HomeMy WebLinkAbout96-5688
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit ]I!
(813) 788-6611 Date ~ - ;2 /f-JC-
~.
jD
G;LD~
FI I=CTFlICAL -
MECHA1"'JIL.AL
PL~
Sewer Conn
Property Owner:
Job Address:
Parcel I. D. #
Water Conn:
'--5688$
- - .. -.
Water Meter;
Zoning:
Description of W
NO OCCUPANCY BEF
FINAL
C.O. _
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Valuation or
Contract Price
~
Permit Fee
Iv d<,. L//~ '
/
City License Registration # ~ 7
State Certified License#
Telephone#
EL
AL
PLUM
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
...)s A' ~ . )
M
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the follclwing 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.
APPLICATION FOR PEaKlT
CITY OF ZEPHYRII1LLS
BUILDING DEPARTKENT
OIIIIBll'S __ Yo~ - .~ 10
OWNER's ADDRESS ?J6~\J\) \J:\'~\7'~"6~
JOB AnDRESS So ()'\ ,0 .
LEGAL DBSCRlP't10N: LOT(S)
BLOCk
Sl1BDIV1SION"5\~~ \~\~ ~
PARCEL I.D.'.
(OBTAI>> J?1mM PlIDPERTY. TAX NoTteR)
WOIUt PROPOSID:_New Construction ~ition -J1teration -..Jtepair ___lIlat8ll
_Sian
--JIove
--J)eIIo1isll
PROPOSED USE: _Single Faaily
_CoIIlIerc::ial
--Jt/F ___, of Units ---Jf1H
_Iaduat. -5wia. ~ool _Other
--....,.Re&taurant & JIeal.th Departaent Approval n \'\
Dlscmn. OF MlRX: ~~ \'h~~ ~~. ~ ~~~ .~
BUlLDINGSlZE:X Sq~e Feet, Height
RESmEll'1'IAL: ATTACH (2) PLOT I'WS & (2) SETS OF BUlLDllfC ~LANS & (1) Sft MERGt FORKs.
COfUtERClAL: ATTACH (3) SETS OF BUILDING PLARS & (1) SET ENERGY FORIIS.
PROPERTY SUllvn REQUIRED FOR ALL If. CONSTRUCTION .
~BUILDING '
$ d'4:\ 2-
PERM1TS REQUESTED
Valuation of total Construction
_ELEcnttCAL
AIIP Service
Florida Power Corp.
W.R.E.C.
-llEClWl:tCAL
-PLUllBING
$
Valuation of llecb.anical l~tallatioll
GAS
ROOPING
. . SPECIALTY
TYPE OF CONStRUctION: ----.Block __Pr-. __Steel
Other
PIllISBBD FLOOR ELEVATI0RS:
FT.
IS PROJBC'I' III FLOOD ZOIfE . MBiA7
..........................................
YES
-
NO
BUIl.lJa
~7
State Cert. or Reaist. .
City License Registration f
..'I..........................................
7/f
SiRnAt:ure
COMPANY . ..
State Cert. or Reaist. .
City LicenSe.R&gistration'
............................................
M.
PL~ C()PfpAft.
State Cert. or Reaist. f
Signature City l.icense Registration ,
...........................................
K2C1tANICAJ.a COHP-AN'r
State Cert. or ReSist. ,
S1goature . City Liced8e Registration f
'I.........................................
OTRRR COHPAlfY '
State Cert. or Reaist. .
S1gnatu~ City Liceost! Registration .
..........................................
APPLI'CAttON' APPROftJ) BY PDHtTO"lCEtt.
..
CONDITIONS OF PERMIT AFFIDAVIT
-- A. NOTICE OF DEED RESTRICTIONS
rile undersigned understands that this penit JaY be subject to 'deedreatrictions' whieb .y be IOrerestrietive tbaDCity
regulatiCllS. Ihe unc1ersigned asSUle& responsibility for COIpliance with any applicable deed restrictiOll8.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITIES
If the orner baa hired a contractor or contractors to unc1ertate wort, tber IlaY be required to be lieensed in acc:orc1ance with
state and local regulations. If the contractor is not licensed as required by law, both the orner and contractor .y be
cited for a lisdaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirl!llellts .y apply for the intended wort, they are advised to contact the City of lephyrbills Boilding DepartMnt, (813)
788-6611.
