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HomeMy WebLinkAbout01-0575 BUILDING PERMIT~~ 0575 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date 9 - ~..!)- <J ( c:-:.::...... ~. '.. .:::.....) ~ Property Owner: Job Address: ~ '0 .- "J::1l Parcel J.D. # /1- ~ - ~/-O t</lJ --/ /)~/)t) - /)//fO Zoning: Energy Code: c~. /1 RajOn Gas: Description of Work / -fJ. 'J(. A 0 _~ PLUMel~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: FINAL /0- DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.O. Valuation or Contract Price ;2, Ie,!;) 3 . etrmit F~~ c- Signa!'.~~~~ Company ~p8SoSne#"..~ ~.7 1-+~-%31-~ c: Inspector City License Registration # _./ e rtif~ BUILDING ELECT PLUMB MEC~CAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Canst. 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 Twenty Five and 00/100 Dollars ($25.00) 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUXLDING DBPAR~BNT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 Phone:S13-7S0-0020 Fax:S13-7S0-0021 DATB RBCBIVED If - ,:l.f-D I PLANS REVIEW FBB OWNER'S NAME CZlc+lM-b JOB SITE ADDRESS Sto4-n . "--' . \<. \'SOLe \ :t 'Q::\ ~\ ~ PHONE CONTAC~<f 832 ~ LEGAL DESCRIPTION: LOT BLOCK SUBDIVISION ll2~2-/~IO ID&nO,~D (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPS ED: 0 NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL l2 \~O ~~ BUILDING SIZE SQUARE FOOTAGE 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. PERMITS REQUESTED ~BUILDING o ELECTRICAL $'!' VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES DNO SIGNATURE ~~~ COMPANY ...\b M.E b ~ ~ l=::-.t. STATE CERT OR REGIST #_ CITY PROCESSING # --. BUILnER ****************************************************************** ELBCTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MBCHANXCAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject: to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If, the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the.intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S.Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 1!L- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. o who has produced (type of identification) and who Ddid [):lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Ifill 13(J()tV lYLLN3C1S31:J i 6 ~ ~i '" ~ i ~ ~"g c: ~il ld ~ ~!f -u.... 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SUPERIOR SHEDS, INC. SALES ORDER AGREEMENT ""'-(8,.)...._ DATE: ~ J () ( STOCK 0 TO BE MANU?", SERIAL': P.O.': ORDER ~~CATI~N: CUST. NA E: R ~ DAY~NE;'D- c.c" \C~W. /- -~-ocrv, ADDRESS'LJ. E ~ PHONE: . S~ 4() / 7~ -:sr: 87.3 'I 7'1-~3.t,j- CITY: . .. COU TY: STATn _. ZIP: .111 PER: U h ~1I11..~ ~~ I ~IOA 33"71 MODEL: R /1> '" fi"'$ IO&.IT71H- STYLE: ~Iko SIZE /~ I (PEAK) x ,20 I ~. t (JS; COLORS B.QQf ,.... IBLM ,. ~ FEATU_'j - LM"". u>,r>(J';';' , / - /0 '12'~f! V;,.r;-, 6<'> I \", -R~C)vw.. A-k .r;.~r-. &,_' ~(,. ,,' / I oJ p~. PYMT P ~ ~ Cd- K t~ f:o~ - D tP, . t: '" ~ ~~~~ ~~t?6-' 0-0 PRICE $ ;2b5~1t FINANCE TERM COMPANY IB\~.\~ ( 0 -L ~ ;)1:)1 ~ o-cJ SUBTOTAL S ;l..{,S3 i\"..... Ia- TAX S /.:;""'9 ~le 13- TOTAL s ~819. <'Ji"" 18' · DEPOSIT S 3 J:l. M PROGRAM #- CR CRD 0 CK.,s tf?j;J.7CASH 0 ~ LOADING INSTRUCTIONS: LOAD DOOR TO: I=t- u. Tti # 0-<> fJJJt8tfll'ft'7a REAR FRONT 0 DRIVER SIDE 0 PASSENGER SlOE 0 BALANCE DOE' .;<>sac,,~ "ff'''"' . . . N1l\Il( WILL BUYER PROVIDE AN UNOBSTRUCTED PATH LARGE ENOUGH TO MOVE SHED TO INSTALL SITE BEFORE DELIVERY? - YES NO ADDITIONAL FEES/INSTRUCTIONS: DEUVERY CLEAR PATH IS NEEDED: FENCES, SHRUBS, ETC.,ARE BUYER'S RESPONSIBILITY. ONE SET OF BLOCKS AND ANCHORS PROVIDED. ADDITIONAL BLOCKING OR SITE PREPARATION WILL BE AT ADDITIONAL COST. A $100 FEE WILL BE CHARGED FOR RETURNED