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Home My WebLink About94-3787 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 378715 j-/9-PY Date ~ ELECTRICAL PLUMBING ~~ Property Owner: Job Address: 7J. c.:/: Pa,ooII.D. # J.S'-<J..S'- "'-j - :4- - 0 - MECHANICAL Sewer Conn Water Conn: Water M~!er: T,I.F.'s: Zoning: ~rgy Code: Radon Gas: Description of Work r.I t:I tJA1 ;~J'../AJ? ~1. 111 ~ - / FINAL 02/21/94 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.o. DATE I W.A.BURGESS nspector City License Registration # ~e ~;ned License'. ~~ f'7 , Permit Fee Signature Company Address Telephone# Valuation or Contract Price ,j}., ~ J~ -: crv , ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor 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 ($15.001 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. APPLICATION FOR PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAME ))01 TIfIE- Ou-r PHONE 7S3 ;2.93S" 7~ 32- O~c6/? C~ #L.fJ /1'/1 J//U'l6 ~ OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) PARCEL loD.' '3 &,;J-.~ ;L{ BLOCK SUBDIVISION 4Jr 7/ p~ If pt s- t1~~-CJ W II WORK PROPOSED: ~New Construction _Addition _Alteration _Repair ~Install _Sign Move _Demolish PROPOSED USE: Single Family _M/F _' of Units _M/H Commercial Indust. Swim. Pool Other BUILDING SIZE: ____Restaurant &: Health Department Approval 17' X :?3, AoL- r:#G~' 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 REQUESTED BUILDING $ '1"",\ .r-"1J"{) o'-~ lu Valuation of Total Construction ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. MECHANICAL $ Valuation of Mechanical Installation PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: Block Frame Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER CONTRACTOR SECTION COMPANY ::::UAl5'~ ~~ State Cert. or Regist. , ~ City License Registration , ****************************************** ~rJl1P1/cI~ /7. Signature ELECTRICIAN COMPANY State Cert. or Regist. , Signature City License Registration' ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration' ****************************************** OTHER COMPANY State Cert. or Regist. # Signature City License Registration' *************************************~**** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perlit laY be subject to 'deed restrictions' wbich lay be lOre restrictive than City regulations. !he undersigned assUIeB responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer bas bired 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguireJeDts lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departtent, (813) 788-6611. Furtheraore, if the OlDer bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes 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 Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's construction Lien Law - lReoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsllleI' Iffairs. If the applicant is soeone other than the 'OlDer', I certify that I bave obtained a copy of the above described docutent and pr~ise in good faith to deliver it to the "owner" prior to co.enceaent. E. CONTRACTOR'SjOWHER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulatinq construction, zoning, and land developnnt. Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that DO work or installation has ~ced prior to issuance of a perlit and that all work will be perfoIlec1 to leet standards of all laws regulating construction, City codes, loning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDl8l1tal agencies laY apply to the intended wort, and that it is If responsibility to identify what actions I lUst tate to be in coapliance. Such agencies include but are not liaited to: t Departtent of EnvirollJel1tal Regulation - Cypress Bayheads, lIetland Areas and EnviroDEllta11y Sensitive Lands, lIIater /Ifastewater 'l'reatlent t Soutbwest Florida lIIater ManageJellt District - lIIells, Cypress Bayheads, lIIetland Areas, Iltering lIIatercourses t lIlY Corps of Engineers - Seawalls, Docks, lavigable Waterways t Departtent of Health , Rehabilitative Services, Environaental Health Unit - lIells, Wastewater 'l'reatlent, Septic tanks t US Environaental Protection Agency - Asbestos abateJeDt I also certify that, if fill taterial is to be used in Flood Zone 'I' or 'I,etc.', it is understood that a drainage plan addressing a 'COIp8J1Sating volute' will be suhtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 sball issuance of a perlit prevent the Buildinq Official fIOl thereafter requirinq a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall heCOle invalid unless the work authorized by such pertit is ~ced within sillODths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of sillOoths after the tile the work is I31eDced. One 90 day l!Itension of tile, laY be allowed for the perlit with fee charge of $15.00. !be l!Itension shall be requested in writing to the Buildinq Official. An approved inspection lUst be logged during each sillODth period, or the project will be considered abandoned. "ARHUG TO (JIIIR: YOUR FAlLURI TO RICORD I IIO'I'ICH OF aJlMDCIIIBI! lilY RlSUL! II YOUR PIYIlfG filCH FOR DIPROVIIIIIrS '1'0 YOUR PROPIRIY. IF YOU llIUID '1'0 OBtAII FlIfUCIIG, CONSOLt 1I1'I'H YOUR LDDBJI OR AI lnoRDY B.IFORI RICORDIIG YOUR IfOfICH OF COMMIICIMD!. JOBS UlfDIR $2,500 Iii VALUE DO 10'1' lIED '1'0 RECORD lID POSt I 'IO'I'ICH OF CCJIIBIfClMlll!'. SIW~ u~ S'I'A'I'E OF FLORIDA ,0 COUlf'I'Y OF r 6 ~ The foregoing inst~ent was acknowledged before me this / +f- / , 19 -.!i$.. by StAR OF FLORIDA j) C~OF r~ca The foregoing instrument was acknowledged before me this /9 I , 19~ by who is personally known to me or who has produced as identification and who did/did not take an oa~~ ~ (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC who is personally known to me or who has produced as identification and who did/did not take an oath~f ~. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC Notary Public Pasco Co. FL My Commission Expires May 13. I99S Notary Public Pasco Co. FL My Commission Expires May 13. 1995 SIT E PLAN I PERMIT # (RESIDENTIAL USE ONLY ) LEGAL DESCRIPTION: SECTION TOWNSHIP RANGE SUBDIVISION OR OTHER LOCATION DESCRIPTION: ___,__~~_A 8;a6! ' 1/ LI'~1f c~ tI/ (,. c...,f6 ~ - '" r / i yo 3~ ( r \ 17 / / 1k>16 ~ep 6~ iEAla ()$~~ V) ..... c ", - 21 r- REAR ( FT. ) . l- LL. "'-' I.&.J CI >-4 V) FRONT ( FT. ) Show all ~xisting and proposed structures giving dimensions and setbacks. Also, indicate any a~jacent bodies of water and roadways ddjacent to the property. Indicate size of mobile homes such as: 121 x 60', 24' X 36'. EXAMPLES HOUSE CONSTRUCTION PROPO~FO AOnTTTON Mnn T I r I,m.,r C"rTI In f 1 ! ~ 1 . ' I! III iff i 1 ',. ~ ~ J ~ Vt~r~ ( J ! i! , I ~ ! 