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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
1!L-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid [):lid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Ifill 13(J()tV lYLLN3C1S31:J
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SHED COUNTRY
LAKE BLVD TEL. (813) 948-1418
~D~~~FL:"" . SUPERIOR SHEDS, INC. SALES ORDER AGREEMENT ""'-(8,.)...._
DATE: ~ J () ( STOCK 0 TO BE MANU?", SERIAL': P.O.': ORDER ~~CATI~N:
CUST. NA E: R ~ DAY~NE;'D- c.c"
\C~W. /- -~-ocrv,
ADDRESS'LJ. E ~ PHONE:
. S~ 4() / 7~ -:sr: 87.3 'I 7'1-~3.t,j-
CITY: . .. COU TY: STATn _. ZIP: .111 PER:
U h ~1I11..~ ~~ I ~IOA 33"71
MODEL:
R /1> '"
fi"'$ 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
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0-0
PRICE $ ;2b5~1t
FINANCE
TERM
COMPANY
IB\~.\~ ( 0
-L
~
;)1:)1
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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
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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)
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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