HomeMy WebLinkAbout96-6116
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
NC?
-- 6116 ,.8
8-tJ. en; tl (!). cro
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Pmperty owne'~ 7!? ~
Job Address: c'.. ~. tl~~
Parcel I. D. # l 3S----- /.J. <:" -c!;).../ - 0 c:AS - t:7 c7 ,/7(5' 0 -- / J-6- D
Date
f - ,~,-5 --7-1.,
c2LJ. v"'7:J
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
J~II fA fiT:/~ / /,J~
- p
Radon Gas:
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NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
1/- .J.j/cp
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe'm;' Fee~ ~ . q).
Signature. _~~ P LA -
Company
Address
Telephone#
Valuation or
Contract Price
I ~ I 'fc?a?JD
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City License Registration # I 9' f?- :7
State Certified License#
d~~t~J1?/L'
BUILDING
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ELECTRICAL
PLUMBING MECHANICAL
~:~ s~&-~~ ~:~:~'1~
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter
Final
Driveway ~~ \o-lO-Cl ~
~ q-30.Glo Bo<3
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
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.
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APPLICATION FOR PERMIT
CITY OF ZEPIIYRJIlLLS
BUILDING DEPARTHENT
9~,S~<IJ Cp. ~~.
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OWNER'S NAHE_Y-<OJ-l f BAR BARA SCPC-r
OWNER'S AUDRESS a SA Ih ..;;; JArs 6E:Lc>c....U
JOB ADDRESS 3~Ce (0 ('Am b€:N ~Vt .
PIIONE 7 g 5 .... ) 4( 5" ;>....
LEGAL DESGRIPTION: LOT(S)
/ :JX
BLOCK
SUBDIVISION.1tcPH A II'L<....Ac€ 87JlT~S
PARCEL LD.t 3';-- ;l5-.;2..l -oo5A-noOoD- 1-::l5?o
COBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~New Construction _Addition _Alteration _Repair :.....-.Install
_Sign _Move _Delio I ish
PROPOSED USE: _Single Family _H/F _, of Units _M/8
- Connercial _Indust. .,Lswim. Pool _Other
_Restaurant & lIealth Department Approval
DESCRIPTION OF WORK: (2pA.JCI1FtE IIJc,I!.o<.IIJo SUJ'/h...fY\lt.Je. P"OL ~( KOOL O~-cK..
p()() l.. , I
BUILDING SIZE: (<( X ;2..8', 3:J.-o Square Feet, Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
V BUILDING
V ELEL"TRlCAL
$
I a- 4 00 . p .:;; Valuation of Total Construction
r
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING SPECIALTY
TYPE OP CONSTRUCTION: _Block _FrUle _Steel ~Otl1er
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN PLOOD ZONE AREA?
YES NO
....*..*..*.*.*..********.******.***.**.**
CONTRACTOR SECTION . n
/. ~HA<-L~~c:..E:..R rOOL-5
COMPANY BR..uc.€ E. ESqUII..JAWO
State Cert. or Regist. t C.j}~D~O OS ~7
/ City License Registration ,
.***************..*************.**.****
./
0UIl.DER
COMPANY
State Cert. or Regist. f
City License Registration t
**************************************
COMPANY C!..Ji A Ll ~.}JCi ~
~~State Cert. or Regist. t
~~ City License Registration
* ****************************************
MECHANICAL
COMPANY
State Cert. or Regist. #
City License Registration ,
*****..****..****..*.*.*.*.***************
"
Signature
QIIIEB
COMPANY
State Cert. or Regist. #
City License Registration #
****************************************.*
Signature
APPLICATION APPROVED BY ~ ~ ~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A~ NOTICE OF DEED RESTRICTIONS
The undersign~d understands that this perlit lay be subject to 'deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assutes responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors 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 law, botb the owner and contractor lay be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents lay apply [or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
188-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
"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 perlitting 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 - HOIeOWDer's Protection
Guide" prepared by the Florida Departlent of Agricultur~ and Consuler Affairs. If the applicant is sOleone other than the
'owner', I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the
"ownerD prior to COllenCl!lent.
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 laws regulating construction, loning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDIental agencies tay apply to the intended work, 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:
· Departlent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treallent
t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Nastewater Treatlent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a 'colpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall 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 shall issuance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors ,in plans, construc~ion,o[ violations of any code. Every perlit issued shall becOle invalid
unless the work authorized by such perlit is cOllBDced within six IOnths of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOIIeDced. One 90 day IlItension of tite, laY 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 six IODth period, or the project will be considered abandoned.
NARIfING TO ONIfER: YOUR FAILURE TO RECORD A NOTICE OF COIIHIIICIHIlfT HAY RESULT IN YOUR PAYING !NICE FOR IMPROVEHmS TO YOUR
PROPERTY. IF YOU IlfTEND TO OBTAIlf FIlfAlfCIJfG, CONSULT NITH YOUR LENDER OR AN AnORBIY BEFORE RECORDING YOUR NOTICE OF
COHKENCEHllfT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHIIfCEHIlfT".
~<
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~~/ SICKA ~. 00- - .
and who did/did not
\
(N~e ped, Printed
NOTARY PUBLIC
~~~ JODI HALDEN
W My Commiaeion 00424504
* * Expires Dec. 05, 1998
" Bonded by HAl
~DFF\.G"~'" 800-422-1565
STATE OF FLOR!1' \_
COUNTY OF \. \ \ ~\::{X()O~'t)
The foregoing instrument wa acknowledged
before me this \~S'" cf2, 19 q( () by
~ec\'G~
~,l)~e.. ~_ E.~l ~(lA\clu
who is personally kno n to me or who has
produced
as identification and who did/did not
t~h:~cla1\
(Sig t r~, \~ \~en
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~~~ JODI HALDEN
. My Comminion CC424504
* * Expires Dec. 05. 1998
., Bonded by HAl
~JtDFF\.O~'" 800-422-1555
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;:~~~:...:;.. ADD~S:. ';;;0 ,,/ (,/ \..rvn t)t::l#V ~
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.~. ..... ..CITY: ?eI')/y~#/~
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/ 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 ^ITACHED SITE PLAN PROVIDED TO US BY
THB POOL CONT~CTOR. ;..