0< mr ~2r ~(;lSE "'Z;o g:~1'Tl :lOz g'0l~ ~g <1'Tl 01'1' o ,.... j~ffl' .022 ::!?-i1'Tl , n-l ~ ~-I i~ . . ~1~f~jl'l1~F ~ q ~ ~ H ~ n PIn q , ,!llli11:ilr; ~ j' q /.! l P ~ f i ~ ~ _II lll'lll H II, u ~ i! ,g - U l ! f~llilil! ~ I! /' ~ i1 ,- ~~ ! U~t / / ~;:i~ r~i Ht~ ; $-,<:: q! i l t : !~. " fl i, t / '~ . f 1_ / ~ ~ f ~ Hi L~~~~ ~ .................. JlO ....e lCMMX~. n N. !l ....Cft....;:i liB 0.... ...... t' ~i)! 7~~:; ~li;!~ _.' :!. ""'at.. ,............ Q, &If;., ........0. ft n ~..Cl B!~ .~ ~Re;f..N6. I ~ ~. ~ ~ =: I ~6J~~~F.~~ l ? ~~~L~oo1~~ f ~ .......... ~ ~ ~ ~-=:. (~ 'S.::.Hc>~ , HI z ~ 1 ~. ~ nl P If n t f f 11 ~ J ~~ 11-1. i 1,1 IW.,..... en ~:;~~::~OII -s , o.oooooc ...~ . . . . . . . ~.. ~ . :7' =- X WW....N........~ .....t-""........~ u.....O....CII\O. o~ ~~~~~~~ ~.". 000':1'''00 .., A ~E~~~~~ ;-= e I . .. . . . . . ,E ~fl~.~ t:' ........~Z' I +-- .";"; = t I -., ;;J~;\;;: I . . . . . ~ ~ :,~ ~ =/ -. 0 "i~ .. . en en en :~~~~~~.~.C!l;r~ ~ I ...w._....,.."...I~~ ~ ~~ rJ . : '" ;.: ~~~=~~:~~ig I :~:::~..,~ ~ = ~ .. . I ~. 1~~ww~...J ..~~I I' NNOitCJ\CDccro: 0'.," CD '" c ~ CD WI~! !II ~ i i I '_._-1. '.1 i -. --....----"'---;.-;-:~~l. : '.~:__ i..: - ,. ~ll Ui. ~~~i!!.! ~ i: f f' ~ Q. ~ t . i. i: li. t f. " 9. I r ~: t t O. 0 . f G, ~ e ~, 3l H. -t ~. ~,' t. ~. 11 ~ f: ,. c: ~ { t o. 6 N. f. ' .. ~ 6 P. f. '- ~ \' 0 t: '. 0 ~ . :: t ~ ~ f. ~ ~ !f I ' '. o ~ R. ,. { i! ~ n. I j , =. " N. ~ r{ , J ii.f. ~ 6 ", ~ ~ 6 ~. o. ::~. Ii Ii. ~ II i f f k. ' . ~ '!. . . ~ g. ii. t r: $1 ~ l! . f f ~ ii, ~ ~ ;. ~ ~ . 0 .. -. ~ ii. ~ i i q r{ \'. .. 0:' 0: o . Iii I ~ ii. l ~. ~ vq 0: t. ( -l, t: . ::,'. " ~~~~~.. ~f...,1 ~. . 'rupunul SUr; ST!\T:, :\lUM'NU~,,~, !NC: :3" ';.28 SR 54 W,:st ZJP"i/HH!LLS n 3354; r3D) 788-7:i08 <- .)'"-:' \ .-----\ PROPOSAL SUBMITTED TO ~"" STREET -~ ~_.- .~-~- \, .'~-.) \{~ t- \-. ""-1 --.\ r- \.r I ,;..- l_<' - '. .::\~;_~ '\'.'. CITY. STATE AND ZIP CODE (~::.:'l \~ ARCHITECT , ..J \'." " We hereby submit specifications and estimates for: ~'P'<:. "" "~>-.~~:L... ,-\ >. ../ j '~ -. ,,' ~. (-:':~A"..., ....., i'j ~ , t. ' ~ '-.c) Page No. !,,:!OI'lE -::> JOB NAME DATE --'\7'" - , \ " ,)l.-~~-~'> \ of . Pag~s , .~. \ JOB LOCATION ',<\ \,\ ) .'" ^"t'<-.) r --' '<'-' (,.J...... ....., :-::-- "'-~'~~,--.-.~.:. h-~:" .,-~ , -\ "'\~:'~\~ ) , - -.!l'f~~,~_...<',-.~IA~~"-;,~'.J;:f.~_;..< -:r- <: -.,.;'!-:~-~~ .,-" .r, ! /.... "~""-.~- ;_..~.~....._.....-,' ~~_.;.;,.;;.;..;.~--.-,~~ JOB PHONE I'<,~:_._)r~" -~:-..... J i .,.,'-..-, "\"' mr Jropo.ar hereby to furnish material and labor. - complete in accordance with above specifications. for the sum of: "-~-_..1'''\.,:;.>! '\ ',.,.:--,. Payment to be made as follows: ."",-.~. "-'. ~'.....,,~,- ..... ~. .-;#-' ., '.... c .'..... ~- '--, . ~. 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 ::;igrralure . ./ . ~.....-- ~ .i;'''f'l(jte~Th:~roposal may be withdrawn by us if not accepted within Atttplautt of Jroponul- 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: PROOUCT 118-3 /NEliS!elnc., Groton. Mass. 01471. To Order PHONE TOll FREE 1 +800.225-6380 Signature Signature ~ '-"-." "-.~ } ; dollars <t' -.,,:::::0>' I ;;.:..(f ;;;:y.~J,(_-"4f;_A'''- I ',' --> f\<, .,A" ). days.