HomeMy WebLinkAbout01-0577
BUILDING PERMITN~
0577
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CITY OF ZEPHYRHILLS
(813) 788 661,.. ~ I'J Z, Z>
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Permit
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Pmperty Owne' ~r. ~
Job Address: :g t (
Parcel J.D. # 2Jf-~ t, :,2/-t:)t){/. - OO/tJlJ-CJtJ7D
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Date
9-~t-o/
M~"Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
FINAL
C.O.
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.
DATE
City License Registration #
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Valuation or ~
Contract Price ? LJ, tJOD
Compan
Address
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Meter Can
Const. Pole
Pool
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Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
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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:
[c\v"",^~ to']-O' c;(2.
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.
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dES: YO YO 90 des
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHXLLS. FL 33540
Phone:S13-7S0-0020 Fax:S13-7S0-0021
DATB RBCBXVBD 9 -/1- (';) /
PLANS REVIEW FBRc-::-
OWNER'S NAME u.-J 1'-L-I/f7YJ /J/tO!C-/Co t-t.J
JOB SITE ADDRESS 3~ '2--0 C--OPcL-/f,(/..h J:>R.
PHONE CONTACT 8'/.3. '71:5'.00/0</
~/'j'/fV.I/C L~, ?"""L. :3 3:5>'}/0
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LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # ;;:
WORK PROPSED: (JNEW CONSTRUCTION
~t> (OBTAIN FROM PROPERTY TAX NOTICE)
D ALTERATION
(J REPAIR
(J INSTALL
(J SIGN
o MOVE
(J DEMOLISH
PROPOSED USE: (JSGL FAMILY DWELLING
~MMERCIAL
DMULTI-FAMILY
(J# OF UNITS
(J MOBILE HOME
(J OTHER
D INDUSTRIAL
D SWIMMING POOL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
RESIDENTIAL:
COMMERCIAL:
DESCRIPTION OF WORK E)CrG/J5/~A..J -rv F/lt3t2/C4 7/~tJ 5HO?
AtO F ,/, /~ "', /' 2-t:./ /' ""'0
BUILDING SIZE 7' ^ ~C/ SQUARE FOOTAGE ~~~ HEIGHT
PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
OF BUILDING PLANS & (1) SET ENERGY FORMS. . 0 ~
REQUIRED FOR ALL NEW CONSTRUCTION., _ D I ( 1\" h~ () +
t I p;Dp,- rr I~'~ ,A)I/ ~
PERMITS REOUESTED ~."..... O~'t> ,q~ fP"
$ I~m~. :S.::::TION ~F ::D:O:::C~W'~~'
. ,,'" ot( 13
VALUATION OF MECHANCIAL INSTALLATION ~dl
/f
:20 I
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
~UILDING
~LECTRICAL
o PLUMBING
(J MECHANICAL
$
o GAS
D ROOFING
D SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
~EEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT
frNO
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COMP1!.Nyj)/lt//L) Wr \/lJ//,USt>,A)
STATE CERT OR REGIST #
CITY PROCESSING # J 9;
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BUILDBR
SIGNATURE
BLBCTRXCIAN
SIGNATURE 1<~..~.t4v~ ~ R-
COMPANY r-GG 6&GCTf2 { C
STATE CERT OR REGIST # Sg.cOC"flo4-C1
CITY PROCESSING # \~(~
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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
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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 ~evelopment 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 NTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO NOTI E OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO N NEED TO RECORD AND POST A' OTICE 0 COMMENCEM
r
\N'
CONTRACTO
STATE OF FLORIDA ~
COUNTY OF ( _7a..~e.dJ
The foregoing ins. trument wa~s acknowledged
Before m~is /1... day .-of _ ..e;: , .:2QO I
by ....l::::!I1 J/ ~ . ?:V . V
,. (name of person acknowledged)
~o is personally known to me, or
o who has produced c
(type of identification)
an~d .~d no, take an oat/7.h .
~ ~,>dL",~0cJIlI~/
Signature of person taking acknowledgment
SIGNATURE:
STATE OF F~RIDA
COUNTY OF a'i:J(LJ
The foregoing instrument was ac~ed~~
Befqre me this~ day of ~~ ,~I
by j:),IA..),\\.;c...vY\ Mw.....o..0
(name of person acknowledged)
Wwho is personally known to me, or
o who has produced
(type of identification)
and whoD did Ddid not take an oath.
dAAd J~~
Signature of per on taking acknowledgement
Name
Bobbie Swetland
~~#&f89~~~
february 22, 2004
BONDED THRU TROY FAIN INSURANCE, INC
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:CTION 24. TOW.NSHIP 26 S<lJTH. RANGE 21 EAST
PASCO COUNTY I FLORIDA
DESCRIPTION
A tract of land lying in the Northwest 1/4 of Section 24, Township
26 South. Range 21 East, Pasco County, Florida, and containing a
portion of Tracts 42, 55 and 58, ZEPHYRHILLS COLONY COMPANY LANDS,
as per the plat thereof recorded in Plat Book l,P8ge 55, Public
Records of Pasco County, Florida, being further described as:
Par a Point of Reference commence at the Northwest corner at
Section 24. Township 26 South, Range 21 East.. Pasco county,
Florida; thence N.S9040'05"-E, along the North boundary thereof. a
distance of "78.50 teet to a point an the Easterly Right-ot-way line
of C. S. X. Railroad; thence 8-25026' 35" -E, along said Easterly
Right-of -Way line. a distance of 2139..85 feet for a POINT OF
BEGINN!NG; thence departing said Right-at-Way line N-64033'2S"-.E,
a distance ot 670.00 feet.; t.hence 5-25"'26' 35" -E, parallel wit.h said
Right-of-Way line. a distance of 638.01. feet.; thence 88. 51 feet
along the arc 'of a curve to the right (said curve having a radius
of 50.00 feet, delta of 101Q25'35", chord bearing and distance of
S-25016'13't-W, 77.40 feet) to a point. on the Northerly Right-of-Way
line of Zephyrhills By-pass East; thence S-75059'OO"-W. along said
Right-ot-way line, a distance of 622.43 feet to a point on the
Easterly R.ight-of-Way line of said C.S.X. Railroad; thence N-
25026'35"-W, along said Right-of-Way line, a distance of's63.71
feet to the POINT OF BEGINNING.
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Said land containing 9.69 acres more or less.
NOTES: