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BUILDING PERMIT
Permit NC1
CITY OF ZEPHYRHILLS
(813) 788-6611
- 6166 (]
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Date /6' '-1 '7 - ? b
BUILDING
7 S.--S()
ELECTRICAL
70. CJ7J
PLUMBING
...3..!> -. 01J
MECHANICAL
Sewer Conn I d- ,?; t7V
Water Conn: J~ . tiV d. .
, h--!:> " t!J?;) ~ '
Water Meter: / b .-5 '. trD
T.I.F.'s:
Pmpe"y Own., .~~~~ h
Job Address: ..3..2L3.___ __ ~ _L
Parcel I. D. 1/ J_~~~~_-:dI-- i fl - 0 - t, 0
Zoning:__ Radon G 5: 3/. ;L
Description of Work _
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~~,~~z.-2-~/Y-j,? ~~ /:33 n 11-\
NO OCCUP~NCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
FINAL_Jl
-~
C.O. <- -
DATE
Inspector )0
Valuation or "":T
Contract Price ._8:~O_~_7 tT7J
Permit Fee
Signature
Company
Address /'
TelePhone("13) g~/- ~411
~~~~ /i"<fO _ ~L..Lt" dH
~
City License Registration # J3 .:L
State Certified License#
7J~~~~~ ~~l~'A;ir.us-
BUILDING ELECTRICAL PLUMBING
FtL (I I .~/.L~ Tp. So.v. SLB IO-2'ii-~ B;.t.L
Pre SLBt! r! I.f[t1J./ Rough In 1-/Jf-ty'1 g~.f5 Tub Set /-10-97 BILL
Lintel 1/....2-2 -914,~ LI Meter Can Lo -/ ?-9b Water
FRM. 1-)4-97/5/LL- Const. Pole JlJ-2S"-rr~.6of3 Sewer ) - 10 - 97 8/){3
Insul. CL I Pool Final ~ //7/1 '7 f?.v Fi
WL ,,....],112,") f?.,6 Pre-Meter
Final
Driveway 3-1,Qrr BII../..o. S?.Qalr IO--z.s-~~8()
~ 0 ft ...;-!l-:A ~ I~ '"31..q ftA~ ~ \ I.... \ -~ f.t, 6~B
~"V 11 I,?(Ql 80b
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/1 00 Dollars ($15.00) shall be made for each trip for each trade: . ~~ /tJ-/?~4
a, Wrong Address Vd ~
b, Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site,
f. Plans not at job site,
g, Work not accessible.
MECHANICAL
Breakers
Ducts Insl./-1DflrJ Bt!>1l
Compress9r I-:::.
Final { tL9 Ly- 7 ~b
, ~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
BUILDER: W1n$nmer Home BuIlders
ADDRESS: 37137 CUIens TRail
OWNER:
sa. FT. PRICE
LMNG OR MAIN AREA:l 2,182 I S 35.00 I
OTHER AREA UNDER ROOF:~ 837 I S 11.00 I
OTHER:~ 0 ~ S 11.00 ~
SQUARE FEET UNDER ROOF:t 3,128 ~
VALUATION:I S 87,027.00 I
ADDRESS:I S 20.00 I
DRNEWAY:I S 20.00 I
FEE8:r S 413.00 1
BLDG. PLUMB. ELEC. MECH.
PERMIT FEE8:' S 588.50 I S 70.00 ~ S 75.50 ~ $35.00
314" 1" 2"
WATER METER SIZE:t S X 185.00 I s 245.00 I S 810.00 I s 840.00 I
SEWER WATER METER
CONNECTION FEE8:1 S 1,278.00 I S 350.00 I S 185.00 I
RADON GA8:l S
PERMIT FEE8:~ S
CONNECTION FEE8:' S
WATER METER:I S
TRAN8PORTATION IMPACT FEE8:1 S
99%. S
1% $
31.281
750.00 ~
1,828.00 f
185.00 ~
: I
CREDIT:~ S
SUB-TOTALl $
80.00 f
2,574.29 f
185.00 ~
2,739.29 I
IRRIGATION METERt $
TOTALI $
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APPLICATION FOR ~mnT'
CI'lr"; OF ~EPHnm.l.i-O:;' .
lllllU.DING DEPUTI~~T .'
