HomeMy WebLinkAbout95-4763
BUILDING PERM!! ~ _4761'\.d
CITY OF ZEPHYRHILLS IT. UfJ
_ (813) 788-6611 Date .:5 -1L/- 9~
(~ ~ g d::~
. ::~:::,~:~" q;ffi *J:j-I-is~.
Parcell.D. # tJ'5-a.l:J-:LI"VI20-0DOOO- t/~7V
Zoning: Energy Code: -gj1 Gas: .2 ~ - -t7
-&J(j;;d~~:1~~ ~::o~~~~~/lt~J(~
"::> I'
NO OCCUPANCY BEFORE C,O. FINAl-'->-::~DATE____
Complete Plans, Specifications and Fee Must Accompany Application. C.O, J..'--c2/ - ~
DATE
'CD
Sewer Conn ~:z 1R' -:-j
Watel' Conn: ~5'D'
_ aD
Water Meter: / h'!;> I
/ J./ (,5:. ;LcJ
. IJ.I,~{)
T.I.F.'s:
On accordance with City Codes and Ordinances.
Signature
Campa
Addr s
Telephone#
C$~-A~~
aJ,4L
, t
Valuation or
Contract Price
~~7, ~()U
City License Registration # -=":1 ~ b
State Certified License#
C91rt: (J~0L (]:;r~
BUILDING ELECTRICAL
7/(r1
PLUMBN '
MECHANICA
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv 0
Rough In
Meter Can 1!5~-11-7') 65
Canst. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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: ' J...
a. Wrong Address 0~---Z:- a,~~~ 1..:r:.5
b, Condemned work resulting from faulty construction. .;3 ..... JlI-fS--- tJ -
c. Repairs or corrections not made when inspection called. j 3--()j- 95
d, Work not ready for inspection when called. ,f)-..
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 PERl'l1T
CITY OF ZEPHYRIIILLS
BUILDING DEPARTl>lENT
APPLICANT tJ~O u r'G Y W\A .J,.... -:- 8<:i...AC
H oJ '-I 5"'4 . ex) bS-r
O\-lNER uS A --?.J eCDA-iRerJ
fJe;wPatT' De', '1'6
ADDRESS 3 S" ~<o I
r f\Sn e 5\11:Tt:
PIIONE(2rf V .:J. ~ 'Z.- z- L.. (, <p
PARCEL I, D , iF
\-lORK PROPOSED:~Ne\V Construction ____Addition ____Alterntion ____Repair ____Install
Q ~ _ z. ~ - 2-1 - tJ I 3 6 - c1 ~c1 . (J 0 - 0.:1.9, ~
BLOCK
LOT SIZE~X-1l1l AREA SQ,FT.
SUBDIVISION z.e;p H "'e...- re J D65"
Jon LOCATION j....(jT Z- t:j
LEGAL DESCRIPTION: LOTeS)
____Sign/Temp.
____Sign
____I-love
_Demolish
PROPOSED USE: ~Singlc Family
~M/F
_iF of Units
. __~1/Jl
_commercial
_Indust.
____S\Vim., Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: ~ ~: ~JL,
I ~q~
Square Fee t,
/ ..5T1J~
[, (1) SET ENERGY
FOm-IS . ~,*
Height
RESIDENTIAL: ATTACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
cmmERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
**COpy Of CONTRACT REQUIRED.
FO~~IS, **
URMTTS REOUESTED
LBUILDING
~ELECTRICAL
+~lECHAN~CAL
~PLilllBING
$
d~$IJ{J
IS'o AMP Service
(lobO.o
v~luation of Total Construction
Florida po\Ver Corp.
_\,'.R.E,C,
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: __Block
_Frame ____Steel f\\bAll~ HdMeOther
FINISHED FLOOR ELEV^TIONS:~FT.
******************************************
,CONTRACTOR SE~T"ll.N .,.- It r q--
, Company _ __~ Ie.._ ~J'U_TJ~-'l.5, ~-e..
