERKIT OFFICER.
cm<D I T IONS OF PERI"1 I T AFF I D?4'-,J IT.
- A. . NOTICE OF DEED RESTF]CTIONS
The undersigned understands that this pei-aitllli.lY be !:Iubject to ae~d restrictions" which lay be lore restrictive than City
regulations. The undersigned assules re5ponsiJ~ll:, fer cOlpliance ~;~h any applicable deed restrictions.
B. UNL I CENSED CONTRACT(i.RS P.ND CONTRACTOR RESPONS I B I LIT I ES
If the ollner has hired a contractor or C'_,ntractors to undertake work, they lay be required to be licensed in accDrdance with
state and local regulations. If the'coni:Ttctor is nllt licensed as required by laM, both the. owner and contractDr lay be
cited for a lisde.eanor violation under 5tate IaN. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended .Iork, they are advised to contact the City of 2ephyrhills Building Departlent, IBI3)
788-6611.
Further.ore, if the ollner has hired a co,tractDr or contractors, he is advised to have the contractorls) sign portions of the
"Contractor Sections. of this applicativ,1 fDr Ilhich they Ilill be responsible. If you, as the owner sign as the contractDr,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor IIi shes YDU to sign
as contractor that .ay be an indication ,hat he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPArT FEES AND UTILITY CONNECTION FEES.
D. CONSTRUCT I ON L I EN Lr.Ji (CHAPTER 713, FLOR I DA ST 4 TUTES , AS AMENDED)
I certify that I, the applicant, have be~n provided Ilith a copy of .Florida's Construction Lien Law - Ho.eollner's Protection
Guide. prepared by the Florida Depart.ent of Agriculture and Cot;Uler Affairs. If the applicant is so.eone other than the
.ollner., I certify that I have obtained 1 copy of the above described doculent and prolise in good faith to deliver it to the
.ollner. prior to cO.lencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in thls application is accurate and that all Ilork Mill be done in co.pliance with all
applicable lalls regulating construction, zoning, and land deveIQP.ent.
Application is hereby lade to obtain a per.it to do 1I0rk and installation as indicated. I certify that no Ilork or
installation has cOllenced prior to issu3nce of a perlit and that all Ilork Ilill be perforled to leet standards of all lalls
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies .ay apply ~o the intended Mork, and that it is
IY responsibility to identify Mhat actioiis I .ust take to be in roapliance. Such agencies include but are not lilited to:
, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDnlentally Sensitive Lands,
Water/Wastellater Treatlent
, Southllest Florida Water KanaQelent District - WElls, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterllays
, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, US EnvironlentaI Protection AQency - Asbestos abatelent
I also certify that, if fill .Iaterial is to be used in Flood Zope "A. or .A,etc.", it is understoDd that a drainage plan
addressing a .colpensating volule. will be sublitted which is prepare~ by a prDfessional engineer registered in the State of
FIDrida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed Ilith the work and not as authority tD violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance )f a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plaD~, construrtion, or vio~'tions of any code. Every perlit issued shall becDle invalid
unless the work authorized by such pertit is cotlenced Ilithin six lonths of issuance, Dr if Mork authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the Mork is cOltenced. One 90 day extension Df tile, lay be
allowed for the perlit Mith fee charge of $15.00. The extension shall be requested in Mriting tD the Building Official. An
approved inspection lust be IDgged durin] each six lonth period, or the project Mill be considered abandDned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE~ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FIHAN~ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"KENCEKENT".
-~R~R~
STATE OF FLORIDA n
COUNTY OF t"C( oS Co
The foregoing instrument was acknowledged
before me this :::r - 10 , 19.9.2. by
'J C\..neJ (3, I ctcK (,J~ l(
who is persc,nally known to mt-! or who has
produced
as identification and who did/did not
t a k e an 0 a th ~ CU\.J;-tf..JJ, !1 ill.Qu, t1:.--
(SignatUl-e)
~~ '-~al ~ f1. _-AllI.IO~
(Name Typed, Pr i nted or Stam! !ed) ,
NOTARY PU
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befcol-e me this -:5 - (0
Pc1 s CO
was acknowledged
, 19.-:Jl by
3c).J'~+ ~b c/c lJe t(
who is personally known to me or who has
p,-,:.duced
as identification and who did/did not
-Cake an oath..4~ 0 ~?~
(Signature)? __
~ r-fJ<1 rOL A, A \/, S'cr)~
,
(N3me Typed, Printed or Stamped)
NOTARY PUBLIC
Pf8!~@'. ~fM~'~~ :IWk'~~~flll'
M~ ~~fhlJ" ~'.~, r~lHd., U.4
t;,lfflfll. No. AA 71un
, NelltV "jj!l~€1 IIlalo of Florid.
JIM!!A "It" ^!.,,,,ISON
M, llijlflllt, "_p, Mlr. ae, U94
COWllft, No. AA 71lif1l37
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