DELIV- F.RIES DUE TO SPACE PROBLEMS. WHEN A SPECIFIC PLACEMENT OF A UNIT IS REQUESTED, THE BUYER ACCEPTS FULL RESPONSIBILITY FOR DAMAGE iN. CURRED BY OBSTACLES THAT HAVE NOT BEEN RE. MOVED. PLEASE REFER TO DELIVERY REQliEST FOR LOADING INSTRUCTIONS AND DIRECTIONS. PERMITS: BUYER RESPONSIBLE FOR ALL PERMITS AND SET BACK REQUIRE. MENTS. CONTACT LOCAL MUNICIPALITY BEFORE DELIVERY. ENGI- NEERED DRAWING AT TIME OF PURCHASE. STORAGE SHED WILL BE PLACED WHERE INDICATED BY BUYER. RETURN TRIPS TO MOVE SHEDS WILL BE CHARGEABLE. THIS IS A PRE-CONSTRUCTED POR. TABLE STORAGE BULDING TRANSPORTED TO BUYERS LOCATION AND PLACED PER BUYER'S INSTRUCTIONS. DEPOSITS: DEPOSITS REQUIRED WITH BALANCE DUE UPON DELIVERY. UNITS WILL BE HELD AT LOT MAXIMUM OF 3 WEEKS PENDING DELIVERY, UNLESS PAID IN FULL. BUILDINGS MANUFACTURED TO SPECIFICA- TIONS WILL HAVE A 20% CHARGE FOR CANCELLATION. GOODS: ALL GOODS REMAIN PROPERTY OF SUPERIOR SHEDS UNTIL PAID IN FULL. COLLECTION COSTS. INCLUDING ATTORNEY FEES. WILL BE RESPONSIBILITY OF BUYER. BUYER: DATE: CJ/~ I jet SUPERIOR REP: ~Mt y L, IttllNiRsl:lI LOT ADDRESS AND PHONE: (81J) 91r-/fli" ZS-3~ ~ 0 '~ l3J.vJ. LIJN'O O/~J -fi. 3""'1 BOUNDAR Y SUR VEY SCALE: 1" = 20' FIR 5/B" PLS 5B34 LOT 19 01 '~OB 1)0C'l- 131) ~ :-.:- "- 0) ~ ...... ki . R (\j .... ~ Vi ~ ti 0 i5 ~ ..... 0 -.I ~ tJ ~ ~ 0 ~ ... ~ 119.99'(M) i.i: 0.4' 1.0' FIP 1/2. NOTE: LOT /S DRAWN BY OCCUPA TlON. "J 0 TE: A-ARC ~ ~ -_ '1:f;NGUARK ~ &c ~~CULAICD :l CB - CATCH BASIN ~OOD fNFORMA nON: JNE: X 'JM8ER: 120235-0005C ITE: 12-017-91 ADDRESS: 5640 17TH STREET ZEPHYRHILLS, FLORIDA. ALLEY S.OO.03'29"E. 120.04'(M) I I I , I I , I I I I , , f I I I I , I I , , I , I I I ?6.2' , I I I I ~-( €. S1~C€. O~ S'ot. 0 ~t. S6A * I I I in I oi 17.9" , I I I I I , I , I I I I I I I I I , I I , I I , I , , I I I ~ ,1, oB \9c'l- e\..O o ~ ,60B \..01'1- ' e'--OC CONC. STEPS o ~ 1. 1 l\j ""I' ~ 9.3' ...... I , I , f I I , I I I I I I , I I J I I , , , I I I I I , ~ ~tl-7 z.o ,~ , , I I FIR 1/2" J 3555 rx- , 2\.l 3.2' LOT 14 9.2' l\j lei l\j 9.3' NORTH 1 '\oB ,--0 c'I- 13,--0 2.6'- ceaD, srMDAaD BUIlDING, PlUMBI"S, ..... lEe. AND CITY Of ZEPHYRHILlS ORDINANCES. 17TH STREET 60'" R/W FIR 1/2" J 3555 LEGAL: SECTION: 11 TOWNSHIP: 26S RANCE: 21E LOTS 15 -lB. BLOCK 108, ZEPHYRHILLS, AS RECORDED IN PLAT BOOK I, PAGE 54, ACCORDING TO THE PUBLIC RECORDS OF COUNTY, FLORIDA. This S_y was wnducled wilhoul lhe ""'1 0' on absl=1 01 t;/Ie. Ihe~l.", 1_ moy .. 01.... """"ols. righ/-ol~.oy, ~Ibock /mes. 0"""","1, ~~""Ik>ns. mslri<I~", w oth" sm."" moll~ 01 p""'lc """". nol </eplcled on Ims sU""y, CH8 - CHORD BCARING DC - DRAINAGE: CASOIE:Nr F'H - FIRE: HYDRANT UH _ UANHot.E: ~P _ ~R POLE: g:. : '= "" ""'" g:;: = ~:\W'" ::;: = ::g: ::Ii 't':. -"'''f'''A'' -. - _"" sa ... "'" CONe. - CONCRCIF FeC - FOuND CROss CUT FN - FOUND NAIL PC _ POINT OF' CURvATURE: !ill _ SCT lION ROO /11TH CtP /1195 csw - gJ/iCREjF SDfWALK FeU - FOUND CONcREIC FPP - FOUND PINCH PIPE PCP _ PCRlIANCNT ~ POIIiT UC _ UTILITY EASCUENT D - DEEDMOUNUIJENT- U - UCASUREUENT PI _ POINT OF' INTERSecTION :: : =R tfI::. EP CER TIFfED TO: RICHARD KNOLL 84Y GULF CREDIT UNION JOHNSON. SCHRADER, AU\I7L ct BROCK, P.A. OlD REPlJ8LJC NATIONAl.. TlTiE INURANcE COMPANY La WORK BY: AIWII BY: JC DAR WDB DATE: 07-16-01 OATE: 07-16-01 REVISION DA TE: 1: 2: 3: PAGE # CERTlFICA TlON: I HEREBY CERTIFY THAT THIS SURVEY WAS MADE: UNDER MY RESPoNSIBLE CHARGE AND MEETS THE: MINIMUM TECHNICAL STANDARDS AS sa FORTH BY THE BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6 OF THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.D27 OF THE FLORIDA STATUTES. NOT VALID WlTHQUT SIGNATURE AND EMBOSSED WITH SURVEYOR SEAL. '7-/&-oJ #Yl.~. ~ JOB # 01-3195 M. G. MA YER PLS 4495 DATE