HomeMy WebLinkAbout93-3652
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BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
3652S
11-/?"-Y3
Date
g-() , tJ7;
.;l 0 ,. c.f"'D
ELECTRICAL
PLUMBING
;U;, 0-0
MECHANICAL
Sewer Conn
BUILDING
P,op,rty Ow",,, ~ 11
Job Address: G /' . ~-1......
Parcell.D, # J -;;l/, -;;l-/... /;) - CJ - b ~
,
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Energy Code:
Description of W~ /~ p""'Jn..1_ ~--6t:~
Radon Gas: :2. / D
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
~
C.O. . I
~J
Inspector
DATE
City License Registration #
State Certified License#
/8'/
.
Permit Fee
Signature
Company
Address
Telephone#
~-th)
. \... i. YJuL&
Valuation or
Contract Price
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PLUMBING
~PCi~~d"JLcj/l-
MECHANICAL? P"
BUILDING
.iQfI;ll
ELECTRICAL/O
~4V:&:N2 CMl
Ftr. 11-30-93 BILL
Pre SLB 11-30-93 BILL
Lintel
FRM. 12-17-93 BILL
Insul. CL
WL
Breakers
Ducts Insl. 12-17-93 HJB
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In 12-17-93 HnR
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT GL Ll S~
ADDRESS '377 Cj .6 GL.A-lX7,$' Lf+.tJ E
OWNER J!J f!.._ '{ tY1fL", ~CCXJL
JOB LOCATION Lof bq.;70 foYiY/oo,le-
(,
LEGAL DESCRIPTION: LOT(S) 69-70
PARCEL 1.D,# .-;.e2ro -....2/ -/d-O- ro9
~GTlOAJ
BLOCK
PHONE 1~'- o,..Y 4 '2
(5't.u~ C)A-#CS)
LOT SIZE/22 X j€ AREA SQ. FT .
SUBDIVISION S I LuCll DA1L,
WORK PROPOSED:_New Construction .~ Addition ~lteration
_Repair
_Install
_Sign/Temp,
_Sign
_Move
~emolish
PROPOSED USE: _Single Family
_M/F
_4~ of Units
.-JI/H
_Commercial
_Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
..
X
15()
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
-&BUILDING
XELECTRICAL
~MECHANICAL
$ fZ.J '1c;e3- 01.
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R,E,C.
$ 3~...c:ho
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
TYPE OF CONSTRUCTION: _Block ~Frame _Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS:
FT. J1'l44L& L\4SDN6
******************************************
CONTRACTOR SECTION ~
Company L. ~Ei E Q.c 1J5t ,
State Cert. or Regist. #
City License Registration #
******************************************
Signature
ELECTRICIAN R. lWt\{2.1) Po FTIG1-- t> Company z.-,,-.l\u...~ ~L~'\. ~cS(\.u,
'-. ~ ~~~ State Cert. or Regist. 4~ uO(,;..~(~~
Si!mature~~-- ~) City License Reg1stration 4~ lO
****************************************
PLUMBER ~tZ{S-TOP~ s. BA~ Company t1 .
~_ (/ ~ i' State Cert. or Regist. #
Signature C ~ ...L>. ~ City License Registration
******************************************
MECHANICAL
Signature .% -L .4 -<-
,
Company gAH~ ~ /'..t!!P~A"'; t.. 6'~.5 eA'fi
State Cert. or Regis.t. # C./lCcy.,7., V8
City License Registration 4~ 7 g
******************************************
J-'Vt:.
"THER
Signatl1-a
Company
State Cert. or Regist. #
City License Registration #
******************************************
APPLICATION,
'WED BY
PERMIT OFFIc.ER.
,.
_ CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it.ay be subject to "deed restrictions" which lay be .ore restrictive than City
regulations, The undersigned assWles 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 .ay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IB131
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
"Contractor Sections" of this application for .hich they .ill 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 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 doculent and prolise in good faith to deliver it to the
"owner" prior to cOI.ence.ent.
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 co.pliance 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 work Dr
installation has cOllenced prior to issuance of a per.it 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 .ay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
. US Environ.ental 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" .ill be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it 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 per.it issued shall becole invalid
unless the work authorized by such per.it is cOllenced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths 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 COH~NCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROYE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMENCE"ENT. -- N$2 DO NOT NEED TO RECORD AND POST A "NOnCE OF CO""ENCEKENT".
&c6-~ U- ' ~/c;:.L _ ..srEYt? eo;..)s. i-,
SIGNATURE: CONTRACTOR
STATE OF F~
COUNTY OF - "'::::X:J:.:J
The foregoing i~~mrr~was ac~owledged
before me this . ,19~ by
\-\f-~tt::.~~,.r::(. ~\~~-+
U~t\ ~. L --(~~
~~ lly known to me
produced .~
, identificatl who di
a~e
STATE OF FLORID~
COUNTY OF I {.t~C J 0
. The foregcting instrument....was acknowledged
befctre me this {\oD I::J, 19 q 3 by
0" r. >Or' "" I 'ill ",. u.....
who is personally k wn to me or who has
produced - S
as identification and who didl id not
tak~ath. _\ ^ \.
