HomeMy WebLinkAbout97-6912
BUILDING PERMIT
'l.J. -: OD
~
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N!
691213
Date
fJ- Ji- 77
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: . ___ / kAA..,4_
Job Address: b ~- $'3 ::;;t? p-::::I--.. /U---l ~
Parcell.D. # J -~" d-f.-t!J/:l(} .~ 19 t:3 v iJ 0 -. b? Y D
Zoning: Energy Code: Radon Gas: /. 9 b
Description of Work ~~J?~..4t ~~
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
:2/ '/ 'I
,
Valuation or
Contract Price
:2~26(}.
/
Permit Fee
Signature
Company
Addres
if.v..i 2J~
BUILDING ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
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 ($15.00) 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.
SEMINOLE FORM 596
PROPOSAL
~ RC-\<.
(,.) (\ \ 'A ( "('~
l<! .X
Page No.
of
-'7<i J -"-7~t3 3
- .-
LD,
() 0 (;- (:) d 30
ex> tt/:;)'(
Pages
PROPOSAL SUBMITTED TO:
PHONE: a
'7~r,
JOB ~AME:
/q C; tj
C
)f\ 1M e
I
IDATE:\ L
vL., j
?'f
NAM1t\p '1 lit p > 51_~ \J'P J.!_~__
STREET: ~ _ /r){ , .,
----~-~,~~, -~-~-.2L-i1iQ.()-lL
CITY: -, I'. J
..c-- H f J ~
STATE: rLA
STREET:
'\) (2 _
___1ST ATE:
CITY,
P" (~ c~L
We hereby submit specifications and estimates for,
5~L(<-eeN
\200\111\
OtV EX I S7- lAIc..
t; l.A b
,,/.'
iJ&j"
We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of:
-/ loO '1 k Of,t ~ A~ 'iDl)k~J-_') i XI t __dollars (~ :::t t? 0.. r.ID , wll~aymenl 10 be made as follows:
01\1 (' -e> \fl1 f J.... ~ '+ ION
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation
from above specifications involving extra costs, will be executed only upon wrillen orders, and will become an e'Slra charge over and above the estimate. All
agreements contingent upon strikes, accdents or delays beyond our control. r r; roposars iect to acceptance within
thereafter at the option of the undersigned
.
Authorized Signature I
~D
days and is void
ACCEPTAN
OF PROPOSAL
The above prices, specifications and conditions are hereby accepied. You are authorized to do the work as specified. Payment will be mad.
as outlined above. \, _,'/ -c-..' ! .....~l () _... _ ,
ACCEPTED: Signatur4 C~'~, ;"J~~
D.,. jlll. Y 3 I I f~ 17 5',,,,",, rtf. ~ :J-~~
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
9J-~~ - 7" 8:3
~/~/crr
OWNER'S NAME
g~
/
PHONE
OWNER'S ADDRESS
Ie 513
~~
JOB ADDRESS
LEGAL DESCRIPTION: I.OT(S)
BLOCK
SUBDIVISION
~~ oJw
PARCEL I.D.'
03 - oHo -oU
01;10 - OO(1)tJ - 0 7~OBTAIN FROM PROPERTY TAX NOTICE)
~ddition ____Alteration ____Repair ____Install
WORK PROPOSED:_New Construction
PROPOSED USE:
_Sign
~ngle FaallY
____Kove
____Dellolish
____KIF
_, of Units
_K/8
_ec-ercial
_Indust.
_Swill. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: ~ 0 DK) ~
BUILDING SIZE: .I ~I xli, D Square Feet, 1'1~ Height
RESIDENTIAL: A'n'ACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) 'SET ENERGY FORMS.
COMMERCIAL: A'n'ACB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~LDING
$
9 d-'~ 0
PERMITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
-llECIIARlCAL
$
Valuation of Mechanical Installation
~UflBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
PIRISBED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
BUILDER
?7/Y-:q'
/
:;..
.,!
""'
:':~
Signature
F.1.RCTRICIAN COMPANY
State Cert. or Regist. #
SiRnAture City License Registration ,
..........................................
PLUMBER COMPANY
Stat,,! Cert. or Regist. .
Signature City License Registration .
..........................................
KECBARlCAL COKPANY
State Cert. or Regist. .
Signature City License Registration ,
..........................................
OTIIRR COMPANY
Sta; ," Cert. or Regist. .
Signature City License Registration .
..........................................
