HomeMy WebLinkAbout95-5239
BUILDING PERMIT'~
em OF ZEPHYRHIUS P.,m" N! ~~ 523Q !J
(813) 788.6611 Date _ y)- / '1-YS"
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Parcell.D. # I y -:;16 -d1- tJjb 0 - nt'J DC) 0 - o/?" ()
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: .// ~rgy .Code: Radon Gas:.
Description of Work _ ../ A-1. ~.a./L- If ~~
Complete Plans, Specifications and Fee Must AC~~~2 Application.
All wo'" shall be pe<fonned in acco,dance with c~ ~i n
~t~'
Sigriatur
~~. Company
'-..i Address
Telephone#
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Valuation or
Contract Price
ycn;.o-o
Inspector
City License Registration #
State Certified License#
!).b
,6-1 )j fJJ~d
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB q, is-GiS 5.lL..
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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.
~
sfY
OWNER' S NAHE~o..X' \ €.. Y
OWNER'S ADDRESS
JOB ADDRESS 3 (J Da~ LCtu)(1nolc1. Loop
APPLICATION FOR PERKlT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
\-< l i. ~ \ C\ \ nS K i_
PHONE
l-cr-r#t9
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.' I 4-,~lt)'!J.( ~ () l/oD - n007j() - () I q D
(OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign _Kove _Deaolish
PROPOSED USE: _single Faaily _K/F _' of Units _K/H
_c~ercial _Indust. _Swill. Pool _Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~LDING
$
J/!)O "00
Valuation of Total Construction
_ELECTRICAL
AtIP Service
Florida Power Corp.
W.R.E.C.
-"ECHAlfICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVAITONS:
FT.
IS PROJECT IN FLOOD ZONE AREA'l
YES NO
******************************************
Signature
~J
CONTRACTOR SECTION
COHPANYft+~ \\\ Aq],'W'U 4- Q.ew"\ e~'"\\- \ nc~ .
& . State Cert. or Regist~ . 9--1.:,
1.7& __ City License Registration'
******************************************
BUILDER .
ELECTRICIAN COMPANY
State Cert. or Regist. t
SionAture City License Registration t
******************************************
PLUMBER COMPANY
State Cert. or Regist. t
Signature City License Registration f
******************************************
MECHANICAL COMPANY
State Cert. or Regist. t
Signature City License Registration .
******************************************
OTHF.R COMPANY
State Cert. or Regist. ,
Signature City License Registration f
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peClit lay be subject to Ddeed restrictionsD which lay be lOre restrictive than City
regulations. fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they 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 lay be
cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirements lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor SectionsD of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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, the applicant, have been provided with a copy of DFlorida's Construction Lien Law - HOIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to couenceJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
installation bas cOllenced prior to issuance of a peClit and that all work will be perforted to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater freatlent
* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
* Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freattent, Septic fanks
* US EnviroDlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone RAR or "A, etc. ", it is understood that a drainage plan
addressing a "cOlpensating volUle" will be sublitted which 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 work 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 frCl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day l!Itension of tile, laY be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
WARNING TO ONNER: YOUR FAILURE TO RECORD A NO'l'ICE OF COHHENCEMENf HAY RESULT IN YOUR PAYING fIIlCE FOR IHPROVEHEHfS TO YOUR
PROPERTY.. IF YOU INfEND TO OBfAIN FIRANCING, CORSUn WUH YOUR LENDER OR AN AnORBEY BEFORE RECORDING YOUR NO'l'ICE OF
COMMENCEMENT. JOBS URDER $2,500 IN VALUE 00 NO'l' NEED TO RECORD AND POST A "NO'l'ICE OF COHHENCEMENf".
SIGNATURE: ONNER OR AGENf
SIGNATURE: COHfRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE 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 me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
'!ldS AGI\EE\I;C::\T lCH1p lh;J]J.le:Lt:ff:LIJ::f-.,_.,___n__.n.. __.._.-_.....,hv of. .::;;c.fT..,____._-----..-in the )'W
:;,,, """ II" "lw1 ,,,,,- -1'Lt HET'/-'- !'-1J)L- "'~ __~- u ", "d ,dw'k~ 6- ~ _8f'EdE..-~-~ ~--~ -- ~,~-- ~__u
J!<lI,after c31b1 the Contradcr, and...:5.7?JHlE L}:{JL/lidi.JJ.'S.. .._~. __.________---------herelnafter called the
(..'.Ncr, \" ,lncs,'clh, that the Co:.tr,lctor and the O"'~~- for thp considcrali(Hls 11,1I11cd agree as follows:
ST ANDAI~D FORM OF AGREEMENT
BETWEEN CONTRACTOR AND OWNER
/. :\'flCl.L 1. SCOPE OF TIlE wOnK
'J j,. (;,,,\tl,":'" <.h"ll bllllish ,,1\ of ti,l' lI1.lt(',i,lls ,llld l'clform all of ll,,' work showll on llll' J)I;lwillgS .llld dnc\ll,. (111\ lh.' SIKTif".,lti,l\\S
I ,,,ll...,) ~P^l{)eerL-5/ tl-Q.- fD.j.,Lt.hhld.y.)00/71 .."- .----
,'" "'" d by72Y-Lt r!J/15D/Vf!..V "cl),,-/J1 ENT ,/NI!-" . ,,".., .<' ",,1 " ,b,-'"
i .,.II."t ] ;,,, \\1[11'111'; r:lI~\tj,.\) tlar- .AI(L'Ic'd. '1II() shall do cycrythill" 1l"lI,i\(',) hy thi~ ;tg\("'\lICllt, tl,,' }:clI('la\ condilions of llll' Co\lll,lcl. thc
:.1.' ,dlCali"!l" and Ihe UIJwings.
