HomeMy WebLinkAbout96-5966
BU'ILDING PERMIT 0 -- ~ :
CITY OF ZEPHYRHILLS permitN. - 59~6 f3
(813) 788.6611 DatE~ J7 - c2. - 9~ .
r ~;.(f>
~(
~7l). V?J
b tJ --S 'ZJ
ELECTRICAL
,~ ~.~()
PLUMBING
BUILDING
ol,.S':cro
MECHANICAL
Sewer Conn I,d- ~ tf; tJZ) .-
,
Water Conn: d....$.'lJ c OV
W"., Me", L ~.5 -: lJiJ
T.I.F.'S:!'/i-IJ,(j()A~ //-7"7-6
~operty owne';jf~0L~
Job Address: l;. ___
Parcell.D. # / d. -:Jh -;)/.. D~tJ -OCJlJCJiJ -. b~u
Zoning:
Description of Work
.:~:g ~r,.).]ml.!A:._':
/CJj-..:J.:J. -7" / /) : tJ? n fI1.
FINAL -/.1 /..... )-- 9
DATE
C.O. -e' - 7'.b
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
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:
'JjUZ ~AT-t-~ )7-f) ~7-6
j 6/ )I-~fk
I j- 9' -T"O
/-
Valuation or ~ ~ ~ _.
Contract Price 0 (1. . ~ -;. /77)
City License Registration # / 7 Y
State Certified License#
--i(0" &Pd,
BUILDING
~'o 1'771
ELECTRICAL
Ftr. ~...3-~ Tp. Servo
Pre SLB ')".z..~ Rough In ~ Jf~qb~at5
Lintel v1). ~/?'- <1" &1 Meter Can }''-d -.9.t
FRM. C;,,4,Cjb&(j Const. Pole fJ,9.'fh &.B
Insul. CL Pool,
WL Ij~'~~: .Pre-Mete, v16~7.7_~ &6
D,;veway Ib ;,. q h _ cW ~~ '1' a - if'" .&6
~ 5?--J.1-Ql.t BoB
a.
b.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
c.
d.
e.
f.
g.
Inspector
Pe,m;t Fee ~ ilJ2
Signature __ -' N -', A 0
Company
Address
Telephone#
Oc Yf
/!I"~ J./{j ~ ~ /7r
MECHANICAL
PLUMBING
-
SLB v711i~,jfb S,U-
Tub Set t;-th-tfJ/y L3t7f3
Water
Sewer /13- /.J.I, 91.tJ S,,8
Final
Breakers
Ducts Insl.9-6 - 96 J308
Compressor
Final
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
BUILDER: Ridge Builders
ADDRESS: 39449 Lincoln Ave.
OWNER:
Sa. FT. PRICE
LMNG OR MAIN AREA: I 1,000 I $ 3!5.00 I
OTHER AREA UNDER ROOF: I 341 I $ 11.00 I
OTHER AREA:t I
SQUARE FEET UNDER ROOF:t 1,341 I
VALUATION:t $ 38,751.00 I
ADDRESS: I $ 20.00 I
DRIVEWAy:1 $ 20.00 ~
FEES: I $ 210.00 I
BLDG. PLUMB. ELEC. MECH.
PERMIT FEES:t $ 270.00 I $ 52.50 I $ 80.50 I $25.00
3/4" 1" 2"
WATER METER SIZE: I $ X 165.00 I $ 245.00 I S 810.00 I s 840.00 I
SEWER WATER METER
CONNECTION FEES:t S 1,278.00 t $ 350.00 I S 185.00 ~
RADON GAS: I $
PERMIT FEES: I $
CONNECTION FEES:I $
WATER METER:I $
13.41 I
408.00 I
1,628.00 I
165.00 ~
TRANSPORTATION IMPACT FEES:
99%
1%
$ 1,480.00
S 1,465.20
$ 14.80
CREDIT:I $
SUB-TOTALI $
IRRIGATION METERI $
.
85.00 ~
3,694.41 r
165.00 l
TOTALI $
3,859.41 I
APPLICAnOma FUR PERttIT
CITY OF ZEPBYRIIIU..S
BOII.DIliG DEPARlIIENT
-:f/:J( F ~~~, <>-V
(p - ()6~ 9-6
OWNER'S NAtIE ;:,~l1e
OWIIER'S ADDRESS 70'~
/) '~ ~ "/~
l ~ Uf cf!.C',;t..!:....+--/1 c: .