Furthenore, if the orner has hired a contractor or contractors, he is advised to bave the contractoI(s) sign portiOll8 of the
IContractor Sectionsl of this application for rbieb they will be responsible. If you, as the orner sign as the contractor,
JOu are indicating that JOU, rather than the contractor, are responsible for the wort. If the contractor wiahea fOIl to sign
as contractor that .y be an indication that he is not properly licensed and is not entitled to penitting pri,Uegu in the
City ofZepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY. CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES , AS AMBHDED)
I certify that I, the applicant, have been provided with a copy of 'Plorida's Coastruction Lien Law - ~'. Protection
Guide- prepared by the Florida Departlent of Agriculture and ConsUM[ Affairs. If the applicant is IIOI8OD8 other than the
1000er', I certify that I have obtained a copy of the abOve described c10cUIent andprcalse in good faith to deliver it to the
lornerl prior to ~eJeDt.
E. CONTRACTOR' S/OWNER' S. AFFIDAVIT
I certify that all the infonation in this application is accurate and that all wort will be done in COIpliance with all
applicable 1_ regulating construction, lORing, and land developleDt.
Application is hereby lade to obtain a petlit toc1o wort and installation as indicated. I certify that no wort or
installation has cmIeI1ced prior to i88uance of a penit and that allllOrt will.be perforJed to _t stanc1arc1s of alllawa
regulating construction, City codea, aoning regulations, and laad d89810(lllDt regulations in the juriac11ction. I also
certify that I unc1erstand that the regulations of other goJerD8tal agencies .y apply to the intendec1worl, and. that it is
If responsibility to. identify what actions I lUSt tate to be in COIpliance. Sueb agencies inelucle but are not IUlted to:
t Departlent of InYll'ODlleDtalRegulation - Cypress Baybeada, WetlancllIeas andlnvirODleDtally Sensitive Lanc1s,
lIater/llastewater !reatlent
t Soutbreat Florida lIater Jlanagelent Di8trict - lIells, Cypress Baybeac1s, Wetland lIeas, Altering llatercoursea
t Any Corps of Inqineers - Seawalls, Docb, lavigable lIaterrays
t DepartJent of Health' Rehabilitative Senicea, IDvilODleDtal Health Unit - lIe118, lIaSt_tet lreatlent, Septic I_
t USlnviIODleDtal Protection Agency - Asbestos abatuent
I also certify that, if fill .terial is to be used in Flood loDe 'A' or lA, etc. I, it i8 lIDc1eratood that a c1raiDage plan
adc1ressing alCQJpeD8ating wlllle' will be sw.itted wbieb i8 prepared by a prof_ional iDgineer registerec11n the State of
Florida prior to perlit issuance.
A penit issued shall be construed to be a license to proceed witb theworl and not as authority -to violate, canc:el alt~, or
set aside any provisions of the tecbnicalcodes,nor shall i88uance of a penit preveilt the Builc1ing Official fDthereafter
requiring a correction of errors in plans, construction, or YiolatiODl of any coc1e. BV8lJ peniti88ued shall becoIe invalid
unless the wort autboriled by. sueb perlit is COIIeDCed .itbin slllODtbs of i88uanee, or if wort autborilflc1 by the penit is
sl18peDc1ed or abandoned for a period of slllODtbs after the tile the work is ~ced. One 90 clay atensim of 0.., . be
allowed for the penit with fee charge of $15.00. !be atension sball be requested. in writing to the Builcling Official., An
approv~ inspection lUSt be logged during eaebslllODth period, or the project w111 be considered iIbandoned.
IIAH1IIG !O ODIR: YOOR FAILORB !O RBCOBD A JfO!ICE OF CCIIIDCBIIII! lilY RlSULt II YOUR PAYIIG DICE fOR DIPROVBIIIItS !O _
PROPBR'lY. IF YOU ImIID !O OB'IIIJI FIIfUCIIG, COISUL! IIID YOOR LIIIDIR 01.. D ImIDY BIPORI .RICORDIIG YOOI JOIICI OF
CDllBJlCBIIDI. JOBS UlDBR"2,~9IH,~1O! IBID !O RBCORD AID POSt A 'fOrICl~F ctIIIDCIIIBJl!l.
~) ~/=>
SIGU. UIl IlbUl : ODRAC!OR
sIAn OF FLORIDA ~
coum OF '-... f(/ ~ e.D
The foregoing ~trument was aCknowledged
before me this ~e.L.J.7, 19 f? by
t?~t~~
wbo is ~ersonal.!l known. to ~ or who has
produce
as identification and wbo did/did not
tat. an ~(Y ~~~ 0
(Signature) . A/J / :A
" t. A7e K /l- 'i:;Z-J....//..{ ()
(Mame Typed, Printed or Stamped)
NOTARY PUBLIC .
