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Home My WebLink About96-6057 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit Nt? 60576 Date R'-~;L-76 ~ ELECTRICAL PLUMBING MECHANICAL Pmperty owne/;;tj}-n 6 ~ Job Address: 3 0 tZ1'-e..- Parcell.D. # -3S'- ,;u..... ~ .J-/ - tJ os- A- - 000 CJ 0 - / ~O Zoning: Energy COde~ 1 Radon Gas: Description of Work / /:J X I if _ cf Sewer Conn Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee Signature Company Address Telephone# ~. <rD . f . u{ Q#J:/ Valuation or Contract Price ~.sV. cr-D City License Registration # State Certified License# ,~A- BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKlT CITY OF ZEPBnHILLS BUILDING DEPARTMENT OlIIIER'S ~J\JPl-Ll C;:;OL-T PHONE pg;j-It;S;2.. OlIIIER'S ADDllESS '38010 C/l/?1fJlE,U /.Ji/LE.> / 26.~/.l{tJ?jjll/'\ .J F/ .//0+ JOB ADDRESS ?>8"h/f) CM1I2W I9t/It- J 2~h'Y~ '~zs~ LEGAL DESCRIPTION: LOT(S) I~Ff BLOCX/ SUBDIVISION /f. ~ ~5r: PARCEL I.D.' B5-~~-:</ -fJCJS'I1-oomlJ - t;Z${) (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:.4New Construction _Addition _Alteration _Repair _Install _Sign _Kove _D~olish PROPOSED USE: -A-Single Faa-ily _K/F _' of Units _K/H _eo..ercial _Indust. _Swiat Pool _Other _Restaurant & Health Depar~ent Approval . ~ ANi7 ~ ;..16" r.]'11-- 3(J::fD' DESCRIPTION OF WORK: SttiftJ_ g lifiD CD\)5f2tJofM t9Al BUILDING SIZE: /0 x4. J ~f) Square Feet.~~eight RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~BUILDlNG PERMITS REOUESTED $ Valuation of Total Construction _ELECTRICAL AMP ServIce Florida Power Corp. W.R.E.C. -"ECllAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS TYPE OF CONSTRUC'l'ION: _Block ROOFING SPECIALTY _Fraae ~Steel Other IS PROJECT IN FLOOD ZONE AREA? YES ~ NO FIliISHED FLOOR ELEVAnONS: FT . .., ......................................*..* BUTT .DO CONTRACTOR SECTION Signature COMPANY State Cert. or Regist. . City License Registration . **************...*....********** F.T .RCTRICIAR COMPANY State Cert. or Regist. . City License Registration . ***************************.**.*********** SilmAture PLUMBER COMPANY State Cert. or Regist. . City License Registration . *******.********************************** Signature .. MECHANICAL COMPANY State Cert. or Regist. . City License Registration . .**....**.****************.*.*..********** Signature OTHRR COMPANY State Cert. or Regist. . City License Registration . *..*.*.*****.*******.******..**.********** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . Tbe undersigned understands that this perait lay be subject to Ddeed restrictions I which tay be lOre restrictive than City regulations. !he undersigned assutes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has bired a contractor or contractors to undertake work, they tay 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 tay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. Furtheraore, if the OlDer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the IContractor Sections I of this application for wbich 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 wisbes you to sign as contractor that tay be an indication that be is not properly licensed and is not entitled to pertitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of IFlorida's Construction Lien Law - lbIeowner's Protection Guide" prepared by the Florida Departtent of Agriculture and Consuter Affairs. If the applicant is sOleODe other than the "owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to cOlleDceaent. 