HomeMy WebLinkAbout94-3964
BUILDING PERMIT
Permit N ~
CITY OF ZEPHYRHILLS
(813) 788-6611
_396W
J,I- ) y- f '7
DatH
~ ELECTRICAL PLUMBING MECHANICAL
Property Owner: OL.r1 ~ -
JObAdd,"",_D-;~ __ _ 7:T; ~/I?Y 'J?)I,
Parcell.D. # .;l -s- _ ~ - .;L~ ~-
Zoning: Energy CJde: Radon Gas:
Description of Work )/.LA'L-J<.J < --Ir. /L/ e 11 /'\-'7 '" .rr7
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certifipd LiC~.L '
N ~A~ AUt-PI
/
.L
P~rmit F~e. ..~. {I
Slgnatur ~
Company ~
Address
Telephone#
Valuation or
Contract Price (, ty' r, ~ t7zJ
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
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 ($15.001 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.
PARCEL LD.
SEC
TWP
PROPEHTY MEASUREMENT
SITE Pl..A.N
(RESIDENTIAL USE ONLY)
SUED
BLOCK
LOT
RNG
CUIU~ENT OWNEHS
DATE
All drawings sball be drawn to scale for all parcels or lots five acres or less.
~// ".1.' \1. l.a.'/ ..
, 1
//} !
(j' , .' .."
! .. ..... .'... 1 ('1 ',C), (>-, l
"",. ..)..... \.".,J'\,. .-' ...'j . .r
.~~~
~ o/~ ~
.ftcTJot/ I U~~
/'~t~ ~e~
cJj5(~~
~y-~ 7U-r-
yl...~ tA) S
/ , ....),
':::::::::, ,e "t: 1 '"f-.
. \J
CY-'T\ r-.~~ - LoT' IOC{
\ J~/~GU- 2L
-.."." ",.,~.....,---,~._-~--,._""~--_._-'----'--
_7~
,
,
f
,
I
\' I
\\<\ \
--1
~ ::-~
NQfe ~ ___
-?}J;;7;~?e5
-~figf/f:,Jo ~ Cbr(.Je/~
_ ~ t.;)('()lf Nu t; cr 0 I i~~
bolts 0t4fJ;.d'~~1J.
SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
M"Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE
THE SIZE, YEAR, AND NA11E OF MOBILE; SUCH AS 12' x 601. 1981. FLEETwOOD.
All "EASEMENTS". "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE
~;>
f'\. 1 '
) \{'-
.I \.",:
~\..:
''l ~ "-
\.
~ .t'tl'
r '-., ,
~1 .\\"
"..'
',',
,2\
\ 'I'
~
\
.
\ t.-~L?
;,._--. i.
HOUSE CONSTRUCTION
StALl: ,-. eo'
'"
:I
..
z
~ 1.':1'
o
Q:
He-u.e
20'
ROAD NAME
,5 i lepl;}ll: CP.
PROPOSED ADDITION
ICA\.E: .-. .0'
..ar (60rl.1
-
oJ
10 .
20' I 10'
:U.,' odd. -
- 0
0
Q EII.,lno 1." 5!
- -
. "'ou.. .
... :!!
;; ..
20'
P/L
ROAD NAME
1..':1' ~
.
"
;;
MOBILE HOME SETUP
.ca~l: ,-. 10.
!>o' 40'
..:
-
0 0
on on
'" 2" ul.'lnO ~
- Shed
.. .
... ~
.. .
lIO'
ROAD NAME
--t. q /./ P
Ll/J{//'f, -" 1'~
HER B · S MOBILE HOME AND ALUMINUM SERVICE
39215 Lizabeth Circle
ZEPHYRHlcLLS-,.---ELORIDA 33540/-~__
TELEPHONE (81 3 ) \182 - 71 99') OR (904) ~~J!ITZ)
AGREEMENT ,
WITH:' 1- ~A.-//;- z/ &rJ--<C~~ DATE: to.J & I /f ~l~
STREET: C _5, F ;2 JOB NAME: =c::~~_
I 1'# r
CITY: ZIP: L -IfI.A?o JOB LOCATION :c:;/a-n'l_"-
TELEPHONE: 7 fO - 733 5 TELEPHONE: .->~L
THIS AGREEMENT MADE THIS ~ --[Iv DAY OF .~ 1 ~94 BETWEEN
HERB'S MOBILE HOME AND ALUMINUM SERVICE AND LJ1tc /j;c.a#-a::t~/
ASSURES THAT THE ABOVE NAMES COMPANY IS RESPONSIBLE TO ASSEMBLE
AND INSTALL COMPLETE THE FOLLOWING ITEMS:
/ j>()oY' /ll'l ~ F "if? f'T ..- f2L~H:._ :JIA~ ~ 8' -7 S-f?/{J 7tlD r LI
Jl-Pi) /-/1/'1 (; F SC! .lee<> Yl iYIn. DeJOT /IY Pro)1 r -- Brow]"'I!) I ck ;.71- nip
, ~
~l+/~l<;T {rei Ley - ;YD CuTTer'
7 rei j L "'_ Y' 11;4 S !II t/ t5-e, I?oc-f
~
ALL MATERIALS REMAIN THE PROPERTY OF THE CONTRACTOR UNTIL
PAID FOR IN FULL. ALL JOBS MINIMUM 50% DOWN UNLESS ARRANGED
WITH CONTRACTOR BEFORE SIGNING. ALL MATERIALS REMOVED FROM
JOB BECOMES PROPERTY OF CONTRACTOR.
