HomeMy WebLinkAbout02-1534
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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
(813) 780-0020
1534
Date _
/0-7- D~
Zoning:
~AL P~
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-M!CRANicAi'
Sewer Conn
Water Conn:
BUILDING
Property Owner:
Job Address:
Parcel I. D. ,
Water Meter:
T,I.F:s:
DescriDtion of Work
Energy.Code:
C:: :5 (?~~A1
G?~
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
DATE
Inspector
Valuation or
Contract Price
/I ~ 00
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C r-Slona1,l.JrR>
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Company
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City License Registration # / & (:)
~te Certif~iicense# ,
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BUILDING
ELEC~-
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PLUMBI.NG---
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~CAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTlON 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) shaH 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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JOB BITE ADDRESS ~(/ '1. t:)~g (;--~~__._!A--~//
LEGAL DESCRIP'fION: LOT(S) BLOCK SUBDIVISION
L:J..'l'Y OF ZEPHYRHILLS PERMIT APPI-IICATION
BUILDING PBPARTMEN'f 5335 ~th S'l'REE'f ZEPHYRHILLS, FL 33540
fhoneI813-780-~020 FMxI813-780-0021 L1_ ~,~ ~~~~
DA'UI RBlCEIVED ~J r;>(
PI,ANS RBlVIIllW Ji'IilB__--- .~~==
PHONE CON'l'AC'~_11'" 0;2./0
PARCEL In #
WORK PROf/SED: ONEW CONs'rRUCTION
(DBTAIH F'ROM PROPERTY TAX NQ'I'+CE)
g.-:mJDITION
o ALTERA T I ON
o REFAIR
o lNSTfl.!!I.
Os IGN
[J MOVE
o DEMOI,rSH
I?ROJ:lOSED USE: [lSGL FAMILY DWELLING
(J COfi]MHlRC IAI,
OMUL'l'I - FAMILY
D# OF mUTS
D SWIMMING POOL
o MOB I [,liJ HOMliJ
~ OTHlilR
reA ..p..p ')
JI?#t:I'~
D INDUS'l'RIAL
CJ RESTAURAl'lT & HEAI,TU DEPARTMENT APPROVAL
DESCRIPTION OF WORK )" (
BUILDING SIZE I ,) 1- /.-fi--
,h..e<-{!h
}-c??' Y1...
SQUARE FOOTAGE
1ft
I
HEIGH'!' ....?
RESIDENTIAL: ATTACH (2) PLOT PLAllS & (2) SETS OF BUILDING PLANS & (I) SET !lJNIilftC4V FORIYlS,
C01>1lvJERCIAL: A'I"I'ACH (3) SliJ'rs OF BUILD:rNG PLANS & (1) SET ENERGY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
FERWITS ~EOUESTED
o I3lJIUHl'lG
fJ ELEC'I'RICAL
$ Lf~(JCJ
VALUATION OF TOTAL CONSTRUCTION
AMI? ,sERVICE
o FI,QRIDA POWER
o W,R,E,C,
o Pl,UMB ING
o I1I1:CHANICAL
$--,
VALUATION OF MECHJl..NCIAI, INS'l'AI,LA'l'WN
o GAS
Ll ROQFIl1G
D SPECIALTY
o OTHER
'!'YPIil OF CONS'I'RlJCTI01~: [J BLOCK
D FRANE
o STEEL
o OTHER
l"INISHllm FI.qOR EI,EVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES [:J NO
lI1J,ECTIUCIAN
BUILn.. . "OMPANY A- lei < _~-"'i'1f ~ /h::-,;~~V I
~ / ~ STA'I'al CER'r OR REGIS'!' # ~.. .... C_~~~
SIGNATURE y~.-d 7- . CI'l'Y PROCESSING # //35
..............::... .:.........................~~.~........