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, zoning, and. land developaent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a pertit and that all work will be perforaed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies tal apply to the intended work, and that it is ty responsibJlity to identify wbat actions I lUst take to be in cotpliance. Such agencies include but are not litited to: t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater 'I'reatlent * Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Aray Corps of Engineers - Seawalls, Docks, Kavigable Waterways * Departtent of Health & ~ehabilitative ServiCes; Bnvironaental Health Unit - Wells, Wastewater Treattent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone IA" or "A,etc.", it is understood that a drainage plan addressing a ICOlpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit. issuance. A perait 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 tbe technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid unless the work authorized by such pert it is COIteIlced within sillOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of Sil IOntbs after the tite the work is C08l!J1ced. One 90 day extension of tite, tay be allowed for the pert~.twith fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned. WARKING TO 0WlfER: YOUR FAILURE '1'0 RECORD A NO'I'ICE OF COMIIElfCEHlKT HAY RESUL'I' IN YOUR PAYIKG !VICE FOR IMPROVEIIEMlS TO YOUR PROPERTY. IF YOU IMlEKD '1'0 OB'l'AIK FINAHCIKG, COKSUL'I' 1f1'l'H YOUR LBHDER OR AK A'l"l'ORKEY BEFORE RECORDIKG YOUR DICE OF COHMENCEHElfl'. JOBS UKDER $2,500 IN VALUE DO KO'I' ffEED !O RECORD AND POST A "KO'I'ICE OF C(JOIDCEMm'. SIGHA'l'URE: OWIIER OR AGEKT SIGKA'I'URE: cOKTRAC'I'OR STATE OF FLORIDA COUMIY OF The foregoing instrument was acknowledged before me this , 19 by ---- S!A'I'E OF FLORIDA coum 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 - DESCRIPTION: lOT /28, ALPHA VILLAGE ESTATES, PHASE II, ACCORDING TO THE MAP OR PLAT THEREOF AS RECORDED IN PLA T BOOK 231 PAGES 8 AND 91 PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. P;GlLGe,L IO. ~~"AS -~\ -OOS/}-OOOcO -- J Z.W CAMDEN A VENUE b 0 'R/4/ 22' ASPHAL T 2' CONe. CURB 5/8' F'.I.R. NO fD# - - - 5/8' F'.I.R. NO fO~ Il) <D s C/I3 Q: '" l'\J ~ - 1Y ~ . - a Ol 30.0 II!.O t 0 C COHCRE TF: oJ :: /5.9 lU ~ X <n x~ ~ 4' ctF ~ =::! ~ ::> \ I N 89'48'S.3.W 81.0 n <l) g CO/ICRfTF: ORM: J' CONe. '11 CO\of:RED COliC. I ~ 40.0 130 18.0 ~ 0 ., oJ tJ N ~ u .. /3 I ONE STORY MASON RES. 1138610 t- ~ as <n ~ ~ 2 ::> o .0 LOT /28 5.0' UTILITY EASEMENT N 89'4:J'10.W 81.0 Il) <D CPJ8CFJ 4' CONe. '/'If lib "8' F'.I.R. . NO 10# o 0) 1:\1 o d'9 ..;. N ~r~ ~ ~ 110 Q: " ~ - ~ ~ "" - . 8 (/) ~ l. ~ v~ 4 7'.39(P) I 47.60(F) o l- ~I -J .0 ~C!I-0~ Id ~ ~t'" 1:1 (PJa(F) ~- L~ F'IVD X ~ ON TRANSfORMER ~ ~~ TASK: BOUNDARY SURVEY 4X4, F.C.M. W/NAIL NO Ion ~ Ct: 0 <: - 0 C\J :: - . . Q) - \) u " <t) SURVEYOR'S NOTES I. Thl, {, a Boundary Survey, mad. on th. ~und IJt'Idff' lhe sU~ff'V'sIon 01 a FlorIda Regl,r-ered Land Surveyor. FJeld slJ/'Vty wa, ,ompleted on /1- Zz,- t;)S Z. Sfarlngs 'Xe based on ~e. '5'iNh ~jo/t:M~ "f''Z.,. /z. I'i'S N. <a<)'Ae'S3'41, p~ PI....+. J. No IJt'lcierground utl1Jtl", IJt'Iderground' encroaeJiment. or bu(Jd~ foUlldaTlons lIIere m.asured or locaTed 0' a part of thl. survey, unleu o1f1erwlu sholllfl. Treu OIld shrubs not locat.d, unlesJ Olhtrwls. shown. 4. Thl, survey wa, condut:t.d for me "urpose of a Boundary SIJrV'eY OIIly, and Is not Intended to delineate the rfgu/atory )urlsdJet'on 01 allY ffderal $tat., rtg/onal or lo,al agency, board, commission or otl1er J/m/Jar fnHry 5. This survey lIIas condu'tfd without thf bfn.fit of an oDstra't of title, therefore, there may be other easements, rlg/lts-<Jf-way, se!bad< lines, agff.I1lfMJ. reservatlonJ. restr'et/oO$, or other siTl/Jar matters 01 pub/I, record. nOT depleted on th/. JurvfY. 0. flood lone determination based upon a $,aled lltte.r~rttcnlon of lhe Flood illSurOllCl Rate Map a, shown hereon. prior to I:fJnstructlon Bul/dlng Depanrllfnt should be I:fJntocted for 'Mrffieatlon flood lone.. 7. Attention /, dIrected to me foet mat thl, survey may have been reduc-ed or enlarged lit sill due to reproduction. Thl, sflouJd b. talcen IIlto I:fJns/<krcnlon ill'hen obtaining se-aled data. 8. Thl, $urvey r, not w1Jd unleu Imprlnted with on emboued SlJrV'eyor', Seal LEGEND ",0.&. ,.at rl ~ AND ABBREVATIONS: "'" .QHI,..w.or....- ",o.c.- S;;r:r-..:..~~~u c..-- '.J..It.. ~ hit "" U,fWoA-flftU. FlHr l> _ 81M ,../1.. ~ b+..t UII.- lhIfI1 FJ.P.- ~ hit ~ fl._ 0.&- hod ~ 1',.. ~ u.-'I. .....-. FtKi- 1O<Ml4 .vc. dT ~ (Fl. 00Id _...-t R. r~ ....S.VA. IIdtl><l S,UO...., ha "" "',. c..&. <honI k"" . (p). ,Jcr......- . f//'ff. r1f/tI rl."., ~ \W'1lt4I ~t65 01 ~ CA.. chot'd __ ~. ",1uI o.r- SJlJ(. - ..,,,,,, I U c-i.. <h"*' .. Ru:=' lIVr. ...... 1Wl<9 c-i. -..... I'll..... ~:~. --- 116Io: 'XlI.,. >>.tn. ~ '1'4. IHI ~ ~ ,. -fWrl>H4,." (D).o.H Y/I-Udt/wflll (tJ-CClINcIW ~ nOOD ZONE CERTIFICATE: Thl. I, to c-enlfy mat the prO~fr1Y shown tlffeon 1alls wlthill fflod Zone C. as per 1M Flood Insurance Rate Mop, Community Panel NumOerJ1#'14 (?:z~c- ,datfd T-;$'-,4 Certlffed To: Ronald & Barbara Solt Sunstate Title Agency, Inc./First Americ Title Insurance Co.; Barnett Bank of Pas SURVEYOR'S CERTIFICATE: nil, ..'II".. Ih, , n,v" ., rh. 'fO'OI'll ~...rlbo~ .or... .u _~. g.i.,. "" ru,,,.',',,, &Il~ Ih' !h. ..'VII...." 111. ~11I1..... ruhl", 'I'ni"~, ut ,.,.,/1 bl Ih ",., Ii' f..,i ., ,.",...1011'/ L..i SIP",'" I. Cle"., eI817-t. I',."i. Ac.llIl,Ir,IIv. C'i.. ,.".an, r. St.II." 47t.0I7. F/OI'li, SIIIYI". Arli. fh" Ih, ,&.,,/1 h.,... I' f rru .n; llCUf'I' ,.,f"ullll." IA".., It fh, but " "" lanl.i,. .lIi boll.,. $d/ut I. ."u 011; ."",... ,h". A.,.... ~~~ EddIe P. enklns PLS ~&SJOHJL ~ I fIIN>PfJt flORlM 1tf6lrnU~ ~ R,vfsJon3 Den. David L. Smith PLS PfKiIY~ 3~ I MAPPU ~ F/(SlSl'lUTION ~ R,vf$/on$ Den. I I T Jenkins & Smith SURVEYING AND MAPPING 1900 HWY. 41 NORTHJ SUITE: III J LUTZ FL 33549 LOCATED IN!.AI<c FRANCISCO PlAZA - PH (813) 9048-2666 FAX 9049-'8/7 P.e. (J,e.. F.8. v'- Job /:1 ')511-~.J Pa. - o rait ?;:r: Check? ;r Sta.t1 Z s,c. M/$C. RJ..JOf Sneel / of I r,