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HomeMy WebLinkAbout96-5971 BUILDING PERMIT 0 ---- -- OTY OF ZEPHYRHILLS Pe.m. N · . _ 5970 (813) 788-6611 DatE! ~ fJ- 7f; -_.~ ~ Property Owner: Job Address: Parcel I. D. # ~-- Sewer Conn Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL Sl..--j' 0..... DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Valuation or Contract Price ~ i; ~d6'~ ~tw... Permit Fee. I"i Signature~ Ii ~ Company Address Telephone# City License Registration # ! ,y~ State Certified License# a f!. [) 3 7~ f62- PLU M~ Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway @~ '1-ll ,qtc B;6 @q/I;),q", 8)13 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. All Eqll~1 01'1'01'11111111' EIIII'/over Roy G. Harrell, Jr. Chairman, St. Petersburg Joe L. Davis, Jr. Vice Chairman. Wauchula Curtis L. law Secretary. land 0' Lakes Sally Thompson Treasurer, Tampa James l. Allen Bushnell Ramon F. Campo Brandon James L. Cox Lakeland Rebecca M. Eger Sarasota John P. Harllee, IV Bradenton James E. Martin St. Petersburg Virginia S. Roo Tampa Peter G. Hubbell Executive Director Mark D. Farrell Assistant Executive Director Edward B. Helvenston General Counsel Excellence Th rough Qua/if\! Service .' Southwest Florida Water Management District 2379 Broad Street. Brooksville. Florida 34609-6899. 1-800-423-1476 (Florida Only) or (352) 796-7211 . SUNCOM 628-4150 . T.D.D. Number Only (Florida Only): 1-800-231-6103 7601 Highway 301 North Tampa, Florida 33637-6759 1-800-836-0797 or (813) 985-7481 SUNCOM 578-2070 June 19, 1996 115 Corporation Way Venice, Florida 34292-3524 1-800-320-3503 or (941) 486- 1212 SUNCOM 526--6900 2303 H ghway 44 West Inverness, Florida 34453-3809 (352) 637-1360 170 Century Boulevord Bartow, Florida 33830-7700 1-800-492-7862 or (941) 534-1448 SUN COM 572-6200 S. Eugene Worden Wedgewood Manor Homeowners Association 37420 Wedgewood Drive Zephyrhills, FL 33541 Subject: CONSTRUCTION AUTHORIZATION projec,: Name: Permit No. : County: Sec/Twp/Rge: Wedge,.mod Hanor 401944.00 Pasco 10/26S/21E Reference: Chapter 40D-4, Florida Administrative Code (F.A.C.) Section 40D-4. 331 (2) (b) 1-6, F .A. C. Dear Mr. Worden: The Southwest Florida Water Management District is responsible for protecting the water resource and its related environment for the citizens of the District. The District Governing Board has adopted permitting requirements designed to conserve water resources, preserve water quality, protect wetlands and reduce flooding. We have received your request for construction of four shuffleboard courts (2,124 square feet) within the limits of the above referenced project. We are pleased to notify you that your request has been granted. Plans and opinion. should be transport information submitted will be kept on filE~ in support of this Please be reminded that all practicable and necessary effort taken during construction to control and prevent erosion and of sediments downstream. If we can be of extension 4375. ce, please contact David Z. Sua, P.E. at M. Mroz, P.E. Water Regulation Manager ille Regulation Department WMM:DZS:mjs3761 cc: File of Record, C. Booth S. Sebaali, P.E., Sr. Professional Engineer Source: Letter B1S:4/95 # APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BrrILDING DEPARTMENT " OWNER'S NAKE Wedgewood Manor Homeowners 'ii, 2tJ/~ft?)Je WI? AA;() 7r3 -:6,I~ ~~ PHONE OWNER'S ADDRESS 37420 Wedgewood Drive, Zephyrhills, Fl. 33541 JOB ADDRESS 37u?n l^lor1gt=H&Tf"\Ad nViHQ, 19pR~TI?RillfJ, Fl. 335/11 LEGAL DESCRIPTION: LOT(S) C:/i'i lltt~dlQg BLOCK SUBDIVISION PARCEL I.D.' 10-26-21-0120-00000-00AO (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-1L-New Construction _Addition _Alteration _Repair _Install _Sign -1Iove _Deaolish PROPOSED USE: _Single Faaily _KIF _, of Units _K/H 1L-<=<-ercial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: Construct (4) Shuffleboard Courts BUILDING SIZE: 14 X 61. 2124 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. -X....-BUILDING $ $RR?fi 00 Valuation of Total Construction I) _~1J~~ JY'~6{) PERMITS REOUESTED _ELECTRICAL _MECHAlfiCAL AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel X SlRn Other FDfISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ...........**.**.**.****..*.************** r BUILDER CONTRACTOR SECTION Signature COMPANY Tnp. Nidy ComVRny State Cert. or Regist.' CBC-0~7Rs2 City License Registration' 1[14 '1-CB C0'178s? ****************.