HomeMy WebLinkAbout93-3262
BUILDING PERMIT
D
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$"g
Permit N C?
~3262p
a? ; .2/- 93
~-
Date
Water Conn:
Water Meter:
T"IF.'s:
Zoning:
Description of
.7fR~
FINAL Ie - '7- 3
DATE
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
BUILDING
Ftr. 6=-2--5.c;3 ~
Pre SLB
Lintel
FRM.
Insul. CL
WL
~J~fL-
ELECTRICA# $'tJ
Permit Fee
Signature vi
Company
Address
Telephone# V (C l.{- 'J't' - !J<J OD
U~~
PLUMBING ~
--- ...,
Valuation or 'I- 4- -'2/ je ~ C)
Contract Price a (9
C;ty License Reg;stra,;on '.2!~~?B
State Certified License#
Ch'~Tff ~~~
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool ~A\L. (P-7 ~ ~
Pre-Meter
Final
SLB 62--'5.~! 3 r2If-
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
APPLICATION FOR PERIIIT
CIlYOFZEPIIYKIIILLS
BmLDlliG DEPAImIENT
OWNER'S NAKE 'frtll NSWI II f!. K ~ f0S1 Co ~ f. / G i-t:AI fI ft LL
(
OWRER'S ADDKESS 5.3 33 (b 0 fl/J IYl E.R..c I A L W A ~. S P R-II~
.
JOB ADDKESS t.t6 '-II J-f () to-11 pJ6-r?)/'J DR...
LEGAL DESCIUPTImf: WI'(S) q I IlI.OCX
PARCEL I.:.D.' -3 -;;l, ~ - ;{/- i ~ - o~ 00/1
PIIONE q 0 '-J. - L.~-C; (p - '-/1'11
rI (I..-L, r L. 39.fp07
-
SUBDIVlSI08 ~f /... vti:.. C>A t<S PHASE.. eJ,Je.
won PROPOSED:-L~ev Construction _Addition _Alteration _:Repair _Install
_Sign
_!!love
_Deaolish
PROPOSED USE:
Single Faaily
_KIF
_' of Units
_K/H
_ec-ercial
_Indust. .....L..Swm. Pool
Other
Restaurant &: Health Depan:.ent Approval
BUILDING SIZE:
x
Square Feet.
Height:
RESmENTIAL: A1TAaI (2) PI.O]' PIAJIIS &: (2) SEI'S OF BUILDING PIAlJS &: (1) SEt' ENERGY FORMS. **
cottKERCIAL: A1TAaI (3) SEI'S OF BUILDING PLOS &: (1) SEI' ENERGY FORItS. **
**<DPY OF <DIffRACT KEQUIlUlD.
PEHKITS REQUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
,/ Florida Power Corp.
W.R.E.C.
---.JtECllAlilCAL
$
Valuation of Hechanica1 Installation
_PLUKBIliG GAS KOOFDiG
SPECIALTY
TYPE OF CONSTKUCl'Imi: _Block _Fra.e _Steel
Other
FIlIISHED FLOOR ELEVATIONS:
FI' .
IS PROJECT IN FLOOD ZOB AREA?
YES NO
******************************************
BUTTnER
OOlIPANY GA6n.E:. POOLS
State Cert. or Regist. , f\ P-Oot./(p04,'7
City License Registration .
*******************************
Sigoatur
PUllBER
OOlIPMY-L. .....,~~ t\-~l~L\~
State Cert. or Regist. I ~1f~l'dhtf#o
City License Registration I SD
******************************
t\
Signature
~ANY CflSfLL PoOLS
State Cert. or Regist. I f<. ~-(J04 (gOh!
City License Registration .
******************************
COltPMY
State Cert. or Regist. I
City License Registration .
******************************************
,J/A
KECHANICAL
Signature
Signature
COltPANY ,J / fI
State Cert. or 'Regist. .
City License Registration .
******************************************
0TII1tR
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be lore restrictive than City
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
reQuire.ents .ay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, 18131
788-6611.
