HomeMy WebLinkAbout97-6728
BUILDING PERMIT N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
672~
~~-, t.lV
C;=~~'
Date
\5--j.!::,- - 1)1
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
~J~
Property Owner: - Cl __ . ff.-PA~
Job Add,e", J '11 tJ S - ~ t:Lff'::!f:.
Parcel I. D, # J;;l - d-.6 - d- / - ;;J...~
Water Meter:
T.I.F.'s:
Zoning: -::z. Energy Code:
Description of Work /L #' g <~ _ /\...;~
Radon Gas: /1 Y Y
NO OCCUPANCY BEFORE C.O,
FINAL
C.O.
S-3o-97
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
City License Registration #
State Certified License#
P~rmitFee ~ ~
Signature G':L
Company
Address
Telephone#
Valuation or
Contract Price
~ro-v.dV
/'17
&/8 '-/5
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr. ,:5'": 2 1,- 9'7 ~
Pre SLB ~-2 , ~ q7 iZL'J
Lintel
FRM.
Insul. CL
WL
Tp. Servo
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTKENT
" ./17
S/ld
OWNER'S ADDRESS
f 11 f-/ J.... -5 (l/( I tUG- 'E6(
'39 IOS- 9 T/..)
PHONE
:5h I) - 00 2.(.-
OWNER · S NAME
R t-/ r::-
JOB ADDRESS
LEGAL DESCRIPTIOR: LOT(S) --; - ~ BLOCK SUBDIVISION j//A./~./A:/GS R!:>..l)/J/C..nv
PARCEL I.D.' / Z 2{. 2../ Ao7zg (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ition _Alteration _Repair _Install
_Sign
-'love
_DeJIOlish
PROPOSED USE: LSing1e FUlily
_KIF
_, of Units _K/H
_ec-ercial
_Indust.
_Swia, Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTIOR OF WORK:
BUlLDIRG SIZE: 9
9;( It. /2-
X/6 f? .
~Cf.(Ei:/U l<oOM
I
Square Feet, 7 /"2-Beight
RESIDERT1AL:
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.
PERMITS REOUESTED
_BUILDING
$ /80D
Valuation of Total Construction
_ELEC'l'RICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_KECIIARlCAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CORSTRUC'l'IOR: _Block _FrUle _Steel
Other
FlRISHED FLOOR ELEVATIONS:
FT.
IS PROJEC'l' IN FLOOD ZONE AREA?
YES NO
******************..*.*....**.**.*.**.****
RlfTl.ng
CONTRAC'l'OR SECTION
~J _
~ 9L;6/ COMPANY /JV S CO-'\,./ <5 ./
n.. , .. -S-tate Cert. or Regist. , CI<CO 33:f2...J
~_________ ______________ City License Registration f f~ __
**.**********************.**************** '
~,.
Signature
RI.ECTRlClAR COMPANY
State Cert. or Regist. ,
SiDnAture City License Registration f
**********************************.*******
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration .
****.******..*********..****************.*
KECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration ,
********************.********.**.*********
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration #
**********************.**.****************
APPLICATION APPROVED BY PERMIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
.A. 'ffOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance 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 lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-66U.
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 per.itting priVileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPAc'r FEES AND U'l'ILI'rY CONNECTION FEES ,."
D. CONSTRUC'l'ION LIEN Lnw (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOJeOMDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is SOJeOne other than the
"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
"owner" prior to COllenCelent.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
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.
I
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goverDJental agencies laY apply to the intended worl, and that it is
IY responsibility to identify wbat actions I lust tale to be in cOlpIiance. Such agencies include but are not lilited to:
· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docls, Navigable Waterways
· DepartJent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater freatJent, Septic ranks
· US EnviroDlental Protection Agency - Asbestos abatelent
I also certify tbat, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volUle" will be sublitted wbicb 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 is~u~nce of a perlit prevent the Building Official lrOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery peIJit issued shall beCOlB invalid
unless the work authoriled by such perlit is cOllenced within sil 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 cOIIenced. One 90 day l!Itension of tile, lily 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 sil IOnth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHElfCKHBNT HAY RESULT IN YOUR PAYING BICB FOR IHPROVIIIm'S TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AM ATTORREY BEFORE RECORDING YOUR }fOlICB OF
COHHENCRHENT. JOBS UNDER $2,500 IN VALUE DO NOr NEED TO RECORD AND POST A "NOTICE OF COHMINClKKIfTN.
SIGNATURE: OWNER OR AGENT
I'
-----sIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregOing instrument
before me this
was acknowledged
, 19_ by
STATE 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
_.~~JY_ Zf:IJf(~J)lJ~kS:S"~1J_LJ:)n\~_j~
OWNER
.fRVl
<" Pn , j . j ~,p
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JOB LOCATION 3i/05
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LEq~L DESCRIPTION/SUB DIV.
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ELK.
LOT
Show all existing and proposed Etructures giving dimensions It setbacks.
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)ESCRI-PrION:
lARCEr. 13:
The South ~ of the West ~ of Tract 28, YINGLINGS~DITION TO ZEPHY~{ILLS, i~ Section 12, To~vnship 26 South,
Range 21 ~st, Pasco County, Florida; as recorded in Plat BOOK 2, ~age 16, ll1 the Public Records of Pasco
COlmty, Florida.
