HomeMy WebLinkAbout95-5317
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
"7-5317 .8
- -
DatEi
/ CJ '-;2.3 , 5:.C
~ ELECTRICAL PLUMBING
Property owne\.. -;;:: ifl'~ t-
Job Address: ~~_ _ _
Parcell.D. # .2 - & h ._~ /
MECHANICAL
Sewer Conn
Water Conn:
Water Meter;
T.I.F.'s:
Zoning: Energy Code: ~don Gas:
DescriPtionofWOrk_~1l0A1 p~ Ah~.II~ f /~
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector 'b
Valuation or
Contract Price
1.9 ftJ,th)
"
Permit Fee
Signature
Company
Address
Telephone#
;2421 c-
City License Registration # /-!;-'} 7
~~icense.
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel ~ I i
~n~~I: CL ~ -0 4~f\ ~
Wl \. __
.rl
Driveway ~
V\V-
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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:
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.
-- - ---~ - ----- ---------- - -----
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- C~Tr OF Z8PHYRH~LLS BUILUING DBPARTHBNT
OWNER az..t3.N/lrq COI\J~(A.{J(:ll'O") ,~C-
JOB LOCATION LtoTzq O"'~<:..R~~ €-t.:rl\'rt ~ ,.~ ~ 70 S'" ~U el\{ ~J LA f.,J L
PARCEL I.D. # Lci\'?.q OA.'KtiC.~~ .!!;..iA~.... ~...'2"~1 e,
SHOW ALL EXISTING & PROPOSED STRUCTURES OIVIRG DIHBNS70RS & s~TBACKS.
1)
30
I
lIt
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
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UTILITY BUILDINGS
MUST SHOW SIZE <<
FOUNDA'I'ION INFOR-
MATION.
r L.-
FRONT PROPERTY LINE
;},O
I
(NOTE EXAMPLES 1 & 2)
STREErr
1, SETBACKS FOR Rl, R2 ZONlNG
60'
10'
p E--.
R X
0 I
10' p s 10'
0 T
S I
E N
0 G
20'
2. SETBACKS FOR RJ ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FkONT PROPBRTY LINB
FRONT PROPERTY LINB
STEPHENS & WOOD ALUMINUM, INC.
POOL & PATIO SCREEN ENCLOSURES
9508 DR. M. L. KING BLVD. EAST · TAMPA, FLORIDA 33610
PHONE (813) 621-8373 or 621-2200 · FAX (81~~) 621-8300
d:-Iok~ Jot4 192.:L
C-e bAI'/R I- ~., S!-Pvi-! (.J ~
eVe /YN L,~
CitY~~t L /I~ State .LB!-___n_. Zip 3:SS'<iO
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Home Phone ;:j d I-G 702 _ Bus. Phone'if/3"'? 8d.-/7~_
SPECIAL INSTRUCTIONS: ------r/ I I /
fof." Q~9..Ll:f1t'~t'J~.J
Date
Sold to
Street
387/9
PE
-6'R
birr
~
COLOR SCREEN:
~ CC;.harcoal~
COLOR FRAME:
~r\n!7CWhi~
---
D is'' ..1<::.,1 ~...]\r;
C81~r
C~IR RAIL
~NATTACH~D BEAM
NUMBER DOORS:
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Date
Promised ~h(j elf &u /:;6
~ I 0.-'/ (21A-17c,/o.:v
I
(!}191< Cl(~.s~ Gstl)frJ
Terms
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Dot J9 _D.1k. ~
Job Address _:J.!J.]O:X.._~V-(7J.)U)L__~r/~_____.
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TOTAL
ORDER
DOWN
PAYMENT $
BALANCE
DUE
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/?9d ~ .-,-
/'190 a
$
3/4/A//
IJ.f..k
$
BALANCE PAYABLE UPON COMPLETION UNLESS_OTHERWISE SPECIFIED
OWNEHS HESPONSIBILlTY: Th.. owncr ~h'1"e"s In ~"'lUlW responsibility for job loc~tion bcing within his property lincs ~nd not in violation of s..fhacks or
olhl'r r,'slrietions_ TI,,: owna will provide ,d"'luate ~CCI'SS to job sile. Contractor has assumcd dcclric currl'nt will bc supplied by owner fmm c:listing
01111.-1.
~lATr-:H I A I.S: Th.. owners h..n-by eO\','nanl aud "sn-,' that the tillc to Ihe materi,ds furnished which comprises a part of thc subjcct maller of this contract shall
n'TTlain in Stcphens Si Wood Aluminum. Inc.. unlil II", contract pricc ~ncl any extras is p~id in full. Thc owners further covenant and agrce that sai~ m~terlal
sh:.1I Ill' .1('''1111'.1 10 be consid",,'rJ personal prop"rty allhough ll", said malerial may in some manner be affix(,d or attached to the rcal property w;'hin ~,\.,irn !~r;
lll'rrin said m~tl'ri;;1 may 1)(' ffl'dy sevl'rcd from the prl'lllisc6 as any other personalty by Slephcns & Wood Aluminum, Ine_, their sueeell.'!(",-\-;' and a~"j~n3.
DEFA liLT: In till" I'vl'nl Ihe owner "J,~II fail 10 m~kl' ~ny payment wlwn the ~me is dne, or any p~rtthereof, or fail to pcrform full~1 and prompt!" 'my
,'o,-,'nanl or agfl'enll'nt hen'in set forlh, Ih,:y will pal' to Slephens & Wood Aluminum, Inc., its successors or assigns, all costs and expense il,e said Stcph~l\s &
W'><1I1 A:uminum, l'If'., or its Stl!'ee~sor~ or a>$il:lI~ ,r",y Ihr-n:Ly be put to, including a rea,;enable attorney fee. If the owners ~hall become oankmpl or bl: put inlo
rc'rl'ivrrship, or fail 10 mak,' any p~yn",nl whell due, or fail 10 pcrform any rovenant herein contained, all sums Ihen unpaid shall become due and pay:ilile upon
wri1l,'n nolict: thereof hy S"'plt..n~ ,~ Wood A!umil,um. lrw.. il~ succ.e"sors or :ls~ign~.
