HomeMy WebLinkAbout94-3985
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N C?
3985 i3
~~.:v-9Y
Date
~0
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Pmp,rtyOwn', Gf~A-t1~~
Job Address: ~'S; -
Parcell.D. # 1.:1. ;)6 - ,;L/"7' p/J 710 _ "tJt980 1 0 cJ?O
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: f!l;2 Code:
Description of Work .. ~ '
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL t
'-I
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
DATE
Inspector
City License Registration #
State Certified License#
~O~
:~;::;:~rUUij
Company
Address
Telephone#
Valuation or
Contract Price e:2;;( ...3 0 - o-i)
.....
/~,# ~9~~~""
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. t.f-2'5.~" giLL
Insul. CL
WL
~~ 42G~L{ bltJ....
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
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.
(INCLUDE ALL
5851 '";0;; ~o
ORIGINAL INVOICE
Pay From This Document
Payment Due Upon Receipt
, .
Heartland
Industries,
Inc.
7000 W. Hillsborough Avenue
Tampa, FL 33634
813-881-9414
813-885-7038 FAX
Chn# Store#
PO#
-
Ship to
Same
(Name)
Soldto
Chuck Crowell
(Name)
(Add.....)
NUMBERS)
I
(Ad.l....)
5529 24th ~tr~et
(Add.....)
Zephyrhills. Florida
(City) (Slale) (Zip)
Phone (8l~ 788-0204 ~
(Ar..) 1,,1. r
Scheduled Delivery Date ASAP f\ te ~" I (!j e,\ \ ·
Order Date 3-29-94 InvoiceDate 3-31-94
(City)
County#
Dpmt
Ck#
Acct. #
Chg Name
(Slale)
(Zip)
Zone
Dpmt
Auth. #
Exp. Date
ROOF COLOR
Black
White
Brown XXXXXX
Custom
Item #
2361220
12x20
DGEVENT
CHOR
SCOET
l6VTREC
SP
Description
12 x 20 x 12 W 6' Sidewall Deluxe Estate
12 x 20 Pressure Tre
extra door h
REMIT TO: ABOVE HEARTLAND LOCATION
Option Totals
TOTAL
Sales Tax
DeDosit Paid Chk.
if 951
Del. Chg. (if any)
TOTAL
Generally a building permit is not required, However, it
is your responsibility to obtain any permit which your area
requires. Also, make sure your area allows detached
buildings.
Down Pym1.
Balance Due
ALL INVOICES ARE DUE UPON RECEIPT. On delinquent
Invoices,all rights and remedies available to Heartland will
be initiated, including rights to repossess the unit and to
file any mechanics lien. Buyer shall be responsible for
all cost of collection, to include a reasonable attorney fee,
Pyml. AmI.
Pyml. Form (Ck/Chg)
Pyml. #
Price
2002.00
108.00
35.00
60 00
25.00
N/C
N/C
228.00
2230.00
144.95
2374.95
476.00
1898.95
ALL ORDERS C.O.D. (unless approved at time of order) - Returned Check Fee $15.00
All buildings F.O.B. nearest plant.
(1) White . Original Invoice to Customer
(2) Pink . Bit, to Carmel
(3) Green - Plant (4) Yellow . Order to Carmel
CITY OF ZEPBYRHILLS BUILDING DEPAR'.l"MENT
OWNER Cltfl-(LCes Co...cwe..L-L-
JOB LOCATION :;-S-z.c, Z,lF[!!: Sr. ~-p1+~(2.I4-'L-L.S (K- 33~-c.;0
1.;2-..)6 .",l (
PARCEL I.D. # 0070 .... 00000 - 0070
" .
SHOW ALL EIIS"l"IRG & PROPOSED S"I'R.UCl"URES GIVING DIllENSIOHS & SE"l"BACKS.
