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 ~~,
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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.