HomeMy WebLinkAbout95-5261
BUILDING PERMIT -
CITY OF ZEPHYRHILLS Permit 1ft
(813) 788-6611
1.-5261 ~
Date
9--A'7-7r-
~~
ElFC"'TRICAl -
PWMRIP.IG
MECI-I ^ ~J1CAL
Se"/6..or Conn
Property Owner: cJ~7.t;;J ~O:A(~
Job Ad"'..., ~ 2 0 -;;. - I /"1.::ff ~ ·
Parcel 1.0. # /I-~Io- ~ - 0/0'- 0..2.'3 - 0
Water Conn:
Water Meter:
0.,3 j.I.F.'S:
Zoning:
Description of Work
Complete Plans, Specifications and Fee Must Accompany Applicati
All work shall be performed in accordance with Cit odes and r
FINAL _
C.O. _
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Valuation or ~q, ~ ~ ~
Con',"c' Price T 1) {./ c.~' *,0< , ~'
City license Registration # /~-3 ~ /11113 ~
State Certified license# U
C\ &,:~ (1tn7~~~~L_
Inspector
~~ - 'C,i)
Permit Fee ~Jta.6 .
~ Signature./1 b '~ ~
Company
Address
Telephone#
~MeII\lG
M[CIIANIC.\b.
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
(j-Zq". ttf.$&SFinal
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
....- ----------~-.~--.. - ~
Tyson Co~srrucriJD11-
G 131 7!:& sr.
5/61?7Yllv'o5-cfliyrlu:Jt.s rta, 535~O
5~Q.;:~!L~C."..2i1l~~fLq;l3..- 783 - .5 61 T
J . ....- It.,..,", YlI.,. ','. ':T':J<t' n.~.... . :~'" "'-'~.----_<rf._""""""'''''''1 _...,........,__"'''...;.-::-~~.;; I'"'''' .._,_~~" tlil'..,......~,!.""...,~~;:
Po I; (I !
/ ,f' ,{ ,1 ~ 01--- L/ IU:/ i 000/13 (el N<- I~ /c. (
;- 1.
: ,;;'1 fy:.ll'l) /Jc(? /;{ ~Z'/Y} [l,il SP'."C/ /0
1)1."t..I)e..:1~ /1/1/<:'
. ,. ;f;/ \~ ,.-.,0 ()
7/) /11 L (t;S r /e ),,1'::,; >{.' I
~.. />/-0;,<,,-1; .1/-1/< l' I _~WA.~qk,~""
&
f f
f (/
/1 51
- - ~---...
-<---
. ) I
//J
I
1l(
C"
..-.---.----..-----.--
-.---;7
/'
41
L~~~h$ ];;11> K.
E/.fS ;;11/'7
1/o/lJe-fl
s~o'7 / / sf
/:)j/) ~
yJ&--~~
.JJU$.e- 7J'.s ON
CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT
RIGHT-OF-WAY USE PERMIT
PERMIT II
4t! ;3"
DATE:
No construotion under ground or above ground of any facility shall be accomplished on any
City Rights of Way without written approval from the City Building Department. Any application
for approval of cc;mstruotion operations on any City owned RJ,ghts of Way shall furnish a detailed
.drawing showing the complete scope of the proposed work in triplicate to the office of the Build-
ing Official for approval prior to the commencement of any work. A copy of this permit is to be
kept readily available at the site of the work at all times. .
See No.
Ii
.'~ity Road S?tJ p- //~ -#- Date
f-c!J-b -7'~-
LOCATION (Legal Description):
/ / -.J.~ _,Jl,j - 0010 - O;..JOO '-063D
of
Permission is hereby granted to
/Z1:5 () ^ / C"rJ /\/ ere ~
. I .
LJjftl~~~
- .--: /'"" .L
/Y.5o/l/" - /t/Sj),J LL>NCveT~__
/
for the construction and maintenance of
subject to the following conditions:
. 1. The construction and maintenance of such utility shall not interfere with be property
and rights of a prior occ~pant.
2. All work shall be done in keeping with the standards of the City Streets Department and
under the supervision of the City Building Official, who will be notified at least one day prior
to commencement of construction.
3.' All materials and equipment shall be subject to inspection by the City Building Official.
