HomeMy WebLinkAbout93-3432
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~ _ 34328
Date ;?--/ r-9.3
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Pmperty Owo" ~4.4~~
Job Address: c3 <f ? " ~
Parcel I. 0, # 02. - -,;L - LJ I - 0 0 .cJ a 0 -.
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
(:) / ...!..-f'")
Zoning:
Energy Code:
~~.;,?
Radon Gas:
_~~~~Z"'" ~ ;.Lt-f.A
Description of Work
~~.
NO OCCUPANCY BEFORE C.O.
FINAL
or9 3
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
p.,m;t Fee ~ OD
S;gnaMP/ Z- _ ;f';t/..ht;;
Company ~
Address
Telephone#
Valuation or
Contract Price
11,,3/,;},. ~
.
City License Registration # O<JJ
State Certified License#
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo ~ SLB
Rough In q-2.--43 &*11 Tub Set
I
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
Lintel
FRM. 4-2-&13
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.
APPLICAnOli FOR PERllIT
CIlT OF l.ItPulKH H.Le;
BUll.DI1iG DEPARIIIRIn'
OWNER I S IiAItE
P-VE/(E 1r
GAiL vfJ
H~NErf /Jr.
JIIIOlIE 780 -C / II
OWRER I S ADDRIrSS .58 7 S-o
JOB ADDRESS
SA J1E-
LEGAL DESCllIPI'IOII: UJI'(S)
/5"
.BLOCIL-SOBDIVlSIOIl PAy k H /). L S" uft
PARCEL LD.' 0,," - ~C - '-I - 0 I go - CJdCJ(JO
WRK PROPOSED:_lIev Construction / Addition
ClI("d
/ Alteration _Repair _Inst:all
_Sign
_!!love
_De.o1ish
PROPOSED USE:
/Single Fam.1y
_fl/F
_, 0:( Units
_M/H
_~rcia1
_Indust.
_Swi8. P001
Other
_1Iest:auran.t 6: Bea1th Departaent Approva1
BUILDIIIG SIZE:
x
~e Feet.
Height
RESIDENTIAL :
aJIIIIEKCIAL :
A'lTAaI (2) PIJJI' PIAIIS 6: (2) SEIS OF BOII.DIlIG PIAliS 6: (1) SET ElIERGY FORtIS. **
ATrAaI (3) SEIS OF BOII.DIlIG PIAIIIS 6: (1) SKI' ElIERGY FUBIIS.**
**oopy OF oollTKAct RIIQUIRIID.
PIr.RII11S REOUESTED
----..BUILDING
$ /~ s/t.cd
Va1uation 0:( Tot:al Construction
RI.RcnuCAL
AIIP Service
F10rida Power Corp.
W.R.E.C.
--.JIECIIAIITCAL
$
Va1uation 0:( Mecbanica1 Inst:a1lation
_PLUttBING
GAS
KOOFDiG
SPECIALTY
TYPE OF OOIlSTKUCTIOIl: ----..B1ock _Fra.e -L.Stee1
ilL (/1'1.
Other
FIlIISHED FLOOR ELEVATIOIIS:
n.
IS PROJECI' III fiOOD ZOIlE AREA?
YES NO
*****..***********************************
RUTT .DO
aJIIDL\CIOR SECJ'IOR
COIPAIIY Ji /;..roN t:,aN5r.
f)~ ,P--I/, .'" State Cere:. or Regist. t R.B. ot:JlotJ 7C
/Sa ~ ~ City License Registration' i~
. ***********************..*****************
Signature
WllPAIIY Fr '/z- 5 r (?~, s s F leCi~ :~
State cert:. or Regist. t' ~ ~ ~ c:-/ "'7 v
City License Registration t /
****..*******..**************..******
PLOIIBER WllPAlIY
State Cert:. or Regist. t
Signature City License Registration t
**********************..******************
IIECBAlIICAL WllPAIIY
State Cert:. or Regist. t
Signature City License Registration t
***********..*..*********************..***
0T1I1tR WllPAlIY
State Cert. or Regist. t
Signature City License Registration t
*..*******..****..************************
APPLICATIOIl APPROVED BY PERIIIT 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 City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OMner has hired a contractor or contractors to undertake work, 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 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.
