HomeMy WebLinkAbout96-5804
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BUILDING PERMIT-
CITY OF ZEPHYRHILLS Permit ~
(813) 788-6611
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Date
,:20
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,!:LECTRIC.AJ)
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Property Owner:
qM1d~~,O~~(~p;
tJ ~ -,2.& - :2/- /)/::2..4 - (;) D~)OO - to ISO
~ Sewer Conn
Water Conn:
Job Address:
Parcel I. D. #
Water Meter:
T.I.F.'s:
Zoning:
~
Q
~O ~~N~~E~~.2,2R FINAL_
6 -d.6-~
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O. _
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
St.t. Cer~ifi.d ~se# S
rJZ;;:, ~.
BUILDING
/61/'-1
Permit Fee
Signature
Company
Address
Telephone#
Inspector
",
()?4~;'~~ Q~
PLUMBING~ /S
SLB*
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
~ W
Ftr. rr\- Tp. Servo
Pre SLB ~ U.h,~. Rough In
\ ~~i!,V'1 --A--4-- Meter Can
<~)r~JWJ~J5]~~ I~ ~ . Const. Pole
Insul. CL Pool
WL Pre-Meter
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHlLLS
BUILDING DEPARTMENT
OWNER'S NAKE fZO~ALn ~eE<-€. 5~
PHONE
OWNER'S ADDRESS 3D 34
JOB ADDRESS Lo T 1'5"'
S'. I)VLlLLEY flt...lcJY
SI LVElt OI\I..<~ rfMs€ A
IJJVert.I\IE'SS
Pl.
J'Y(/5" Z.
Lcrr 1<:; SlLv€-12 O~l(.S Pt,
LEGAL DESCRIPTION: LOT(S)
15"
BLOCK If
SUBDIVISION 'SILV€R. oAkS
(OBTAIN FROM PROPERTY TAX NOTICE)
PARCEL LD.' D~ Zit;. 21 012/'1 OeODO C>15D
WORK PROPOSED:-LNew Construction _Addition -^iteration _Repair _Install
_Sign. ---1Iove _Deaolish
PROPOSED USE: _Single Faaily _KIF --!.-.. of Units _K/H
_ec:-ercial _Indust. ~Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: L'o"'(Jt~ ~'WJ""',,.}1r ffx>L Of- ovu..oSldt-,r
BUILDING SIZE:
~z
, "
X~3.y ,
Square Feet, 7'?3
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
~ELECTRICAL
$ JJ I &00 !!
Valuation of Total Construction
AKP Service
v
Florida Power Corp.
W.R.E.C.
_HECllAllICAL
$ NIIl
Valuation of Mechanical Installation
_PLUMBING
-/liD
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: -Block ~Fraae =-Stee!
C''''N L{I. ere
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA? 2-
YES NO
******************************************
BUn.DER
~.
\,
CONTRACTOR SECTION
Signature
COMPANY ALlllIJe PooLS of SI,.4 ~ ,,../<-
State Cert. or Regist. , R' 00 (.5</1 t
City License Registration' 15'<ft/
******************************************
(J J( 1/
PLUMBER
:-:::lAN ~ R COMPANY 1-
. ' ~ ~ State Cert. or Regist. #
-- eY ~ ~ City License Registration .
~***~************.......*....****.**.***.**
\ COMPANY J9lP,loIc !hits "..sriJs I/V'(
/ State Cert. or Regist.' Ifl 00(,'5'/18
City License Registration 41 l Stt''I
******************************************
"
Signature
--
~r>-=--~
City License Registration ,
******************************************
HECHAlUGAL
Signature
Signature
************
JJ3WL_) M VOU\.