State Cert. or Rcgist. U
City License FcCL:;(.rat'inn ~i ..3 ~{o
******************************************
=
Signature
Signature
Company (" .I-~c....e:;- :1()~ \J
State Cert. or Rcgist. 0
City License Regi.stration~! .~ S-
************ *************************t***
lh/~?J ~ . Company. FfEXS6 ,j Ie Y/l')~1J
~. ~ State Cert. or Rcgist, !: -9'
~~ City License R.egistration iF I Q a
. * * * ** ** *********** ** ** * *~,~, *~,~,;, ,', .::~:~, -:: ,':~, .:: -:, -:, ,'",
~
I'1.mmF.R
Signature
Company gA He...5
State Cett. or Regist. 0
City License R.egistration
*********************************
7El:1 Pf\\l e;- ~ A I~
,I -lg
~
Signature
Company
State Cert. or Regist. t~
City License Registration 0
DTHER
*****************************************~
PER1'I1T OFFICER,
APPLICATION APPROVED BY
.r . -~'";';'~' b . "',
~- ,"!
...-~ .LJ~l>>-'" . .
~"l""
~.
--,
-........
.,...
-,.
SiJ:'L) IT:r ONS OF PERI'1 I T AF F I Dr,', i'
A. NOT I CE OF DEr:J)_J3~f!~iJ~ I c:~U [INS
The undersigned underst,lTd:; that \hi5 PQfoi t Clay be subjed to 'deed rcstridie,ns' rlhich Ii"Y b~ ~e,r~ res\r,ictive than Ci ty
regulations. The undersignrd ~'oS\1~~5 r~sponsibili~fJor. complianc!:' \lith any applicable deed restrictions.
B. UNLICENSED CgGTP~~TORS AND CONTRACTOR RESPO~I::08I~~J-LtS
If the owner has hired a cDntractGI' Dr contractors
state and local regulations. If the contractor Is
cited for a nisdrneanur violJtion under state laa.
requirements aay apply fDI' the inl~nded Hork, they
788-6611.
to undertake \lork1they /flay be required t~ be ,licensed in acc~rdance Hith
not licensed as required by I"", both tho OMner and cDn\~act~r ~ay be
If the D"ner Dr Intended cuntractDr are uncertain as tu Hhat licensing
are advised to contact the City of Zephyrhills Building Depar\~ent, (813)
Furtheroore, If the o"ner has hired a contractor or cuntractors, he is advised tu have the contl'~ctor(s) sign pOl'tions of the
'Contractor Sections' of this ~r~lication for "hlch they ~ill be responsible. If you, as the Dwner sign as the cDntractor,
you are indicating that YOII, ruther than th!! contractor, are respc,nsible for the Ij[,rk. If the ((,ntr"de,r \fishes ye,u tc. sign
as contractor that ~ay be an indication that he is nut properly licensed ~nd is not entitled to permitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORID0 STATUTES, AS AMENDED)
I certify that I, the applicant, have been provi'ded ~ith a COP)' of 'Fle,rida's Cc,nstructic,n Lien L"H - HC,~eGHn2r'S Prc,tedion
Guide' prepared by the Florida Department of Agriculture and Consu~er Affairs. If the applicant is soee5ne other than the
'uwner', I certify that I have obtained a c~py of the above described document and pl'omise in good f"ith to deliver it to the
'uwner' priur to cui~ence~ent.
; I, .: ~:~. '. . ; :'
E. CONTRACTOR'S/OWNFR'S AFFIDAVIT
I certify that all the information in this application Is accurate and that all Hork Mill be done in conpliance "ith "II
applicable la"s regulating construction, zoning, and land developoent.
Application is hereby ~ade to obtain a percit to'do Hork and installation as indicated, I certify that no "ork or
installation has co~~enced prior to issuance of a permit and that all Hork will be perfor~ed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land develupment regulations in the jurisdiction. I also
certify that I und~rstand that the regulations of other governaental agencies may apply to the intended Hork, and that it is
~y responsibility tc, identify iihat actiuns I must take to be in compliance. Such agerldes include bid ;;1 C Iie,t li,1ited to:
, ,.
I Deoartsent of EnvirDn~ental Reoulation - Cypress Dayheads, Hetland Areas and EnvirDnmentally Sensi live L~nds,
Hater/HasteMater Treatment
I SDuth~est Florida Yater ~anane~ent District - Hells; Cypress Bayheads, Hetland nreas, Altering Hatercour5~5
I Ar~y Corosof Enqineers - Seai1allsl Ducks, Navigable Hater~ays
I Department e,f Health I, B.0!a!0.Et"tive Services, Environfflental Health Unlt_ - lIells, \Iastewater Treat~E"'~. Septic Tanks
I US Envire,n~ental Prc,tHtie", ~<Enc'L - Asbestos abatement
also certify that, if fill ~atc:riJl is to be used in Flood Ze,ne 'n' e,r 'n,dc,', it is undc-rstc,[,d \1,31 "drainage plan
addressing a 'cu~pensating volume' Hill be sublltted Hhlch Is prepared by a professional engineer registered in the State uf
Florida prior tu per~it issuance.