ACCIDENTS OR OTHER CAUSES BEYOND HIS REASONABLE CONTROL.
THIS SHALL CONSTITUTE THE ENTIRE CONTRACT. ANY WORK OTHER THAN
SPECIFIED ABOVE SHALL BE EXTRA ABOVE THE CONTRACT PRICE.
WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR COMPLETE
OCCO~ANCE WITH THE ABOVE S EC FICATIONS, FOR THE SUM OF
-I;Y (L/L/;; ~. I DOLLARS $ IC/ 8'~~ ' 00
Pt/NW'S
THE HOMEOWNER AGREES TO PAY FOR THE BUILDING PERMIT $~ eft,tJ, 00
PAYMENT TO BE MADE AS FOLLOWS 50% DOWN -$' 750_ () "
WITH BALANCE TO BE PAID UPON COMPLETION OF WORK $ 7 /,~, . 60
ACCEPTANCE OF CONTRACT AND THE ABOVE PRICES, SPECIFICATIONS
AND CONDITIONS ARE SATISAFACTORY AND ARE HEREBY ACCEPTED. YOU
ARE AUTHORIZED TO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE
AS OUTLINED ABOVE. PLEASE READ THIS CONTRACT OVER CAREFULLY.
DATE OF ACC~ANCE
SIGNATURE ~. '<.,~"
SIGNATUR~ ~
~~~~_ .. 1994
/ / ~~A~
APPLlCAnOIl fUR PERllIT
GIn OF ~IKIlILLS
BUII.DI.lIG DRPARIIIEII1'
ONRER'S fWIE ) ~ <2- R-l.t
,
ONRER'S ADDRESS ,-('L ~ €P 'f
JOB ADDllItSS J: A/Y\e
r~ fZ AN j () 1\ I
H ()I L La ,,/ :;t:::!-Z-
LEGAL DKSCIUPl'IOII: IDI'(S)
IOLf
.IILOCIL-SUBDIVISIOR
PARCEL I.D.'
...
WORK PROPOSED:_lIev Construction ~tion _Alteration ---..RePair _Inst:a11
_Sign
---'Iove
_De.olish
PROPOSED USE:
Single Fam.1y
_H/F
_, o.f Unit:s
_H/B
_ec-ercia1
_Indust.
_Swi.-. Pool
Ot:her
______esl:8urant 5: Hea1t:h Deparblent Approva1
BUILDING SIZE:
x
~e Feet,
Height
RESIDKNTIAL: ATrAaI (2) PIDI' PLAIIS 5: (2) SEI'S OF BUIl.DIRG PLAIIS 5: (1) SET ElIERGY fURItS...
COItIIERCIAL: ATI'AaI (3) SEI'S OF BUllDIIIG PI.AIiS 5: (1) SKI' ElIERGY FORIIS...
..oopy OF OOllTKAGr RIlQUlRIID.
Pll:RftI1S KEOUESTED
pUILDING
--1tLECI'RlCAL
$
Va1uation o.f Tot:a1 Construction
AIIP Service
Florida Power Corp.
W.R.E.C.
---1IECIIANICAL
$
Valuation o.f Hechanical Inst:allation
_PLUllBIRG GAS ROOFIIIG
SPECIALTY
TYPE OF OONSmUCI'IOII: ----..Block --"ra.e _Steel
Ot:her
FIRISBED FLOOR ELEYAnOllS:
fT.
IS PROJEGr IN FUJOD WRit AREA!
YES 110
..........................................
BUll"''''' ,~
Sigoat~ ,
aJJII.RACIOR SECI'IOll
fDlPARY I!f r<J S '\ M 1#/ Af.. (//11<) C'tfZ.t' Ie (" . .
;17 I .. j. Sl:ate Cert. or Regist.' ~ tJ tJ)</ Y- / L/
i&2.........V'- ~ City License Regisb:ation t 2.-
..........................................
