HomeMy WebLinkAbout93-3669
BUILDING PERMIT
Permit N ~
CITY OF ZEPHYRHILLS
(813) 788-6611
_ 3669S
JI.-dJ9- 9--~
Date
~
Pmpe"v Owne' ~~ ~~1-~
Job Address: 6;
Parcell.D. # ..5 -;;L/;. -,;)J - Bo -- rJ lJ DO 0 - 0 '// D
Radon Gas: I tt' '/
r~~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: AEZ9y Code:
Description of Work . ~ ' /1 ~T...o
r /
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
-c;3
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee ~- -
Signature i~~~.Lh~
Company
Address
Telephone#
Valuation or
Contract Price
) j ;--0. on
./
City License Registration # / b {)
State Certified License#
a~~ (l~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
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.
AHLlCA'l'lON I.'un .'laHU','
CI1'Y 011 Z~IIIIYIUII U.S
BUILDING Dl!PAHnIENT
I!-c~ !JLUJYJ.
AOlllWss~9S f/f-LIYJ (;,eot/I: OR,
~ ~ ) fJrEfUtA-rt f^l H S ALl! 5"
, .JOn t.OCATIONW.I.jJ b/ If! !?//)r:rE WA-}-' DR i
Al'Pl.1CANT
P IION,~ 7 J' cJ ~ ...) 6/ t,
OHNER
1.0'.' S1ZE~_-X-~ AREA SQ. fT ._..?~
, J.EG.^1. IH:Sr.RIPTION: toTes) BLOCK SUBDIVISION
l'AHCEL 1.0.,(""' ."SJ-- .;J(p-J./'-O/3D -{JCJotJtJ-- Ot//o
\WHK llROPOSEIl: ~ew Construction _Addition _Alteration _Repair
__.Install
_Sign/Temp.
PROPOSED USE: vSingi~ Family
_Sign
_tlove
___Demol ish
_M/P
_II of tlnitu
.__..11(11
_Commerc ini
_lndu6t.
_Swim. Pool
_Other
_Restaurant & 1Iealth Department Approval
I\UII.IHNG SIZEI
[f'
~,
6r.
S(IUOt'e Feet.
.?' - ~ '8" ._lIe I gill
HI::SlllENTlAl.: ATTAClI (2) PI.OT Pl.ANS & (2) SETS OF lllllLDlNG 1'~,,\NS & (1) SET ENERGY 1'00UlS."
COtIHt::KGIAI.; ATTACIl ()) sins Of' ImII-DINO l'l.ANS & (1)' 51::'1' EWm{;y I~O'UlS...
UCOI'Y OF CONTRACT REQUIRED.
PERMITS REQUESIEn
.,.,rnUIl.Dl NG
$
)q~{). ro
Valuation of Total C6nst..uctlon
_El.ECTRICAL
~tIEClIANICAl.
AtlP Set"vice
Plorida Power Corp.
_H.R.E,C.
$
Valuation of Mechanical Instul)otSon
_PJ.t1H81NG
GAS
ROOFING
,__________SPECIALTy
TYPE OF CONSTRUCTION: _Block _Prome _Steel
Other'
1"lNlStlEU FLOOR EI.F.VATTONSI FT.
Slgnllture
~~.,"**.,**,.*....*...**...**.*......,'~*
If&& /JL-t1 /1. CONT(l~~~:?~n~EGnoH~ /lLId.,M"'i '.!
~}/J/~~ St8fe Cert. or Rel~ist.. .,11 C-.eLaS'Yhtf"~._
~~ Cily hicense 'Reghtrotio" II /J..o.
*"'*"*"*"*""*."'*"'**"".*~*h"*~
.\\l.liLUER
liLJ.::GTRTCIAN
Sluutlture
Company
State Cert. or Regist. 0
City I.icense Registration U
..,.......,.......,.......................
fLUMllF.R
Company
State Cert. o' Regist. '1
City 1.icense, Pe~lstf(\tlon fl,'
...............".....*......,..~...*t....
:. ,-.
~~knature
~ , .
0' f;.
m:GllAlUGA1.