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MAS. RES. '=> u
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20' ASPHAL r
AVENUE
TASK: BOUNDARY.SURVEY
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SURVEYOR'S NOTES
I, Thl, I, a Boundary Survwy. mode on Itl, ground und.r 11'1. ~Upft"V13Ion of a
Florld4 Regl,'ered Land Surveyor, FJeld ,urvey wa, ~ompleted on 11_ It) - !3S
2. B,arlng, cr, b~ud on rhd A/,rfJ, I!./W L.'rl ~ ..(-' q 0.. ~"'~
t4 S A.,.t. (J~"o I' "c)" /vi Il~S'" '" ~J '
J. No underground utHJtJu, underground encroachments 0' buIldIng foundatlonJ
lreTl mea,ured or located a, a part of tills ,UtVlY. unlus othen;ls.
shown. Trll, ond ,hrub, not loeat,d, un/u, othtrrrt" ,hown.
4.. ThIs survey was eondUlO'f,d for the purpose ot a Boundary SWVty only.
and I, not Int,nded to denn,at, the "gulatory jurI, dIctIon of IJfIY f,dlfaJ
.tat,. "glonal or loeal ag,ncy. board. commIssIon or oth,r ~tmllar ,nttty
'" Tht, ,UN'Y wa, conduet,d without th, beMflt of on ab,traet of tItl,.
therefore. there may b. other easement,. rlght.~f-way. utbade nnes.
agrum,nt,. rUlfYatton" rUlrtclloM. or olhfr dnllar maNIf, of publle "cord.
not depIcted on 11'1/. SUN'Y.
6. Flood lon' determlnCltlon based upon a .~ated Interpfftatlon of 11'1, Flood
InsurQJlce Rat. M~ a, .hown hereon. prIor to constru~tlon Building D,panm,nt
.hould be contacted for '.'erlfkCltlon flood lone.
7. Attention I. directed to the tact that thlsJWVt.Y mqy hew been redu~d
or enlcrged In ,Ize due to reprodu~tlon. ThIs .fIOuJd b. tclcen Into consJd.ratlon
when obtalntng .eated doftJ.
8. Thl. .urvey rs not valkf unle.. lmprlnted with an etnboued Surveyor'. S,al
LEGEND M.a.- ...' rf~,
AND ABBRe'1JATIONS. \'A .0Ht,j w.u1lVlMl \B.e_.r. lI'/C-WllMu c~
I;; 11'11' ".e.c.- ,Oiit of~'
',I.A.. 10wtd roa ro4 FJ',cw..fblJb n.1I J) - 11IM ,..... ~ ~ UlI.. !JlIIl7
F.l.P,' ~ n. ~ [1eWlloll 0.&. ioMd ~ '''' ~ fI.'I. ,1.HtHtlt
~&1'.::~ ro4,...,. ~::.n~ (F). tt.J<J -~ t/~ rt ~.. NIIfM/
~t&$ IW ~34 CA.. dtord ~)..",., _..-....nr r".: tnUl Wlf/ dm. IWtUl
li::*: ~ ~.~... :::.::::::!. JIt.o1'. -.-I Mn c.-1,'dIaB..1Mff
',C.,lL'1OLe4 ~ nn<n1t BfdI,' till.., . >>.M. oIvlttImMo '/A- ,MI"..., ..~
,. -~".., 1D)'o..~ J;'fI.,}dndf (C).C~.w.o.~
FLOOD ZONE CERTIFICATE: nl, I. to ~Ify Itlat the proplfty shown
1II"on fatl, within Flood Zon,)(.. CI, Pit 1~ Flood
Insuran" Rate Map. Community Panel Nwnber l"toz35 ~6C. ,dat,d 1'2 -17- 91
Cenlfled To: Paul F. & Laurie A. Springer; Schrader,
Johnson, Auvil &Broc~<, P.A./Attorneys'
Title Insurance Fund, Inc.; Southtrust
SURVEYOR'S CERT1F/CATE: ~1ortgage Corporation
TIt/, """,.. '''It. n,v" " lilt ,ro,atll I..cr/"" bo".. WII
NI. ultt I'Ift ,ulIerv/,',,, GIl" IIlIt lilt ..rv'l ...." Ill, ~lllllllUl
"dll/"/ "11I1,,10.,., 'trIll b, lho "'trU. """. It
Pro"" I .atl L.. ~ !In"." ,. Ch"" ,,8/ Toot. I' /" /1.
Ad..,nl,,,,,'n ,olt. ,G"unt It S..,/.. 472.011', I'/lI'd,
"..U,,,, AliI, lilt' ,Ilt '~"cb h.,,,. /, . true 11I1 .ClUtll.
ro,,,......,.. lb.'", ,. Ill. b", ,f rlf/ h,wl,I,. 'll~ b,lI.t,
Sd/,,' ,. no'" Oll~ no",ltu ,boWII 1I",n,
ea~
Eddie . Jenkins PLS-
i'flQff.SS1ONtII. ~ . /W'P(A
ftOllDA IIE6IIT1'.AT1OII ~
Revl,Jon~ Date
David L. Smith PLS
HtOrE~/OII.lL SUM11At . ltW'f>U
ftOllnlIlCGlJ11lATIOII ~
Rev(j/on~
Date
Jenkins & Smith
SURVEYING AND MAPPING
1900 HWYo 4 f NOR TH. SUITE I fl. LUTZ.' FL 33549
LOCATED IN /JJ(E FRANCISCO PUZA - PH (813) 948-2666 fAX 9-49-'817
P,C. I),.s .
pg. -
Job t:I 157/- t-1
F.B, (..<-
Draft ? ;r.
Check ?;:r.
Sec.
Sta.t:I 8
MljC, ~f)j.
Sheet I
of /