HomeMy WebLinkAbout98-7794
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BUILDa!t~!!:Hy~!.RM!! 779413 ,
(813) 788-6611 Date 6 - S- '1 f)
Job Address:
Parcell.D. #
MEGIIAW(.,L\.L
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
NOO
ANCY 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
Valuation or - 4. _
Contract Pric~ ~ 000
00
--
Permit Fee ~
Signature ~ "p~)71- C~
Company - d
Address
Telephone# ~ 7'if"8'- '8'73'"
City Ucense Reg;...~
Sta tified Licen e
BUILDING
PLUMBr
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
Poo I 12-/fO!Q glob
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 'Hi":'66t shall be made for each trip for each trade:
,:J.S; ITD
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 ZEPHYRHlLLS
BUILDING DEPARTMENT
OWNER'S NAKE lJ c ~DT H Y
OWNER'S ADDRESS 3CJ 50.:2..
n'\. CzoR-A PHONE (8/3) 7}3-g73,-,
~ f\V&/ ZGfJ+~{zH)LLS; FL. 335t/(j
JOB ADDRESS SA-mE
LEGAL DESCRIPTION: LOT(S) ..211 BLOCK
PARCEL I.D.' /2 - 2fc -;;l { -0> 300 -OOQOC>'- 02...80
SUBDIVISION SU,v.f"er E.sr/tr-ES
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~teration ---.Jtepair ~Install
_Sign
--"ove
_Deaolish
PROPOSED USE: _Si~leF~ily
--"IF
_' of Units _M/H
~swia. Pool ~Other pfl.-!~r FefUC6
_eo..ercial
_Indust.
_Restaurant & Health Departaent Approval /
DESCRIPTIDII OF 1ilI1lK: /IJ S..- 8. /.. L A&, vi'- (;f!i><-< N l> (1,0 L -I;fl!::.J'ti:i..FE:tVco>)
BUILDING SIZE: X Square Feet, Height
fllrt-ol.,
// cO
,
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.
~LDING
~P.CTRI.CAL
--"E<;RANICAL $
~'~~NG
~
TYPE OF CONSTRUCTION:
00
~ 000 :;---- PERMITS REOUESTED
$ -.~ f "J., ...~ Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
_Block
_Fr~e _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
RIJTI.Dm
COlITIIAaoR S~ )
. COMPANY ~~~.1:),;{~~
~ '" State Cert. 0 Regist.' </
Signature r 7/l. L ~ City License Registration .
**~**************************************
F.T.RCTRICIAR
~-_.,.
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
SiOOAture
PLUMBER
----..
COMPANY
State Cert. or Regist. .
City License Registration t
******************************************
Signature
MECHANICAL
______-or.
COMPANY
State Cert. or Regist. t
City License Registration .
******************************************
Signature
OTRRR
--------.
COMPANY
State Cert. or Regist. ,
City License Registration f
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE 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 CON'l'RAC'l'On 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 lisde.eanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
requir8lents 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 10U 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 U'l'ILITY CONNECTION FEES "
D. CONSTRUC'I'ION LIEN M\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer'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 doculent and prolise in good faith to deliver it to the
"owner" prior to COllenc8lenL
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, zoning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to Jeet 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 wort, and that it is
IY responSibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Bnvironaentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Bngineers - Seawalls, Docks, Havigable Waterways
t DepartJent of Health' Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic ranis
t US BnviroDlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a .colpensating volUlen will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
- A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
Bet aside any provisions of the technical codes, nor shall is~u~ce of a per.it prevent the Building Official lrOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit iSBued 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 IOnths after the till the work is cOllenced. One 90 dal 81tension 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.
WARKING TO OWNER: YOUR FAILURB TO RECORD A HOTICB OF COHHENCEllBNT HAY RESULT IH YOUR PAYIHG RICE FOR IHPROVIllm'S ro YOUR
PROPERTY. IF YOU IIfTEND TO OBTAIH FIHANCING, CONSULT WITH YOUR LEHDER OR AN ATTORNEY BEFORB RECORDIHG YOUR HO'IICE OF
COHHENCEllBHT. JOBS UNDER $2,500 IH VALUE DO HOT HEED TO RECORD AND POST A "NOTICB OF COHHBHCKKRHT".
SIGHATURE: OWNER OR AGEHT
. I
SIGHATURE: CONTRACTOR
STATE OF FLORIDA
COUIfTY OF
The foregOing instrument
before me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregOing instrument
before me this
was acknowledged
, 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
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER J)Or<..OTHY rY\. Cz.oR.ft
JOB LOCATION 3950;2. 0f-t.A. AII&.. I 2ePHYJZfI/L.t-S,. FL.
PARCEL 1. D, #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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1
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1(
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
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EST'''!' 11~'O C~~
(p-I./-"" ~-~ OIJ"f'lO t:!
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J ozt:J . --- .
L. - -.--"- I.,( <of (
tEX,tS,{IIIG
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,"",OUSt
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
~
FRONT PROPERTY LINE
.,
'.)..
~
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRORT PROPERTY LINE
FRORT PROPERTY LINE
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Florida
Power
CORPORATION
June 2, 1998
Ms. Dorothy Czora
39502 9th Avenue
zephyrlrills,~ 33540
SUBJECT:
PROPOSED SPA/SWIMMING POOL CONSTRUCTION AT:
WT SUBDIVISION
39502 9th Avenue
Zephyrbills, FL
Thank you for notifying us of your proposed swimming pool construction at the above location.
The pool proposed for construction at the above address does not conflict with any underground or
overhead facilities of ~orida Power Corporation, provided that the pool is installed in the location shown
on the attached site plan provided to us by the pool contractor.
~ Please call Sunshine State One Call of ~orida (1-800-432-4770) a minimum of 48 hours before you dig.
If you have any questions or require any additional information, please call our office at (813) 783-6944,
Sincerely,
FWRIDA POWER CORPORATION
~ 1: ~.-.w
Sreph~n F. Bunner
Distribution Engineering
SFB:maw
ZEPHYRHILLS OPERATIONS CENTER: 36453 Eiland Boulevard. Zephyrhills, Florida 33541
A Rorida Progress Company
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VaaL
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OEseR IPT ION:
Lot 28, of SUNSET ESTAT!S, I, according to map or plat thereot. as recorded in
PLAT BOOK 14, PAGE 124, of the Public Records of Pasco County, FLorida.
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INSPECTION REQUEST
TODAY'S DATE: /c:2--f-9~
PERMIT # : 779Y
TYPE OF
INSPECTION: ~ rt +-~P2-
DATE OF )
INSPECTION: ~~r;_ /~ - /O-7{/
SIGNATURE : (~>?J ~
~ '~;rc ~ - ~ -d~./!.r?l
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