A perllit issued shall be ([,nstrued to be a license to proceed llith the "c,rk .,nil nc,t as allthe,rity te, vic.]"ti', caned ~ltu, Dr
set aside ~ny provisiDns Df the technical CDdes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
requiring a cc,rrectic,n c,[ i',rurs in plans; construction, e,r violations (,f any ce,de. Every p['r~it isslld =t,all becc,(e invalid
unless the wOl'k 2uthc,ri;~d by such permit Is ce'llIlIenced lIithin six lUonths e,f issuance, c,r if \le,d, ~\!II,r" Iled bi the rerlit is
suspended ur abandoned fDr a period Df six lIunths after the ti~e the Murk is COlmencEd. One 90 day c~tc~5jOII of ti!!, ,ay be
alle,Hed fe,r the PCI'",;t (I'j;':, fee charge of $15.00. The extensi(,n shall be requcstC'd in liri\ing te, the 8ui\ding Official, An
approved I nspec t i e,n .~us \, be \ C.ggl'l\ dur i I"Ig each si x lIIUnth per i od, or the pre' jt'd Ii ill Ilc c (,ns i dn fd ~balldc'r,[.d,
WARNING TO OWNEn: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU
INTEND TO OO'rAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al'TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOGS UNDER $2,500 IN VALUE
DO NOT NEED TO REcorm AND POST A "NOT I CE OF CmW1ENCEf1Ef\lT".
~,. -}(li~ ~
SIGNATURE SIGNATURE ----------- ---------------
_n - -,iWNER-ii- AGENTP';:;;;;;;;::;-,tAi",^"", -- CONTRAC OR I%:"So'';''= ;.q.kitJ
DATE _____:?d-~.i~~--------------,------- DATE ___~q-?:L~--C" --- ------ - - -- -- - ---
~~~~~Y o~s A~~rH __~~r;.~~!~'- (J_fpL"~:~'~-
j:: 117l-11..J.;;:.L tJ Jj-, 3/.? c (, ~ \ ,,,'
MY COMMISSION EXPIRCS______________________
NOTARY AS TO -<1/ II
CONTR ACTOR ____J:;~rdild'~~_(=-'- -:~*.- ~c,,~~--'
" I<-A71-/i-i_ DAJ ~V J5;e <'"(, i.V
MY COMMISSION EXPIRES__________________
.~---.
ilf'.
I.. ".. i
~--~
... J, BRoWN
My c,+:,,~ ::"frt~.t 1995
Comm. # c;C ()95017
',',~',,; . ,':',<~::;"?:-~'i~"'.'''" ~::~~~:\;'~l;~:'(?{I"~"ql~~{9~T;~~~,2X;'~li;:~'r,;:;'; " '.' .
..' ,,' ,...;j;"II'U ' "~",,'iI,.;,).!..:0.r 1:1.. I...D,..\,!,.ijW~: "',' t\'\ink""'" "
,',: ,.) ~,',' " . 1'~""1 ,:"",,~,,',~~~l' ; .:';.n'll':" '1::,:;'~!"q~';>\~~~'t.l~~T,;;~.~~~:~:~t(''''r'::''~'':3..:,~.'J~~~~(,I.t:J~~~I~~I.~I~~I,~fl:"""\ .:.
,',:, ,,' ..,,", ,":1',' :.I':':.i;;';~!:':JIUi ',i"\ ,;.~.,~:~ ('R'E.".S...I'D"....EN"..~I'i;..~il.j~,.i~IS,NE' ~ro'" !'N""'\,'y"');;t1J';:", \\ "
: : I ,~j .;', , ',~':' ~ :.~~~~!~):'" "fJ'I"'~'";'; ,', ,>.uqt ' . _,.1.;: J7)L;.;tl~ ':,.. 1.;;. -<, I, ,. ',:.