. ,
C'ft":\~r&R'S JH&~ Ricky and Sharon Black PHON~? 783 3790
P.O. Box 1705 Zephyrhills, Florida 33539
GW!iJf:2E,' S ADDRESS
Lot 60 Cullen's Trail Zephyrhills, Florida
~3P I~ 7
_}41'B lJ)DRESS
L'EG'J,L DESGrUPUON: L01'(S)
60 (Stephen~~~n)
Sm5Di"IISION
Silver Oaks
P..Jl.F"CiEL I, D . t
{. OETAElJ FRO~i PJRO)1>ERTY TAX NO:,::):C~ ~
'fJGRK. 1':10roSED:~~e'Oii' GCJnstL'..1ction ~ddU:iou ----.J:J..teratioQ ----.JRepair _IGSt:Elll
_Sign
---...Kov~
~'~~olioh
'f~l...>
~..
PRcroSii':D USE: ~Sin81e Family
---.Jitf
1 'r:; of OOi ts
_H!li
_Coulercial
_.rD.dps~ .
_Swim. Pool
_G\::ner
--.J.'test81Uil"ant: 5: ~ealta Depaxbaent:~_.?prov~l
1
DESCFJPTION OP WORK:
New Construction - Single Family REsidence
:f;U-liJl=;.~~ SIZ3:
65' ~"
60'
Square Feet. 20' Height
Jri2SIIJE~Jl'LU:
CO~!ZRCUI.. :
!.Il'1'Am (2) PWT PI.AtiS {z en ;S~TS OF ~iTE~UJG PLANS & CO SET ENERGY FORt1S.
i;.TIAG3. (3) SETS m-.:> BUI"'J)ING flANS q (1) S~T ENERGY FOR:~m.
!?ROPERT1l SURVEY RSQUIREfi FO:.t fJ.L t;EV1 cot:smUCTION.
Z:-:''ThlI'$fi REow::sn:XE
_2-E [Ti WING
I..
V
55380.00
V&l~Uon of Total Constl;.-<ictiOlll
~ELJ~G.J.X]J:.aL
00
J'ill1P Se:.rvic?
xx
florida .Power Corp.
W.R.E.C.
x
----'~'1~1CAl.
X ..
__Pr.U[,C:'.:;::~G
~, 2,500.00
i(J:
VaJ.uat-ioo. Oif; Hec14(nical Installat.ion
NO
G\S
XX
ROOFlro'G
SPIWIAiL,TI
IT:?Z OF CO!STRUC'"nO~l: ~Block
_fJr~? _S~eel
, Other
;F';1'H1:;J~ FlOO2. EUVATIONS:
fl'.
JS p:10.n:CT I.~~ FI.OOD ZaNB jI.Jm.f.. 'J
~*~*~t~***~*t***~*'.6~W*~~*~**~~~~*~~*~~WO
YES NO
Signature
i
/
,I' ;/
. /../> // COMP~ WINDJAMMER HOMEBUILDERS,
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CO'1TRAGTOR S. '.:;rlm'l
INC.~
E.Hil~~
Elt$G'l~ZIGL2rJ
S ig:.1l.e tu:.:re
('-I'-'~
COMPANY
State C~xt. C~ Regist. ~_____ _
Cit.y Lic~.mse Registratio~& ___
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#~
SCHMITT ELECTRIC, ONC.
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l;:;,,~JJ1'l.B~1~
COiiPAllV
So:&e::e Ce::ft. r[;;._ :.~ras~.&t. (i
City Li~ease Registration
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SUOJANEN ENTERPRISES
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K~~~~~zJF~Ia
SJlgoiltu:o::-e
CG~ANY SCHM I TT, I NC .
