HomeMy WebLinkAbout94-4200
BUILl:?:t~9HY~L~RM!! m .4200t?
IJ ~ (813) 788.6611 Date ~.,.. 3- 91
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~ ELECTRICAL PLUMBING M~ S,w" Cone
., R~ :.. ~ j ..A Water Conn:
::~:::,~,:~'';.:i95jd-'1'- ~~. ~A~ ;~:':,M''''
Parcel LD, # /2 - ~t, -- t'~1 - ()O.J/O -- [) OdPD{) - {) ZJ)j j)
Zoning:
FINAL ~ ., D.
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accorda,..~e with City Codes and Ordinances,
DATE
Valuation or -1 0'0:>
Contract Price <;? S ()' -
City License Registration # -------------
St e Certified Licens~
Permit Fee
Signature
Company
Address
Telephone# ~7 ~3 - 513 8'1
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L
PLU
ME
AL
Ftr, ~ ~\;:t=
Pre SLB.. l tJ ' .
Lintel 1-- [ D . \
FRM. . ~.~
In.ur.~~ 'v\.i~ ~
o
Breakers
Ducts Ins!.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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.
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Elorida
Power
COI'OIATlO.
NAME
ADDRESS
CllY
?,I/ I t../ /' 77Z/ j?r'
69328 ~~
~/;-Y,</rhuJ
~ POOL PROPOSED FOR CONSTRUCTION AT 11IE ABOVE ADDRESS DOES NOT
CONFLICf WIlli ANY UNDERGROUND OR OVERHEAD FACILITIES OF FLORIDA
POWER CORPORATION, PROVIDED TI-IA T TIlE POOL IS INSTALLED IN Tl-IE
LOCATION SHOWN ON 11IE A IT ACHED SI1E PLAN PROVIDED TO US BY TIlE POOL
CONTRACTOR
1HE POOL PROPOSED FOR CONSTRUCTION AT 1HE ABOVE ADDRES DOES CONFLICf
WIlli: OVERHEAD UNDERGROUND
FACiliTIES OF FLORIDA POWER CORPORTATION.
ARRANGErv1ENTS HAVE BEEN MADE WIlli US FOR RELOCATION OF 11IE FACILITIES
SO AS TO CLEAR TIlE POOL AREA. SHOWN ON 11IE A IT ACHED SI1E PLAN.
~-t ~ .p.2/l<;t.
FLO iAPOWERCORPORATION
COST FOR RELOCATION OF EI..ECIRIC FACiliTIES WILL BE PAID BY:
OWNER
POOL CONTRACTOR
PRIOR TO RELOCATION OF FACiliTIES AND CONSlRUCTION OF POOL
~ .
"
ZEPHYRHILLS DISTRICT OFFICE: 38231 5th Ave. . Zephyrhllls. Florida 33540 . (813) 782-1518
A Florida Progress Company
, .
~
TEL:813-782-5949
Jul 26'94
15:36 No.01G p.Ol/Ol
FLORlpA POWER CORP
ern OF ZEPIIYIUIILLS 8U1LDJ:RG DBPAIt'l'MEIIT
OWNER Pit,Zif .,.-flATf{ieiA 1M/If 7%3- F3J/
JOB LOCATION 3";'1 !f~ /lvt ZetA'!;.;' ;(,() rl
PARCEL I.D. # /'--2-.t;.-;).I-Ot)l.{t-'-!d^~f7-dC)li()
I"....-~,
SBOIf ALL DIS"l"DIG it PROPOSED S't'RUC'rURES GIVDIG DDCBNS:tOBS . SE"l'BACIS.
7p '"
ALLEYWAY ACCESS FOR
GARAGB OR CARPORT -
15 FOOT SBTBACK
UQUIRBD.
UTXLITV BUILDINCS
MUST SHOW 81 ZI .
FOUNDATION ZNFOR-
MATION.
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10
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3 93;)..f STL ~
FRONT PROPERTY LINB
(NOTE EXAMPLES 1 & 2)
STREET
~~ ~v€
1. SETBACKS FOR Rl, R2 ZONINC
60'
2. S2TEACKS FOR R3 ZONING
.- 60.
10'
p -
.
R J:
0 I
lOt P S, 10'
0 T
S I
E N
D 'G
20'
...... . PRDPBRrY L.l.Im
lot
10' EXISTING 101
PROPOSSD
lU'SGL !"AM :::SO 'DUPLEX
1 0'
. 1 0'
nlDII'f l"lWf'&arY .ld.N&
APPLICAfiON FOR PBRKIT
CITY OF ZEPIIYRIIILLS
BUILDING DEPAR'l'KERT
OWNER. · S RAHB. fl hit l'~ 1"'? /j- r;r ; e /i~ -r t. J I' I' PHON~ '111)- 7 c:p 3- rp''} "j) I .