COt1PAl'lI'
STATE CERT OR REGIST #
CITY PROCESSING #
SJGHATlJRE ___
~....,..-""-
*"**'*'.**'***k.*.***..*..**.**.************..***.*..***.*..*....
iLmtElBlR
COMPANY
STATE CER'l' OR REGIST #__
CITY PROCESSING #
SIGNA'l'URE
MJIlCHANICAL
.******.*...****.***********.*.******.**..************,****.,*.tt'
COIYJI?ANY_
STATE CER'f OR REGIS'I' #
CITY PROCESSING #
SIGNATURE
**'****'**'***************************~*'*****.*****,.****,****.*
OTHJlIR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SHmATURE
k*'*******k"****"*'**"*k'*'***'*"*"*,***,*,**,,,*""""'"
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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
aoknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid O:lid not take an oath
Owho has produced
(type
and whoO did Odid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
PROPOSAL SUBMITTED TO:
All AMlhRHCAN ALUMiNUM
P.O.BOX 765
Lacoochee, Florida 33537
1-813-997-0210
PHO~r ?lCr-
JOB NAME
Fax# 352-588-3963
1-800-946-5137
STATE
NAME
STREET
CITY
STREET
CITY
STATE
We hereby submit specifications and estimate for:
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labor and materials - complete in accordance with the above specifications. for the sum of
'" dollars ($ '-I-f ,-:, r . ) with payment to be made as follows:
Note: Attorney's fees, if necessary to collect contract payment will be paid by Contractee.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard
practices. Any alteration or deviation from above specifications involving extra costs, will be executed only on written orders.
and will become an extra charge over and above the estimate. All agreements contingent upon strikes. accident or delays
beyond our control. This proposal subject to acceptance within days and is void thereafter at the option of the
undersigned.
----... ~ ;~~
The above prices, specilications and conditions are hereby accepted, You lire auth
above,
ACCEPTED: Signature
DATE 1-- tJ ~) ~ ~ Sig~alure
t will be mado as ouUined
SURVEY OF: (DESCRIPTION AS FURNISHED)
LOT 14, OAK CREST ESTATES, PHASE TWO, ACCORDING TO MAP OR PLAT THEREOF AS
RECORDED IN PLAT BOOK 39, PAGES 64-65, PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA.
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SUBJECT PARCEL APPEARS TO LIE IN FLOOD ZONE(S)
NOTES:
1. NO EXCAVATION WAS PERFORMED TO VERIFY THE LOCATION OR EXISTENCE OF ANY
UNDERGROUND IMPROVEMENTS. STRUCTURES, OR FOUNDATIONS.
2, THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITlE REPORT. NO
INSTRUMENTS OF RECORD REFLECTING EASEMENTS, RIGHTS-Of-WAY, AND/OR
OWNERSHIP WERE FURNISHED TO DR PURSUED BY THE UNDERSIGNED OTHER THAN
THOSE SHOWN HEREON,
3, NOT VAUD UNLESS EMBOSSED WITH THE SURVEYOR'S SEAL.
4, ELEVATIONS (IF SHOWN) ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM Of 1929,
5, RE-USE OF THIS SURVEY FOR PURPOSES OTHER THAN WHICH IT WAS INTENDED,
WITHOUT WRITTEN VERIFICATION, WILL BE AT THE RE-USERS SOLE RISK AND WITHOUT
UABIUTY TO THE SURVEYOR, NOTHING HEREIN SHALL BE CONSTRUED TO GIVE ANY
RIGHTS DR BENEFITS TO ANYONE OTHER THAN THOSE CERTIFIED TO,
6, BEARINGS ARE BASED ON THE SOUTH BOUNDARY Of LOT 14,
ASSUMED TO BE S 89'58'35" E,
x
PER THE FLOOD INSURANCE RATE MAP COMMUNITY PANEL No.