Slta1:e GEl: ~t. or: Regbt. fJ
City Lic;mse i'\.eaistrstion
~~~~~~w~**..*ww*:*~~w~.*~~~~~*~~u~ww*ww~~*
/
11;..""13,!m
S:f.~twre
COt'.rp~.J'f'i
S~te CIe;ct. c.: 3egist. ;)j
C~ty ~1C~lJf:c Registration
~e*~~~~~u~~*.~0~~~*~~~~~~~w~*~~~
POST ROOFING
et!-~?3f:{ '(0 j
:.V_
~2?::GbTION APPROVRD ~y
P:1:llET OFrrciZR.
.,y~;.,..
CG~'"iD'i~~I01~S 0;"" PE::....MIT llFFIDA;\fIT
A. N'OTICE OF DEED RES'l'RIC'I'10NS
'tile undsrsignoo understands that this ;:ieldt loiay be subject to -aeed restdcticr,sH which Jay be lOre restricdvB than City
rG~llatlons. The andersis,iec assUles +espDusihility for cOl?:j~mce with an1 applicable deed restrictions.
B. UK'LICENSED CONTRJ..C~:;'ORS Al'ID CON'I....1ACTOR RESPONSIBI:::TIES
If the o~~er has hir~d a contractor or contractors to undertake ~ork, they W~1 b2 required to be licensed in &ccordance ~Ith
scate and local regulations. 1f the contrador is not licensed as requ.;:ec hy lall, both me vwer and contractor may be
cit~d tor a lisGe!ew1or violation uncer Btdte law. If tae owner or intendec contractor are lli1certain as to ~hat licensing
re\T~ireients jay apply for the inten~ed ~ork, tbey are dQvised to contact tfie Cit2 of Zepbyrfiills Building DepartMent, (613)
788-6611 .
Further~re, if the ~ner nas hired a contractor or contractors v be is advi~~d to have thE cOutractor(s) sign portioil8 of th8
"Coutractor SectionsW of this application for ~bich they will be responsible. Ii you, as th~ owner sign as the contractor,
you are indicating that you, rather than the contractor, are res,onsible for the work. If tte contractor wishes you to ~ign
cs contractor that lay be an indicatio~ that h~ is not properly ~lC~lS2d ~t i~ not entitlerl to periitting privile~~ in the
City of Zephyrbillc.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I ce:tify that I, the applicant, bav~ been provided with a copy of wFloriaa's Construction Liilil Law - HOIeOVner's Protection
Gui.i:le" prepared by till:'! Florida Departlent of Agriculture and COilSUJer Affairo. If thl:; applicwlt is sGlllOne other than the
."~l2rn, I certify ttat I bave obtained a copy of the above described dGC~~at and prOlise in good faith to deliver it t~ the
"o~m0rn prior to COlllle!J1Cl!II2nt.
E. CO~"TRACTOR J SlOWER [S AFFIDAVIT
! cartif7 that all the inforuation in tbiJ application is accurate and that all work will b6 aone in co~pliance with all
apJ'Iicable laws regulating constructieJ1" Iioiiing, and land developllent. .
Application is hereby aade to obtain 2 ier~it to do work and ia~~&11ation as lndicat~j. I certify that no vor~ or
inztaHat:iol1 bas couenced priDr to issuance of a perIl t and that all wori vBl be perfomed to lIleet standards of all laws
regulatiug construction, City codes, lloning regulations, and land deielo~ent regulations in the jurisdiction. I alGo
certHy t1JC1t I understcmii that the r-e~latiollS of other governaental agencies 1(.1[' O.:PP17 to the intended wrt, and l:11at it 1s
~y responsibility to identify what ~ctioTIS I ~u6t take to be in cODpliance. Such aga~cies iaclude but are not limited to:
* De9ar~ent of EnvironJental Requlatlon - Cypr.ass Bayheads, Wetland Areas and ~nviroDier.tdl1y Sensitive Lands,
~aterfWasteuater !rea~ant
* ~Guthwest Florida Water Hw1agemant District - Wells, Cypress Bayneads, ~etrand Areas, AlterIng ~atercour8es
* ~r~1 Corps of Engineers - Seawalls, Dcc!~, Navigable WaterNays
* DEpar~~it of Health & W~abijitati13 Services, Envir~eatal Health Unit - Wells, Wastewater 7reatlent, Septic Yanks
w ~3 BrlvirODl~'taI Procection Agency - Asbestos &hat~ent
I also certify that, if fill material is to be used in Flood ZOne aAw or ~A,etc.., it is under~tood that a drainage plan
aadrsssing ~ ucompansating volU1eu will be suJtitted which is prapared by ~ prof~ssioLal engi~eer registered in the State of
Florida prior to perzit issuance.