APPLICAnON APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. . NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit lay be subject to .deed restrictions. wbieb laY be lOre restrictive than City
regulations. !he undersigned assllles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, tbey 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 .isdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireleDts JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
.Contractor Sections. of this application for whicb 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 lay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN f.AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of .Plorida's Construction Lien Law - IGeolmer's Protection
Guide. prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleODe other than the
.owner., I certify that I have obtained a copy of the above described docUleRt and prOlise in good faith to deliver it to the
wowner. prior to cOlleDcelent.
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, loning, and land developaent.
Application is hereby tade to obtain a perlit to do work and installation as indicated. I cert~fy that no work or
installation has c~ced 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 th~ jurisdiction. I also
certify that I understand that the regulations of other goverDlental agenCies laY apply to tbe intended work, and that it is
If responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not li.ited to:
t Departlent of Bnvironaental Regulation - Cypress Bayheads, Wetland Areas and BnviroRlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· AIIf Corps of Engineers - Seawalls, Docks, lfavigable Waterways
t Departlent of Health i Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
· US Bnvironaental Protection Agency - Asbestos abateleDt
I also certify that, if fill laterial is to be used in Flood Zone .AW or HA,etc.., it is understood that a drainage plan
addressing a .coapensating volute. will be subtitted whicb is prepared by a professional engineer registered in the State of
Florida prior to peIlit. issuance.
. l perltt issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall is~uance of a peIlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becmIe invalid
unless the IOrk authoriled by sueb peIlit is co.enced within sil IOntbs of issuance, or if IOrk authorized by the penit is
suspended or abandoned for a period of sillOntbs after the tile the work is COBeIlced. One 90 day f!Jtension of tile, II8J be
allowed for the penit with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection ..st be logged during eaeb sil IODth period, or the project will be considered abandoned.
IIARHIIfG TO (MI!R: YOUR FAILURE TO RECORD A NOTICE OF aJIMEICmIIIIf MAY RBSULT IN YOUR PAYING "'ICE FOR DIPROVIIIIITS TO YOOR
PROPIIm'. IF YOO IIlmD TO OBtAIN FINANCING, CONSULT WITH YOUR LIIIDBR OR AN AnoRm BEFORE RECORDING YOUR JfOfICE OF
COMMDCIMBNt'. JOBS UNDER $2,500 IN VALUE DO NOT NBED TO RECORD AND POST A .NOTICE OF COMMENCEMm'.
SIGMAfUIlB: 0IflfER OR AGBJIT
SIGNATURE: CONTRACTOR
STATE OP FLORIDA
coom OF
The foregoing instrument was acknowledged
before me this , 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)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
I
i
J
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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MAP SHOWING BOUNDARY SURVEY OF
-'- LOT 74
, 51 LVE~DAKS~~ _.l2hiL6E__ -75iJ~=~_-:~_ -_--~~~~,-=~-~=_ =_=~~-':-_~~~~=~=~-=~~~
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AS RECORDED IN PLAT BOOK -_,_~_ PAGES _______-=-________. OF THE CURRENT PUBLIC RECORDS OF
_PA'SCO COUNTY, FLORIDA.
CERTIFIED TO R08EQT b ; ELCEE. J. SrEVEklS, STERL.If\K3 /-lOMES I I ^-lC.) A/\JD
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11 8elrln9s shovn hereon are based on
the Record Pllt, I' recorded 19~1lt
801lk f(Jo. PI9U lUt' thrllu'lh4L1 ,
Incl.llvlly of .lld.Publlc Recorda.
" Ille...nt. .hovn hereon .re for
drllnlge, utllltle. .nd leVer.,
unl'ls othervl.. noted hereon.
31 NOTtCl1 There .ay be Iddltlonll
restrictIons th.t Ire not recorded
on thl. pl8t thlt uy be round In
the PublIc Records of s.ld County
('Iorld. statutes 111.0'11.
Community Association
July )1, 1997
Mr. and Mrs. Robert S. Stevens
6543 Foxmoor Dr.
Zephyrhills, FL 33541
Dear Mr. and Mrs. Stevens:
Thank you for submitting your application to construct
a screened enclosure for your existing 14' x 14' con-
crete patio at the southwest corner of your home.
It is our understanding you will have a sloped insulated
metal roof with screened enclosures on three sides and
a door to the back yard from the west side. Also, you
will have a one to two foot kick plate at the base of
all screening.
The Design Review Committee (DRC) approves your appli-
cation. We appreciate your request for approval and are
happy to work with you any way we Can.
Sincerely,
&?/~~ /
Bob Bland
.
."," , t:? C' 7", ~ I/' /J
I"'C..I'-'L ~ /I"~
Carl Miller
John Arnot
P.O. Box 1168 · Zephyrhills, Florida 33539-1168
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