HomeMy WebLinkAbout96-6236
BUILDING PERMIT N~
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
623613
Date
11-1 c;2 -7 b
~ ELECTRICAL PLUMBING
P<aperty Own., ~ 11r:p~>]
Job Address: ~ --
Parcell.D. #
Zonin~: . d./EnerJ/Y Code:
Descnptlon of Work _ _ ~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
5-1.J -
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe,ml, Fee ~ .rV
Signatur~ .~ '"1k-w..
Company
Address
Telephone#
Valuation or J ?l 9 :.::>
Contract Price / ~ 0' dt.J
City License Registration # ~
State Certified License#
Jrlr )J?d 4/,,"'0
BUILDING
~ € h~<i?1
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB //-/4- 9k &1 '-"-
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
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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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EMERALD POINTE
RV RESORT
~9630 CH~NCE'( RO~D
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EMERALD 0 POINTE
~ ~ed4Iet
The "Five Star" RV Resort
at a price you can afford!
Here's just a few of the "all included" features at Emerald Pointe
. Dazzling, oversized "Emerald Shaped" heated Swimming Pool.
. Fantastic "Sun Deck" filled with beautiful lounges, chairs and umbrella tables.
. Sparkling, oversized" Jacuzzi" for relaxing on sunny days and star filled nights.
. Quaint "Gazebo" for neighborly conversations, or just reading a good book.
. Championship Shuffleboard Courts for hours of friendly competition.
. Horseshoes, Croquette and Volleyball Court.
. Magnificent 10,000 square foot clubhouse pavilion complete with a sound stage,
dance floor, reception kitchen, card room, billiard room, library and television.
. Immaculate rest rooms, each with "private" dressing room and stall showers.
. Reasonably priced "coin operated" laundry facility with spacious folding areas.
. Daily activities planned for your enjoyment by our "staff" social director.
. Large grassy lots with 10' x 60' concrete RV pad/driveway and 8' x 20' concrete
patio or your "Park Model" lot gets a 700 square foot concrete allowance.
. City water, city sewer, city trash removal, street lighting and lawn maintenance.
. Our minimum lot size is 36' x 68' each within a security gated community with
seven beautiful lakes and lush "Florida Style" landscaping.
Pre-Completion Lot Prices from just $13,900
or rent "seasonally" for only $1,895
(monthly rates also available)
Telephone today for availability or stop by for a personal tour
(prices and amenities subject to change without notice)
9/18/96
The Emerald Pointe Corporation -39630 Chancey Road -Zephyrhills, Florida 33540 -Phone (813) 788-2145 -(800) 315-1556
OWNER · S NAME
"..
I;::m 1~1L1l (,0
3 <1 (p '30 C W/i fl/c IE V
Sfrm€ LO T ~S'f
fJ 0 IIlJT(3.
0:9L/l ( PHONE
(LO,
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7fg - 2-( L} S-
ly2hL}v ~l'lll5 ,J:-(.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER · S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_De.olish
PROPOSED USE: _Single Fallily
_H/F
_* of Units _M/H
_CoB.ercial
_Indust.
____Swim. Pool ___Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: (' () tV C!t I~ T C
SLAB
BUILDING SIZE:
x
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.
_BUILDING
$
PERMITS REOUESTED )
Valuation of Total con.truction,~~)
AMP Service Florida Power Corp. W.R.E.C.
____ELECTRICAL
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fralle ____Steel
Other
FIlUSBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
nc.
BUILDER
COMPANY r-
n ~(\ State Cert. or Regist. ,
-r -'UI jf) I ~ City License Registration f
******************************************
Signature
ELECTRICIAN COMPANY
State Cert. or Regist. f
Sianature City License Registration t
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
MECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration t
************~*****************************
OTRF.R COMPANY
State Cert. or Regist. ,
Signature City License Registration t
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
. . ~ CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to Rdeed restrictions" which lay be lOre restrictive than City
regulations. 'he 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 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, 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
requirl!lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired 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 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 RFlorida's Construction Lien Law - HOIeOWDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeone other than the
Rowner", I certify that I have obtained a copy of the above described dOCUJeDt and prOJise in good faith to deliver it to the
"ownerR 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 cOJpliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has COIIenced prior to issuance of a perlit and that all work will be perfoI'led 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 governaental agencies laY apply to the intended work, and that it is
If responsibility to identify what actions I lUst take to be in coapliance. Such agencies include but are not lilited to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater 'reatlent
t Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater 'reatJent, Septic 'anks
t US Environaental Protection Agency - Asbestos abatl!lent
I also certify that, if fill laterial is to be used in Flood Zone "AR or "A,etc.", it is understood that a drainage plan
addressing a RCOJpensating volUleN 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 frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntha after the tile the work is co.enced. One 90 day extension of tile, lay be
allowed for the perlit 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHElfCEMElft' HAY RESUL' IN YOUR PAYING TWICE FOR IHPROYBHEIft'S '0 YOUR
PROPER'lY. IF YOll Ilft'END TO OB'AIN FIIfAIICING, CONSULT WIYH YOUR LENDER OR AN AYTORIfEY BEFORE RECORDING YOUR HO'IICE OF
COHHEHCEHENT. JOBS UNDER $2,500 IN VALUE DO HOT NEED '1'0 RECORD AND POST A "NOTICE OF COHMEHCEHKlft'".
~~:~p
SIGNATURE: COlft'RACTOR
STATE OF FLORIDA
COUN'lY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STA'E OF FLORIDA
COUNTY 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
C{;JJ..(}
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Page No. _~_ of
Pages'
p.o. Box 1003
Crystal Springs, FL 33524
(813) 782-5657
~ubcontract ~greement
TO
EMERALD POI\I.'TE
-:/' JOB PHONE I DATE "::
I
I '1 N3/9~
n__ I ' .,./ "" .,0
JOB NAME/LOCATION
1'.01' 5,Q
.,-
JOB NUMBER I ARCI-tITECT
h
39530 QHI\l',n:;EY m RD .
ZEPHYRHILLS, Eo'LA.
JOB SPECIFICATIONS:
>
L,Alj()R m,l\NPMAl'~ I AL
FORM AND POCH SLAB
>
For the sum of $
dollars ($
1'293.60
).
The above specified project is to be completed in strict conformance with all specifications and conditions relating to this agreement. In
addition. the project is to be performed in compliance with OSHA regulations and local. state and national building codes, Although the
contractor has control over the quality of all work relating to this project. the subcontractor is an independent contractor in all respects; the
subcontractor is responsible for his employees. his subcontractors. materials. equipment and all applicable taxes, benefits and insurances,
The subcontractor is responsible for coordinating his activity with other trades and promptly cleaning up any surplus or refuse which was
created by his work.
Payment will be made as fOllows; COMPLE'rJON OF JOB
('\.; -. '
-~'.\Cl\..
CeJlWlllltu
'\ ~;-';J") ,_,
.~j;\';~==""~ --
11 4j (",:>
Subcontractor
ZE ~)H Y1< MASONR Y CONSI'RUCrI CW r
T~'S"t
'.,
Authorized \
Signature \
,.)
), ''\,.-v.... -\.-
Authorized
Signature
/
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.--
Date
Date
L 1/08/96