HomeMy WebLinkAbout94-4523
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
45238
j;l-?-Y'j
Date
~ ELECTRICAL PLUMBING MECHANICAL
::~:::'~':"'~9M; 7-f3;::f~
Parcell.D. # C) - c!)b -{.)j - CJ CJ () -- 06 tJ 00 - CJ 0 $I 0
Sewer Conn
Water Conn:
Water Meter:
r.I.F_'s:
Zoning:
Description of Work 6 /
_ /A A1..--C-.dY'-PAA'dJ
Enz Code:
~ a'L~~'1 _~7~
r R'don G..
4lL52 q-.
,;
IJ ~~ ,. '-/1~ (2./ -AT- ~<'-
NO OCCUPANCY BEFORE C.O,
~A~
)I?AJ
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C,Q.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
d.. o--cr-J
"
tIO
Inspector
City License Registration #
State Certified License#
&-,7/
,
Sigr:latur
Company
Address
Telephone#
~.c:,9... L\C;LQC'j
,
'-tJl~;jI ""' ~~ ..A/~ ~
~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM,
Insul. CL
WL
Tp, Servo
Rough In
Meter Can
Canst, 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,
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S RAKE jC'~ ('\\ Qx~ f> Nc\ ~r
OWNER'S ADDRESS ~SZ~4 \ \\l~~l A\Nl \ c.A C
1
PHONL.J~~ '5C\l ~C\
1 ~~"'\ \ \\1 ~ \ \,:>
JOB ADDRESS
LEGAL DESCRIP'l'ION: LOT(S) B~SUBDIVISION
{ l.)5~COCO\~
PARCEL 1.D.' (';idr:J.l cQ,\ {"){")\,[\ (~lnl\(J()tx'~{') (OBTAIN FROM PROPERTY TAX NOTICE)
/ ()u>C0000~
WORK PROPOSED:_New Construction ---..Addition ----..A1.teration -3epair ~tall
_Sign
---1Iove
_Deaolish
PROPOSED USE: _Single Faaily
---1f./F _' of Units ---1f./H
_ec-ercial
_Indust. _Swia. Pool _Other
-3estaurant I( Health Departaent Approval
DESCRIPTION OF WORK: \~~\~.\ \11\ 0.,\\'(\\ M \, ~\~ \-~ MQa 8 ~ ~~ (;
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
A'nACII (2) PLOT PLANS I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS.
A'nACII (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~UILDING
$
Valuation of Total Construction
_ELEC'l'RICAL
AKP Service
Florida Power Corp.
W.R.E.C.
---1f.ECHAlIICAL
$
Valuation of Mechanical Installation
_PLUHBIRG GAS ROOFING
SPECIALTY
TYPE OF COliSTRUcrION: _Block _Fraae _Steel
Other
FIllISHED FLOOR ELEVAfiOliS:
FT.
IS PROJEct' IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACt'OR SECTION
Rlfll.Do.
COKPARY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
RT ,R.r.TRTCIAN
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
SianAture
PLUKBER
COMPANY
State Cert. or Regist. .
City License Registration t
..........................................
Signature
KECllARlCAL
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
OTRRR J' 0 COMPANY '(\\;2\ \-\\:J\\C\n \Qs~~0
1\ \ (\ State Cert. or Regist. .
Signature"- I \, y\ 0/\ 0 ~\~ ,R f\'{ J \J City License Registration' \ ()~ \
..........................................
to . . \ 1'\(\
,
APPLICATION APPROVED BY
PERMIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'1'be undersigned understands that this perait lay be subject to 'deed restrictions' Ibieb lay be lOre restrictive than City
regulations. !be undersigned assUles responsibility for COIpliance lith any applicable deed restrictions.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance lith
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 lal. If the owner or intended contractor are uncertain as to wbat licensing
requirl!lents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
Furtheraore, 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 Ibieb they lill be responsible. If you, as the owner Sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the IIOrk. If the contractor lisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNE<::TION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided lith a copy of 'plorida's Construction Lien Lal - HoIeoImer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is sOftOne other than the
'owner", I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
"owner" prior to coaenCl!Ient.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all IOrk lill be done in COIpliance lith all
applicable lals regulating construction, loning, and land developaent.