Furtherlore, 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. 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 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 - HOleowner's Protection
Guide- prepared by the Florida Departaent 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 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 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 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 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 lay 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 Iilited to:
f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environaental 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 plan
addressing a -colpensating volule- will be sublitted which is prepared by a professional engineer registered in the State of
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 perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOlaenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six tonths after the tile the work is cOllenced. 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 during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPRoYE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COK"ENCEKENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A -NOTICE OF COK"ENCEKENT-.
~ Jk1 /'" JftiZ
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SIGNATURE: OWNER OR AGENT S ATUR: CONTRACTOR
STATE OF FLORID~
COUNTY OF J a.S (\
The foregoing instrumpnt was acknowledged
befc.re me this I \""1h~ 19<13 by
C\Je~ k. G-o\ \ \~-f
who is personally known to me or who has
produced FL\)L G- 4- \ ~ rQ (I G:(J I"" J \)
. entification and who~did not
take "oath. d} ~ ]
. /--J(' ";fi~ ' CJ-1M
. nature) ~ L r )
c-t ./}\S(1'" en. \,jJ ~\:j ('
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
"'\"~"""" DOREEN L. WOOD
f~ ~\. ts{ COMMISSION' CC 191676 EXPIRES
:*::1 /;pilI 29. 1998
.. 1J BONDED mw TROY FAlIlINSlllWlCE, ~.
.f$.
STATE OF FLORIDA ~\
COllHTY OF oS CA:::J
The foregoing instrument was acknowledged
befc.re me thi;: I:)vg.. I? , 19 9.3 by
~b C. . ~~n
who is ersonally known to me or who has
produced F"L D Ll-\ ;..(25" 00 S I-t 11 () 13 0
as identification and who . Idid not
take an oa~ ~
U '-)0 [)
or Stamped)
(Signatu~,-e,t
,-(..) VIr: t'.r)
(Name Typed, Printed
NOTARY PUBLIC
,..,~~~:trU/~# DOREEN L. VJOQD
{!!~~~ MY COMMiSSION' CC 191515 EXPIRES
~~" wi April 29. 1998
"~;;;'f:\ BONDED THRU TROY FAIN 1NSlJIWlCE. UC:,
"u"t'
HiLTON CONSTRUCTION CO.
6415 16th STREET
ZEPHYRH1LLS, FL 33S~O
(813) 782-1349
~~,FjE(;'FICATI( '\JS f\ND ESTIMArE
NO.
PAGE NO.
OF
PAGES
I
PHONE
- / r: .>
/
DATE
PROPOSAL SUBMITTED TO
f (';.:: r r r I ' /.; J !-
STREET
.I
JOB NAME
r--
,\, I
CITY, STATE AND ZIP CODE
JOB LOCATION
'J
ARCHITECT
,/
DATE OF PLANS
JOB PHONE
We hereby propose to furnish materials and labor necessary for the completion of:
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WE PROPOSE hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
./ //r'
Payment to be made as follows:
~...,.' .
dollars ($
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All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike
manner according to specifications submitted, per standard practices, 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
b"yond our control. Owner to carry fire, tornado and other necessary insurance, Our workers are fully
covered by Workmen's Compensation Insurance,
Authorized
Signature
./ /
,:< I
j \('//1-
----' I"-
/Y,'
'0/
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Note: This proposal ma(be
withdrawn by us if not accepted within
days.
ACCEPT ANCE OF PROPOSAL 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,
Date of Acceptance:
,---,
e i 'EB-:L/ i:h~
Signaturt::~-^--e~ " _ . \
Signature
CITY OF ZEPHYRHI:LLS BUILDING DEPARTMENT
OWNER t(/~,e ~ r,- GilL/. tJ P
JOB LOCATION 387S"o f{JtNlZry ,(Jr.
PARCEL I.D. #
SHOW ALL UISTDtG 6: PROPOSED STRUCTURES GIVDIG DDfENSIOIIS 6: SETBACKS.
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
;'t ,'~1:J'id
J~'
l'.
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to
~
\
FRONT ~OPERTY LINE
J.J;JI~"''1 tJr.
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'
FROIft" PROPERTY Lnm
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAH 30 ' DUPLEX
1 O'
FRON'I' PROPERTY LINE
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