PIIORE 97"/- f/2? -32(/0
JOB ADDBESs3~'Irr
,
J~'1e.r ~.e /~/~/es r3Ty /""c~ 3?8VY
A'/h..o/;'{ /lve " 2 ~/y),,~'/.f /17
LEGAL DESCRIPTIOlI: WT(S) ,30'" B~SU8DIVISIOR /-/;101,!;l /~/;"/fX/ __\t.l6-:tr:-/s"'o.....,
() oC c __
PARCEL LD.' I ~ - ;}6 -J-/-p:J- f-tJ- 0 -~3 ~ C)
1lUKJ( PROPOSED:~ev Construction ~H.ion _Alteration _Repair _Install
_Sign
_Hove
_De.olish
PROPOSED USE: ~ing1e Faaily
_KIF
_' of Units
_K/H
_ec-ercial
_Indust.
_Swill. Pool
Other
_Restaurant &- Heal.th Departaent Approval
BUILDING SIZE:
~3( X ~D (,
/3 <( /
Square Feet,
/
?'
Height
RESIDENTIAL:
aJIttIEKCIAL :
ATlAaI (2) PJ.OI' PIAIIS &- (2) SETS OF BOILDIRG PI.AIIS &- (1) SEI' EREKGY FORKS. **
ATrAaI (3) SETS OF BUII.DIIIG PI..UIS &- (1) SET EREKGY FORtIS...
..ropy OF mtn"RACT ~UIKIl'D.
PERlfITS IlEOUESTED
_BUILDING
$ .._19. S-c1) I (X)
,
Valuation of Tota1 Construction
___ELECl1UCAL
7^D
,L;.-~
AIIP Service
Florida Power Corp.
W.R.E.C.
~CAL
s
Valuation of Kecbanical Inst:allation
_PLUKBIIIG
GAS
~loclt
IIOOFING
SPECIALTY
TYPE OF mNSTRUCTIOR:
.
_Fraae _Steel
Other
FIRISBED FLOOR ELEVATIOIIS:
fT.
IS PKO.JECT III FLOOD ZONE AREA?
YES NO
..........................................
Signature
corD'RACIOR SECI'ION
lDIPANY R 14: ,60.-;1 '/k.. ,:2?Cc..,
State Cert. or Regist.' C~C 0 'I'.r'77_r-
City License Registration . ) 7 Y
....... ........*.................*......
~:; . . <DJfpMIY(J,tJ/V~ '?~I}/C SVs
"-7 J 7", ~ State Cert:. or Regist. . ~R _ c/o 731-
__tu_~~ tJ...., City License Registration' _ /'777'
- ........ ................................
lDIPMiY 11, e. P/(N7Y/~~
4~' 0 //7_. State Cert. or Regist. ,
Signature :/ {L ~ V~ Cit.y License Registration f /:3~
..........................................
BUILDER
/
.v'
PLDlBER
'/r
v/
KEarAIiICAL lDIPANY E CQ A/ 0 Co.(1/; ~ f I-/r-,' 1/ ~ /
Signature A I /1 -J' -P H- ~ State Cert. or Reg:ist. 00 'lJ..n.' dr /?lftJtJl. (/ qJd V
bL.~ ,. r&~ ~ City License Registration . /1'
..........................................
OTHER lDIPANY
State Cert. or Reg:ist. .
Signature City License Registration ,
..........................................
APPLICAnON APPROVED BY PERIIIT OFFICER.