!O'
,
~
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
\
~
~
UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
Ibt}
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
V 0
PROPOSED
20'SGL FAH 30 'DUPLEX
FROII'I' PROPBRft LDIE
FROJft" PROPBRft LDIE
~
APPLICATIUN FUR PERKIT
CITY UF ZEPIIYKIIILLS
BUILDING DEPARIIt.ENT
r<;f ~~JL.1-1? :57~
1f,.t20?~
OWNER' S ADDRESS
S-5 z.'1
5~2-9
~-s (('UJWE\...L
2-,-\ ~ S'"H7-G?c::-r
T1J-
24 - ~ee-r
LEGAL DESCKIPl'IUII: I.OT(S)
BLOCK
mURE 8/3) 788' -OZo'-f
h-pI~rz.I-M\ \5 I H- 3354u
~(l..fhffs r; 33~'Io
SUBDIVISIUN
OWNER' S R.AIIE
JUB ADDRESS
PARCEL I. D.'
0070 -- 00000 - 0070
WORK PKUPOSED:~Bew Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_De.o1ish
PRUPOSED UJSE:
Single Faaily
_tl/F
_, oJ: Units
--1f/H
UTI L 1\1 Sth:--oUther
_<=<-ercial
_Indust.
_Swia. Pool
_Restaurant 5: Healt:h Depart:aent Approval
BUILDING SIZE:
/ Z- X Z-D,
2-<fO
Square Feet,
/2-
Height
.RESIDENTIAL :
COHKERCIAL :
ATTACH (2) PLOT PlANS 5: (2) SETS UF BUILDING PLANS 5: (1) SET ENERGY FURMS.
ATTACH (3) Sin'S UF BUILDING PLANS 5: (1) SET ENERGY FORftS.
PROPERTY SURVEY KIlQUIRED FUR ALL REV WNSTKUcnUN.
PERMITS REQUESTED
,l.-BUILDIfiG $
4ELEcnuCAL
4-HECllANICAL $
~PLmmING
TYPE UF CONSTKUCITUN:
~<J
2( 2-30 - Valuation of Total Construction
AIIP Service Florida Power Corp.
W.R.E.C.
Va1uation of Mechanical Installation
GAS
ROOFING
SPECIALTY
_B1ock. -LFraae _Steel
Uther
FINISHED FLOOK ELEVATIUNS:
FT.
IS PKOJECI IN FLOOD ZURE AREA? -25-
YES NO.
..........................................
COHTKACI'OR SECTIUN
BUILDER ~ g' GOHPABY
: //1 1./7 State Cert.
Signature /' ' - ~if0 City License Registration f
(_./' ............................................
/'
ELECIlUCIAR COKPARY
State Cert. or Regist. ,
Silmature City License Registration ,
..............................................
PLUMBER GOHPANY
State Cert. or Regist. f
Signature City License Registration ,
................................................
HEGIIMlIGAI. cotIPAIIIY
State Cert. or RegisL ,
Signature City License Registration f
..............................................
OTHER cotIPANY
State Cert. or Regist. f
Signature- City License Registration f
..........................................
APPLICATIUN APPROVED BY PERKIT UFFICER.
,'-_."."
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned ~stands that this perlit Iilr be subject to 'deed restrictiCll8' whicla Iilr be lOre restrictive than Citr
reguJatiODB. !he undersigned asSUlU respousibility for CCIIpliance with any applicable deed restrlctiCll8.
B. UNLICBNSED'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OlDer has hired a contractor or contractors to undertake IOrl, ther lilY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the 0IIIl8I and COIltractor lilY be
cited for a lisdeleallOr violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing
requirelellu lilY apply for the intended IIOrl, they are advised to contact the City of Zephyrh111s Building Departlent, (813)
788-6611.