,t,. 'I t:., l,~ j I \ ,( lJ;tt/. t,.~~ I ~'.{.t,1 l'rt{'?;"itl'~~A;~"'dl~,\t,I~,..!~~:1.I.t!...:i '. 't~(:ftl ~ \
:,'(\<."q ~I '" . .'::';'. :'~ .:: "~..>:::.~l,:""" e;L<:;, ;.:':~ '::.:',~t~ ' :1~~t~~f~1~)~~b~f..~I.f?~~~~}: 'tti,;.~: .~~::',.:~' '.' ._
, ,LEGAL DESCRIPTION. ,- 1"'1/ l"r'.."''':,rJ~,,'\('''.~'''''#''~'~'!;-''.'''' tvl"" "' .'
~ . , .,' t; '!""{.f,t~..j.~!~~'~,..,".,~T"l,.?.I'......t":.I~V-L~..t.!.:."I " : II', '/ "
. SEc~i~N:: 'C23~;;J~\{. :::;'i301if~!~M,~&~'il~~itJ1~~~t;~,~~tt. 'i~'iiitR;'~'GE" Z-/
'.' ,', ,: i ',,':: F' '. .' ',:' "'I";W \1' ,'. "'ii')~\"I{.;l'1i<\.;t~'"L;',lta'r"I~Hf .' ' ("! .... '.' '
0" . ' ' .' ':','~ \. " ;'~' '~;....;. ~i'I.,;.:~i?J,tt,~j;!.{..~,;:.t/ (~~f~-~-~~~J~~1;(,:~t1!h~,~h.tlf:~'lt~~t~ ;~),,~',/t'l'::ri< I"
,: SUBDIVISION OROTHER LOCATION1DESCRIPTION > hf'\,:!;,.: ". PHASE /I
,.,'; '.... ~, . '1': '..-.: a'a o;?rd:)k ,'Li.:..,':'1.i1-;"klJ~~:,;:i'~:i ' .
.., . I 0 ' . "~ '.'\oJ ,... } ".' ,,~.t,. '. I
:. :l~:\:~i, l, ;!/ \"
, '.~'
/:", '.".~ ~.\' ',1
#
i , .
!' I
! I ;
l(
, I
i.
i
! 1
,
I :
. ',~
{II
I I
: Iii I
. ~ - 1
I
I '
I
i
i ,
I !
i I
..",..."
:. -
UNIT.
,,' "
rVd'
(~
/01
c" !'::I
t.. ..' 'V!
:!:I ::
/~::~,C:f) C:;Ji...ij'-~T, J
L_ C) ;::;.: I [: <:1
;\:,,"'",,!",';'J[',;
J j\J'r E' ;::;: ~..-::; T i:':>i ~::-
;:"j :C, I) r~~ ~
"'1
'~,'I
C:E:.T \/ .::.r.;
- ;', i --~.
, ,
,"j ...
"':.".}" -i I
; i .t.'..'
! i:
~ ; .;.. ',. ;...
;.,.:.iE:C:i< ';::f ,.. ...~ ':. (.;
1,,1 (", ':::~ -t-- ;:.-:- C" {.::'I~:-
'I~' i ".._' I ',_ I I.... '-.._
'()F:: F'LR:":,'r
C: J: T \' :...';.. l.' 'I-j J !._. L.. '.:~:
'rei fPiL.
, ;vi(""; i ,;\; -~.- ,.
"11 ; '.~I ...." -I !
7"::'
~ ~'~~'VjL"r>,l'<j
'..."..." 11 :-1 I
*' j:=i'4"~-E..r;.:
r::.;~iC:Uj\;T
;--:F:-r oJ, .,~;E:.. -,'
.1. '..:' ~:;: 1_~.1=, '-'f ::::- C I;.. '_H
'.'. r"~' 1""'"
j ... ;..,1,.. I.... .f.
:..: (iI,_: L~
(1 .7,.
u
co':)
~~. 1::1 :->
~;- .;:~ -:~ ~.:.. ~<~.
~~, ~=: ~:,., :~:. 17:;, J r"< ',-' 0;: C;
.- -- ---
.~;[);_.L .,.J
......." / ....'
~\. f"j ::~; I ;_...
L: ('i ; ;:~ ~ "~: / ~. ':'.'./ ' -, ~~
>.1.' ,f',.: T~"
, '.~ ;,,'; .. ..~': " ..
... r -1-
...-,1. ;
','_, i'~'~ ';.' ~..,' ,.\ ":" /\
I'; I ,:'-;' ,..t
;~, '... 1::
",-;... 'j
,.
':,..2-:'.i. "JI::;:
. (~: / ':: :~
,.
L..i..,.
i,i)