4. During construction all safety regulations of the State Road Department shall be observed
and tqe City shall be relieved of all responsibility from damage of any nature arising from this
permit: Subject to the same terms and conditions, the permit holder may take such safety measures,
including placing and display of caution signs, as it may deem necessary in conduct of construction
and maintenance work hereunder.
5. All private and all City property shall be restored to its original condition as far as
practical in the opinion of the City Building Official.
6! All underground ~ssing installations shall be laid at such depth as may be specified
by the City Building Official.
7. The sketch covering the details of this installation shall be made a part of this permit.
This permit is granted with the understanding that the applicant has notified all other utility
users in the area co~ered by the permit and takes full responsibility for any damage incurred by
prior installations as a result of his operations in order that they may safe guard their interests.
8. It is expressly stipulated that this permit is a license for permissive use only and
that the placing of f~~ilities upon public property pursuant to this permit shall not operate to
.create or to vest any property right in said holder.
9. Whenever the City decides to further exploit the City Rights of Way, any or all of said
poles, ~ire., pip~s, Cables, or other facilities and appurtenances authorized hereunder, shall be
immediately removed frOm said Rights of Way, or reset or relocated thereon as required by the City
B~ilding Official at the expense of the holder of this permit.
10. The holder shall save and keep the City harmless from any and all damages, claims, or
injuries that may ocour br.-reason of the construction, maintenance, and operation of said facility.
11. . The holder 8hall complete the requested work within days or this permit shall
become null and void. In the event the work requested is not completed upon the expiration date
of this permit, the City shall have the right to complete such work and to charge the holder of
the permit for all costs incurred in completi~g said work.
12. The holder shall post a cash or surety bond with ~he City Manager in the sum of $
dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the
right-of-way d~scribed.herein for a period of one (1) year fOllowing completion of the requested
. installation. In the event a surety bond is posted, the said surety bond shall be made payable to
the City and shall obligate the surety to hold the City harmless in the event the holder of this
permit should fail to. meet any of its obligations hereunder. The bond shall also indemnify the
City for all court costs and reasonabl~ attorneys fees in the event legal action is required to
collect on said bond.
APPROVED BY' /:J~
~t'vt-1~
SUBMITTED BY: /[~;~\.'M~n'L
Perm ttee)
Date
Signature & Title
Address
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
DRIVEWAY CONSTRUCTION SPECIFICATIONS
1. DRI\II!WAYS SHALL FOLLOW'THE CONTOUR FROM CENTER OF STREET TO
BOTTOM OF SWALE.
2. EXCAVATION SHALL BE SIX (6) INCHES FROM SQUARE CUT STREET EDGE
TO BOTTOM OF SWALE, THEN TAPER TO FOUR (4) INCHES AT PROPERTY
LINE.
3. ALL VEGETATION SHALL BE REMOVED, RAKED, LEVELED AND TAMPED
UNDER TOTAL AREA TO BE PAVED.
4. WIRE MESH IS REQUIRED FROM STREET TO PROPERTY LINE, AND
FASTENED TOGETHER WITH TIES EVER FOUR (4) FEET.
5. CITY RIGHT-OF-WAY USE PERMIT.
6. PLANS MUST BE SUBMITTED, SHOWING THE ABOvE REQUIREMENTS
BY BUILDING DEPARTMENT BEFORE PERMIT IS ISSUED.
7. IF FIBERMESH IS TO BE USED, INDICATE SAME ON PLANS WITH OWNERS
APPROVAL. HOWEVER, WIRE MESH WILL STILL BE REQUIRED IN
RIGHT-OF-WAY.
Ce",-{Qr (!f'oL.)"l
Of ~l;ea:r - Sheol..+
~ vedqcc
6"
l ~ :s/~b deoJ4/ .
I 'lit ~ (i,"
"f'ef'u"Jr, , l'~e..
.~
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME /f...... AJ..tltM J
-
OWNER'S ADDRESS _'5' q D '7
m. httlJt;~
~ --d~04r
PHONE '7 'if if - (, 3 D Lf
~:o L 7fk .3:sS Lf l)
JOB ADDRESS ~~
LEGAL DESCRIPTION: LOT(S)203 9tIJ
BLOCK22300SUBDIVISION t7() j 0
! / .-1: ) I ,.'") I, I') '7, .,' -. "I
PARCEL 1.D.' I . ,-!-'~.: ',~, i -UC j (j' IJ~ )/j( J ' 1..)/; ';< i
.