TillS AGHEE:\H':NT "Jl~11 h,' hiodin!: upon Ihe Ill-irs, :"Iminislrators, executors. SllCcessors and aS~it(llS of the owne"..
WAHItANTY; Sll'(lhells ,Ii" Wood Aluminlun, Inr'" W:UTants lhat all materials us<.'d in completing inslalbtion, eontr"cled for herein wiil be of high quality and
IWW, :1I111 that all work wili hI' donI' in a workm:mlike manner. AllY hn,ach llwrein, eausing any suhstantial defects, ~hall Le remedied without charge, providing
writlen noti,:!' is given Sl..pl,,'ns &. Wood Aluminum, hit.., witltin one yt,ar of completion. II is agreed however, Ihat no claim may be filed under this warranty
~nrl no ohligations 10 mak,' adju.<;lnwnt Ihere under, will accrue until full indebtedness of the owner to Stephens &. Wood Aluminum, Inc., is paid. The abo,'e
shall be null and void unl..,<s "ercpler! wilhin thirty clays following date suhmitted.
It is a[{rt:,'.d by Il", owner thai "ny daim (.jther IInder thi~ contract or under tl,,: warr~lIty I,,:rein abov.. 51:! forlh, shall I,.., hroughl ollly in thc appropriate court
in Ilillshoronl!.h COlin ty. Florida.
Nol i,',' to Buyer: (a) no nol sign rh;s lu-forc yon re:lll it or if it eOilt"ins :my blank spae" -
nO('eipl is lu:rcb>' ackn(}wlt~d~t:d by b\lvl~r.
. .;J.
Ihis l~ day of
lU arc entitled 10 ~" ex.,e! eopy of which was delivered to and
de I-oj~
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C~l ~~~
----
Approved By___________.
STEPHENS & WOOD ALUMINUM, INC.
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APPLICATION FOR PERMIT
CITY OF ZEPIIYRIlILLS
BUILDING DEPARTMENT
OWNER'S NAKE a..e b A '1-7l r ~t; '/ -1A.e-
OWNER'S ADDRESS 3.g? I ~ l vr: I; f1/' ~
JOB ADDRESS '3 r 1 0 S C t/l::.-z..y /V W
LEGAL DESCRIPTION: LOT(S) :2 CJ BLOCK
PHONE
I
SUBDIVISION OMc!/tJ::')Z SU'.6IJlfJlS'fOW
PARCEL 1. D.'
WORK PROPOSED ~New Construction
_Sign
(OBTAIN FROM PROPERTY TAX NOTICE)
~Addition
--1fove
---..Alteration _Repair _Install
_Deaolish
PROPOSED USE: _Single F8IIily
_M/F
_' of Units _M/H
_Go.aercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval /;
DESCRIPTION OF WORK: Avl (}1I7'c 4!1u,,~'lfs.'j'"Lr~ <!bA~
BUILDING SIZE: X 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.
IC-sUILDING
_ELECTRICAL
PERMITS REOUESTED
$ ~ <7 7' () . t/D Valuation of Total Construction
AMP Service Florida Power Corp.
W.R.E.C.
_MEGIIAIflGAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
J-~lttIJ#1 Other
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
FIRlSHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................****************
BUn.DER
CONTRACTOR SECTION
COKPANYSTe helU~ +-
State Cert. or Regist. .
City License Registration .
*****************************.************
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration .
****************.*************************
SimlAture
PLUMBER
COMPANY
State Cert. or Regist. f
City License Registration .
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. .
City License Registration .
****************************.*************
Signature
OTHF.R
COMPANY
State Cert. or Regist. ,
City License Registration #
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit lay be subject to Rdeed restrictions" which lay 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 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 .ay be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtheIlOre, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for wbich 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 tbe contractor wisbes you to sign
as contractor that laY be an indication that he is not properly licensed and is not entitled to peIlitting 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 IFlorida'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 cOlleDcelent.
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 developllent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a peIlit and that all work will be perforted to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies JaY apply to the intended work, and that it is
IY responsibility to identify wbat 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 Treatlent
* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
* Departlent of Health & Rehabilitative Services, BnvirOOleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
* US EnviroDlental Protection Agency - Asbestos abateleDt
I also certify that, if fill laterial is to be used in Flood ZOne RAI or "A, etc. R, it is understood that a drainage plan
addressing a .cQtpensating volute I 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 frOl 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 perlit is CDIIeDced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOntbs after the tile the work is c~ced. One 90 day extension of tile, laY be
allowed for the perlit with fee charge of $15.00. Tbe extension sball 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.
WARJlIHG TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COHHEHCEHERT HAY RESULT IH YOUR PAYIHG twICH FOR IMPROVHHEn'S TO YOUR
PROPERTY. IF YOU IRTEND TO OBfAIH FlHAHCING, CONSULT WITH YOUR LENDER OR AM AnORm BEFORE RECORDING YOUR HOTlCE OF
COHMENCEHEHT. JOBS UHDER $2,500 IH VALUE 00 NOT NEED TO RECORD AND POST A RNOTICE OF COHHENCEHENt"'.
SIGNATURE: OWNER OR AGERT
SIGHATURE: CORTRACfOR
STATE OF FLORIDA
COURTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUHTY 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)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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