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Home My WebLink About93-3313 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _33138 DatE! 6,-/ b -7, '? ~L~ ELE~L PL~.. M~L Property Owner: .~~~ ~ 2./J~/LfL_ Job Address: 39:;L(J? - 0~ O~ Parcel 1.0, # );l - d-6 " ,;L/ - 0 ()...s 0 rJf- CJ 0 6 CJ 0 ,- t'J c;J/ c::> Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: aAJy1~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAl--.! - ~,~ 5 DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Inspector " City License Registration # State Certified License# 77 I' ~~rm;t ~ 0 ~ ~ Address Telephone# Valuation or Contract Price .7;;Lo - crv Ftr. Pre SLB Lintel ~~J a&,. E~RI~ Tp. Servo SLB Rough In Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final PLU~ -~. M~ ---- Breakers Ducts Insl. Compressor Final 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 ($15.00) shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~~ ~~~ ~J' .~, S U a,l_'" f!',..,., T,i\" '" l' I I A.I ! it. it , l",t1 p,ff'" , I ' .. ~ ,,- .,':> ~ .~ U J 'V t 'I i., \.0.1 . ~ i ~ "~'\ ~ 'rnposul . Page No, .... .. '~,?e 3P '>:iN~:,l ~[Pl- r~H ~'l"; j'j(~ 1 13j 788-1.:1:flH STREET f) Ii /' PROPOSAL SUBM~TT~D TO: _"l/~<'.t~_/-~ PHONE JOB NAME ~'. _ /)',j, CITY, STATE AND ZIP !:ODE JOB LOCATION -.J ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: ; l, '- . ! ) ") J. i / -tv ,.1, '~.(.. \. 1 .J Dr 'ropo!lr hereby to furnish material and labor complete in accordance with above specifications. for the sum of: r ,;.... dollars ($ ..., ). Payment to be made as follows: .,<. I /'1("'-.. ~~ All material is guaranteed to be as specified. All work to 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 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. Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within days. Atttptuutt nf 'rnpnsul- 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. / ~ . ,J.I j /' . .f/ r~ ,.-( . f , -," .( l/t _r:/ i .: Signature Date of Acceptance: Signature PRODUCT 118-3 (iVCBs7.lnc., Groton. Mass. 01471. To Order PHONE TOLL FREE 1+800.225-6380 ~i t.,~ ~ I -----l '\ ~ -~\:I ' --:" ~ ~ ///~ ,! /' \; -: /' ,\ ; /;Y -~/~ II, - ---- --T " ~ _:---- ,I! ~t; I' II! ~~ -+-, -----....----'--'--..-,.--..-.-----d-~, ~ .~ 1 ___ : dU---~---7 ~ _ ~ ---ji-- ~ ~ ~ uUTt-- 9 ~ 1\- ~g >< w~~~g ~ \ I ._ ..___~_J--, J , jJJ!: l' . -'J ,.... c:. ~ ) J ,) 1.0 ',' .~ ~ . '~) \.A.~ '-\,I .oJ 02 ) i1 ":.." : ~ <J r Z t- _u__-- -f) \U_ - I' . 3 ci \. ,-" I , I i .1 I \ I I , I U , ~ ...... - 0 0 \ -,~ A; ''i., ' , I ; It '-, r- ~'" ~ \J\ 'l' 'i..~ \^ \IU~ ., /:::) .-.:> -..1 ,\ ' r ", ~.~) -- } ) ) 1. J 0 'v ~:-- /' .-::; Or' ;:.t {-: -,;,~ ft..., '"" " \} --:\\ '.\ .." :~ , 'Q .I "" ..; ':,,', ~ \., -: m "I\ ~ X '>.) !'_ ,':l ~ \,. ~<, ~\J\ , t()~(\ ~ PARCEL I.D. # CITY OF ~ D'--\ ~~ ~~ J-\::fO \ 1-- 2\..0 ZEPHYRHILLS BUILDING DEPAR"l"MEN'T ~ "~ "" ~'- V-. s-\~ ~~ ?_, ~C::J~0 ~ ~~(::i) - c:o"-~ OWNER JOB LOCATION SHOW ALL EXISTDIG &: PROPOSED STRUC'I'ORES GIVDIG DDlENSIOHS &: SETBACKS. --[/2> ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. -- ~I~ ~ 'Yo...::> ~I<:J(J UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (:p t FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAH 30' DUPLEX 1 0' 20' l".-r PROPZRrY LDIE l".-r PROPBRft LDfB APPLICATION FOR PER!"lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT \ 0()\ ~~~ ADDRESS 3<=>t ~c:::f'6 OWNER -50mG "-~~~ ~ D\2Jl PHONE (~ (~~, JOB LOCATION ~Dr<'\C::: LOT SIZE_X AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# 1';).