RI.RCTRICIAN
aIIlPAIIY
State Cerl:. or Regist. ,
City License Registration ,
..........................................
SiPIIAture
PLUmER
aIIlPARY
State Cert. or Regist. t
City License Registration ,
..........................................
Signature
IIEaIAlfICAL
WllPARY
State Cert. or Regist. t
City License Regisb:atioo. t
..........................................
Signature
DI1IJI:R
aJIIPARY
Sl:ate Cert. or Regist. ,
City License Registration ,
..........................................
Signature
APPLICAnOR APPROVED BY
PERllIT OFFICER.
CUND I f J UNS UF FEnN I T (IFF I IHW I T
(). I\IIJIl~_~-PE_._pg~.!LBI;:J::;JlLlJ;JHJJJ~3 _ .
Ih~ "nrl~rsigned underst~nds that this p~r.it May be ~"bj~ct to "d~~d r~stricti~ns' "hich ,ay be lor~ restrictiv~ than City
rp.gul~tions. The undersigned assu.ps responsibility for co~rlian(e "ith any applicable deed restrictions.
fl. UNLLCENSE!>__~QN.IRO!:;IJJB~..OIJI). LJJNTfY\L,:.ILJfl..Rr:::?F:(JtmI~_I..t",ILt~f.J.
If the owner has hired a contractor or c~ntractors to unrlerta~p "ork, ther may be rPQuir~d to b~ licensed in accordance with
state and local reguhtioRs. . If the coll.!!:.a.E.torl.u.ot li~ensed as required by la", both the owner and contractor lay be
__~ '._ _.............h._
ci ted for a .isde'eanor vio I~tion_~.'!d~~_~!ate~~!,.~ If the o"ner or Intended .C.ootf-actor are uncer lain as to "hat licensing
r-equJ"reiiirits"la-Y--apply for the intended "ork~.they are advised to conlart the City [If Zephyrhills Building Depart.ent, 18131
788-6611.
Further~ore, if th~ owner has hired a contractor or contractors, he is advised to have the cDntractorls) sign portions of the
'Contractor Sections. of this application for which they "ill be responsible. If you, as the owner sign as th~ contractor,
you are indicating that you, rather than the contractor, are responsible for the "ork. If the contr~ctor 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 lephyrhills.
C. IB.Bf\J!:?PORT A T I QILI t~lf'fCjI2Ll:....E;~~_HH.I2_lJLt'=-l.LY_....I;!JHlt~~ILQ.t,:L FEE.!:?.
n . c,;.Ql"!.~IBU~T JJJH.J",J.I:;:!L1.J\H ( [~I fnpn:.R "7 j ~=J. FL.UR J Dr) SHHUTES ~ ns ()NEI...DED)
I certify that I, the applicant, have been provided "ith a copy of 'Florida's Construction Lien Law - Ho~eo"ner's Protection
Guide" prepar~d by the Florida Depart.ent of Agriculture and Con~u'er Affairs. If the applicant is sOleone other than the
"o"oer", I certify that I h~ve obtained a copy of the ~bove described docp~ent and pro~ise in good faith to deliver it to the
"o"ner" prior to cO"encelent.
F. GPtf!FnCTQR I s[.m'J~~IC___$__J}fE!.Rl:\\lJI.
I certify that all the infor.ation in this application is accurate and that all work "ill be done in co.pliance with all
applicable la"s 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 or
installation has cOI,enced prior to issuance of a perlit and that all work "ill be perfor.ed to leet standards of all la"s
rpgulatin~ construction, City codes, zoning re~ulations, 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
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
· Depart.ent'of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent ,
· Southwest r10rida Hater Manaqelent District - Wells, Cypress Bayheads, . land Areas, Altering Watercourses
. ~rlY Corps vf Enqineers - Sea"alls, Docks, Navigable Waterways .
· D.~~.ent of Health L Rehabilitative Services._~~ironlenlal "~~~l! - Wells, Haste"ater Treatlent, Septic Tanks
, US Environ.ental Protection Aqency - Asbestos abate.ent .
I also certify that, if fill .aterial is to be used in flood Zone "A" or "A,etc.', it is understood that a drainage plarr.
addressing ~ .co.pensating volule" Kill he subMitted which is prepared by a professional engineer registered in the State of
rlorida prior to perait issuance.
A per.it issued shall be construed to be a license to proceed Kith the work and not as authority to violate, cance) alter, or
set aside any provisions of Jhe technical codes, nor shall issuance of a per.it prevent the Buildin~ Official fro. thereafter
requiring a correction of eiiors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
IInless the work authorized by such perait is co..enced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of tile, lay be
allowed for the per.it with fee charge of '15.00. The extension shall be requested in writing to the Building Official. An
~pproved inspection lust be logged during each six lonth period, or the project will be considered abandbned.
HARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PRUPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER .2,500 IN VALUE DO Nor NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
,~ ~ .. ..~ v.' /(
C' ,..- /~ ~~ . ( .... . /i~' .
SIGNAT E: OHNER OR A ENT SIGNATURE: . TRACTOR
\'lho i 5 per~.:111 y knDl'II1;?t
produced '-..A~~"-<
as identific.:1tion and wh did/did
.~:J:~~t;~~1 ;;Ii&~<lL
(SignCltLwe) ,f
STATE OF FLORIDA ///)
COUNTY OF '--- ;l ~-e)
The foregc.ing in trum~nt ",as aC97'ledged
before me this I ,I ~ 19 . by
/)L-t~/. )~U2~'/
\o',ho is pe,-s 11.:111 Y knol'~ to m
p,-oduced-i..a.r--dt. /-~ Z~
.:1S identification and ho did/did
take . ..arl;;'" i~h ;' '. /J / p7 ... /n
/ Jl'ct--f2 ,;;r /.5-<<-4 ~
~
(Si gnature) (
(Name Typed~ Printed Dr Stamped)
NOJARY PUBLIC
............... OFFICIAL SEAL
l~~~\ GLADYS L. BUSH
: 1 My Commission ExpIres
~ . : Oct. 7. 1996
"':><r~ ~l Comm. No. CC 234022
..tr..~!.""''''
(Name Typed, Printed or Stamped)
t.:LQ.I AR'LEJlf3L I C
....?..~ OFFICIAL SEAL
'!i'~\ GLADYS L. BUSH
f 1 My Commission Expires
~.. ; Oct. 7, 1996
"'''~eOFf~~.' Comm. No. CC 234022
......-.....
.H.j &1 +' :1 l :+ . r. 1 . ~ J ~ I ~ ~ '.
~. J -4'" 1 J if) 'I'~~ % S--- ~ ~1. "S' ~ 1 j -i .
II , , . ~~ r ~ ~ ,\--4 ~~ J ~ ~ ~ 00
~~ fl ~ u~-~ .Jd'< ~ "2 I .J 3.~o" ~
!)t ~ ~ ~ ~ \) ~ ~.~ F-t'""2 ~ ~ ~
"' ~ 't:: ~ ~ .~ ::Ii. ..e \9IiI"1 1 ~i}.
82/01/1994 154:24 BeaeeeeaeeeaBeeaeaee GQ;I ~ ~...' . _, ...~\
~ . . o. .. 'l( ",.
~ ~ ~~
\l.~~~~l
1\ k. ~ ~ ~ ~ 1'1;
,......~~ ~"
Sj~ ~~~~\
~~ltl~~\~
~\~.... ~~
~~~~~~~
~ \.~ Vi ~ ~ \~ '
~ '" ~ ' ~ ~
~~ ~~~.t
'~\J\.~~
~~1
_\
"'~
~ 3- · ~
~~ C
~~ -+
;::...
~~ --
t ~~~ ~
' ~
'~\l
~
~ ~ ~~
~ l
N~~ $?
t\l~
I.
It \
~r
~~ (\
~-k -
%.
~~
~~
~-- 't
:J~ -.
.~~ -
~ ~ ~ ~
: ~~ ~
~ "'" " ...;,~~~
~. ,~: \ ," '~I "I":~"~~
... '. ~ >." ,"'.... -:." : ,.-. ~\
" '. ..' ~.'. .',
" . ,... ,.'. -""G .. . .
.', .. " . \M ". . '\,
".. '. ~. .
~ ~ ',' , >'L. .
~ , . /,> ,'f'\;..' '. ...
~ ~ ~ '. \J.l ..>....,.
~ '.',
~ ~ ~ ~ . ':'.';'
~~ w''oJ
~~~~ ~
'"
0" t4\ ')( ~ ~.\(' - ~
.1' ~ ~ ~ '.
~~~~~i~ ~~~~
~ ~.~ ~ ~" ~ ~ '~ ~
~ <~ ~ '" ~:\ ~ \\ ~ ~ ~ ~ \ ~
~ ~~ ~.l ~ ~ ~ ~ \J ~ ~ "
Y' ".'\ "",, ~ '...' I ,~ I ~... ~ 'i ~ \.
~
. ~
t ~
( ~
I ~
, ....
~~
~~
~
~
~
'.
I
~
,~
~
I
~
I,
i
')
~ ~
~
~\
~
~
~
~
"
,~
~
~
~
.~
~'~l~
~~~~~~ ~~
\~, -lll'l ~ ~ \. ~
~~-~ ~ ~~