HomeMy WebLinkAbout95-4937
, .
BUILDING PERMIT
Pre-meter FPC
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
4937/3
Date S- / J- - <is
6/7S-V
BUILDING
gz:; .,s(]
ELECTRICAL
to.. ()D
PLUMBING
~Sr crv
MECHANICAL
Sewer Conn L ~ .7 tf-: cJ?:>,
,
Water Conn: 3J.-7J, tiD - _ r---v
/J,..s-:.t1V~~
Water Meter: //l.,I,....... tJ""V
T,I.F.'s:
PmpertyOwn" 1yo~~-t1~~~
Job Address: ~ t ~
Parcell.D. # J '-c2b -.;>J - tJ /....!:.() - LJ cJ 00 <:? - (") ;)..5U
~on~7J-
(~ ~
Zoning: Energy Code:
Description of Work ~.I'~ _ ~A<-p
NO OCCUPANCY BEFORE C.O.
FINAL ~~ 8'- q
DATE _
C.O. _,y-:z./ - ?~!:>
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
O:mst.pole FPC (Virginia) Nancy OS/22/95 11 :18 A.M.
Pre-meter FPC (Rerm.ita) Bol:::bie 08/16/95 10:30 A.M.
Valuation or ~Q
Contract Price I AI:> r" . tTi)
City License Registration # c9-YE'"
State Certified License#
Signature
Compan
Address
Telephone#
~ ~1/4rjUL
BUILDING
4.~ ~ !,~1'i:;;..
ELECTRICAL e:J~<,S-
.~+~~
PLUMBING /6 f
d:1(L ~
FiL ~ I! I Tp. Servo
Pre SLB U4 Rough In ,/t- s.-cr~6~
~~n~~1 i%~~~f~:!! ~0:::.~:~e3;!~~:;-~r
Insul. CL Pool ~
(i. /f/L t'j-~~q'3. ~1.L.k:- Pre-Meterv~-J6-q5.t3o.R
Vl\~"~ G, ~l.t~, 16lV- Final (/
Driveway 1-/'1,11 bll}/ ~..5:"2--s-t1~~
SLB
:Sf
MECHANICAL /.
V
Breakers
Ducts Insl~-2.i~4)BOb
Compressor
Final",/'
Sewer
Final (.../
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:
V~ ~4<..7~/~--/0l'9'~-
;-J 3'---1- 7-'s-
a.
b.
c.
d.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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BUILDERS
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@ Copvri9l1.t '995 BOr rUla~e BuiU.ers.. In.c..
PLAN: CUSTO},! CUSTOMER: MR. DONAFllJE
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LEGEND:
TOTAL
IVIJ,VC
GARAGE
COV. PATIO/STORACE
COY. ENTRY
DATE: 3
3278
1822
971
325
160
95
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LOT 25
SILVER OAKS
PHASE TWO
(DONAHUE RES.)
I
BAY
VILLAG E
BUILDERS
150.83'
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= 59,06' -
50.83'
62'-8"
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DRAINAGE EASEMENT \
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NORTH LAKE DRIVE
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APPLICATION FOR PERHIT
CITY OF ZEPIIYRIIILLS
BUILDING DEPARTHENT
OWNER' S IWIIl 7>"1; lfcL./d:J/Z?, 1),/1Z1PP57" ~ PIIONE tJ!lJ - 7.q{,6
OWNER'S ADDRESS 19'h~/ .73~~. Z6.AJA1c] 75/.-Wl
JOB ADDRESS ~00LJ ^)oerl-l LAeG lJ~/vt
LEGAL DESCRIPTION: LOT(S) 12- 6 BLOCK SUBDIVISIONS/LV6t Qqf(j; -r1~,-'7t?
,,--0 ' ,
PARCEL LD.t D '3 - 2..b _. 2-1 _,0 I ~ - 00000- 02SQOBTAIN FROM PROPEaTY TAX NOTICE)
WORK PROPOSED:~ew Construction --."Addition ---..Alteration ---.Jlepair _Install
_Sign ----1Iove ----Peaolish
PROPOSED USE: ,,2s;:.single Faaily ----111 F _' of Units ---.Ji/B
_ec-ercial _Indust. _Swia. Pool _Other
---.Jlestaurant Ii: Health Departaent Approval
DESCRIPTION OF WORK: S I tJ6LB rAtJll j fZ.6. C; .
BUILDING SIZE: SS- X fo~ ' 3278 Square Feet,
Height
RESIDENTIAL: Al'TACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS.
COMMERCIAL: Al'TACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
RT.RCTIUCAL
PERMITS REQUESTED
$ 95/000 ValuatioD of Total Construction
/..$(,) AIIP Service ~ Florida Power Corp.
$ '3 <jJ (0) Va1uation of Mechanical Installation
" '
~UILDING
W.R.E.C.