Further.ore, if the ONner has hired a contractor or contractors, he is advised to have the contractortsl sign portions of the
"Contractor Sections" of this application for which they Nill be responsible. If you, as the ONner 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 per.itting 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 Nith a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent 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 docu.ent and pro.ise in good faith to deliver it to the
"owner" prior to cOllence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no Nork or
installation has cOllenced prior to issuance of a perlit and that all Nork Nill be perforled to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent 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
.y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable WaterNays
I Departlent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, WasteNater Treat.ent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volu.e" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A pertit issued shall be construed to be a license to proceed with the Nork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro I thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such pertit is CO'lenced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the work is cO'leneed. One 90 day extension of tile, .ay be
allowed for the per.it 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, or the project Nill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COH"ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ATTORNE EFORE RING Y NOTICE F
C~"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND P T, "NOTIC F CO""EN HE
/ <'"~
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19_ by
STATE OF FLORIDA / /
COUNTY OF AJ/t' L It/J1/H[~
The foregoing instrument was acknowledged
befc'l-e me this /ll4e; c:?/S/, 19.B.:. by
,
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc.re me th i s
)J6u~t:,Io'-1 ::; -~.i. iHf/vl!f[/!.(J,
who is p-~rsonallY known to me
produced
as identification
ta~~SID-bath .
or whet has
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath.
and ~ho dinid n~t
/ ,/ I
~, /
, ' 6 1-<--.
\!!l!;(. Stefl! of FloridG ~
t I 1'-) /:.:!/.). My (om,,1':',:'~1l L'Th'~ J')'i 27, 1995
Ol- St_tiCf' TrQi' Foi" -1"'"'00<0 Inc.
(SignatUl-e)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~LU~lUH YUWtK lUR~
. ,
I tL : S 1,)- (Sl-':>':J4'::l
Ma~l 19',::L5
11:U4 NO.UUS P.UL/US
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CITY
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~ The pOol propO..a for con.truction at th. above adar... Dq~, N9T
conflict with any underqroun4 or overhead faci11t1ea of Florida
Pow.~ corporation, provided that the pool ia inatalled in the
location ahown on the attached ait. plan provided to u. byth.
pool contractor.
-
The pool p&"Opo.." fo~ con.t~ctJ.on at the above &4dr... DOIS
conflict with, OVERHEAD UNDBRGROUND
- -
fao11iti.. ot rlori4. Pow.~ Corpo~.tion.
k&,&n9_llt. bav. "en aacte with u. for relocation of the
'aoil1ti.. .0 .. to ol.a~ the pool .r.. .hewn on the attaehed
ait. plan.
. ,,Jif~TI~r1i3
Coat tor relocation of .l.ct~ic facilitiea will be paid by.
OWNeR
POOL CONTRACTOR
f IlIFIlI:.
PRIOR to ~.lOc.tion of faci1iti.. and con.truction of pool.
38231 HIQHWAY 54 . ZIPHYAHllLS. 'I.ORIDA...... 33s:Y J
A Florid. "rogre,. Com,.",
<!rastlt
'.. ""'-I.............
00 Is
10453 TILLERY ROAD · SPRING HILL, FL 34_
(904) 888-5900
TRANSMARR
NAME ~9~~!~P_~~!9~__~g~f_.JD8' _____________ DATE ---------~~:Ob~:_S_~_________
ADDRESS 5333 COMMERCIAL WAY PHONE 904-596-4141
_.~_._--------------------------------- -----..-----------------------
elTV SPRING HILL, FL. ZIP 34607 SAlES"AN JOHN PIAZZA
---------------------.------ -------- -.-------------------------
J DB ADORE sa _ _ _~~.~ ~ L _ _ i:\. w::?:\..}. ~ s':.'tt>.t? _)) ~ ~ _ :Z,Ke \:\.'1 ~ lL;.'s-'i, 1.:R-:: __ _ _ _ _ ___ _ ___
LOT _5_~_ &LOC~: ___-:=._ UNIT __-::__ SUBDIVISION ~).~~"::._~~~--~t\~_~__~~.s...