.'.!'.TlCLE '2. '~T.1E uF CO~lI'LETION
'II.' "',ilk II) be l1l'lfortllCll umkr this t:,)lItra, I ,hall \H' ,'oml11C'\HT,IILj :uA,^I. 1/:....) 12)'J/}/r~
"L"antially complet,.,). _. L L.!Tft//L. _{'//,E:. (~!t:?':X .. .... --.----
, '/ ' - Irj
i~) C <.;-L:J't Le.: I) __._ a1\tl skill hI'
~ -.--.- - ---..--.----.
!,\\TIC1.E 3. TUE CONTRACT SU1\t
T1.e Owuer sLan p~.'. the C. 0IllT3.\lo.r. fllr.t.h.C l''-'rforma\l('.c. of .lhe C(l\~rJ t, oul'lect to n,)ditious nnd dcducl10ns provided the1e;1\, in
!1I:.c1s as folh.w,,(~ LftJ..Q .S:~)_JQ/L{2.jji&N~1Z8D.. N~/ODnn'-" --" .. -- -- ---'- -,----
(St.\tc bere the lwnp ~\lln ll\'""l\111t, Illllt l,nu'..,. ur \luth, U!i <It \Irrd)
current
.'\lIthorill'd Ch;,.g,' Oders will be suhmitt('(1 hy ,)w Contrar:tM for all wor~ 1\"t specifically incl1\,lccl in this Contract,
/.t~TICLE 4, I'J\O';;n:ss l'A\\tENTS
I h..crt !" ;c' allV i,n,,;,i.." l"llie lor tho ",""lu,1 ,.-t,inrcl nit", the" ,,,k lendll" .. (Trlllln ,l"~e 01 complell<ln.)
A1\TI<:1.E 5, ACCElYfA:--':CE :\:'<lD F;r--;AL l':\Y'>IENT
T.'j:1Jl pay,nent ,1",1\ bl' ,h.._. .. ._--r2Lt~- .d3\.I:>"
:llld the (:O;J~r.\' I fully l.C':'>I"il"1.
",l,stanti.l) ('01lll'll't;"1\ of till' work l'ruvi,1ed the work be then fully cOIllpleted
,'l.nTICLE G. '1'\11: (():,-<THACT DOClIME:'-<TS
';'\:e C,,,,,'ral Cund::i.'lh "f 11,,' C",.tllLel, the' Spl',.lfi.rtioll'; 3nd thl' J)r(1win~s, t,,\;ethcr with this Agll'Cn,ent, form the COlltr.lct, and thl')'
:".' as Inlly a pal' ,,} tI", C,lLllJ.".l :IS it lll'rdll JIL,,:h,.d "I It"\l'in 1,'\1<:'(1tl','1. 'I he followill" is !Ill it"llli",tion o[ otlll'f ,...'.t'1111...,l
i,1f"rILdtioll. r<"' pl'ltint'nt
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JOB NO. Ot
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o-i 10.0
c;)i
FOUND 2" X2"
il-"7 J CONCRETE
CONCRnE 0.40 MONUMENT
~ A.tETfR POST W/ 3/8"
~ tor) t'; ~ IRON ROD
. _~-=..;:Lx ;l(NO CAP)
.___~'_ __L_
M()8ILEfHOME PARIC . ... .. .
20' ASPI1ALT PAVEMENT.
SURVEY OF: (DESCRIPTION AS FURNISHED)
LOT 19, WA YWARD WIND MOBILE HOME SUBDIVISION, ACCORDING TO
MAP OR PLA T THEREOF AS RECORDED IN PLA T BOOK 28, PAGES 61
AND 62, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
BASED ON INFORMATION SHOWN ON FLOOD INSURANCE RATE MAP,
COMMUNITY PANEL NO. 1202J5 0005 C, DATED 12-17-91, THE
DESCRIBED PROPERTY APPEARS TO LIE WITHIN ZONE X.
3: .
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LOT
18
f-OUND 5/8"
IRON ROD &'
CAP NO. 4281
-r/
)
EDGE OF
PA VEMENT
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V
.C>
FOUND 5/8"
IRON ROD &-
CAP NO. 4281
N.89'11 '22'"W. 76.92' (PLAT)
N.8!T06'4ffW. (SURVEY) I ~
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FOUND P K.
NAIL & DISK
NO L8107
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SET 7/2"
IRON ROD
&' cAP Nt,]
2878
LOT
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Curve number 1
Radius= 40.00
Dttlta- 4826'02'"
An:= 33.81
Tangent= 17.99
Chord= 32.82 (PLAT)
32.73 (SURVEY)
Chord 8rg. S.21"54'48"W. (PLAT)
S.21'58'4.J"W. (SURVEY)
RAMBLEWOOD
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