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of
- THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS
DOES CONFLICT WITH. O/H lJ/G FACILITIES OF FLOlUDA POWER
CO~ORATION. ,
:~1~f~P:
;-..- .~..
. ARRANGEMENTS HA VE BEEN MADl> WITH US FOR RELOCATION OF THE
FACILITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE A1TACHED SITE
PLAN.
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FLORIDA POWER CORPORATION
. J/;.L 1: ~ I/U/9G
STE~";;. DUNNER
DISTRiBUTION ENGlNEERlNG
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lE'HYftH'e.U Ol'fMTlO"i Cf.NTfR: ;16"53 O'IQ,I Roed . Z,phVllvl/t. FIMtJa J3~"1 , C81JJ '~J'UH
A Rrllirl. hflf(.~~ Cr:mJpeny
T -T 9b-,97 6nti
;:;O"d 1700' ON ~11;,:::;' y
-fT8:l31 dlJ SdO SllIH Hd3Z Jdj
. DESCRIPTION: LOT 128, ALPHA VILLAGE ESTATES, PHASE II, ACCORDING
TO THE MAP OR PLAT THEREOF AS RECORDED IN PLAT BOOK 23,
PAGES 8 AND 9, PUBLIC RECORDS OF PASCO COUNT)', FLORIDA.
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CAMDEN A VENUE
60 'RItJ/ 22' ASPHALT
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ON TRANSFORMEA
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TASK: BOUNDARY SURVEY
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SURVEYOR'S NOTES
I. Thl, r, a Boundary Survey, mad. on rtI. ~und UIIdH II'l, ~ucKVf~/on 01 a
1'10'1* Rtg(srend Land Swvtj'Qr. Fl9ld ~UfVt1 11'0' ",mpltrtd on 11- Z2- ~S
Z. S,arJn#. ~.. baHd 011 f.{e, -r~HJt ~~ ~",,.j r 'd. I' /1., I'lS
tV. ~'}'A ~'S3"41. pH" P}..-f..
J. ~ lJ/\awgroUlld IJ1l11tlu. undet~UIId' ellc.roa~mtnts or buildIng folJlldatlOIl'
lJIer. /Ma.und or located as a pert of thl, .I.J/'WY, unless ortlerwlu
sl'lOlJllI. T,u. OIld ~hrub. nol locor,d. un/u. oln.,-"/u ~ho..n.
4. ThIs ,lJIVIy 11'0' eOlldu~.d for m. purpose of a BounO<uy Survey Oll/Y,
and Is 1101 III1,nd.d to d.lItl,at. me flguJatory jlJrl~dlcllon 01 atI1 f,deraJ
,tar" flgJonal or local ag.ncy, board. cOlMllJSlofl or oln" ~/rnIJat IflHIy
50 Thl, ~tJlVfl 11'0' conduct.d lJIltholJ1 tll. b.".ftt of on ab~trQCr 01 tlt~,
menfon, rtlere may b. om., taumeJlt,. r1g/lr,-of-'f1ay, lltOad< nllU,
agJ'fClMnrs. r"trVa110M, r"wlc-lions, or Oln.r stnUor marl." 01 ~uol/c "co:d.
IlOt depleted on lhl. ~urv',.
6.. F100d lon. derermlnC1/on bond upOIl a ,c-aied rnrerpffta1/ol1 of 11'l. Flood
IIIIIJrIUlN Rate Mop os silown MreOll. prior to ~llStrlJcrJon Sulldlng Q.panrn.nr
should b, ~lItoeted for vvt1l~~n f100d 101le.
7. Atnntlon I, dlncted to me tact mat thl. survey may Ilavt bUll redu~d
or ellklged /11 ,iu due to reproducl/on. This .f1ouJd be tcicen Into ~1I$Jdfra1/Otl
when o/Halnlng ,<<1/td dotcJ.
8. Thl, sl.l/'Vty I, IICt wild W'l/e" Irnpr1llted lJIlm an tmboued SW'v.yor'. Sial
LEGEND '.0.&. ,.at ,,~
AND A88REVATIONS: "'" .0.... --- M.C.. ~~":OI~~~ c.."..
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FLOOD ZONE CERTIFICATE: Th/, I, to CWltty mot th. proc.n! ~holJln
lw,on falu wlfhln Flood Zor.. C 0' P'" Ill. Flood
InSIJrOllN ,qote Map. Community fOMJ Number1il",ld r:?7,;VC, ,dat,dT-/s--'4
Cen/fled To: Ronald & Barbara Solt
Sunstate Title Agency, Inc./First American
Title Insurance Co.; Barnett Bank of Pasco
SURVEYOR'S CERT1FlCATE:
TllI. ,,,,,".. tau . ..,n, .t I.. ,,,,., " Ii.., Ih~ hrft. "4
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Eddie P. enklns PLS
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David L. Smith PLS
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Jenkins & Smith
SURVEYING AND MAPPING
1900 HWY. 41 NORTH, SUiTe III, LUTZ FL 33549
LOCATro IN LAKE FP.A.W:1SCO PULA - PH (SI3) ~S-2666 fAX 949-'817
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