LU,'HJl I lUI'j~, UI I LI~IIJ. I IIi I J. VII, J, I
~. NOTICE OF DEED RESTRICTIONS
the undersigned understands !hat this perlit lay be subject to "deed restrictions" which lay be aore restrict~ve 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 contractofs 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 laM, both the OMner and contractor lay be
cited for a lisdeleanor violation under state law. If the OMner Dr intended contractor are uncertain as to "hat licensing
requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, lB13)
7BB-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
.ContractorSections" of this application for Mhich 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 Mishes 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 (~HAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided Mith a copy of "Florida's Construction Lien Law - "oleowner'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 doculent 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 with all
applicable laMS regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perli\ to do Mork and installation as ind,cated. I certify that no work Dr
installation has cOllenced prior to issuance of a perlit and that all work Mill be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that 1 understand that the regulations of other governlental agencies lay apply to the intended Mork, 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:
I DeDartlent of EnviroRlental Reoulation - Cypr~ss Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Vater/WasteMater Treatlent
I Southwest Florida Vater "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY CorDS of Enoineers - SeaMalls, Docks, Navigable Vaterways
I DeDartlent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection' Aoeney - Asbes~os abatelent
I also certify that, if fill laterial is to ~e used in Flood lone 'A" or "A,etc.., it is understood that a drainage plan
addressing a "colpensating volu.e. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance. '
A per.it issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or
set aside any pro~isions of the technical codes, not shall issuance of a perlit prevent the Building Official fro. thereafter
requiring a correc~ion of errors in plans, cpn~truction, or violations of any code. Every perlit issued shall beeole invalid
unless the work au~horized by such perlit is cOI.eneed within six lonths of issuance, Dr if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the Mork is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of tI5.00. The extension shall be requested in Mriting to the Building Official. An
approved inspection lUSt be logged during each six lonth period, Dr the proiect Mill be considered abandoned.
VARNING TO OVNER: . YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IKPRoYE"ENTS TO YOUR
PROPERTY. IF YOU ,INTEND TO OBTAIN F~NANCIN~, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COK"ENCE"ENT.~JOB.S UNDER t2,500 IN YALUE DQ NOT NEED TO RECORD AND POST "NOTICE OF COKKEN "E ·
STATE OF FLORIDA ;p
COUNTY OF ;r~'~
The fDregoin~ instrum~nt was aqknowledged
before me this 0 tL..z.r, 19#- by
I
tJ~
who i -.ersonally r who has
produce
as identific~tion and who did/~id not
take ~t~. ~~~
(Signature) '--- 111 J
-:t:A~"t,,;f.,q~ /-//1,
(Name Ty~ed, Printed or Stampe~)
NOTARY PUBLIC
BARBARA B. MAIN
Notary Public, State of Florida
My corom. expires April 24, 1998
Corom. No. CC 366750
SlATE OF FLORIDA 1:'
COUNTY OF ~ ,-Ie..
The foregc.ing instrument was adml)l'.ledged
befc.re me this ~6/:J-J- , 19.M- by
I .
~~r W,~t:'f
who i~rsonal1y tnown to ~or who has
produced
as identification and who did/did not
take an~.1- ~ ;o/~
(Signatur~ ~ ~ J
c::!Jj;"UAf-A ZS. ' -( ,<J ,
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
BARBARA 8. MAIN
Notary Public, State Of Florida
My corom. expires April 24, 1998
Comm. No. CC 366750
LOAD CALCULATIN.G FOFlM HEATI~~G' & COOLII\J'G
~HORT FORM OF MANUAL J 1967 3rd EDITION, 2nd PRINTING
BASED UPON THE MOST COMMONLY FOUND CONSTRUCTION FACTOR~
(IN THE TAMPA BAY AREA)
:USTOMER NAMc.Riiy {~/JOtldt't'i lO/1frJ/I/ 1:
-
ITEM SQUARE
- FEET
~-
~~ll - GROSS AREA SQ. FT. 10'2..
'. CLt.SSAREA SO. FT.
DIRECTION -
- N
filE: i1nd NW
E and W 101
- SE and SW
S Z{,_
GLASS DOORS
OrHE:~ DOORS l\<i(
--."- GLASS AR~A c:;o FT.
. TYPE
,.,,.,. 1~1 ~ HUNG
,~ ,." ..."AMI
F'IXE'D or plr.:r"R~
IAIOIIC:II='
mASS DOQRS
OTYER DOOR,)
I. HE! 'rlAi..L AREA -- SQ. FT.
-nAME. LAIH & PLASUR No Insulation
SAME llh" INSULATION
SAME 2" INSULATION
SAME 3" INSULATION
MASONRY - BLOCK or BRICK
PLASTERE.D or PLAIN
FURRED :- NO INSULATlOrf
FURRED - 11/z~ INSULATION U--.:L.
