HomeMy WebLinkAbout98-7677
BUILDING PERMIT
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
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PLUMBING
Permit
7677 13
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BUILDING
Date
-Y'- 1'1- ?r
MECHANICAL
Sewe' conn~
Water Conn: -r-
Water Meter:
~o~~Dwn.' ~i;;~ L~
Job Address: . . ~ -t:7V .. ~ ~. ~ .
Paroell.D. . ;i;" ~6. - ~ - . " . &> - tP V.f'- GJ
T.I.F.'s:
Zoning:
o Code: ~Radon Gas:
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Description of Work
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.
Inspector
~b
p~rmitFee~ ~ c;. 1
SIgnature . . U
Company
Address
Telephone#
Valuation or
Contract Price c? bt,t ~. (}-n
City License Registration # / 1 ~ ~
State Certified License#
71 ~ (j 1?rdr.h41
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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 ($.~ shall be made for each trip for each trade: ....
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a. Wrong Address' c... '-t ~ r ~ . ~-----
b. Condemned work resulting from faulty construction. t..l 0 .......\ ~C~,"\."
c. Repairs or corrections not made when inspection called. (-___ p'-J' u v 'v U
d. Wor~ not ready for in~pec~ion when called. it, \1.. j \(") (Y
e. Permit not posted on Job site. I, '\ If
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 PERKlT
CITY OF ZEPHYRHlLLS
BUILDING DEPARTMENT
OWNER'S NAME L~L(jvvJ c, /(ufiJ.,.-!;/J PHONE ?/J-7r.P6'-02Y3
OWNER'S ADDRESS 3500 A.1/ A c.. MCif: I"< 07 . bf h:r,h,:!i.{ PI ~ ~Sy () LI- 4/ J>
JOB ADDRESS 2>600 ~7 Vl~""""'J'I',,,<-- tJ.~ / ~l:Y--j:iL( p/3..SS</6rLf,#/cr
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL I. D. f '- 'I - J..t....z.. 2/ - 0 0 ~ 0 - 00 I 0 - Q \ ~BTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~New Construction -----^ddition --..Alteration ~epair _Install
_Sign
----..Hove
_Deaolish
PROPOSED USE: _Single Faaily
----..H/F _, of Units ---.Ji/H
_CoB.ercial
___.Indust. _Swim. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: ~/ILIUaL.( ~ 1'1/
BUILDING SIZE: .I..l..
x3Y,
.
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
.
PERMITS REOUESTED
~BUILDING
~ELEC'l'RICAL
$
Valuation of Total Construction
AKP Service
Florida Power Corp.
~ ' W.R.E.C.
---1lECllANICAL
b~~NG
$
Valuation of KechanicalInstallatio.n
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FI.NlSBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
CONTRACTOR SECTION
COMPANY fAli f.,J' S41L ')
Ii I' J State Cert. or Regist. t
- __vv~. City License Registration I
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Signature
ELECTRICIAN _
sionAture~ ~~~
.
COMPANY ALb U.'
State Cert. or Regist. t
City License Registration t
******************************************
PLUMBER
~ COIlPANY {;(~t.J<;;t.l
. State Cert. or Regist. I
. .0?t.~ City License Registration'
, . ******************************************
Signature
/.? Y t:-
MECHANICAL COMPANY
State Cert. or Regist. f .
Signature City License Registration f'
*********.********************************
OTHER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned unders~ands that this perlit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City
regulations. The undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTlmCTOR 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
requireaents lay apply for the intended work, tlley are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
Furtherlore, if the owner lIas hired a contractor or contractors, be 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, raUler 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 LnW (ClmPTER 713, FLORIDA STATUTES1 AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOJeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture andConsUler Affairs. If the applicant is sOIeone other than the
"owner", I certify that i I have obtained a copy of tbe above described docUlent and prolise in good faith to deliver it to the
"owner" prior to cOllenceaent.
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.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perfofled 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 othergovelDlental agencies .ay apply to the intended work, and that it is
.y responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to:
· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
W Vater/Wastewater Treallent '
· Southwest Florida Water Hanageaent District - VeIls, (ypress Bayheads, Vetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways .
· De artJent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treatlent, SepficTanks
· US EnviroDlental Protection Agency - Asbestos abateaent
I also certify that, if fIll .aterial is to be used in Flood Zone -A" or -A,ete.", it is understood that a drainage plan
addressing a "co.pensating vol Ole" will be sublitted 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 tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, >>r violations of any code. Every per.it issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six IOntha of issuance, or if wort authorized by the perlit is
suspended or abandoned for a period of six lanths after the tile the worl is cOllenced. One 90 day eltension of tile, 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 IOntb period, or the project will be considered abandoned.
NARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COKHBNCEKBNT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHHMTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICK OF
COKHENCEHRNT. JOBS UNDER' $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKKNCRHKNr".
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-sIGNATlIlW( 0 ER OR AGENT . SIGNATlld: CONTRACTOR
STATR OF FLORIDA ~
COUNTY OF n50G 0
The foregoing instrument was A~Jlowledged
before me thi~ \3 , 1~ by
oS h A. rHUH\. \,t)~ d.t
who is personally known to-me or who has
produced ~~ & ^.^-t:::. ~~
as identification an who id/did not
take an oath. ~
(Signature)
.STATE OF FLORIDA
COUNTY OF
.The foregOing instrument
before me this
was aCknowledged
, .19 by
NOTARY
'.17.,. trARBER
Notary Pl!bDe, State Oi I
My Cr" Exp. Feb. 3, 2UlF
Cornm. No. ~ 522.567
who is personally known to me or who has
produced
~=k~d::t~~an~ did/did Dot
(Sign~~:~ -~-=~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
J. D. GARBf:R
Notary Public. Statt of F10rfda
My Comm. Exp, FlIb. 3, 2000
Comm. Nil OC 522667
SITE PLAN
(RESIDENTIAL USE ONLY)
PARCEL LD.
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BLOCK
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LOT
PROPERTY MEASUREMENT
DATE
L-j-lO-7t:f
CURRENT OWNERS
All Drawings Shall Be DraWIl To Scale For All Parcels Or Lots Five Acres Or Less.
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE ANY
BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE,
(EAR, AND NAME OF MOBILE SUCH AS 12' x 60', 19811 FLEETWOOOD.
\.LL "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" MUST BE SHOWN ON ALL SITE PLANS.
)0 NOr ENCROACH INTO ANY EASEMENT WITH A STRUCTURE.
HOUSE CONSTRUCTION
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MOBilE f10Mt: SETUP
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April 1, 1998
To Whom it may concern:
This letter is to authorize Shannon Wade, of U.S.A. R.V.
Sales, 35350 Condominimum Blvd., Zephyrhills,FI, 33541
to apply fo all necessary permits, etc. for the place-
ment of a Cedae Ridge Elite Park Model, ID#lp9pc352w91333548
to be located at 3500 Aquamarine Way, Zephyrhills,FI 33541-
7412. (Lot # 18, Emerald Point.)
~c~
Leland C.Rutherford
State of Florida
County of Pasco
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April!, 1998
J. D. GARBER
Notary Public, State of Rorlda
My Comm.Exp. Feb. 3. 2000
Comm, No, CC 522567
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