---1IECllANI.CAL
---..PLUKBING GAS $1I//J8i::i; ROOFING
TYPE OF CORSTRUcnON: X. Bloclt _Fraae _Steel
SPECIALTY
Other
FIRISHED FLOOR ELEVAnORS:
FT.
IS PROJECT IR FLOOD ZONE AREA't
YES
~
******************************************
CONTRACTOR SECTION'
amIDER lnIPABY ~.~~ ~~
i?k"l - ~ State Cert -or Regis . t ChC:(l"f@20
Signature CJ.. .J:I City License Registration t rJ Lj V
.
* . ************************************
:~Ja
COMPANY ..Jot:; ~ U he
~ State Cert. or Regist. , E3/l e>-t;:n::>:2- (> V.5-
~ . City License Registration' t 2. y f-
****************************************** .
l'LlJlWER lnIPABY ~ ~01 \l-J~
)(/LJ( 7 / j1 State Cert. or Regist. . 0 &6/1
Signature __ _ ~ City License Registration . /' ;;, (j
****************************************** ' ,-
tlECBANlCAL ~~ COMPANY 4fi.c 11/"-
- /l. //~ State Cert. or Regist. t P...JtI co 3 ~V7
Signature~ ~/ City License Registration . /~ ~
********** ******************************
OTRRR
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
APPLICATION APPIIOVIlD BY J1~ 111 ~ ~
PERHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
the undersigned understands that this pecait JaY be subject to 'deed restrictions I wbich lilY be lOre restrictive than City
regulations. the undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake wrt, they lilY be reguired to be licensed io accordance with
state and local regulations. If the contractor is not licensed as required by law, both the mmer and contractor lilY be
cited for a lisd8lf!anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireaents lay 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 cootractor(s) sign porti0D8 of the
'Contractor Sections' of this application for wbich they will be responsible. If JOU, as the mmer Sign as the c:ootractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign
as contractor that lilY be an indication that be is not properly licensed and Is not entitled to pecaitting 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, bave been provided with a copy of 'Plorida's Construction Lien Law - H...er's Protection
Guide' prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant i8 ~e other than the
'OIIIler', I certify that I bave obtained a copy of the above described docuaent and prlllise in good faith to deliver it to the
'owner' prior to cOlleDceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIlilt1on in this application is accurate and that all !fOrt will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developent.
Application is bereby Jade to obtain a perlit ,to do work and installation as indicated. I certify that no !fOrk or
installation baa CDleDced prior to issuance of a peIJJt and that all work .ill be perfoued to _t staDdards of alii..
regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDJeDtal agencies lilY apply to the intended !fOrk, and that it is
IY . responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not laited to:
t Departlent of EnviroflleDtal Requlation - Cypress BBybeads, lIetland Areas and EnvirollleDtally Sensitive Lands,
lIater/llastewater freatlent
t Southwest Florida lIater Hanageaent District - lIells, Cypress Baybeads, lIetland Areas, Altering lIatercourses
t ArlY Corps of Enqineers - Seawalls, Docks, lavigable lIatenays
t Departlent of Health i Rebabilitative Services, BnvirODJeJltal Health Unit - lIe11s, lIastewater freatlent, Septic tants
t US EnviI'ODleDtal ProtectiOn Agency - Asbestos abateaent
I also certify that, if fill .aterial is to be used in Flood Zone 'AI or 'A,etc.', it is understood that a drainage plan
addressing a 'COIpensating voluae' will be subtitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
, set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becme invalid
unless tbe Nort authorbed by such perlit is COllellced within sillOnths of issuance, or if work authoriled by the pecait is
suspended or abandoned for a period of sillOnths after the tile the work is ~ced. One 90 day atenaion of tiM, lilY be
allowed for the peIlit with fee charge of $15.00. fbe atension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each sillOnth period, or the project .ill be considered abandoned.
IIAR11UG fO 0IfIIBR: YOUR FAILURE fO RECORD A IOIICE OF COHHDCEIIBM1' HAY RESULf II YOUR PAYING DICE FOR IHPROVEIIBIIS fO YOUR
PROPERtY. IF YOU mmm fO OBfAIJf FIJIAIICIMG, COMSUL! IUfH YOUR LBRDER OR All AnORIIY BEFORE RECORDING YOUR IOIICE OF
C(JfHDCEIIBM1'. JOBS UIDER '2,500 II VALUE DO 101' liED TO RECORD AHD POSf A -IOIICE OF COHHDCEMm".
f~ Cba ~
SIGlAfURI: COIlJRlCfO
SfAfl OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
SfAfE OF FLORIDA
COURY OP
The foregoing instrument vas aCknowledged
before me this , 19_ by
who is personally known to lie or who has
produced
as identification and who did/did not
take an oa.th.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name ~ed, Printed or Stamped)
NOTARY. PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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