OWREll'S ADDRESS -; q fA <( ~~ /;;//;3 Z f,/'Ayr H J 21..[;'
JOB ADDRESS
5>> M [
LEGAL DESCRIP'llON: LOT(S) t..J B~SUBDIVISION 2;;~hyr HtfC>'-
PARCEL I.D.# r)..- ;).. C. - 2./ - 00 qO - ot1 J-dO -' 00 Lf" (OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction ----^ddition ----..Alteration --Jlepair _Install
_Sign
--.JIove
->>eaolish
PROPOSED USE: _Single Faaily
_ec-ercial
----"IF _, of Units ---1l/H
_Indust. ---X-Swia. Pool _Other
--Jlestaurant i: Health Depart:aent Approval
DESCRIP'llON OF WORK: -;'p7T/?-l.-C. Tol' O'f GrelvtVd 'i1A/;'1I1 flt7{7/.,
;1. /,1 ,f ~v- ~J
BUlLDIRG SIZE:
~,z/ ST. (!.H J-(,(
F" ,C'JIJ~
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
ArlACH (3) SETS OF BU1LDIRG PLANS &: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION.
x
Square Feet,
Height
RESIDERTIAL:
COMMERCIAL :
D
CZ 5()~ ~
PERMITS REOUESTED
_BUILDIRG
t1lI1-ELEc:rnCAL
$
Valuation of Total Construction
AIIP Service
Florida Power Corp.
W.R.E.C.
---llECHAlIICAL
$
Valuation of lIechanica1 Installation
_PLUMBIRG GAS ROOFIRG
SPECIALTY
TYPE OF mllsTRucnoll: _Bloclt _Fraae _Steel
Other
FDIISHED FlOOR ELEVAnORS:
Fl.
IS PROJEct IR FLOOD ZONE AREA?
v"
YES NO
..........................................
CONTRACTOR SECTION'
BITTI.DER -0I6YJ1U-~ COIIPABY
~' , ~... State Cert. or .
Signature ,/ Ik/ <~ City egistration ,
...... ..................................
RI.RCTRICIAR COMPABY
State Cert. or Regist. #
SionAture City License Registration'
..........................................
PLUMBER COMPANY
State Cert. or Regist. #
Signature City License Registration ,
..........................................
IlECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration f
..........................................
OTIIRR COMPABY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
APPLICAfiOR APPROVED BY PBRKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands tbat this perait JaY be subject to "deed restrictions" wbich Jay be lOre restrictive than City
regulations. 'lbe undersigued a&SUJe8 responsibility for IDpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the CJIIDeI and contractor Jar be
cited for a .isdueanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing
requirl!leDts JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
788-6611.
Furthenore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
you are indicating tbat you, rather than the contractor, are responsible for the work. If the contractor "isbes you to sign
as contractor that tay be an indication tbat be is not properly licensed and is not entitled to peraitting 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 providt!d with a copy of "Florida's CODStruction Lien Law - lIoIeolmer's Protection
Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is SOIl!ODe other than the
"owner", I certify tbat I bave obtained a copy of the above described clocUIent and prsse in good faith to deliver it to the
"owner" prior to COll8DCel8Dt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infolliltion in this application is accurate and tbat all work will be done in COIpliance with all
applicable laws regulating construction, loning, and land developlent.
Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
installation bas ~ced prior to issuance of a perlit and that all work will be perforJed to .et standards of all 1_
regulating construction, City codes, loning regulations, and land develO(ll8Jlt regulations in the jurisdiction. I also
certify that I understand that the regulations of other govl!l1llental agencies tay apply to the intended work, and that it is
If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
t Departlent of BnviI'ODlelltal Regulation - Cypress Baybeads, Wetland Areas and BnviroDlelltally Sensitive Lands,
Water/Wastewater !reablent .
t Southwest Florida Water Managl!ll8llt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AIIY Corps of Bngineers - Seawalls, Docks, lavigable Watenays
t Departlent of Health & Rebabilitative Senices, InvirOJllental Health Unit - Wells, Wastewater !reatlent, Septic !anks
t US Invil'Olllental Protection Agency - Asbestos abat8ll8llt
I also certify that, if fill taterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan
addressing a "cOlpeDSating vol_" "ill be sublitted "bich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A pemit issued sball be construed to be a license to proceed with the wort 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 Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery pemit issued sball becoIe invalid
unless the wort authoriled by such perait is co.enced within sillODtbs of issuance, or if work authoriled by the perait is
suspended or abandoned for a period of sil IODtbs after the tile the work is cc.enced. One 90 day utension of tile, tay be
allowed for the perait with fee charge of $15.00. !be utension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
WARRIlfG !O (IfIBR: YOUR FAlLURB '10 RBCORD A IO!ICE OF aIIIBICBIlBN! BY RBSULf II yOOft PAYlIG NICE FOR DIPROVIIIIftS !O YOUR
PROPmY. IF YOU IIIUID !O OBflIlf FIIWfCIIG, COISUL! WID YOUR LBIIDBR OR AI AftORDY llFORB RICORDIlfG YOUR JO!ICE OF
COMMBICBMBI!. JOBS OlDER $2,500 II VALUE DO IO! IBED !O RBCORD AID POS! A "IO!ICE OF aJIlBlfCBIIBN!..
SIGIl'IURI: (MIER OR lGII!
SIGIA'IURI: comAC'fOR
SfA!B OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19__ by
S!A!B OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before lie this , 19_ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an o~th.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC