HomeMy WebLinkAbout03-1882
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1882
15
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(813) 780-0020
Date ~ -::J.<;?-D3
M~-~ewer Conn
E~;i\l PlUM8tN'O'
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Parcel 1.0. # .2~-~~ - .) /- 0 0.1/0 - OtJOC)t:> - /.12-47:>
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Zoning: /8er~v Code: Radon Gas: ~ - __
OescriDtion of Work (_.-7 n'T:zh ~~ ~ ~ I ~~t, ~lj)-yJ(7A ~
Water Conn:
Water Meter:
T.I.F.'s:
~~
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
-0)
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
/- /150
Valuation or -
Contract Price ~ /) 6 D
Permit Fee
C~~~::~~
Address
c~el'~~'h'(;~~# _') 7 ~ - b31 'I
City license Registration # _______
St~te Certified license# ~
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BUilDING
ElECTRI~-~
Tp. se~
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLU~""-----
---
Mf.CJoI.'\rillL.AL
--
-
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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) 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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:s -5 Z 7 jjL/t bris-rr2f2-
GJf~<t ,2- ;;217-&3
AL~"j\..M. CAJf~
SQ. IT_
PRICE
Main
'30~
IDiot:>
Other Area
Under Roof
Valuation: 3.obC. ~
I
Building: 7 5. ~e
Electric: tJi 11-
Plumbing: ~ IIA
Mechanical: 1J I v4
Radon:
Jt
7c;.{,ob
3.0Cc
School Impact
Fees:
jJt~
Connection
Fees:
Trans. Impact
Fees:
EMERALD POINT LOT: 124
PARCEL ID#: 24-26-21-0040-00000-1240
36'
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PROPOSED - -
- -
PATIO
COVER
9 X 34
12 X 34
10' PARK
-
- - MODEL
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29'
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3527 ALABASTER DR.
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
Burr.DING I)}lJI?ARTMBlNT 5335 a th S'rREElT ZEPH'lRHII.IJS, Fl, 33 r;" 0
I?honeIB13-780-Q020 FaxIS13-780-0021
lJA'rBl RBomIV!JO --e2.-.2 tL-:./?3__
PI.ANS R!lIVIBlW 1I'1ll1ll__'--~~__'LJ_.____.
OW""R' 8 IIA""-BQf3ecJ1eeJ,,,>_.. _....____. _. _... .._._.. PilON" COWl'A"~_~r~~~~RY'-CE
,JOB SITE AIJIJRlllSS__-'_,35 ??-l__flJ(,::bftsJ ~.r__~12L~___ ___ ------------------_____m._____ ____
lJBlllAL I.lBJSl!RIP'I'IOI1: LOT(S) ___Lc3..~_____ BID(;K ________.___ SUBlJIVI81Cltl
--'---.-----~___._ _ H __._._.~_~...._..______._"_
P ARC!EJl, w It_~ r.j - ,;J.Y_~J -OP~O=-'CXWO_=__@!lP___~_~___._~_~l~T~nl__~~~~~!~~~~~~~~__~~~~_.~~~~~~~_~__
HURll: PROP81lllJl [JNlllN r.'ONS'l'RtJCTWN 1M AODI'I'ION []AI/l'ERATION [J REPAIR U INSTAl,I.
[J S Iml
[J MOVE
o DElMar/ISH
PRO!,>OSEll USE: I ~C:l]1 FJ\I'.lITJY DWELIIIlm
[h1tJI/l'I. FAt"'n,y
U# UF UNITS
[J SW ltiJMING POOL
LJ MOBII,E] ItofiJE
Ll CmiJ~1I!:R(! 11\ I,
[J INDLJS'l'RIATJ
lJ OTHER
D R~18TAI1RANT & HEAl/I'll DElPARTf1EN'!' APPROVAL
IJBJSCRIP'l'ION OF 110RK .-:Pa..ti'i2_ CQ.,,:er.D11 ext.st_~-_-CQl'Lcr~te-M~-__---.----.-----
BtJU,TJIN(J SIZE --~.1.-----______ SQUARE FOOTAGE __,.301fl .f/;L.~- IIB/WH'l' _,...2.~_3~__
RESIDENTIAlJ I
CO~1MBlRCIJ\T1 :
A'I'Tl\CH (2) PI,O,!, PTJANS & (2) SElTS OF BUI! ,DING PLANS & (1) SEl'!, ENElRnV FORMS.