SlAD .0' . FLORIDA /)
coum OF if~ ~
Tbe foregoing inst~t was acknowledged
before me this /fu .)-7, 19~ by .
(]J~ .C~~
wbo is personally known to me or wbo bas
producecf
as identification and who did/did not
take an. o~?t ~ A .~
A- ~a.
(Signature) . /J1~ .,f-Pl!1-I-/S C)
(N..e Typed, Printed or Stamped)
NOTARY PUBLIC
........ .,-. ;l
l1,:,:~~.," Mark A. BeI/;so .
~;(~O:;:~Notary Fub!ic" Slate?f Florida !
\:,p~..~:My com m.,..(iXPireS APfl.!?...,;..;,;;;l: ~'
....Q". Comm Ii CC091752
'-:"'-"'?'".~""-'~""lC"""'~.~. .
r /;,.:.....,::-..- -l';~" ., I .
I.J""..,,~.. . "",r:.. A 8e,luso I
,! ~:' 'j '..', Notary Fublic;, Stala of Florid,l .,
~l ,:~j;kti:'~~;~~d~;~~~;~~~7.~;.y,;i3~~:JJ
.
~~T118
a!, RECYCLED PAPER
lfJ() Contents: 40% Pre-Consumer. 10% Post-Consumer
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I'<E8S Il1C Groton. MA 0;471 To Oraer PHON!: roll FREE 1-800-225-6380
lFlropozal
Page No.
of
Pages
~
P 0 OSAL SUBMITTED TO
'J~\::::::' S\"\.t..:J
P
b -- -ISS
~ " .
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\ ll\D~ \c
SUN STATE ALUMINUM, INC.
37528 State Road 54 West
ZEPHYRHILLS, FL 33541
(813) 788-7308
JOB NAME
DATE OF PLANS
JOB LOCATION _ . _ .~ \ \_ '
~\.~~~ ~\ "'''~~
JOB PHONE
-'\ '--- /
We hereby submit specifications and estimates for:
\~~\~~r~~~~~\S~~~W\
...?;>~X~L~
3~?;:--?SJl=~
~~ lo~
53~
:5~t-.
-5~k
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~ \.",("~ '""
.~'~t::-J
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i~
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,~tpIf
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\ NS" 0 l\., . .... .....J\Jlo
x.
52;x
I..........................
( . -\f~
.(;
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'-~ ~ -
"'--
~-
mr 'roposr hereby to furnish materia
\ ~O~"'SC>n-~ ~\,
Payment to be made as follows:
- complete t accordance wit~aBove specifications, for the.s~m of:
--- -',~ -:9 T . -S f
\L~_, -'-./ . 'dOllar~;($.:2:3-I2 ).
'-.
_/--------~
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation tram above specifications
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Authorized
Signature
Note. s proposal may be
withdrawn by us if not accepted within
-- -~~~:~;~'"' D...",......-..-........ ,,,;11 h,.., ...........1'1,..., ........ ,..",t-l;nnM -:ah,...."o
'#Atl/
days.
~
Ace l' P tan ceo f 'r 0 p 0 13 a I - The above prices, specifications
and conditions are satisfactory and are hereby accepted, You are authorized
Signature
CITY m~' ZHP!cIYR8F.1I.,;,} :mJ!:UH.HG DEPA.h.'l~.'1;~~AJ".'~
OWNER
JOB LOCATION
~~~
,*~l()"-J
\.t~ \ J~~::::Y\~\'~::.:~~
PARCEL 1. D. #
SHOW ALL EXISTING & PROPOSm:n STRUCTURES GIVING DUUUIS][ONS & SETBACKS.
lJ dt.l ,j, ~ l.J niP':rcIi\>c2.. j,lJ
C:-J!.li'f/~ / ~o.:~S. /lI~:>'r-
>>1.JU-t~ ct""i<j c t ~AtJl/'A'L.CJ
~u/td;~; ~cJ-<-L
1/~'.-?~
-"--------T
\0
'I
-----1
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
~/~\
~
~y~
Q:) Ii:i=btb\
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"0
&::) -:sT. l G
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y,,.J<.\,--~ ~c.:l
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
1---
I,.)
FRONT PROPEtRTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60 '-
10'
P E
R X
0 I
la' P S 10'
0 T 1 0'
S I
E N
D G
20'
FRORT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10'
EXISTING
la'
1 0'
PROPOSED
20 I SGL FJl.M
30'DUPLEX
FRONT PROPERTY LINE