FurtherlOre, if the OlDer has hired a contractor or contractors, be is advised to bave the contractor(s) sign portia of tile
'Contractor SectiOO8' of this applicaUoo for whicla they .ill be responsible. If JOU, as the 0IIIl8I sign as tile COIltractor,
you are indicating that JOU, rather than the, contractor, are responsible for tile IOrl. If the contractor .ishes JOU to sign
as contractor that lilY be an indication that he is not properly licensed and Is not entitled to perlitting privllegea in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY COHNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AHBNDED)
I certify that I, tile applicant, bave been provided with a copy of 'Florida's COnstruction Lien Law - 1DeoImer'1 Protection
Guide' prepared by the Florida Departlent of Agriculture and Consaer Affairs. If tile applicant i8 8CIII!OD8 other than the
'OlDer', I certify that I bave obtained a copy of the above described c10cuIent and prClllse in goocl faith to deliver it to the
'owner' prior to a.enCl!leDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certifr that all the infonation in this application is accurate and that all IOrk will be done in COIpliance .Ith all
applicable laws regulating construction, zoning, and land develo.-nt.
Application Is hereby IIilde to obtain a pmit to do IOrk and installation as indicated. I certify that 110 IOrk or
installation bas CDleDced prior to iU1J8Ilce of a penit and that a11lOrk .ill be perfOIJed to _t ltaDi1ard8 of all laws
regulating construction, Citr codes, lOlling regulations, and land develo.-nt regulations in the iurls4icUCIl. I also
certifr that I understand that the regulations of other goverDleDtal agencies Iilr applr to the intended wort, and that it is
If responsibilitr to identifr wbat actiOll8 I lUst tale to be in COIpliance. Sucla agencies include but are IIOt liaited to:
t Departlent of InvirOllllelltal Regulation - Cypress Bayheads, Wetland Areas and InviIODleDtally Sensitive Landi,
lIater/Va8te1ater lreatleDt
I Southwest Florida lIater lIanagelleDt District - lIe11s, Cypreas Barbeads, lIetland Areas, Iltering lIatercourses
t 'lIly Corps of _ineers - Seawalls, Docb, laYigable lIaterways
t Departlent of Health i Rehabilitative Services, InviIODlelltal Health Unit - lIells, lIastewater lreatBt, septic lanks
t US IDYiIODleDtal protecUcm Agency - Asbestos abat~t
I also certify that, if fi1lliterial is to be used in Flood lone 'A' or 'A, etc. " it is understood that a drainage plan
addressing a 'COIpeD8aUng volUle' .ill be sootted whicla is prepared br a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or
set aside anr provisions of the technical codes, nor shall i88uaDC1 of a perlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, constructioo, or violations of any coele. Ivery perlit 188ued shall becme invalid
unless the IOrk authorized by sucla penit is ~ced .ithin su IOIlths of i88uante, or if IOrk authoriJed by tile penit is
suspended or abandoned for a period of su IODths after the tile the work is co.enced. One 90 day atenaion of tile, lilY be
allowed for the penit with fee charge of '15.00. !be atension shall be requested in writing to the Building Official. An
approved inspection IIIIt be logged during eacla sil IODth period, or the project will be considered abandoned.
IIARJ1IIG to <<*DR: YOOR FIILURI to RICORD A 10rICK OF CCIIIDCIIIIIf IlAY RlSULI II YOOI PAYIG nICK POi IIIPIIJVIIIIIf8 to 1001I
PROPlm. IF IOU UfBIID to ODIUM FIDIICIIG, COISULI IIIIB YOOJl LIIDIIl OR AI If'fORDY BI10III RICORDUG lOOIIOfICK OF
_. ollIIIIlIIDIII I2,SGO U mill 00 {'IIIIJ !O IlIItllID IIIJ Pll8T I /'ROfICI gOP aJIIIIIICBIIIIIl.
/;' /"', .. / -
I' " .,
/; / / / ... . -
'I ~,(tD'LvLI ~~ 6-~
\-81.: IGBIIf ' " fURl: COIfRAC'fOR
SIAIIOF FLOR~
coum OF /~.c;/x;(U)v()~
Tbe foregoing instrument was acknowledged
before 118 this I/tILlr 18 , 19!1.!:L by
~~ Ca.ow~
wbo is ersonally kn~,t~or wbo bas
produced
as identific on and who d1 no )
take an ~
SIAII OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_ by
wbo is personally known to _ or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(NiIIIe Typed, Printed or 8tuped)
NOTARY PUBLIC