~ L2 lijeJh4-D
(Sign<<tTI}e) It
-en n : +4 l ~ ~(~ (\~ ~
(Name Typed, Printed ctJ- Stamped) Af+ 1:;ql{/O
NOT ARY PUBLI C P bile, State of Florida
Ieclt8IY u 8 1994
.. CalPml..1ol1 hpl'" Fall. 2 ,
(Name Typed,
NOTARY PUBLI C
\
Printed or Stamped)
Nota'Y Pubfic, State At large. Florida.
My Commission Expiros May 22,1995
~J~.L5oD'~1>ooS"3'11 (y\\01. \,.\~
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'roposul
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STREET
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CITY, STATE AND zip CODE
ARCHITECT
We hereby submit specifications and estimates for:
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JOB LOCATION
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hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Payment to be Ta,de as follows:
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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.
Attt.ptnutt of Jro.po.aul- 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:
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Authorized,
Signature
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Note: This proposal m<& 6e
withdrawn by us if not accepted 1ithin
Signature
PRODUCT ll8-3 jNE:l!iSJ.lnc" Gmton. Mass. 01471. To Order PHONE TOLL FREE 1 + 800.225-6380
Signature
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MAP SHOWING SURVEY OF
LEGAL DESCRIPTION
,
That part of Lots 69 and 70 of SILVER OAKS PHASE ONE AS RECORDED IN PLAT BOOI
26 PAGES 46 thru 49 of the public records, PASCO COUNTY. FLORIDA described as
follows; Beginning at the Southeast corner of said Lot 69 thence N 89 19' 40"~
a distance of 10.00 feet:~o a point of curvature; thence Southwesterly along
the arc of a curve concave to the south having a arc of 60.70 feet, radius of
128.01 feet, central angle of 27 10' 05" and subtended by a chord of S 77 OS'
17" W., 60.1) feet. Thence N 27 28' 07" W., a distance of 115.00 feet. .
rrhence S 89 5)' 46" E., a distance of 122.69 feet; Thence S 00 40' 20" E., a
distance of 88.50 feet to the Point of Beginning.
Certified to: Sterling Homes Inc., Pasco Title Co.
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C~HRI1L NMIS
S 890 " '40''5: /29.4" ~
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1) learinqa ahown blrlol Ir. b6 ~ Oft
the Record Pllt, aa r.corded 1. Pl.t
Book Z.II , palJla +" throug~ 4#f , ,
1nclu~vel, of aald Publlc Recorda.
2) Ea.e.lnt. .bown b.r.o. all for
drllnlgl, utl11tl.. and .ev.r.,
unl... otblrwl.. not.d hlr.on.
60' Rill.,! b'l p/s-r)
"ve men!
3) MOTICE: Thll. .., be additional
II.trlctiona tblt arl lot r.cord.d
on thll plilt tMt ..y be found 1n
thl Publlc alcorda of .a1d COURt,
IFlorlda Statuti. 111.0'1).
t) Tbit lurv.y va. ..do vltbout ben.llt
of an abatract or titlo. Thor.tore,
tbere could b. a4ditional .......t.,
covenant. .nd r..tr1ction. or otb.r
..tt.r. 01 public rocord that .., or
NY not afleet thl. pnell, 1122/9'0 ;CDqA/~T/oV S~ltl)/":Y'
I S SHOWN HEREON LIE WITHIN ZONE AS SHOWN ON F,l A FLOOD BOUNDARY MAP
COMMUNITY NO, DATED
NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL
I HlJlElY CEIITII'Y THAT THE AIIOVE LANDS WERE SUAVEYED UNDER
MY RISf'ONSIIILE SUPIIlVISIOH AND DIRECTION, THAT THERE ARE NO
EHCAOACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN
HINCH MEETS THE MINIMUM TECHNICAL STANDARDS SET FOR~H BY
THE FLORIDA IIOARD Of LAND SURVEYORS, PuftSUANT TO SECTION
472,1>>7, FLORIDA STATUTES
SIGNED OCTo..Il~ 1'0" 19 89
SCALE / H.. 30'
CLARY Be ASSOCIATES, INC.
PROFEsnIONA~ 1 Ar..O SURVEYORS
LEGEND
3830 CROWl\: ;>01(1;1' ROAD
JACKSONVILLE, FLORIDA ~217
(&04) 260-270:
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DIIN6"'1r..II4WIe<<, P.L.S, CERT. NO."'"
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