A'I"I'AC!H (03) SE'l'S OF BUtr.TJING PLANS & (1) SElT ENERnv FORMS.
PROPEIRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
RERHITS REQUESTED
tr4. 8IlIr,LlINC~
L1 BJLBlC'I'RWAI,
L_0l_5D. tv _____, VALUATION OF TOTAL CONSTRlJC'!'ION
------.-___"- AMP f:jElRVICEI
o FfnRlnA POWER
OW. R , El . (! .
[] PI,tJtiJBING
o I-1BiUIIl\NTCAL
[J (3AS
[] ROOFING
$-- .---'------ VAl,UATION OF MElCHlUICIAI. U1STALlJATTON
[J 8PEC1tAUI'Y [) OTHElR
TYPE] OF CONSTRUCTION I [J BLOCK
[J FRANEJ
[) STBJElL
[J OTIIER
FINrSHBilJ PI,orm lllI,BlVATIONS
----------
T 8 PRO,JElCT IN FLOO/) ZONEl AREA 0 YI!IS
o NO
BtJIL1J81R
81GHATIJREl ~_.~____.____
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COfiJP AN y--Ow.Y1~_____m________.. ________.______.__
S'I'J\TEl CFJRT OR RElGIS'I' # .______________.._____~______,
CITY PROCBl8SING #
-~_. ..__._.~---_.."-_.~-~-_._- --.----.,-..--.. '.__._~-. .....-
IlII.!lCTRICaH
8 1131l1\'I'1J R EJ _._
.... ..-.. --- ----- ---.,--_._--- - -'--'-"._-~. ---. -- --. --.------------.--
COt1P AN Y _.__._ .b-_____.h__ __________.___
STATE: e'ERT OR REGIS'l' #
CITY PROCESSINt3 #
._------- _. ---.--.-." '--'-----'--.--
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-----._..._~-----._._--_. --...-_..- --. --_.~_..---------..
PI. tIMBER
.__"_'~--------",--_......._---_.
C~OM PAN Y -.---_'_______________,--______________.__.__________________
STATE CERT OR REGIST # ____~____~_.__.____..
CITY PROCElSSING #
SIGNA'I'lJRE!
MECHANICAT,
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----~-..-4~____~___4___.____.________
......._-------_._----_.~--_._-_.....__.._-"---
(!OI\1PANY ___. _____.______________________
STATE! CffiRT OR RElGIS'I' #
CITY PROCESSING #
-~--~.__.._---._----------- -----.-
S WNA'l'IJREl
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---.--------..-------.---.------.-------.
OTIIIlIR
-~-------_._----
Cot.1PANY
S'I'l\1'El CERT OR RElGI8T #
CITY PROCESSING #
.._~-_.__._-------------------~-----
SI<H1A'l'UREl
--.~ ----..- ------_.----- .-... .----
----4-__.~.__k__.._____..__
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-----~--------~.._-_._._._-------..-"'"'--._._--_.~----. -....-
CO:~D]~'J:IONS OF PEPJ.\1Irr AFf~~DAV~~~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands th~t lh:Li. p~rmi t :nay b,= sl<bject -::0 "deed restrictions" HIHdl
may be more restrictive than City regulations. The l<ndarsigned assumes responsibility for
compliance with any appli cable deedn~st:J:ictions.
B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'RAC'l'OH RE:SPOm; [BI1.1'1' n:s
If tIle owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance Hi.th stat.. and local regllLitiolls. If the contracl:or is not
licensed as required by laH, both the owner and contractor Inay be cited for a misdemeanor
violation under state laH. If thE:: owner or intended cuntractor aLe uncer'lain as to vihat
licensing requirement:> may apply for the intended work, they are advised to contact the
City of ZephYl':hills Building Department, 813-788-'6611.