Dbl10A 10 .lD~ ,~OC 'I '('DfGM
AIIa<W8k1
'OJ ~ :::>:). no.u.m.T,o;)
OTHER
APPLICATIO
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perJit lay be subject to Rdeed restrictions" wbich JaY be lOre restrictive than City
regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner has bired a contractor or contractors to undertake work, they JaY 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 lilY be
cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtbeIlOre, if the owner has hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the
.Contractor Sections II 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 tbe contractor wisbes you to sign
as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
City of Zepbyrhills.
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 - HOIl!OIfJler's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the
"owner", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
"owner" prior to COlllellCl!lellt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, Joning, and land developaent.
Application is bereby lade to obtain a perJit to do work and installation as indicated. I certify that no work or
installation bas cOlleDced prior to issuance of a perJit and that all work will be perfoIJed to .eet standards of all laws
regulating construction, City codes, Joning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1llental 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 liJited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic ranks
t US EnvironJental Protection Agency - Asbestos abateJll!Dt
I also certify that, if fill Jaterial is to be used in Flood ZOne "AI or "A,etc.", it is understood that a drainage plan
addressing a IcqlpeDsating volUJe" will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perJit issued sball 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 sball issuance of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
unless the work authorized by such perJit is COIIeJlced within sillDDths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of sillOntbs after the tile the work is co.enced. One 90 day extension of tile, Jay be
allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned.
WARHIlfG TO OIINER: YOUR FAILURE TO RECORD A NOtICE OF COMMDCEMEN! MAY RESULT IN YOUR PAYING TWICE FOR IMPROVIMD!S TO YOUR
PROPERTY. IF YOU IJf!'mm TO OMAIN FIMAIlCING, COIfSULT WIrB YOUR LllfDER OR AN AftO ORDllfG YOUR lfO'fICE OF
COMMEIfCEHENT. JOBS UNDER $2,500 IN VALUE 00 IfOt NEED TO RECORD AND POST A 'NOtICE
~X~~,'~~
SIGNATURE: OWNER OR AGEIfT
STATE OF FLORIDA
coum OF (i liP uS
The foregoing in~rument was acknowledged
before me thi.s t:. ~(). .' 19~ by ,
K(()I'jK f r (l ~
who is persona ly kno~o me or who has
producecr---------.--..-.-..'.'---
a~dentification and who did/did not
S;k'l~~~ VP<<d<< f ~
"'na e) a ~
' ~~ l~ f../{,{) (wcc.C(
(Name Typ d, Printed or Stamped)
NOTARY PUBLIC'
."M.::L.
-~--
JUDY M. COLWELL
NDIalY P..lbllC. aa. oIAadda
... CclmmllllOn EnNI DIe It, *'
co.M\IIIIOn. CC .'0'.
.,
o?~Uze 9botJ & ~a1~ gna
(904) 683-0550 or 1-800-395-0550
CONTRACT
BUILDER ALP.1'\l E Ptx>Ls jibe 6If771.1tcn'/6- OWNER RON A-L~ REoce
ADDRESS 3l>34 S. BjCk.L e y Pr.
CITY JNVetl.l\ce-S~
HOME PHONE 90'/ 1I37...
JOB SITE ADDRESS
LOT J S- BLK.
POOL SPECIFICATIONS
STATE k 3 ZlDSO
2 79 g OFFICE PHONE IZ:gD -/:IS 813 - "z- 9S-51 c.:r '" z9t?
~\ L.ve-a 0Ak.~ 'Ca. os) LVEr'l. OAk.S
UNIT # f1HA.se I TWN, SEC, RANGE
Pool Design/Shape .r-12 ~ \1O\.jd He ~
hill
Length.L.., Width I z..'
"711'
Deck Size "Z 'Z.. )( 0 ..,
Vovb LE ~A..J
~ I J.., t
Depths ~ L '-
to
st
to
,
-S 11z-
Deck Finish
k:oo L l)e; Lk.
Cap # J 35"
.