Application is hereby lade to obtain a perlit to do IOrk and installation as indicated, I certify that no lork or
installation bas COIIl!Dced prior to issuance of a perlit and that all IOrk lill be perfoIJed to leet standards of all lals
regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is
IY responsibility to identify Ihat actionS I lUst take to be in ctmpliance. Sueb agencies include but are not liaited to:
t Departlent of Bnvirollll8lltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater '1'reatlent
t Southwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Sealalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnvirODll!Dtal Health Unit - Wells, Wastelater '1'reatlent, Septic tanks
t US EnvirODlental Protection Agency - Asbestos abatl!lent
I also certify that, if fill laterial is to be used in Flood ZOne "A' or "A,etc.", it is understood that a drainage plan
addressing a uCOlpell8ating volUll!u lill be subJlitted Ihieb is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A perait issued shall be construed to be a license to proceed lith the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
unless the IIOrk authoriled by sueb perait is COIIeIlCed lithin sillOntbs of issuance, or if lork authoriled by the perait is
suspended or abandoned for a period of sillOlltbs after the tile the IOrk is c.enced. One 90 day utension of tiae, lilY be
allOlfed for the perIIit lith fee ebarge of $15.00. fhe utension shall be requested in Iriting to the Building Official. An
approved inspection lUSt be logged during eaeb sil IOllth period, or the project will be considered abandoned.
WARNUG fO OWNER: YOUR FAILURE fO RECORD A NOflCE OF COMMEICEIIIH'l' MAY RESULf IH YOUR PAYIHG !WICE FOR IHPROVEMBnS fO YOUR
PROPER'l'Y. IF YOU 1II1'ElfD fO OB'l'AIH FIlfAICIHG, COIISULf WID YOUR LEIfDD OR 111 AnomY BEFORE RECORDING YOUR KOfICE OF
COMMEKCEMEII'l'. JOBS UlfDD $2,500 Ilf VALUE 00 IIOf NEED '1'0 RECORD AIfD POSf A "HOfICE OF COMMENCEMm".
. ~ DO
~'n Q ~ Q ~J"\'f) \\,\ \ .
SIGlfA'l'URE: con
S'l'A'1'E OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(NUt! Typed, Printed or Stamped)
NOTARY PUBLIC
S'1'A'fE OF FLORIDA
COUIf'l'Y OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who bas
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Page 2
Legal Description: A portion of Tract 53 & 60, Zephyrhills
Colony Company Lands, Section 2, Township 26 South, Range
21 East as recorded in Plat Book 1, page 55, Pasco County,
Florida. Commence at the Southwest Corner of said Tract 60,
run East 300.00 feet on and along the south line of Tract 60
for a point of beginning. Thence North 352.65 feet parallel
to the West line of Tract 60, crossing the South line of
Tract 53, thence East 95.39 feet parallel to the North line
of Tract 53, thence South 216.77 feet and parallel to the
West line of Tract 60 crossing the South line of Tract 53,
thence South 135.82 feet parallel to the East line of Tract
60, thence West 95.67 feet on and along the South line of
Tract 60 to the point of beginning. SUbject to all restrictions
and easements of record.
Note: Legal written from information from O.R. 1280 page 0923
Official Records of Pasco County Florida. Encompasses parcel
I - II & III Exhibit "A".
~/~
Prepared by Fredrick P. Trebour
Fla, Reg. Surveyor No. 2466
. ,
Phone 858-4569
MID-FLORIDA FENCE COMPANY, INC,
7125 North Highway 98
Lakeland, Florida 33809-9324
John Farmer, Owner
FENCE PROPOSAL
~~re" '~~t~~~)~~~~
JOB ADDRESS '
Phone l~~ ,SCillct-. Dat;\p('o m~ ~ \<\<14
Lot. No, Blk, No.
Subdiv,
Survey Stakes Visible: Yes D
NoD
\G
t
1
TYPE
SIZE
HT.
't
)<
Fabric In 0 Out 0 Barb up 0 Down 0
level 0 "tep 0 \ Roll 0 Straight 0
Line Posts Set~ on center in concrete
Top Rail 2>\ 1l<1' \ 1.\ X "00 .
Top Rail " 00
Braces No, " 00
Braces No, " 00
GATES SIZE ,,=-~AME TYPE
\ \ Q 'x \~ '~" 00 c\('llb\P
_ -":X _" 00
----':'x _" 00
t
',t rl
\-\WL\
5~ E
'x
" 00
EXTRAS:
ll\\~ \::xJVn")CY'\ ~n)rt~\()N W\\e
TERMS:
Permit Fee $
TOTAL CONTRACT $
Down payment (Date Paid_____) $
Balance due $
!It')l'>/'>
:as=
location of all work on the property and/or damage to underground objects or utilities are the responsibility of the owner,
Unless specified, quotations do not include grading brushing, or jackhammer work which are charged by the hour as need-
ed, This proposal becomes a contract when accepted by both parties and is subject to cancellation, I nterest will be charged
at 1% per month on past due accounts. Costs of collection if any, including Attorney fees, will be added,
Approximate starting date
~\ () ~ ()j~
~ Approximate completion date
S\~ ,t. 9~Q Accepted
By
Date
MID-FLORIDA FENCE CO., INC.