OTHER WALLS SEE MANUAL J
" CEIU~~ - SQ, FT.
UND~R UNCONDITIONED SPACE
t-!l'lTfirnlJ LA T/DN
Js.... iNSULATiON
---~-- 100U
6" I:~SULATION
-ROO-I- ~ C["iLlNG COMBINI\TION --
NO INSULATION
- 2" INSULA1ION
3" INSULATION
)THER ROOF - CEILING. SEE MANUAL J
t. FLOOtl AREA
OVER UNCONDITIONED ROOM
OVER OPEN OR VENTED SPACE -
(SQ. fT.)- NO INSULATION
COf-<CRfTE SLAB - NO INSULATION I?<{
OThER flOORS. SEE MAhUAl J
VE ~ f1LAflON (hUMBER OF BEDROOMS) "3
-, f'{OPlE (NUMBER OF BEDROOMS) .2.
APPLIANCES ALLOWED -
tlorE: ON PESI:;TANT HEAT JOBS
00 NOT INCLUDE S,*, DUCT
LOS" JUST TOTAl COLUMN
OF'SWH.
.EQUIPMiONT SELECTlCN
Z TDr,)' S PLI'T c
_":>'i~ T~r(..
HEA-iING HEATING
MULTIPLIER LOAD
BTU/HR
30. DESIGN TEMPERATURE
NOT
USED
IN
HEATI:'olG
7n. INC:lnJ: 7';. 'NSID~
40. Tn 4'i. Tn
.
-
E;O E;C;
1 no; 1 H. --
~'i .6lL...:...._
':Inn ':I4n
Inn Ill;
gO) 110
II 1':1
4 0;
4 .4
':I ':I
IQ ..2L-
," ,....
C; "
..-..-
__. :l4 "7
.~ ....
., .,
-,
I., 14
.4 4
-- 3 :l -
(So, FU Ii I:.
(Sa. Ft \ I 1 ....l..3-
,4n 41;
qOO HlOO""'" .
SUBTOTAL HEt\T LOSS
DuCr LOSS (.05 X SUBTOTAL}
TOTAL HEA r lOSS --
--
\ ~ --- I
.
U~tr SHOULD flor EXC~ED
I:?S~'J DF TOrAL :IOq BE LESS
THAN IOOo~ OF lOTAL (-)
-- -
DATE to -- 2.'-;-- 9(,.,.
.
COOLING ~OOLlNG
MULTIPLIER LOAD
BTU/HR
75. 1r-J~'r:.E HMPERATu:;e:
95. DESIGN TEMPERATIJ~E
C;HADING
NONE INSIDE loUTS IDE
35 25 30 .-
65 40 30
gO 5~ 30 {~() I. If
80 50 30
50 35 30 ~/()
Uc;E FACTr'JR FRS'" A!!OVE ( )
13.5 7iJ"'1 ,
NOT USED IN
COOLING
-
I
-0
-- 8.0 .-==1
4n
2'.5
':11'\ .-
".
95 .- ----
-65
3.5 "1/0v
DARK
10.0
.,c -----
2.0 ILoll',
o.
1':1 0
--, 4n
-3.0 ~
3.5
- 'in
.-
QQ ,
"---- n\~
.1.1:1
":iO J 'd' Q_
12C:"
-- -- 17LZ..zj
SF.N<;19LE HEAT r,A;:'i (TOT.\L COtS \
Ducr GAit. (S~;i~~3l~ fiEAr r,;'lil X ! I I ~.3.l.L.j
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. . ,
!rOflll. ~!:Af r.~11
~'f1T SHulJLi.l ill::;, h~HD I b~o
OF TorAl "OR B~ LEiS THA!'t 95%
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75.00'
7.50' EASEMENT
LOT - 35
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N
LINCOLN
AVENUE
DESCRIPTION
Lot 35 of LINCOLN HEIGHTS SUBDIVISION, as per map or plat thereof recorded in Plat Book 13,
Page 113, Public Records of Pasco County, Florida.