TYPICAL LEGEND
120230 0295 [
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- SU NAI/. .t DISK PI.S/4542
- UGHT POLE
- METER POLE
- PHONE BOX
- CABLE TELEVISION BOX
- ELECTRIC BOX
PIE - POOL EQUIPMENT
W /E - WELL EQUIPMENT
\11M - WATER METER
"- - CENTERUNE
(D) - DEED/DESCRIPTION
(P) - PLAT
(F) - FIELD DIMENSION
FCM - FOUND CONC MONUMENT
FlP - FOUND IRON PIPE
FIR - FOUND IRON ROD
FN - FOUND NAIL
FN"'D - FOUND NAIL '" DISK
fH - FIRE HYDRANT
GW - GUY WIRE
La - UCENSED BUSINESS
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lit/,ArA
LEONARD G, 'GEOFF' 'WOOD
ENGINEER
Leono.rd G, IJood, p,e:, #47377
4034 The fenwo.y
Mulberry. Florldo. 33860
Tel4Pphone/Fo.)( (863) 646-5517
Mololl.. (863) 287-7073
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.. .. .. .. .. .. .. 0 I florid.. BuIl....g Cod.. Section 1606
CO U) ...... ...... to CO en en ..... .. "cue Wlnc/ IJliq H.P.H.
1M- TRI~I JTARY WIDTHS OF" BEAMS 0
....., Z/;:;;;%~
[AMS AND GENTER 6EAMS
: V S - 130 ~D VELOCITY
LEONARD G, IGEDFF' 'vIDDD
ENGINEER
Leona.rd G, "'ood. P,E. 1147377
4034 Tne fenwClY
. Mulberry, FlorldCl 33860
Tlllephonll/F"a.)( (963) 646-5517
Mobil.. (863) 297-7073
23'-0'
22' -0'
21' -0'
20' -0'
1 g'-O'
1 8' -0'
17'-0'
16'-0'
15'-0'
14'-0'
13'-0"
12'-0"
11'-0"
101-0"
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I
DGE B
~
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT .".
C:.. '& 0 Z, D4 k CVt' ) 4- ~ lO q 0 L . ,-"5
THIS JOB HAS NOT BEEN COMPLETED. T~ following additiqns or corrections shall be made before the job
will be accepted.
,
J' A.', t.~ken fid S 1 Coil ole +- Cd \ SL.e ~..\- I <.. r.€{){j -k> (he c k
~ ~e (! l,t,) h.(~ ~ k.. , ." d (),-f-- '~C"+eIY' co c( ,~e 1'1 e r?(1 eri
e r I~+i..-e.,r ~L;,'V\ .e.....S,.""\ .6€r s~.\,.,:,,~ J..{..,e.-\-L:,o+er S 4,-"{/
AD ~ f"\et!dp d.
OFFICE HOURS 8 - 5 MON.-FRI.
. AFTER CORRECTIONS ARE MADE CAlL
788-6611 FOR RE-INSPECTION
INSPECTOR /l.JK/. fL.. ~
i1
II II unlawful tor any Corpent.r, Conlractar, Bulld.r, or oth.r per$Onl, 10
cov.r or cauae 10 be cov.red, any port ot Ih. work wllh flooring, lath, .arth
or oth.r material, unlllth. proper Inlpeclor hal had ampl. 11m. to approve
Ih. Inltallallon,
/]7 BUILDIN'G
L~ DEPARTMENT
"NOTICE"
OF ADD.ITION OR CORRECTION
CITY OF
ZEPHYRHILLS
DO NOT REMOVE
2 :"5\J r~ ~u\. ,
ADDRESS 'DATE PERMIT ",. I
&/O\j2- 'ti'ttoZh.')iwJr-f /;/2.-~'2 /53f
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
CO ' w+5 ,N{Y
, 0 ," 'I ' 1<uJv-t I
v\J1 fH I $.;, K
(g) -JNl'6I2.i u{L flr-l,)~~f}-L~ <l1l4LL IS&- f2.D,,1\ u'-/ liP Fa f,,-
lNs~C:r7~ or ~aC7i~S~
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the wor1< with flooring, lath. earth
or other material, until the proper inspector has had ample time to approve
the installation,
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR IvVZ1!.ii/::{:;J
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.