HomeMy WebLinkAbout93-3647
BUILDING PERMIT
"
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N C?
3647
if -(7-9~
Date
~ Ml=r~'e:/i."L' Sewer Conn
~~ ) Water Conn:
Property owner:f~;~a Jllv'-5E w''': M''''
Job Address: _ _ -k? _ _ __ ~ I / -:fi.. T.I.F, s,
Parcell.D, # -/ -~ ( ;;f;D~ 1- J:e ?('(o
Zoning: Energy Code: Radon Gas: 9. 0 7
Description of Work
-~C-tC:?e1 ~~ <( 9/8~~i~ --
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINALd-
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Permit Fee
Signature -
Company
Address
Telephone#
Valuation or
Contract Price
Is(9CC? ,
f
City License Registration #
State Certified License#
(Qt-)J/ler
cO/... )c<er-
BUILDING
Ft,.1;.03-,93 BILL Tp. Servo
Pre SLB ;Ii-03-93 BILL Rough In01/75/94
LinteIV12-16-93 'RTU. Meter Can
FRM. 01/27/94 BILL Const. Pole
Insu\. CL Pool
WL Pre-Meter
:;ARAGE FCXJl'm 12-02-93 BILL Final
ELECTRICAL
_ PlIJM01tJG
~
MECI IAtJICAL -.
Breakers
Ducts Ins\.
Compressor
Final
IIOB
SLB
Tub Set
Water
Sewer
Final
Driveway
GARAGE SIAB 12-16-93 BILL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATIOII FOR PERllIT
GI'IY OF ZIl;mYKHIl.I-C;:
BUII.DIlIG DEPAKIIIElII'
_'5_ (!(-:-t~~~E ?:Jt -r"., 7tcY-~3-<cr
OIIRER'S ADODSS ____ R- __, ~c:+ (~,~/v?t-
.JOIl ~ ~~ 5fJf7C f?(J.If~ s'hi"$JL (jJq:S1e 'j C), ~ 1-- L #9.
LEGAL OES~ol-~~) cr ANt) /ZJ JII.O(Z SUBDIVISIOII E~ltfVt.U:;L 8~
PARCEL 1:.0.# ItbrdhuJ/?5-t jf/JrSEd/~~ /?-- /OWJ1SJ,/p c/l6 SCJ'-tt4 f!/f~f7 cR/ ~/tSr
WORK PROPOSED:_lIev Construction ~it.ion _A1t.eration _Repair _Inst.all
S' _Move _DeIIo1ish
- 19n"
PROPOSED USE: ~e ra.ily _"'F _' of Units _K/B
_~rcia1 _Indust.. _Swia. P001 Ot:her
_Rest:aurant. 5: Hea1t:h Depart:.en.t. Approva1
/7-'1-1'IE-Y 3.;27//2-
( /~/
BUILDING SIZE: 'prJ-/OX c::2S'~ ..-57t:?2./ k ~e Feet. c.... Beight.
7b'1Z- ggC((9'2--
RESIDENTIAL: A1TAaI (2) P1OI' PLAlIS 5: (2) SEI'S OF BUII.DDIG PIAIIS 5: (1) SET ElIERGY FORKS...
mltllERCIAL: ATrAaI (3) SEI'S OF BUllDIlIG PIAIIS 5: (1) SET .EIIIERGY FORIIS.......
....OOPl' OF COIITKAcr .RIIQUIRIlD.
~UILDING
/ELECI'RICAL
$.
PIlJIIITTS REOUESTED
l~C'OO I CJ n Va1uation of Total Construction
AIIP Service F10rida Power Corp.
W.R.E.C.
---1tECIIAIfiCAL $.
Va1uation of tlechani.ca1 Inst:allat.ion
'~t?EL9k~
GAS Sh1 q,. ROOPDIG
-1b1oclt _rn.e _Stee1
SPECIALTY
~ING
TYPE OF OONSTRUCTIOII:
Other
FlIISHED FLOOR EUNATIOIiS: FI' . IS P.ROJECI' III FLOOD ZOIlE AREA'!
'3 tI Q / \.U bX; 5 1/1VG:> /J() 1I ~ I=:- ~IA I1l? YES
~ /J(;/O ...................j,....*.....*".........W.f"...~~................................................
aJIII'KACIOII. SECI'ION
~
NO
BDTTJ)ER
($ LD (DIpAIIY
" " St:at.e Cert.. or Regist. ,
~ ~ City License Registrat.ion ,
........................................................................................................................
Signature
~ ~ ~ CUllPAIIY
, St:ate Cert.. or Regist. #
S - e ~ City License Registrat.ion #
......................................................................................................................
PT.BIRD
Signature
AhA/E
CUllPAIIY
Sl:at.e Cert. or Regist.. #
City License Registration #
........................................................................................................................
KIl'aIAlIICAL
~/l! E
(DIpAIIY
St:ate Cert. or Regist. #
City License Registrat.ion #
..........................................................................................................
Signature
0T1IIl:R
/~/IJ 5
CDlPAIIY
St:at.e Cert.. or Regist.. #
City License Registrat.ion #
............................................................................................
Signature
APPLICATION APPBOYII:D BY
PERIII1' OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
ri. NOTICE OF DEED RESTRICTIONS
The und";rsigned understands that th"j~'per.il~ayb~-~ubject tD "deed restrictions" which .ay be Inre restrictive tha~ City
regulatil.\ns. The undersigned assuees respnnsibility for compliance with any applicable deed restrictions.
B. W"L I CENSED CONTRACTORS __Br:!I.L.r;JJ!nBl~GI.QR_-R"~p.r::.Q!,J~.I B_1 ~IIl~J:i
If the owner has hired a cnntractor l.\r cl.\ntracturs to undertake wDrk, they may be required to be licensed in accurdance with
state and local regulatinns, If the contractDr is nut licensed as required by law, bDth the owner and cl.\ntractl.\r eay be
cited for a .isde.eanor violatiDn under state law. If the owner Dr intended cuntractur are uncertain as tu what licensing
reQuire.ents lay apply fl.\r the intended wDrk, they are advised tl.\ cuntact the City of Zephyrhills Building Depart.ent, (BI3)
7BB-/;611.
Furtherll.\re, if the owner has hired a cDntractl.\r ur cuntractors, he is advised tl.\ have the cDntractur(s) sign pl.\rtiDns uf the
"Cuntractur Sectinns" Df this applicatiDn fnr which they Mill be respDnsible. If YI.\U, as the owner sign as the cDntractor,
yuu are indicating that ynu, rather than the cDntractur, are respDnsible fur the wDrk. If the cuntractDr wishes YDU tn sign
as cDntractDr that .ay be an indicatinn that he is not prDperly licensed and is not entitled tl.\ per.itting privileges in the
City uf lephyrhills.
C. TRANSPORTATION ~/'1F'ACT FEES {")N!L!J.LLUJ_:_:CJ,~.QI'mECTJm(_EEE"?,
D. ~ONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been prDvided with a copy of "Flurida's ConstructiDn Lien Law - HOleowner's PrDtectiDn
Guide" prepared by the Florida Depart.ent Df Agriculture and Consuler Affairs. If the applicant is SDleDne uther than the
" Dwner " , I certify that I have Dbtained a CDPy l.\f the abDve desrribed dDcu.ent and prDMise in gl.\Dd faith tl.\ deliver it to the
"Dwner" priDr tD cDI.enrelent.
E. CONTRACTOR' S/Ol-JNER ' S AFF 1.Df:lY-I.I
I certify that all the infDreation in this applicatil.\n is accurate and that all wl.\rk will be done in cD.pliance with all
applicable laws regulating cDnstruction, zoning, and land deveIDp.ent.
ApplicatiDn is hereby eade tD obtain a per.it tD do wnrk and installatinn as indicated. I certify that nD wDrk l.\r
installatil.\n has cDI.enced pril.\r tD issuance nf a per.it and that all work will be perfor.ed tn leet standards of all laws
regulating constructil.\n, City codes, znning regulatinns, and land develnpeent regulations in the jurisdiction. I also
certify that I understand that the regulatil.\ns Df Dther guvern.ental agencies eay apply tD the intended work, and that it is
.y respDnsibility tD identify what actiDns I lust take tl.\ be in cDepliance. Such agencies include but are not li.ited to:
, Depart.ent Df EnvirDneental ReQulation - Cypress Barheads, Wetland Areas and EnvirDn.entally Sensitive Lands,
Water/Wastewater Treat.ent
, Southwest Florida Nater "anaqelent District - Wells, Cypress Bayheads, Hetland Areas, Altering WatercDurses
f ArlV Corps Df EnQineers - Seawalls, Docls, Navigable Waterways
, Departlent Df Health & Rehabilitative Services, Environ.ental Health Unit - Hells, Wastewater Treatlent. Septic Tanks
, US Environ.ental Protection Aqencv - AsbestDs abate.ent
I also certify that, if fill laterial is tu be used in FluDd lone "A" Dr "A,etc.", it is understDnd that a drainage plan
addressing a .colpensating volute" Kill be sublitted which is prepared by a professiDnal engineer registered in the State of
FIDrida priDr tD per.it issuance.