No'rES:
1. Description as provided
2. Bearing reference from Record Plat PB. 13, PG. 113
3. Plat prepared from legal description - NOT ^ CURRENT FIELD SURVEY
(
JOB NO.
8256
,
-
BOBBY W. SIMMONS
- UIlll8\llmllll
'.0,1011217. .... "wnllL
IlADEClTY,ROIlIM usa
1*111I7'"
NOT Vlt., IKE8S M'RIHTEO wmI FWSEllSEAL
END
fl- FIELD DATA
lC). COM'UTEO OA fA
IDJ .llEEDOA llESCRlPTICH
OIIIal9loMr:
OIIIafPIII:
. TJPtals-,:
.o-b,:
7-1-91 . """"'bJ:
SKETCH FOR SPECIAL PURPOSE
F. FOOC
S-SET
III . IIlOl FlCIO
.. . RlH PIPE
CM. CXlIlCIIETE ao<<JMEHT
H & D . HAU DISK
flRS.lIALllWl SPIIlE
flOO.POItT a: IEGIhNNG
SUIlYE1 TO:
.RI)Gt BUILDERS r<<:.
:~
,
.~
. .~:
POWER OF ATl'ORNEY AND AUTHORIZATION TO .
DRAW CONSTRUCTION PERMITS
FROM: Ridge Builders, Inc.
707 Jones Avenue
(1) Name of Contractor
(2) Class of Registration
(3) County Registration Number
(4) Name of Individual who will
sign permit application
Haines City, FL 33844
TO: City of Zephvrhills
5335 Eighth Street
Zpphyrhi11~, R1. ~~S40
DATE 6-25-96
(1)
H;:u:>rhl'>rt- W KI'>Y
, the holder of Polk County (2) Class B
contractor license registration number (3) CBC048975
, hereby name, constitute
and appoint (4) Terry Dease
, my attor.ney-in-fact for
the purpose of applying for and rece1v1ng permits in my name. I hereby represent and
City of
warrant 'Zl'>phyrhi 11 ~that all work performed under the authorityof such permits shall
be performed by me or under my supervision, and that I shall be fully responsible for
the proper performance of said work.
(Check one of the following)
~ This ~wer of attorney and authorization to draw permits is limited to the job
descr1bed as Lot 35 Lincoln Ave. , Zephyrhi11s, Fl. 33540
(type of construction project and specific location)
This power
of attorney and authorization to draw permits shall expire on
(date of expiration)
of atorney and authorization to draw permi~9 shall continue f 11 force
until I deliver to you a letter revoking trye pow .
/1 I
l>'" I JI()
Signa
This power
and effect
Signature of designated attorney-in-fact
941
707 Jones Ave, Haines City, Fl. 33844 422-8240
Current Address Area Code Tele. No.
STATE OF FLORIDA
COUNTY OF POLK
Subscribed and sworn to before me this
NorARY PUBLICYi/ .~~~
J3"<-II>"~ -go- IV A 1-.)
My Coomission Expires 1fC/-.:J4 -? r
?r:;t-h
day of
.TnnQ
, 1996 .
(NorARY SEAL)
BARBARA B. MAIN
Notary Public, State ot Florida
My comm. expIres April 24, 199a
Comm. No. CC 366750
""--.,,,,---'--,, - - - ~ - - - - - - - - - - - - ---.- - - - -- -- - --- - - -'~
,
( E N T R ALP E R M I r T I ~ G DATE: 11/04/96
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
CONTRACTOR #= ISSUE OFF1CE= D
NAME: RIDGE BUILDERS RECEIPT NUMBR= 00301716
ADDR: OFFICE: DADE CITY
c: /'::1: Z --H I L L..:;:
For::
CHEel'::: "'1 3(k:.")
F~E~:;C .
Z-H ILL:::: tt::5-:;i{,6B
f2'ICI..::N-i
J 1'<:1
TOHiL j:::;r10UNT:
C:CI!'1PN'( nc:(.uUt'H C:ENTEJ\
:::~ ~ () .,)
f.3.q~:;C! .- '::::.S~:;(){)() -"':'
AMOUNT DESCRIPTION/PERMT DATA DRICR
8.09 ****** SOLID WASTE FEE 60
FU:::CE 1 ""lED ff{
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