Deck Color WlhTG
Lanai Finish b~ /dU& ~b~ft
Pump Size I J'h p,
Tile # PL~ 70
Color
-
-
Filter Type 0A1l.""{2.\ \) IT E
Filter Size /00 t/1
,Lightwatts IDO
# Of Heads Approx,
~
Color ~~ WJIrr1;E"
~bf."E',,2WjJl"P.5 ",
.
Ladder YES Rail ~ (,. {-
SanitIZer" ~'h\w 3~
Enclosure Size Z. z.. '1.. 6 i.J<~: i ·
Swirriout ~
Floor System no
," , ...,..,
Doors" '- '
:" y",,:rA',;
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;';~ L, ,L(~'-?~;:.;:':: ,.::;.:i~'~,
"V, :'L:'.> Roef'Design ,
",'W~'~,::,;
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Notations ~TI"H,.EN\ 8".,J k.. ~ MR.-OVAL.
PAYMENT SCHEDULE: TOTAL PRICE OF CONTRACT: $
CONSTRUCTION PHASE: Amount Due
Deposit Upon Signing ............................................. $ L- ~
Completion of Concrete Shell ................................. $ 29S-o-
Completion of Concrete Deck ................................. $ 2'St>-
Z75"'TJ -
Completion of Screen Enclosure if applies,.....,..,." $
Z95b -
Completion of Plaster, Marcite, Interior Finish ........ $ Pd.
The owners an the contractor further agree to the additional terms, conditions and covenants of this contract set forth on
the reverse sid of t ocument, which are hereby incorporated in this contract, and which all parties hereto have read and
understood.,"""
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In witness w parties hereuntohavo below subscribed their ands and seals,the day and date written.
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.:;...~~:: ~:/;;'. ADPRE~S: &302. SIt.. ()t9't.. OAAC& LJ/l..
, " CITY: ZeI'/..fY/Z/-I/t.LS
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:i;j\;\;k:: ~HE POOL PROPOSED FOR CONSTRUCTION AT THE ABO~E ADDRESS
DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF
FLORIDA POWER CORPORATION I PROVIDED THA T THE POOL IS INSTALLED IN
THE LOCATION SHOWN ON THE ATTACHED SITE PLAN PROVIDED TO US BY
THE POOL CONTRACTOR. '.,
~
THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS
DOES CONFLICT WITH OIH UIO FACILITIES OF FLORiDA POWER
CO~ORATION, ~
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ARRANGEMENTS HA VE BEEN MADE WITH US FOR RELOCATION OF THE
FACILITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE ATTACHED SITE
PLAN,
FLORIDA POWER CORPORATION
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ST~HiN F. BUNNER
DISTRlBUTION ENGINEERlNG
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ZEPHYRHILLS OPERATION CENTER: 36453 GeIger Roelt . Zephyrhill.. Flolldo 33541, (8131 783.0H4
A Rorid, ProV"# Comp.ny
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SCREtN" Roor::</ scr~EEN \.I ALL S
EXAMPLE" POOL"'] ENCLOSURE L/60
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B'WALL POST SIZE 3'( :Ji4', 5' 6' 7' S' 9' 10'
@ 2113 PO _25'-0 '23'-0 fL::-7 20'-7 19'-<) 19'-2 IA'-? ___
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Vl <<> 2x4 Pll. 33'-3 '30'-~'1 (!fl'--:J 26'-9 25'-7 24'-7 23'-6 22'-6
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(V) (f) 2)(4 SMD 34'-7 '31'-~j 11"1" 3 27'-9 26'-5;:>5'-5 24'-5 23'-7
.... @ 2)(5 SMIl 35'-7 32'-3", Ci07:0' 20'-3 26'-11 25'-10 24'-10 2J7:?
., .X: @ 2)(6 S~tIl 35'-10 32'-6 Du-::r2if:6 27'-2 26'-0 25'-2 24'-2_
,:.,\[) <D 2x6 SMll 35'-10 ~ r-:W-i: 28'-6 27'-2 26'-0 25'-2 24'-2
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7-15-1991
PAGE $-11
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