A perlit issued shall be construed tn be a license tD prDceed with the work and not as authDrity to violate, cancel alter, or
set aside any prnvisions of the technical codes, nur shall issuance Df a per.it prevent the Building-Official frot thereafter
requiring a correctiDn nf errDrs in plans, construction, Dr viulations of any cDde, Every perlit issued shall becl.\.e invalid
unless the wDrk authDrized by such per.it is cDe.enced within six 'Dnths of issuance, or if work authorized by the per.it is
suspended Dr abandoned fnr a period of six IDnths after the ti.e the wDrk is cO'lenced. One 90 day extension of ti.e, lay be
alluwed fDr the pertit with fee charge of SI5.00. The extensiDn shall be requested in writing tD the Building Official. An
approved inspectiun lust be lugged during each six 'Doth period, Dr the pruject will be cDnsidered abandoned.
WARNING TO OWNER: YOUR 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 S2,500 IN VA 0 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
/i
/ I y
" a4e~/{A---1
SIGNATURE: OHNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA /J
COUNTY OF //1.:5t 0
The foregoing instrument was acknowledged
before me this /<<>~~Potl 19 '1,j, by
(%tA2fA.Ji!c. Jjrrv IS
who is{gersclnliliy~~~~ to me or who has
produced
as identification and who did,(dTd nc~
take an oath/:f\ . ff./ /Y --
- ^ ( -Lf'-;n<.A.- - ( -'- 4-
(Signature) _ _
(Name Typed, Printed or Stamped)
NOT ARY PUBL I C
4.~"'" DONNA J. cmv
(~T~" ,~ MY COMMISSION' CC317761 EXPIRES
~\ i t September 22. 1997
.~ II . ~ BONDED THRU TROY FAIN INSUIWlCE,INC,
, ..
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
who is persDnally known tD me or who has
pl-oduced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
t~OT ARY PUBLI C
I .--,
\1-1.._..;.........1 {r. 000 I
VC:UUC:U.UII.I l.-1 I
Permit Fees:
Building 17,5'0
Plumbing
Electrical 20.0'::-
Mechanical N
~--~ ~_,!bt~~~I_ _Ul5 ~-~--1
_________~ Credit --11LA----
Total i \( .50
~-_._--
Connection Fees:
Sewer
Water
--------
Meter
Total
~~::~ ~:: . q;; D '=l
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;Ol)-fooe'ilTe'ylYlft9 Det:we.n.....1l10"'"Trllct:B,-De1ng"n t:nl!r5out:hw.B~' ,---
the Northwest 1/4 of Section 12, Township 26 South, Range 21 East,
PHYRHILLS COLONY COMPANY LANDS, as recorded in Plat Book 2, Page 16,
blic Records of Pasco County, Florida, commonly known as YINGLING
DITION.
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FOR: CLARENCE & GERALDINE L. DAVIS
DATE OF SURVEY: SEPTEMBER 20, 1993
BOUNDARY AND LOCATION SURVEY
ORDER ,,0J5'-ZH
~A!rH L,,-vG O~ 7k".,cr~ :2/~::?2
CERTIFIED TO
.~
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SCA~E: / "~ 30 ,/
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SUNBANK OF PASCO COUNTY
SUNSTATE TITLE AGENCY, INC.
ATTORNEYS' TITLE INSURANCE FUND, INC.
CLARENCE & GERALDINE L. DAVIS
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Department of
Building
Regulation
1993 National Electrical Code
210-8 (a) (2):
All 125-volt, single-phase, 15 & 20 ampere
receptacles installed in garages shall have
G.F.C.I. protection.
210-8 (a) (3):
All 125-volt, single-phase, 15 & 20 ampere
receptacles installed outdoors where there is
direct grade level access to the receptacles shall
have G.F.C.I. protection.
Zephyrhills Ordinance #430
standard Codes (D):
Wire size fourteen (14) or smaller is
prohibited for any use.
"Building Sa!~~yJs No Al.:l.:ident"
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,tCONTRACTORS OR OWNERS
AU. OF YOUR SUB-CONTRACTORS
MUST BE REGISTERED WITH CfTY.
"'fAILURE ';~ C',]:1Pty WrrH TIlE
'!tr;~"'~j\H~I, , : ~ ~, :~~w C.u B".
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U lJ! f~.. I. fH~ ll. ~j;J )1" ,~H". \,I
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IrdPROVEMENTS."
ALL" VI 0 R K S H /, L L S c. ", I.,! V IV! T f'~.'"
PREVAILING COOr: '-.. :.' ",I i' :~!"1
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au I LDlt~G. P LUMBlt~G. MECHANIC~^L
AND N. E. C" ; "';.:~~.t\i"":_' "
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DATE JI-/~~73
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