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HomeMy WebLinkAbout94-4397 BUILDING PERMIT CiTY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 4397~ ~ ~ Pmpeny Owne" f)~ 2/~ Job Address: J.?J, /J1~ /l ~ ~ Date / tJ - .;2 0 -- 9 Y ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Mejer: T.I.F.'s: Parcell.D. # Radon Ga~: ,./YJ ~j...L~ /' 7~ lO,~13/ . Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. Zoning: En~gy Code: Description of Work ~~ J--O..L~ Q .0 6.-. .Ai. I / {~~~ NO OCCUPANCY BEFORE C.O. FINAL DATE c.o. DATE Inspector' City License Registration # c2.. State Certified License# P~rmit FeeL~ Signature ~ ~ Company Address Telephone# (/3 ~~ Valuation or Contract Price /ytTZJ.t:?O ,~4k a~ BUILDING. ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ($15.00) 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. CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER .0 iJ -1- ~ e W tJ 1- r G A./V b ~ JOB LOCATION S L.e P :Of ;1u 1- 1--0 w / '- II T "2...-.3. PARCEL 1. D, # SHOW ALL EXISTING &: PROPOSED STRUC".l"URES GIVING DIMENSIONS &: SETBACKS. Itlktfo . f'"f-:! S-T 11-/ &> ,4-J 06/ L ~ . j-I d IV\ -e , ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED, .-.-- ' X3 PO;) I ~ -;- ::- - - ! C'fJ SIt rl &.. I ~ I ~){~~~ ,/! I~ t t'r-t5T,tlbr:i ~~, i Ii "('-JI ! I \j i i 'J ~.~ ~---I) ~_i ,I ~~ ~ .' . I ~ _. . \,~p--- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 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' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRO1ft' PROPERTY LINE FROH"l" PROPERTY LINE APPLICATION FOR PERKIT CITY OF ZEPBYRHILLS BUILDING DEPAR1lIENT OWNER' S lWtE piJ A: 1-l e WcJ~FGA.N.0 PHONE OWNER · S ADDRESS J 'L '\ 7-) W ~ f').fl f3> i"l' I ;P -e > JOB ADDRESS s:: L e -€.F '-{ 1-1 rJ L.. t.. u W LEGAL DESCRIPl'ION: LOT{S) 7:t- J n t>,V{ Le I M I Ch LtJT 2-S BLOCK SUBDIVISION PARCEL LD.' WORK PROPOSED:~Nev Construction _Addition _Alteration _Repair -1(.Install PROPOSED USE: _Sign ~ing1e Faaily _Hove _DeJIOlish _H/F _, of Units _HIH _ec-ercial _Indust. _Swia. Pool Other _Restaurant &: Health Depart:aent Approval BUILDING SIZE: lOx 'f () . ~ tltJo Square Feet. / c/ Height RESIDENTIAL: COtIPIERCIAL : ATTACH (2) PLOT PLMilS &: (2) SKI'S OF BUIIJHNG PLANS &: (I) SET ENERGY FORlfS. A'lTACH (3) SEtS OF BUILDIliG PLANS &: (I) SET ENERGY FORlfS. PROPERTY SURVEY REQUIRED FOR ALL 8IJ.V CONSTRUCTION. PERIIITS REOOESTED _BUILDING $ Valuation of Total Construction _ELECIlUCAL AtIP Service Florida Power Corp. W.R.E.C. _HECllAlnCAL $ Valuation of Kechanical Inst:a1.lation _PLUl'lBIBG GAS ROOFUG SPECIALTY TYPE OF CONS'IlWCI'IOli: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FI' . IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO BUILDER (/ Signature~JA W CONTRACTOR SECl'ION COKPAIiY J-! e Ie- f3S JY1 -!of. J State Gert. or Regist. , ([7l~ City License Registration , ****************************************** ALVA SeIt.VIL..(! . 2.... F.l.F.C'IlUCIAli COKPANY State Gert. or Regis.t. , City License Registration , ****************************************** SiPD~ture PLUHBER COKPARY State Gert. or Regist. , City License Registration , ****************************************** Signature KECllARICAI. COfIPANY State Gert. or Regist:. , . . . .. > City License Registration t *********t**.***************************** Signature . ~- .. " . OTRF.R .. ' CoKPABY '. State Gert. or Regist. t City License Registration f ****************************************** ,. Signature APPLICATION APPROVED BY 71 f.tAC-C '(j ~> Jd ------- PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perait lilY be subject to "deed restrictions" wbich lilY be lOre restrictive than City regulations. !be undersigned assWleS responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIftler bas bired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance ..ith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be cited for a lisd_anor violation under state la... If the mmer or intended contractor are uncertain as to wbat licensing requiruents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the OIftler has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbich they ..ill be responsible. If you, as the mmer 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 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, have been provided with a copy of "Florida's COnstruction Lien Law - lReowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeODe other than the "OIftler", I certify that I bave obtained a copy of the above described docuIent and promse in good faith to deliver it to the "mmer" prior to coaencuent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all work ..ill be done in cOlpliance ..ith all applicable laws regulating construction, laning, and land developleDt. Application is herehy Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or installation has CDleDced prior to issuance of a perait and that all work will be perfoIJed to leet standards of all laws regulating construction, City coeles, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDllental agencies lilY apply to the intended work, and that it is Ii responsibility to identify what actions I lUst take to be in COJpliance. Such agencies include but are not lilited to: t Departlent of EnvirOllllelltal Regulation - Cypress Bayheau, Wetland Areas and Invirolllelltally Sensitive Lands, Water/Wastewater !reatlent t South1lest Florida Water Managl!lll!llt District - "ells, Cypress Baybeads, "etland Areas, Altering Watercourses t AIIY Corps of Engineers - Sea..alls, Docks, lavigable "atmays t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater !reatlent, Septic !ws t US InviIODlelltal Protection Agency - Asbestos abatl!lll!llt I also certify that, if fill laterial is to be used in Flood ZOoe "A" or "A,etc.", it is understood that a drainage plan addressing a "~ating volllle" will be suDitted wbich is prepared by a professional engineer registered in the State of Florida prior to perllt issuance. A perlit issued shall 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 coeles, nor shall issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any coele. Svery perlit issued shall beCOle invalid unless the work authorized by sucb perlit is COII8Ilced within sillODtbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IODths after the tile the work is co.enced. One 90 day utension of tile, lilY be allowed for the perlit with fee charge of $15.00. !be utension shall 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. WARRING t'O OWRER: YOUR FAILURE t'O RECORD A 10UCE OF COIIDCBIIIN! MAY RESUL! IN YOUR PAYING nICE FOR IMPROVBMmS !O YOUR PROPSm. IF YOU III'fDD 'fO OB'fADI FIIWICING, COIISUL! WID YOUR LBIIDIR OR 11 AnomY BEFORE RICORDIKG YOUR DICE OF COMMBICEMEK'f. JOBS UKDBR '2,500 II VALUE DO IO! IBID 'fO RBCORD AID POS! A "IO!ICE OF aJUlBKCBMBII!". ~(~ V~ /(~, [S~, SIGlfA'fURI: OWRER OR AGIK'f SIGIIA'fURI: CONJJIAC'lOR sun: OF FLORIDA coum OF f' A 5 Cd The foregoing instrument was acknowledged before me this 21) DA'1' 19.!1!:i- by Ht/ De Ie ., )3 \I ,~ /.,. ' who is personally known to me or who has produced as ident. . take StAn: OF FLORIDA coum OF PAs r, r} The foregoing instrument was acknowledged before me this ::< d 'bA 1 ' 19 -.:i!:L by /-( L/ il e1c / )3 cJ..s~ who is personally known to me or who has produced as identification and who did/did not take an 0 OFFICIAL SEAL L, BUSH My Commission Expires i HER B · S MOBILE HOME AND ALUMINUM SERVICE 39215 Lizabeth Circle ZEPHYRHILLS, FLORIDA 33540 TELEPHONE (813) 782-7199 OR (904) 567-9832 AGREEMENT WITH: [J r.J /\-}'( e.. t.J ",-,-::. c:. A '" (, DATE: STREET: 1:2-3'2-"7 4J 0", ,~ B (I...,;~ -Q.. JOB NAME: r'L -e ~ t='1 CITY:ZIP: f> I Tt e..'1 IY; , <:...4 JOB LOCATION: TELEPHONE: ~ i G. - 7 '-I S~ - 3. (., i TELEPHONE: THIS AGREEMENT MADE THIS DAY OF HERB'S MOBILE HOME AND ALUMINUM SERVICE AND o~ /' f- /9'9Y :,q HoLLow I L-C/ T za. 1994 BETWEEN ASSURES THAT THE ABOVE NAMED COMPANY IS RESPONSIBLE TO ASSEMBLE AND INSTALL COMPLETE THE FOLLOWING ITEMS: (jt L f\^ i!J v ~ ~ 6Z.e r LA <: e A vlf' K 1 t-< (2 (f"...., S I & e a ,::- Mcl~;-l-e.. H(jI\A~. 8~ '1-'1 1 ull..Jrddlll ,~cA.JAlI-C 2-- L..-- A L. 'I tv. t.u '" : l e l,{j ~ fh, (3. t1...cJ LA! 1'1 ~ -( '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. THE CONTRACTOR WILL NOT BE RESPONSIBLE FOR ANY: 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 ACCORDANCE WITH THE ABOVE SPECIFICATIONS, FOR THE SUM OF DOLLARS $ THE HOMEOWNER AGREES TO PAY FOR THE BUILDING PERMIT $ PAYMENT TO BE MADE AS FOLLOWS~OWN l( ad . d d . WITH BALANCE TO BE PAID UPON COMPLETION OF WORK $ "5 L) C", / S , ACCEPTANCE OF CONTRACT AND THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISAFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE. PLEASE READ THIS CONTRACT OVER CAREFULLY.