Company
Slale Ccrt. or Re"l~t. II
City I.lccnse Itells::n'tlol\ fl
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, .
Slgllllture
"
UTIlER
Sigr(ature
Company..
State Cel.t. 01" ItI~f.lIit. "
City License RegLstration II
Al'l'pCAl'lON APPROVED BY
......,**,**.".*.*..****.***
PER~nT oFrncER.
'.
/
l.lWHJ111UNU UI; l'Elel,.
-'-1'11>IW11
A. ~OT'CE OF DEED nESTRICTION~
lhe undersigned undershnds 'hit 'hh penH I.Y h IUUec' to "deed rtlihlcllllrl'i' which uy be 111ft ruhi'Hvi \I,ell Cily
reguliliohi. Ihe undtrslgned .iSUle, responllblll'y 'Dr elllpll.l\ee wi'h .ny 'pp,.~.~le d~ed rtslri,Iillns.
B. lJNL J CENSED CONTRACTORS AND CONTRACTOR RE~PONliHH L IT I E.li
I' Ihe IIvnfr hil hired I clIn'rlctor or tontl.~tor' al undlrtlk. Nork,. thlY IIY b~ "quI,.d'" ,bllleensed 'In i,cDldince Ni'h
. " "'I
sl,Ie ,nd lOCi' re~ul'IllIns. If Ihe tontlittor II not Iltensed is I.qul'.d 'y li~, 'oth th'o~n" Ind lllntri~t~r .iy be
tiled for i I"duunllr vloh"on under Ihte hll, If 'hi Clllnel'Clr inlendld ton'iUt'"r irt IInurhin u h lilia' Iiu..iing
r-equlruenh uV .pply hI the Intended wor., 'h'r In Idvhtd tll unlit' PI CI1y 0' le,hV,hllll 8ulldlng ,Dep"he"t, 181"l1
1011-61.11.
Fur'herlore, I' 'he IIN~fr ~i' hired. cllntrltlor .r con"itt"'I, he II idvlled ,. hlv, 'h.,c"ntrittll'~st I'.npor'io~s III Ihe
.[on'ri,Ior Sections' of 'his .pplititlon fill .hlt~ thty wli' bt re',lInll.'., Ii YClU, il tht IIlIner IIgn il Ihl clllI'ricllll,
YIIU ire l~dlt.'lng 'hi' V"U. !i'her thin 'hi clln',ictol, .re ,esp"n,ib', '"I tht WII,.. If 'ht 111nt'ictllr lIi,h~, YllU III ii~l\
i5 ",nlnchr Ih.I uy be in IndluHlln 'h.I ht h 'lot pnperly IItllllud iI.d Is rlllt .nUtI.d tll ptralU",g pr'(,hgts i" 11.1;
[ily "t lephyrhi'ls.
C. TRANSPORTATION IMPACT FEES ANO UTILITV CONfr~CTJON FEES
D. CONSTRUCT I ON L I EN LAW (CHAP:rER 713, FLOR IliA ,3TATUTES, AS ,AMENDED)
I cerllfy th.t " t~e .ppllcin', hive been plovl't. ,"h,' copy of 'florl_.', C~\~~ruc'l~n ~Ien Lill - H~.tll.ntr'i P'1I1kCli~"
Guld," prepilld by 'h. floridl DepArtllnt of AgrlcultulI ind [oniullr Afhln, 1': \hlt .lppHul\t II 50""'" oU,u It.in II..
.~Nner". I ter'Ify I~.t I hive ~bl.lned I ttpy of th. .bllv, d.icrlb.d dteulenl .~'~Itill' In 'Clod fillh lod.ll~ll il lu II,~
'~Nn~r" prlllr 10 co..ence.enl.
E. CONTRACTOR'S/OWNER'S AFFIOAVIT
I cer'lfv Ihit .'1 Ihe Infllr'ill"n In this ~ppllt.tltn II iccur.I. ind 'h., .11 fllrk wlll'bt dt~f I~ c~.~llif'-t Nilh ill
ippllc.ble laws re~uli'ln~ c~n51ruc'i~n, I~Rlng, .nd "Rd devetop.enl,
.. ..' .,' .' ,
Appllu\lon Is hereby udt tll lIbhln I penlt to '0 lID1k .nd InihlhUu U Inlluhd., hffrt.ift ~1'.~'9~'~J.t: ~I
inshlhUlIR hu tDllenud pr.IClr to "sunn I' . pllllt ind 'hit .Illl~rlllltl b. pfrf.U~dt~ n" sht.dir~lj III .11 1.115
reguhHng constru,lIon, City u~n, nnlng nguhUtns, .n4 hnd dev.lllp'''" ","h'ltn., .n'" ,t.,ju~I~~h'.~". I .1511
cerllfy 'hll:1 IIndellt.nd thit I~t regulatloRS of .'hl' 'IIvernlen'll 'gtr~ltl "y .pply tll 'ht In't~ded' wlIfk. ind I~., II is
.y responsibility 10 Identify wha' itllonl I .us' ')h h be In cupll".t,. SlItb "tr~~1I helude bill ile '110' li,ilkd '~I
. "
~
I PepiI hen' IIf Envlronltnhl ReQuhH"'l - Cypnu "Vhudl, Net hnd ArUI .nd ~:nYlrtnll~hl t'y 'SinSl II ~t lll.dj,
Wittr/V..t'lIi'r" 're"lent
I Sc.u'hllu\ FllIrld. Ilihr "'niQUent Dh'du. - Vtlh, Cypnu '.yt.eids, Veth,~ Are.ii, ,Mbrh.g Uile\,ctUUtf
-- ~' ,
. 6!!Y [lIfps Df Enqlr'ttrl - SUNil", DIICkl. "iV".~,. W.I.fwaYI ~ .', _, '
I DfPirhenl lIf Hullh L Rthib"'hthe Servin,. hvtronaenhl HuHh Unl' - Wi':IS, Vnhlli'~~ h~it!el\',~,p'I' linh
. US [n{lf"nl,n\.1 Prllle"'''n Aqency - Asbestol i~.'..enl
-- . ~ , I.
.1
,
'I .ho certify thi', if fill uhrlll II to b. uud In Frllld 111M "A' tr 'A,'t.I,'t II 11 undenhlld ".11 i d'illuge plin
.ddreuill~ . 'cupinutlng Vlllu,,' IIUI be lublUh~ IIhleh Is prep ired ~y i pr')hnh"'ler,~lr.(:fr re~is~~fl)d:' i.1 Ihe Slile ~f
FIDrid. prlllr t" perait ISluint!!. I
.
A penlt luued sh.1I be conltrued to b. I. tlnnn to protttd lI11h th. IIl1rk and nllt II iulhullr III vi""", unnl illu, (.,
itl nlde .ny provlsllll.1 of 'he hchnlul "'dll, nor shill Inuinu of . 'IlnH prenn' 'h. 8ulldlngUfflcl.1 flu Il.trtiJll:1
r~qulrln, . uHf"lon of l!lIrlln in phnl, ClInl""t""n. "r vlllhtlon. .f any ';~d" Every ,,,tH issul!l1 itll;1l be,ue ill'lilid
unleu the Nork iuth"rlnd by such pen" h un'AC,d NUhln 51. lon' hi of IHJince,WHlItI,L."HiflIIUil' ~l' Ihe ~e"i' i~
suspended 01 i~i~dDned fllr i perl"d of Il,'on'hl .ft,r 'he tll' the IItfk 'I '~.Ienctd. 'D~"~~;d., e.'iri'~~d Df li'~1 '.t L~
illlolled for \I,epenll .lIh he [hrg. ,,' $1:\.00. lh. ..tenil"n sh.lI "t IIqullled 'n IIfllingh ltl"'~IIHdl'll Offici.l. All
e~proved Inlpec tI"n lu,I br: IIIqqed during uth I" ,"n'h per lod I Dr 'ht pIC/Ill(' 11111 h ",i..ider'fd~bl..dj,t'f-d.