(OBTAIN FROM PROPERTY TAX NOTICE)
,
_Repair XInstal1
WORK PROPOSED:_New Construction _Addition _Alteration
_Sign
_Move
_D~olish
PROPOSED USE: y" Single Faaily
_M/F
_, of Units _M/H
_eo-ercial
_Indust.
_Swia. Pool _Other
Restaurant &: Health Department
DESCRIPTION OF WORK: {nACre Ie.
BUILDING SIZE:
x
Approval
( )
iJrLtlefL/Aj' Iff. K ;JR'
Square Feet, Height
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$ 1;1J6~'e2.
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHAMICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER _
COMPANY
State Cert. or Regist. ,
City License Registration t
******************************************
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. *
City License Registration #
******************************************
Si~nature
PLUMBER
COMPANY
State Cert. or Regist. t
City License Registration ,
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
OTHF.R (()lie rt;/e.. ;;11-[ v,11ftf/ ,f- COMPANY / :, :.," /;Q ",/(.>,,': ..,<:
Ii.- /1) ~ State Cert. 'or Regist. # P.l.S,~ ~~-i ~q ~'-'
Signature J"I. <//(;{j(J)Jj1'e k1IlJY\ City License Registration 41 l._ g _
*** **************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit lay be subject to "deed restrictions" whieb lay be lOre restrictive than City
regulations. The 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 ower and contractor lay be
cited for a lisdeleanor violation under state law. If the ower or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (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 Sections" 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, bave been provided witb a copy of uFlorida's Construction Lien Law - HOIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone 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 cOllencelent.
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 witb all
applicable laws regulating construction, zoning, and land developlent.
Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled 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 goverDIental agenCies laY apply to the intended work, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t Deparblent of EnviroRlental Regulation - Cypress Baybeads, Wetland Areas and EnviroRlentally Sensitive Lands,
Water/Wastewater !reablent
t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODJeRtal Health Unit - Wells, Wastewater !reablent, Septic ranks
t US EnviroRlental Protection Agency - Asbestos abatelent
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 uCOlpensating volUJe" 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOl tbereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball heCOJe invalid
unless the work authorized by sucb perlit is cOlleDced 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 c_enced. One 90 day extension of tile, Jay 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 eacb six IOntb period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY.. IF YOU IN'J'END TO OBTAIH FIHANCING, COHSULT WITH YOUR LENDBR OR AN AnoRNEI BEFORE RECORDIHG YOUR NOTICE OF
COMMENCEMEHT. JOBS UNDER $2,500 IH VALUE DO NOT NEED '1'0 RECORD AND POST A "HOTICE OF COMMBHCEMEN!".
f 1~
I IJ/L.7 A/J^( !:-.<X/--
SIGHA ~: CO~OR
STATE OF FL~DA
COUN'J'I OF 't'~ c...o
The foregoing i~rument was acknowledged
before me this pl. ~S- , 19~ by
~ ~ll-\-~ M A ~I II A.J
who is personally known to me or who has
produced fL~~ fY\(aSD~;:)l.- \1-/(.. "(-/ wi:
as identification and who did/did not
t~~~.~ ~.
(Signature) b ~
Clt~1'J m., ~i\J-g
(Name Typed, Printed or Stamp d)
NOTARY PUBLIC
S'lAIE OF FLORID! A
COUHTY OF W--'J
The fOregOing~t was acknowledged
before me thi , 19~ by
])q,t.J~fle- FCT~!50n
who is personal i1kn~to me r to has
produced -F/IH'" a..... J/ Y'\'J'eY'S l(.V1Se
as identification who did/did not
take an t
#~~,
1'"11*
. "I:t~ Of p..""
CLEREEN M BRUNTY
My Commission CC383730
Expires Jun. 15.1998
Bonded by ANB
800-852-5878
'*~\~'" ROBIN LEE SILVEREST
!~. ,-~ MY COMMISSION' CC 8882&4
: EXPIRES: December 14, 11187
IIcnIId 1llIU NDlIIY NIl \JndnIIIIII