- ~ tp -;:".L I - rD3 0 - ODl.r,C:O - 0,0 I 0 WORK PROPOSED:_New Construction lC-Addition _Alteration _Repair _Install _Sign/Temp, _Sign _Nove _Demolish PROPOSED USE: _Single Family _M/F _IF of Uni ts ,_M/H _Commercial _Indust. _Swim, Pool Other ) _Restaurant & Health Department Approval BUJLDlNG SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S. ,,,', ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ 7J..tl ~ . Valuation of Total Construction _ELECTRICAL _ME~HANICAL AMP Service Florida Power Corp, _W.R,E,C, $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel ,Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** Signature 411 Sianature Company State Cert, or Regist, # City License Registration # ****************************************** ElECTRICIAN Company State Cert. or Regist. # City License Registration # **********************t-******************* PLUMBER Signature Company State Cert. or Regist, # City License Registration ~ ****************************************** MECHANICAl Signature Company State Cert, or Regist. # City License Reglstration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this persit say be subject to "deed restrictions. which lay be lore restrictive than City 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 lay be required to be licensed in accordance ~lth state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor aay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensino requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, {813J 798-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sJ sign portions {f the .Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contrach-, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to s1gn 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 FEE~ 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 - HOleowner's ProtectIon Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than th2 .owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it t" the "owner" prior to cOllencelent. 'I. ,l E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and , a~plicable laws regulating construction, zoning, and land developlent. that all work will be done in co.pliance with all Application is hereby lade to obtain a per.it 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 larls regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I alSD certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that It is .V responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited tc,; f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone .A" or .A,etc.., it is understood that a drainage plaii addressing a "colpensating volute" will be sublitted which is prepared by a prDfessional engineer registered in the State Df Florida prior to perlit issuance. A perlit issued shall be construed 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 ~erlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall becole iDvalid unless the work authorized by such perlit is cO.lenced within six lonths of issuance, or if work authorized by the perm1t is suspended or abandoned for a period of six lonths after the tile the work is cOlaenced. One 90 day extension of ti~e, ~ay 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 during each six lonth period, or the project will be considered abandoned, WARN INS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR PAYINS TWICE FOR IMPROVEMENTS TO 'lOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINS YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT", SIGNATURE: OWNER~OR AGENT -...... SIGNATURE: CONTRACTOR ,;> ~ ,~:J--;- -, STATE Of FLORIDA ~ STATE OF flORIDA _ _ ~:-~ COUNTY OF - COUNTY OF ~ The foregoing instr~ent was acknowledged . The foregoln? inst~lm it was a~lOWledged before me this G /(0 , 19~ by befcq-e me thlS (0 , 19 ~ by / who is personally known to me or who has produced as identificatio~;~ who did/did not take an oat~.~ ' J Pub . It (Slgnature) .. E' M 13 1995 My CommISSion xpll'es ay . (Name Typed, Printed or Stamped) NOTARY PUBLIC who is personally known to me or who has produced as identifiW.,tion',a~id who did/did not take an oat -' " ~J72' (Signature) Notary Public Pasco Co. FL ~ CmissioR EXliRlIi May 13.1995 (Name Typed, r n e or st mped) NOTARY PUBLIC