HomeMy WebLinkAbout02-1144
.BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2 11 44
(813) 780-0020 Dat. 'i/JlrJL
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Q7. ~
BUILDING
40. cg
ELECTRICAL
PL~ING
MEC~ICAL
Sewer Conn
Water Conn:
Property Owner: g:, \ An. Jer (u l1
Job Address: ~ S 18 A lc~b a ~W Dr .
Water Meter:
T.I.F.'s:
Parcell.D, ,
Zoning:
Descriotion of Work
Energy Code:
Co r ,p~).- .\.- ' R.:Ja...,
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Radon Gas:
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Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
;( :~;~:;:. -;e;~~ /),i~/
~ /
Company.
Address
7xi: - 95// 9
~ Telephone#
Valuation or
Contract Price
9000 - ~
City License Registration #
State Certified License#
11"\ :
eC.
BUILDING
ELECTRICAL 0 7l
MEC
Tp, SeN. SLB
Rough In V'L./-23.-lJ 2..RLYTub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. ./'1-23 -Oc?- KL Y
Insul. CL
WL
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,
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LEGAL DESCRIPTION: LOT(S)
,
CITY OF ZEPHYRHILLS PERMIT APPLICA
BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540
Phone:813-780-0020 Fax:813-780-0021
DATE RECEIVED ~ - 6 - Cb(,
PLANS REVIEW FEE
Pc.set' PC,....; t Ser"'~
PHONE CONTACT 7 8"8'- 53 I '-/
Pc>l"h.:t 12 -hi! ls, :<; ~ S<.f 0
E(\1eralcR POI Je:
~ Lj-fr-- .~;Z
tcr-
-
OWNER I S NAME -=B.ill A V\d. (7f5Dn
JOB SITE ADDRESS 35/ <3 A laba.ster 'Dr'. , E yne.ralA.
100
BL0CK
SUBDIVISION
DSIGN
(OBTAIN FROM PROPERTY TAX NOTICE)
at-.ADDITION o ALTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
DMULTI - FAMILY 0# OF UNITS o MOBILE HOME
o INDUSTRIAL o SWIMMING POOL o OTHER
PARCEL ID #
WORK PROPSED: ONEW CONSTRUCTION
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK (' ~rpoY-Tl R DOM A-dd...chD"'- l S'h ect
/;2x/2.1
BUILDING SIZE /:z.~/&) ~. 7x-7 SQUARE FOOTAGE 386fr>fa-{
HEIGHT 5~p~
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
plBUILDING
DQ.. ELECTRICAL
$
q 000. eo
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMEIJJ~G
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
~ FRAME
o STEEL
~ OTHER ~~
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
FINISHED FLOOR ELEVATIONS
BUILDER
SIGNATURE ~ W.~
COMPANY V\Il,. kt.. WI I /; c; u"c:.. CDIA <: 1-.
STATE CERT OR REGIST #
CITY PROCESSING # 36:,.;t..
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ELECTRICIAN /:}
SIGNATURE A/c:<.'>~~; ~d..--<~~
COMPANY t/I t: AA4'J C/Z.FIf/ d A- ? L P L,&C 7 A ,.~
STATE CERT OR REGIST #
CITY PROCESSING #
d?2-
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
SIGNATURE
COMPANY
STATE CERT OR REGIST. #
CITY PROCESSING #
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITI0NS 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 responsihility 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 Bngineers-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
~)L, W~~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA '1?
COUNTY OF ra~(O
The foregoing instrument was acknowledged
Before me th,il\., 5.fh day of A pri , , If)~J-
by m i kl. LA_i71Tia~s
(name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument wa~ a~knowledged
Before me this &day of i:J:prl I , ltl ~d-
by /fVl i ~ ' l'dv-..-s
(name of person acknowledged)
~o is personally known to me, or
Pa5CO
o who has produced
(type
D did not
of identification)
ke an oath.
D who has produced
(type of identification)
~id no~ ~e an oath
76~
Sig ature of rson taking acknowledgment
"""'1., Suzanne 8ahr
"'''~ Plj '; C ~a08t7
Name tYPe~~~jt~:;:~~~:It~~
~ft('\}!:~,~ (,; !^,~,7~!,f~~;~,.,\;;' r;g INC
Name typed,
person taking acknowledgement
Suzanne 8ahr
,,"'\\~~~et./;,_ '" # C( 7908 t 7
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35'
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5'
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6' SHED Roo F r-'
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5'
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PROPOSED
ROOM
ADDITION
12' x 12'
EXISTING
PARK
MODEL
12 x 36
~OO:;L
PROPOSED
CARPORT
12'x 16'
.
23'
1
3518 ALABASTER DR.
EMERALD POINTE
RV RESORT
LOT: 100
65'
DATE
BUILDING 0
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