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HomeMy WebLinkAbout95-4689 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit ~ _4689B Date c:l-/tJ '- 9":;- ~} ~'EL~CTRICAL PLUMBING :::::;,~,:"e'6 62f3' j 4jJ;;J.J),1::::-:PA- MECHANICAL Sewer Conn Water Conn: Water Meter: T,I,F.'s: Parcel I. D. # Zoning: Energy Code: :;R;~n Gas: /J DescriPtionofWor~~.I\e#pt R.-+...,,4~~J~ACl _---~ ~ / NO OCCUPANCY BEFORE C.O. FINAl~ ,- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Permit Fee Signature Company Address TelePhOn~/)-,) t>b r-;2.s-f~ Inspector Valuation or Contract Price ~ / I 6, clV City License Registration # ? h ~, ~%9~~~S.'_ ~ _-#J..~40~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. P,. s~ K-" Lintel rJ" I'" 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. APPLICATION FOR PERltIT CITY OF ZEPBIRHILLS BUILDING DEPARTHENT OIlNBR'S - MIf- CJ'll'fM F1 rl ~/nd T ;q/'-)T'1-e~ /-/cJ0I~B OWNER' S ADDRESS JOB ADDRESS c;& z ~ /l/t;.i(TH AA/-(-e mR, LEGAL DESCRIPTION: LOT(S) ~<:;-' BLOCK c , :z e;pH'I1I , /.. L s. . FLA , , I SUBDIVISION S / ~U P ~ CJ/! Ws.. PARCEL IeD.' (OBTAHI FROM PROPERTY TAX NOTICE) WORK PROPOSED:hew Construction ---..Addition --Alteration --..Repair _Install _Sign ---...Hove -1)eaolish PROPOSED USE: _Single Fsaily ----Jt/F _' of Units ----Jt/H _ec-ercial _IOOust. _Swia. Pool Other ~m ,'p{ Urv"-' 'i)....)^l.. En t ~o ~u R.. of?...., Restaurant Ii: Health Departaent Approval f <.. v DESCRIPTION OF WOlUt::::::w? ST,4LJ- A>02. ..t=nrL-o<:;,~~ .0;3(' .firr'>rj;Y ~4;' BUILDING SIZE: '3 <:.. X ~ s-, & c,; Square Feet, /0 Height RESIDERTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUlLDIliG PLANS Ii: (1) SET ENERGY FORMS. COMMERCIAL: ATTAW (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW COBSTRUCTION. PERMITS REQUESTED -BUlLDIliG $ ~II~ .20 Valuation of Total Construction IU.RcrJU.CAL AIIP Service Florida Power Corp. W.R.E.C. ---llEClWlICAL $ Valuation of llechanical Installation -PLutlBIliG GAS ROOFING SPECIALTY . TYPE OF OORSTRUcnON: ---.Block _Fraae _Steel Other FI1IISBED PI.OOR ELBVAnORS: Fl. IS PROJECT IIi FLOOD ZONE AREA1 BIJII.DRR -?~ ul Signature~~ .......................................... PERRY ENTERPRiSES OF PASCO. INC. CONTRACTOR SECTIOB P.O. 80 x 18 5 .' , .' Elfers, Flcri'!il 3~GBO ?e~~Y:' ". . 'cdtiPANY (813) 84()-8793 ~ State Cert. or Regist.' Kx 00 s-~ 5"/9 . ~, City License Registration . " ~......................................... COMPANY State Cert. or Regist. . City License Registration . .......................................... YES NO IU.RCTRICLUI SionJlt.nre PLUMBER COMPANY State Cert. or Reaist. . City License Registration . .......................................... Signature IlEClWlICAL COKPANY State Cert. or Reaist. . City License Reaistration . .......................................... Signature OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICAnOB APPROVED BY PERltIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'I'be undersigned understands that this penit laY be subject to 'deed restrictions' wbieb laY be .re restrictive tban City regulations. !be undersigned asSUIIeB responsibility for capliance with any applicable deec1 restrictiOll8. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor IIY be cited for a .isd_lDOr violation under state law. If the owner or intended contractor are uncertain as to what licensing requirl!leDts laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtbeIlore, if the OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiOll8 of the 'Contractor Sections' of this application for whieb they will be responsible. If you, as the owner sign as tbe contractor, you are indicating that you, rather than tbe contractor, are responsible for the work. If the contractor wishes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to penitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tbe applicant, bave been provided with a copy of 'Plorida's construction Lien Law - lkIIeolmer's Protection Guide' prepared by tbe Plorida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOleODe other than the 'owner', I certify that I bave obtained a copy of the above described c10cUlent and prOlise in good faith to deliver it to the 'owner' prior to co.nCelellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infOIlation in this application is.accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developleDt. Application is hereby Jade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation bas ~cecl prior to i88uance of a penit and that all work will be perfoIJecl to leet stanc1ards of all 1_ regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies IIY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in capliance. Sueb agencies include but are not lillted to: t Departaent of EnvlrODleDtal Regulation ,- Cypress Bayheads, Wetland Areas and Envlrouentally Sensitive Lands, Water /Wastewater 'freatlent t Southwest Florida Water Hanageent District - Wells, Cypress BayheadB, Wetland Areas, Altering Watercourses t lIlY Corps of Engineers - Seawalls, Docb, lavigable Waterways t Departlent of Health i Rebabilitative Senices, InviIOllleDtal Health Unit - Wells, Wastewater 'I'reatlent, Septic tanks t US Invironaental Protection Agency - Asbestos abatl!leDt I also certify that, if flllllterial is to be used in Flood ZOne 'A' or 'A, etc. " it is understood that a drainage plan addressing a 'CQIPeD8ating vol_' will be sublitteel whieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. . , A penit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set asiele any provisiOll8 of tbe technical codes, nor sball i88uance of a peIlit prevent the Building Official fIOl thereafter requiring a correction of errors in .plans, construction, or violations of any code. Bvery perlit i88Ued shall becme invalid unless the IIOrl authorlled by sueb perlit is ~ced within sil .nths of issuance, or if worl authoriled by the perlit is suspeneled or abandoned for a period of sil IOIlths after. the tile the worl is co.encecl. One 90 day utension of tile, IIY be allowed for the penit with fee charge of $15.00. 'fhe utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged eluring eaeb sil IODth PetiOcl, or the project will be considered abandoned. "ARlfING 'f0 omR: YOOR FAILURE TO ~RP, a, IOIICH OF ~ HAY RISUL'f II YOOI PIYIKG 'fIIICH FOR DIPROVIIIIDS 10 YOOI PROPU'1'Y. IF YOU IIDIID to OB'IAIJf 'PlilDCIKGi'COIISUL'I' II'I'D tOOR LDDIR OR AI A'1'!ORIIY BI10RI RICORDIIG fOOl JOIICB OP mumlCBMEtf'l. . JOBS URDU '2,500 II VALUI DO 10'1 RIBD '1'0 RECORD DO POSI A 'IOIICB OF aJIIIEIICBHDIl. .;;:- SIGHA'lURI: COO'RAC'lOR SIGIIA'fURB: 0IfIBR OR AGIII'1' SIA'I'B OP FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'fA'f1 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. who is personally known to lie or wbo has produced as identification and who did/did not take an oQ.th. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC , ' ~ ':i .. 60 "," " , ) l?lW '.nlcg[}{J~@)~ @~[Q)~~ USE THIS PURCHASE ORDER NUMBER ON ALL CORRESPONDENCE: INVOICES, SHIPPING PAPERS AND PACKAGES, HOMEBUILDERS, INC 7231 LITTLE ROAD NEW PORT RICHEY, FLORIDA 34654 (813) 841-8448 FAX: 841-8572 Date l1 / /tt.:- . Bid Return Date Buyer Na e (~~( f'~~h~ L Job Address {. ( Q /1 (J ( it K. c Plan# 11 s '1P TO: fJA.rll ~ J,t ) (' ( () (. ):: County 'Po 'S ( r) /r ;)';J ~ Subdivision ',\/ ~ IJ f I? ('/1) j:..~ Lot# S J Model /) (CU(l,! :17-i-- Elevation /f Series# -:.;( V{La( ( ~;;&V /J!~ / ''// Payment Held For Completion II REQUISITION!;~Y v SUBDIVISION LOT' z:J DATE 9 II /9'1 ./1[('. ) S ;' L i},-' ;<:'~. " /) Ie '> r 71 ,'( I' TRADE MATERIAL NEEDED FOR REASON FOR PURCHASING , /7/,' ) " j, ' c. J' ~ QUANTITY ITEM NUMBER DESCRIPTION UNIT COST TOTAL A i ~ / ~ / xVA-1 r-f ,t/:l(A/ Akf./U; /6r 1/) "') "IJ,(,I //// f/ tU (/t/~ iU7 , / /./, 'k/? )/~ 1/ .' ~- 'r- ....;""'c.../ II ',/ ,T i/ V 7~ " J-$;c::>d. ~~ <:::v ~ ~;;7#/--L- ~e- " JA.h-rll ~Y1~J.p_ /-f/P::? /~1 ,:/ L/liP, z;o " , I .. " ,- LABOR - SUB-TOTAL STATE TAX -- TOTAL CHARGE .. .:l/IC;,~ (' ./ n ~ I ( /r TOP COpy - OFFICE SECOND COpy - SUPPLIER OR TRADE THIRD COpy - FILE t ,,:: ~ /!L-u // /, AUTHORIZEiJBY FEB-06-95 TUE 1~:06 OASIS POOLS IHe " LEGAL DESCRIPTION: .... - ~ ,:< SECTION "j - 813' 869 3322 P.O:!' SITE PLAN "<$~ - ....~~'\". ... ........~. (FtESIOENTiAL USE ONLY) II TOWNSHIP - ,::) ro s SUBDIVISION OR OTHER LOCATION DESCRIPTION: _~.L--.();j 5 - 0-k d- 3 t\JrLRJ./I' l. oJ: p ()4,t'~ . '" -~ J )L.Jee. '. )CALE 2.'(:;,/ I" = l \ --....- " 'N " ~ Q " "\ \- i ~~ , \\' Appl\cation for vi i showing the a \ of sll' existing j I I I All drawings S I i '-, i SHOW ALL EX,., ~_ I CA TE ANY AOJI Of' MOBILE HO~ RANGE __.2;..1 __- PHASE # / UNIT # j;)p, ?~f//) >,/.1''//-':; , ,~~ I , yt- () f- L~ Gar-o.~ e f- :~r- ~-c...- I :-.- ... tt () ..+ <J , ~ <<} , <;;{ o + Q. ..". 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"..( , /8 I I I I l ALSO, INDI- rE THE SIZE /}f' 0 ~ T' II .1' /Ji/( E HOU e Cc'..\J t' ,'ItlJ'Y 1IVI'f SCAl.E: 1 ,. c 60' rear (60 ft.) 1t, t .-. .::: .t:= 8 7.5' 8 7,5'_ h':>v"," .- v ~ "U :"9 VI VI t W fl~ f<- ~S It" 0FLt2. r flvr Vv"'"'.... r.....~...... . f..,' ~ I!!1nt SCALE: 1 ,. so \IV - IE SETUP, SCALE: '" · rear (150 ft.) rear (60 It,) ~ .:: 8 ~ '5' 20' x '0' + '~L-r add, Existing 7.5' -4l . house 4 I;n' + o~ 5xisting shed -- .t: 8 - ~ . o 041 It) 26' lD::: ~ ___ x~ ~ t-.lt; ~ .-- 'iii .- - ... -- ~ CIl IV "'() .~ J ~ _ ,\o"":~__ .. :,,~:,;, ." .. ,~. ~ , ,,!~~ ," Q ,t ~ ...~ \. ~-~-,,~ ~'~ " ~ Q.. -t' 6\ ~ . ~ ""~ ~ ~ b ' f-) ..f- LY (;1 ~ ( } ~~, ~ ( ~" .... r.rQ~ ~, ~) \/' ~ ~' j ~ ~_: A ' \;0 , \i' I ~ rlY-_- ~ ~~ '" ~ ~ r-..., , (') ~ ~. r Q:) I/' ~ ~) ..J: '-" ~ ~t ",,- ---cr ~ ...-' ;~ C/' '" '::::::/ ~ o~ (\ '''''') 'I ()' :':1\ ;:{ 'I"~' .' .."'. v~~} . '., 'I \"', ,'., 1.1 I. I ' ~~-~A,~(,;;~,: ~(l, V , . ,'f!' ,.' 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