I _l
WARNING TO OWNER, YOUR FAILURE TO RECORD A NOnCE OF COMMEUl:EMENT 11AY
RESULT IN YOUR PAYING TWICE OVEMENHi TO YOUR"PRbp.~Rly.i IF YlJU
.. INTEND TO OOTA-IN' NG, ITH YOUR LEND,ER PH AN, AllQf1NEY
BEFORE RECORDI ,Y R' TIC OF COM NCEMENT, JOBS' UNDER $2,,50'0 IN VAUIE
DO NOT NEED 0 RAND P A" !::bCE OF CLM'1ENCEMENr" ~ tJ
, . fk~:;~~ATURI: 1~1' p~/~~
--------------------------- ..---~-----T--------------
OHNER OR AGENT CnNTRACTO~ '
, DA TE______Lil__3:;_bl-:L::4_/l:::1i._=~-;.-~ATE- --_.!.f-l-~-P::'ii:'2.;;;:~
~~~~=y O~s A~~NT ___~fX_~~h~_ c~~:~c~:~~~_.' ..."-_.\_~J_'~_
~\\\"'"111111', 0 I' 'lOr: . R ' .\1\11, "
MY COMMISSION EXPIRES___~~-t!:~;~-_-__-_ MY C MM h1J NFXP~l ES,""~~~J~.~,~.#J/~_---___.
. :i ~..~~\SSIONt'~.~c.P % ' ~::f' ~~~'.~;\SSION~."f:c.P %
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""'",},'C. S1~:\~\\'\''(; ;/I"h;1lc, Su.1~.\",''(
1,...:,. . , ""''''-HH'~'
38545 Palm Grove Drive
Zephyrhills, Florida 33540
ACE
ALUMINUM
Job No.
Phone: (813) 782-2616
(',
SOLOTO_ tj ~ k- ~ ,)'J4-I-S ~
ADDRESS .1.-0 'F if / h /.JR.. tl:-E W/1 y lJR ,
SHIP TO _,_~,2 ~iJ fI yfI/L /"f /J-.,LS; ;c. / A-. ..? ?< \"7" /
DATE _,._ / J -:1c:J... - )If __..
PHONE __
:0
J> .:X 8> 4 h//JL-L S/-I-~IJ
5XPJ - "o/Jrt{)
/2 "X-S I C/Jl2/Jo~ r
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'~~~m':(~~0<~j~7t~;" /r~c--y~~~~ttK~':,f~;~~\fr~~~:k~.~,;1~j~:; "-<~',.,~
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The undersigned agrees to pay
INST AllEF5 IN FI.lL l ON COMPl
PERMIT
PRICE
TAX
TOTAL PRICE
DEPOSIT
BALANCE C.O.D.
o
/lNL
Rep.
CU*lomel'l Sipture
dWilll!
-
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,
CITY OF 'UtJllllYRllILLS BUILDING DEPARTMENT
OWNER _ ' '\-\~1L ,IOrli:~srA"'( rvy 1-1 SJt}L$S
JOB LOCP.TION . LO r.,. LJI l?.LLi. /(/ Oe:.J[ Witt. pR.......
u .s ";c:2b~.;)j- OIJD-dCJOdO- OY/tJ
PARCEL I. D, n -
:?&-'J7 ~
j"i/l'pJZ R.~l\'a:)p
ALLEYWAY f.l.CCESS FO
GARAGE OR CARPORT
15 FOOT f WrBACK
REQUIRED.
SIlOW ALT. EXISTING & I)Rl)~~OSRD STRUCTURES GIVING DIHENSIONS & SE'l'BACKS.
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UTILITY ~UILDINGS
MUST SHOW SJZE &
FOUNDATIONINFOR-
MATION. ·
I
(NOTE EXAMPLES 1 & 2) --;TREET ).O'l~ l{J hili> ~/D&EJt,lJ'1.'r .L>R-.
1 :. SETB,'..CK.S. FOR R1, R2 ZONING
60'_____
"\
2, SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0 I
10'
P E
10'
R X --1
0 I
P S
0 T
S I
E N
D G
L
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20'
FRONT PROPKR'l'Y' Y. LU(
FRONT PROPER'l"Y LINE
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