FurtherlHon::, 1 f the owner has hired a contractor or contractors, he is advised to have the
contractor (s) sign portions of the "Contractor Sections" of this appli.cation for \-Ih1ch they
will be responsible. If you, as the owner signs ~s the contractor, YQij are indicating that
you, rather than the oontractor, are responsible for the work. If the oontractor wishes
you to sign as contractor that mClY be an indication that he is not properly lioensed and is
not elltitled to permitting privil~ges in the City of Zephyrhills.
C. TRANSPOR'I'ATION IMPAC'l' FEES AND UTILITY CONNECTION FEES
D. CONsrl'R\lCTUION LIEN LM~ (CHAP'11ER '713, FI,ORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Con:>tr\<ction
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 desoribed dooument and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRAC'l'OR' S/OWNER' S AFFIDAVl'l'
I certify that all the information in this applicatloll is accurate and that aU Hark will
be done in oompliance with all applicable laws regulating construotion, zoning, and land
development.
Application ls hereby made to obtain a permlt to do work and installation as indicated. I
certify that no Hark or installati.on has commenced prior to issuance of a pennlt and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulati.ons 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 identlfy what actions I IIllISt take to
be in compliance. Such agencles include but are not limlted to: "'Department of
Envil:Ollll\ental Regulation-Cypress Bayheads, Wetland Areas and Environment.ally 8ens-j.tive
Lands, Water/WasteHater Treatment
.Southwest Florlda Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
.Army Corps of Englneers-Seawalls, Docks, Navigable Waterways
.Department of Health & Rehabilitative Servlces, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certlfy that, if flll material i:> to be used in Flood Zone qA" or "A, etc.", it is
understood that a drainage plan addresslng a "compensating volume" 'wiLL be submitted Hhich
is prepared by a professional engineer registered in the State of Florida prior to permit
j ssuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authori ty to violate, cancel, al te!:, or set aside any provi:>ions of the technical codes,
nor shall issuanoe of a permlt prevent the Building Official from thereafter requiring a
correction of errors ill plans, construction, or violations of any oode. Every permit
is,5u~d shall beaome invalid unless th~ HarK authorh:ed by such permit is oOllunenced within
six months of issuance, or if work authorlzed by the permit is suspended or abandollect for a
period of S11. months after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be ~eques~ed
in writing to the Buildi.ng Official. An approved inspection must be logged during each l:liK
month period, or the pr'oject Hill be considered abandoned.
WARNING TO OWNER: YOUR E'AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING 'TWICE IfOR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU INTEND TO OB'l'AIN l!'INANqINq, ~qN~UI/I'
WI'l'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'l'. ,JOBS UNDER
$2,500 IN VALU&: no NOT NEED '1'0 RECORD AND POS'1' A "NOTICE OF COMMENCEMEN'I1I/.
~
-~
SIGNATURE: OWNER OR AGEN'Il
~~..
S ,GNA'l'URE: CONTRACTOR
S'l'A'l'E OF FLORIDA ~
COUNTY OF ra6C~
'J'he foregoing instrument was_acknowledged
Before me this..d.L day of r~fo"-V(b-~, ~03
by __Raje r m e~k-5.
(name of person acknowledged)
Dwho is personally known to me, or
~IO has produced YL
(type of identification)
and []did no take an oath.
STA'l'E OF h'LORIDA
~-c
COUNTY OF ,6 d2________
The foregoing instrument was acknowledged
Before ~e this~jay of~~, .~.o3
by KD~V v~k<; ___
Ina e of person acknowledged)
aho is personally kno\'m to me, or
~ho has produced_i.2_L_
(type of identifioation)
[}Jid not t.ake an oath
/) -~
'-.J~
f}ignatl,lre of person taking acknowledgement
~- "'~""" Suzanne Bahr
~~C" ~
~i~-I~;;-typ~i';-~~i~~:~~~~~Jo~ ------
'\.~o;"'~,.:- Bonded Thru
""tI\\\\ Atlantic Bonding Co.. Inc.
",1\111/1 SUzanne Baht
,':\tJ':Y"4ft:'
H ame t YI~iJrCol:Mls~2n 1JtQj~-id-------- ...-.----
::~:::. 'tf).....~ Expires: Nov 15. 20tll
-:-{~O;f\.O~'" Bonded Thru
.,,,,,,, Atlantic Bonding Co_. In,'_