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Home My WebLink About96-6002 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit Nt? - 6002 r/l (813) 788-6611 Date 7-;;)ft,-cy~ ~~o ELECTRICAL PLUMBING MECHANICAL Sewer Conn 4?D BUILDING Water Conn: Property Owner: V~ 4- ~Q~~ <i2~o~ Job Address: 3~(nd.C:S ~ "1::.li ~. ParceII.D.# 1/- ~~-d./-Q{!)IO-/~'fao -C>('t)9o Water Meter: T.I.F.'s: Zoning: Energy Code: Radon Gas: Description of Work ~ ~~m,..e NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector B. g~ to eS: City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# 7i"i-!CJI)(Q .h C&> Valuation or ...R' ~ "!SO ~ Contract Price ~WfllV/l- BUILDING {)WPlC!t- ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor IFinal SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 PUKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~; ,::( f. OWNER'S NAKE K.a/A;e. +- }fJa~S#~Etr OWNER'S ADDRESS 3 ~ 6.:2 :) 1f fit J4 v e. . 3 ~ !P;2J S of'" J1-tlE .fJt jcRdI PHONE ;7~? <6 - ''it) t, JOB ADDRESS LEGAL DESCRIPTION: LOT(S) q ~ I D BLOCK I TJ tJ. SUBDIVISION PARCEL 1. D. . It - ;;2 fp<) l - e t) I 0- (f) t{ [) () - D D ? 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration ~epair t/Install _Sign _Hove _Deaolish PROPOSED USE: _Single Faaily --1f.1 F _' of Units _H/H V Swia. Pool _Other _~ercial _Indust. _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: P(,\+ i.tf SWI It1M; "'j Pr-D , /l"BOVJ: BUILDING SIZE: J.J... X ';U/, OJ.. If ~ Square Feet, 4. .(JfHeight , \ FX/57/~ G-KtJU;.JD L r-CAt!E ) / RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. / BUILDING "/ELECTRICAL $ PERMITS REOUESTED .J.Sf).9D Valuation of Total Construction AMP Service /' Florida Power Corp. W.R.E.C. -'fECBANICAL $ Valuation of Hechanical Installation _PL~ING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? YES NO ****************************************** CONTRAC'l'OR SECTION BUTT.DER ~ ,.. ~ COMPANY LV v t:" State Cert. or Regist. . Signature ~ R- ~~ City License Registration t .......................................... f c;;w'~ ~: .~ n J Rl.RCTRTCIAN COMPANY J~1 t> ~ ~ D.Al l? Ie G-f ~ I <- ~ ./\) A ___ _. ("\.. ~_ r\:o. State Cert. or Regist. t SilmAture 1/ ~ ~ ,l~ City License Registration' ****************************************** PLmtBER Signature COMPANY State Cert. or Regist. t City License Registration . ****************************************** - tlECBANICAL COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature OTRRR COMPANY State Cert. or Regist. . City License Registration , ******************************* Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands tbat tbis pel'lit lay be subject to Ideed restrictions" wbich lay be lOre restrictive than City regulations. The undersigned assOles responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas bired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lay be cited for a lisdeleanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrhills Building Departlent, (813) 788-6611. FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe "Contractor Sections. of tbis application for wbich tbey will be responsible. If you, as tbe owner sign as tbe contractor, you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to perlitting privileges in tbe City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - BOIeOw.Der's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is sOleone otber than tbe lIowner", I certify tbat I have obtained a copy of tbe above described docUlent and prOllise in good faith to deliver it to tbe "owner" prior to cOlleDcelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe infol'lation in tbis application is accurate and tbat all work will be done in cOlpliance witb all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or installation has cOllenced prior to issuance of a pel'lit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in tbe jurisdiction. I also certify tbat I understand tbat tbe regulations of otber govel1llental agencies laY apply to tbe intended work, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Healtb i Rebabilitative Services, EnvirODleDtal Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatelent I also certify tbat, if fill laterial is to be used in Flood Zone IAII or "A,etc.", it is understood tbat a drainage plan addressing a .cOlpeDsating volOle" will be subtitted which is prepared by a professional engineer registered in the State of Florida ~rior to perlit. issuance. A perlit issued shall 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 tbe technical codes, nor shall issuance of a perlit prevent tbe Building Official frOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced witbin six IOntbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after tbe till! tbe work is cOllenced. One 90 day extension of tile, lilY be allowed for the pel'li~ witb fee charge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An approved inspection lUst be logged during each six IOntb period, or tbe project will be considered abandoned. WADING '1'0 0WlfflR: YOUR FAILURE TO RECORD A NOTICE OF COMMDCBHEliT HAY RESULT IH YOUR PAYING TWICE FOR IHPROVlMDrS TO YOUR PROPERTY. IF YOU IliTEIfD TO OBTAIN FIHAHCING, CONSULT WITH YOUR LErmER OR Alf A11011MEY BEFORE RECORDIHG YOUR NOTICE OF COMMENCBHEHT. JOBS UlfDER $2,500 IN VALUE 00 NOT NEED 1'0 RECORD AJfD POST A "NOTICE OF COMHDCBHElft'". SIGNA'fURB: CMD:R OR AGENT SIGNATURE: COlft'RACTOR STATE OF FLORIDA COUlfTY OF The foregoing instrument was aCknowledged before me this , 19 by --- STATE OF FLORIDA COmy OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ':~'::';/'~."::.4t~. :(f'. t~ ~i. ~~~~~ )..,>;,.". ~~. '0" 0'" '0' ;~~~it~J;:~""~ ....,'. . . ' ?Kk1;;S> . . ':~~:':;\f,i,~;:;'..NAMB: -.KA1Ulta ..J. ntM~ P~'ct.Jsrr ';i~ J~~.,~'i'~. ~'~~'.. .' .. . "~'<r::.;.:t" AD' f)DP('S" 38(,2.$ t!:J'TN IM6 .~.."" " . ~ -."~- t CJ . ;. ". CITY' '.' ..... -. t ZSWYIlIJ/(..W '. " ",;>1::~:';;:':,:(: ':;~~:~'Y:ir .. / THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF FLORIDA POWER CORPORATION, PROVIDED THAT THE POOL IS INSTALLED IN THE LOCATION SHOWN ON THE ATTACHED SITE PLAN PROVIDED TO US BY THE POOL CONTRACTOR. ... " l' THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES CONFLICT WITH OIH UIG FACILITIES OF FLORIDA POWER CO~ORATION. ... :~~.~..~~.'~tt;;.: ;~: . : ...... '.-' ---........ .. 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 CORPORA nON '0' . " ... . ..... ',,; .. " 00 ~ ~ ik...-) ~~~ STEP~EN F. BUNNER DISTRlBUTION ENGINEERlNG .... ~ " . .', 000 :' ..~.'.' ZEPHYRHILlS OPERATION CENTER: 36453 G 0100' ROIlIj . Zophy'hill, . flortde 33541 . (8131 783.09 H A Rorid, PrOgffU Comp,ny - SEC,..LL. TWP..a S., RNG..lLE, PA seo CD~NrY', ~~o,llIPA INC. LEGAL DESCRIPTION ~ 10, Block 104, CIT1 OF ZEPH1RHILLS, as plat Book 1, Pa90 54, public Records lOt)', flor ida. vt:'i: AI'HIL. 21, 1993 ~FIED TO HOLTON ALLEN & WILLIAHS FIRST AHERICAN 1l0MEOWNERS TITLE KATIIIF. PRICKETT MARGARET PRICKETT i: PJl,ICKETT .. RET PRICKETT o LOCATION SURVEY ]-ZH RH P"NEL 11120235 0005 C, REVISED 91, THIS LOT LIES IN fLOOD ZONE UHNED '1'0 OUTSIDE SOO-YEAR FLOOD 4" I ..5"CA~e-: / ..10 /' ./" ~(f I)- ~v .' / ,-/' V"'f -1, o 10 uunCMI (1' ~ an ~ tCtm. ur l\I:lDO ~ ]F MAY JW/CII (MlI2lB1U' ~CII Do:PT lIS 811::".1. p.wv V11\U1t nil IIJU'lT // / / ~ J-- ..--/ \/ / /" // FRED DtJEL .. ASSOCIATES, INC. 51~1 CALL BOULEVARD ZEPHYRIIILLS, FLORIDA ]J5.' (81l) 782-6717 i-P/L.i.CJt;{.4 r Pn'fd Deuel 8. Associat6s, Inc. 4 -.. ~ ..... ........ ..- '- D& '~J~"'--)~ 1fC. sEc,...LL. TWP..iL s., RNG..lLE. PA sco C(H/NrY', ;;:~(),IlIPA LEGAL DESC~IPTION ~ 10, Block 104, CIT1 OF ZEPH1RHILLS, as plat Book 1, Pa98 54, public Records lOt)', Floc 1da. VEY; APHIl. 21, 199] CERTIFIED TO MOLTON ALLEN & WILI,IAMS FIRST AMERICAN 1l0MEOWNERS TITLE KATIIIF. PRICKETT HARGARE'r PRICKETT c: PRICKETT .. RET PRICKETT D LOCATION SURVEY 3-ZH /" / ~6~ I)- ~v .' / /'" " I .5CA~4': / ..10 ~ -.-:I I <:1 IQ RM P1-NEL _120235 0005 C, REVISED 91, THIS LOT LIES IN FLOOD ZONE lMINED TO OUTSIDE soa-YEAR FLOOD ILLl'Tlal8 (II ~ an M lCtID. or mDD JDU'CI'ING ~ leA Y Im/(II QClI1l.S1U' S\.IlVEY(II DlCU'T AS lIlDIN. ,NIP) Vl'l\P1f 'n4& IPd'1T // / / J.-. obi/ /,/ \~ ...- /..- .... / C. FRED DtJEL . ASSOCIATES, INC. 51~1 CALL 80ULEVAaD ZEPHYRHILLS, FLORIDA 115.1 (813) 782-i711 -tP~Jtpt r 1='u'!d Deuel 4. Associates, Inc. - . a.. '-" .... ......... Ie_ '-