**************** F.T ,RCTRIClAN COMPANY State Cert. or Regist. # City License Registration # ********.********************************* SilnlAture PLUMBER COMPANY State Cert. or Regist. , City License Registration # ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. f City License Registration , *********.*~****************************** Signature OTRF.R COMPANY State Cert. or Regist. f City License Registration f .*****.*********************************** BY~JIt'f1lWl/l~ Signature APPLICATION APPROVED PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. fhe undersigned assUles responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake wort, they JaY be required to be licensed in accordance with state and local requlations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeaeanor 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 DepartJent, (813) 788-6611. FurtbeIlOre, if the owner has bired a contractor or contractors, he 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 peraitting 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 "Florida's Construction Lien Law - HoJeowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to cOJJenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all tbe inforlation in this application is accurate and that all work will be done in coapliance with all appliCable laws regulating construction, zoning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has COJJeDced prior to issuance of a perlit and that all work will be perforaed to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the requlations of other governaental agencies Jay apply to the intended work, and that it is Jy responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of KnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Knvironaentally Sensitive Lands, Water/Wastewater freatJent t Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater freatJent, Septic fanks t US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "coapensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball beCOlB invalid unless the work authorized by such pertit is cOJJenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tiae the work is cOllenced. One 90 day 81tension of tile, Jay be allowed for the pe~it with fee charge of $15.00. The extension shall 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. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEIICEMENt' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENt'S TO YOUR PROPERTY. IF YOU INt'EIm TO OBfAIH FINAJlCING, CONSULf WIfH YOUR LENDER OR AM AnORHEY BEFORE RECORDING YOUR JfO'l'ICE OF ClIIIEIICIlIlEI " IllS IlIIlIR *) 5IJIJ II VALUE 00 IIIlr lIED to IlIC1lIIIl AlD POSI A 'VIlIICI OF ~ NA RE. 0 AGENt' II"". SIm~~ ~~# STATE OF FLORIDA /J STATK OF FLORIDA COUtn'Y OF 17/ cJ.od.A:U) coum OF Seminole The foregoing instrument~as acknowledged The foregoing instrument was acknowledged before me this /07ffJ{),{./, 192& by before me this 7th June, 19~ by 5. E Ut;'C' AJE u...) LJ J( L) E.J who is personally known to me or who ha produced<D D ~ !5-~ - - a. ication d who did did not ta Lynn Scott Nidy who is personally known to me ~xx..~xbasx R~~~~xxyyyyyyxxxxxxxxxxxxxxxxxxxxxxxxx ~5tx~5t~~~*U:R;l1E*"Jlxand 0 'JI/d~d not tak oath'. (s~ure) ~ D615~F. c. 0.E//V9/J[) (Name Typed, prin~ or S amped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC .,~~~ "~i':~ Bobble S. SWIltla". ~*: 1*% MY COMMISSION /I CC5;.'I492 ~'. ..,.~ Feb ' i ~J,t.... ~~" ruary 2"2, ;;:or,n , 'i/f.,fl\" BONDED l1iRU TROY "'JIIIN", . . ~,tJ'.V 'tu.. '*'n--t:"" *~.~* '''It If F\.l\"'~ MONICA L DILLON My Commission CC380593 Expire" Jun. 08, 1998 Bonded by HAl 800-422-1555 ----- I I / ..-:1 ' /. . _/ C" cnG;~ nno E..G;tT1 ~>~ "'":....:j0 Ii...... 0 ~~tj ~- ~ ~ >0 ~ ~ C" .: ~l.'. ". C" 18Oj' * /) dJ ....... 0'- oq - c'I - 0 ~ t>- ~ (J . C) ,.. or --:::--~ ' /1: I r ~ / I ", / p 61 ~ th! ! I /, gj / ~ ~- 4l1' - ::1. \+ ~ ~ v, r~. ~.~; ~ ;g o n""d 00 ~~ ~tj ~~ "Tj ~ ~ o ~ i./ . I ,..,':t . /.' . i ,.,: , ' / ,J J I ( , I'-J"l i r.'~ I ;; I I" ! /' ( / / I ~ I I I j,.. . . ." .- :.... _/ ........ ---- - :1. \+ .C10 ~ ~ ;g I n~ 00 ~~ ~O i~ ~ t:C o ~ 0'- o~ - 1'3 - 0 ~ 1>- 6 (J p. or I "",';t c- cn~~ 0(')0 E.~m ~>~ --:~O Ii - 0 ~~O ~- ~ ~ >0 ~ c- .... la~'* 4l.#. ---~. I r ~ / I '" / p il ~ f~( ~ ! I //' ~ Ol /' ( dJ v, tj~ i / . I /) /' ", . i..,: . J -, ,;/ } I l' /' . 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