b per~it issued shall be construed to ~e a lic~nse to proceed witJ the work ~1d not as authority to violate, cancel altElv or
set &side any provi81G~a of the tedh,l~Jl codes, nor shall issuance of a peIiit prevent tte 3~~lding Official fro. th~re&fter
requl~ing a correction Jf errora in plane, construction, or violations of any cod2. Every perjjt issued shall beCOle invalid
unless U,e ~orJi: authorized by such perlilit is CGUlii!nced wltbin six oontlls of i33uance, or if worl: authorized by the ~er.iit is
suspended or abandoned for a period of ziLl.: .l1Onths after the tile tDe lIork is -coa2l1ced. One 9G day eiItension of tie, ;a17 be
allowed for the permit with fee charge of ~15.00. !be extension s~al1 be requested in wIiting to the Building Official. An
il:ppro1ed inspection .lJ'JS;: be logged during i:!acn six Jjj()nth period, or tbe project .,ilI be considered abandoned.
!fllRl4IHG TO OWNER: YOOll FAILURE TO RECORD t1 HOUCK OF C014HENCir.4Bflf FJl1l' l(KSilLf IN 'leUR PAYING 'i"~ICE FOR l~PROvmmNTS YO YOUR
PROPRllfi. !F Y9lY1liT YO H FINANCING, cowsm.r IIIrH YOUR LENDER OR ,\li ~J70R)ih'Y BEFORE RECORDING YOUR HarICE OF
CllllW~/ JOBS ~ IDl_ ;5Q Ii milE 00 NO! MIl YO liEClIlID lIIID POS'l/ L
COlilRAC'!OR
+ as ~wledged
g 19ZE. by
S'l'ilj;/E 0[1 FW~ID;1
COlrilY 'OF
The foregoL1g
before ili~ tild
who is perBon~lly
pro/.J.J.cea
tiS identifica
take an 0-
W~~4Q has
who ~s personally
jJl.uducea
as identi''''ic
take
( Signatu.
. .
SITE l'L.,W
(RESIDENtiAL usa ONLY)
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CUIUlENT OYHElISJ(41f?d ,/Y;-~ /~ ~ ~ 'n~JJr~
b' 11 b d avn t~for .l~c.l. or lots five scr.. or 1....
All dr?vins, ;Wd.,. r ~ / fl(
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DESCRIPTION: rm 60 STEPHEN'S ~
GLEN AT SILVER OAKS, PHAS~ 'IHREE 0
AS SHCMN 00 PLAT REaJRDED IN 0
PLAT f.O)K 32, PAGES 54 AND 55 OF 0
THI1 PUBLIC REOJRDS OF PASm .. Z
OXlNTY, FLORIDA.
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~C95035005
09/30/1995 10:31 8137823321
SILVERO.c.KS
PAGE 01
/(a?a~/
PBRIIITTIRG APPROVAL FORM FOR SILVER OAltS
. CITY OF ZEPHYRHILLS BUIldnKa DEPAIl'l'MEBT
To Whom it May conoern:
Please be advised that the full
including site or plot plan ha.
by the n.R.C. committeB for:
;j J+/7lVA -
BUILDS
7a?0/ ~_ J?d
STREET ADb BSS
c'1J:i'1 {JfjI-,f ~l{1}lfJtJ f.=" L
.......-..-, S'rA'1'E
set of construction Plans
been submitted and approved
A13- 81// - BL./'I8
PHOn
.;).1/I.o5/./
lIP
FOR:
6/J
LOT ,
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P 5! ':IlL
If. 8111(!/(.
OWIfIR RAIlE
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DAft SUBMITTED
DATE APPROVED
APPROVED BY' /l'l J f? 4
~:l~.
3'J/37
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6/t6 13
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