SIZE _____\~~.?:-~~_______ SHAPE ----1s-J~1_?S-_~~______ DEPTH -h..A~.:-__""_~_..-___
~ 6U~ITE WITH MARCITE INTERIOR [ ] VINYL LINED POOL _____________________
· WATERLINE TILE' . LINER STYLE
------------ --------------------------
· CAP TILE · . LI NER COLOR
------------------
.......~....===..=................................................................
NOT
INCLUDED
AUTO"ATIC CHLORINATOR [Xl
START-UP-CHEMICALS [X]
LOVE BEAT · SWIM-OUT · KUDDLE ~OYE lxl
~g~fR~~~KDECK SIZE ___~~_~~_______ [~
SPRAY-CRETE - COLOR [ ]
RIYER SfiAVEL - COlOR----------------- []
DECK-O-DRAIN ---------------- [X]
POOL LIBHTI 12 VOLTS 100 WATTS ~]
3 TREAD LADDER ()...]
HANDRAIL [X]
AUTOMATIC POJl CLEANER ( J
DIVING BOARD [ ]
SLI DE TYPE [ )
ftE"OVE DIRT-~ADA-911r--------- [ ]
EXTRA FI LL [ ]
SCREEN ENCl-&RONZE Dr ANODIZED [ )
SUPER GUTTER WI DOWNSPOUTS [ ]
ROvF TYFE ( ]
OQORS -----'---------- ( ]
F"lORJDA-D[AS~ ( )
KIC~ PLATE ( )
AlUH I NU" ROOF ( J
POOL HEATER TYPE _____________ ( ]
SIZE ( J
BUIl.DING PERMIT ------------- Co]
FINAL ELECTRIC INCLUDING TI"E CLOCK (X)
-~~~~-~.\~'T~€!r:. ~~~-=-}J.~A\ [)Q
-&.~~-'YA\~~~~'=~~_~___)_~_~~_ r~]
--------------------------------------- [ )
CONTRACT PRICE ---------- ---~~Z.2.~_'_~9_9__
ORA" SCHEDULE
SHOT-CRETE SHELL 40% -- ~,LJL(. "0
(WALLS SET YINYL) ------l___l_
GRAY DECK 301 -----------~~~~)_9
ON COMPLETION 301 ___~_~I_~C?
SAlES"AN
SI6NATURE
SAl ES
"ANA6ER
APPROYAL
BUYERS
SIBNATURE
:/""r'--"- -~-_.__-:__~:______-:_
/ .
---~-~. - .-~Gl
BUVERS
SIGNATURE
--------------------------
INCLUDED
( )
[ )
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LEGEND:
I, P = IRON PIPE
I R = I RON ROD
C,I P = CAPPED IRON PIPE
C,I R, = CA PPED 1 RON ROD
CONC = CONCRETE
MON, = MONUMENT
AIC = AIR CONDITIONER
(P) = PLAT
(M) = MEASURED
(F) = FIELD
(D) = DESCRIBED
S/W = SIDEWALK
C, L. CHAIN LINK II ~.
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N 790331 JallE
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LO T 92
17.8'
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· FOR: Mr. & Mrs. Glen Hall; 1st National Bank of the> South; Attorneys TitlcAo and Me
and McClain P
, .
REVISIONS
~~ERE ENGINEERINB. INC
~ CIVIL ENGINEERING
DBSCRIPTION OF WORK ORDER NO. OWN CK'D LAND SURVEYING
r NOT VALID UNLESS IMPRINTED WITH AN E~BOSSED
:IAL 18131 8ea'73G1
8ORVBYOR'S CKRTIPICATB- FAX: 8e3'2818
rtify that the lurvey r~pre.entltd herllon meetll the
ot Chapter 21 HH-6 Florida Adminhtrativ.. Code, 3750 GU\I\I HWY. SUITE 1-C, TAMPA,FL 33824
:hapter 472.027 Florida Statutell. '
~ ),,, ...\ l(,.\.f de; DRAWN BY: S.M, CHECKED BY l R. P. SEC. 3 TWP. 26 S. RG
STEREO LAND SURVEYOR
Ronald H. PaQe P.L.S. .4660 SCALE: ,"= 30' DATE: 5/4/93 ORDER NO. I 93-S-I/O
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