HomeMy WebLinkAbout03-1983
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1983
Date
4- 9--D ~
c~
Property Owner:
Job Address:
Parcel I. D, ,
~ECIBl.CAL P~ M@C"ANIL.AL
Q~/~ ~ (l1(Q ~
~~'%3~ ~ F-H'q~.
- Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
(b F'r #16J-1
Radon Gas:
1/ (J ;j7)
Fr~F
":.1'"0 F,-:
NO OCCUPANCY BEFORE C,O,
FINAL Y - / y- t? 3
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C,Q,
All work shall be performed in accordance with City Codes and Ordinances,
DATE
City License Registration #
/&97
t/ /.,G"tJ
Valuation or
Contract Price
Ftr,
Pre SLB
Lintel
aSt ertified License#
'Vlr071 0~ J--1r'
--~
C~ING/ < ~RICAL
Tp, Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Address
~#-==)7Z7) ~)7-I/'<i'
PLUM BJbI,G-----
M[CIIAf<lICAL
FRM.
Insul. CL
WL
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
BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, PL 33540
Phone:813-780-0020 Pax:813-780-0021
DATB RBCBIVED
PLANS REVIEW PBB
OWNER I S NAME
"'Rle~Af2.t> O'-:ORI ~ N
~C) 0 ~5 l1 "" A.v f ~U f
PHONE CONTACT ~ I ~ .1 eo. fp215"
, 'l-f..~~~ILl..S fl ~~s'io
JOB SITE ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW 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 OTHER
o COMMERCIAL
o INDUSTRIAL
D SWIMMING POOL
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~--1:;')5'+rt{1i'tv1 f6vG~
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.
o BUILDING
aU
$ 3~D-
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
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 AREAD YES 0 NO
SIGNATURE
COMPANY ~'\OW .f~~ ck '?~ r\fC.
STATE CERT OR REGIST # sO) - 2,=, ( ., 111 tt
CITY PROCESSING # It, 97'
BUILDBR
BLBCTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
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
t~ be licensed in accordance with state and local regulations, If the contractor is not
licensed as required by law, both the owner and contractor ~ay be cited for a misd~meanor
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
acknowledged
, 19_
FLORIDA
COUNTY OF ~
The foregoing instrument wa~ acknowledged
Before me this ~day of ~/(lL , a8lC3
by
(name of person acknowledged)
C1ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person acknowledged)
Dwho is personally known to me, or
of identification)
take an oath.
f person taking acknowledgment
,,,,,,va\. Robert lee Burton Jr
Name tYPed,~iGtipt:;;&:&~_~~
o who has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Name typed, printed or stamped
EIN #59-2617794
OGATE0P=:RAIO,r:;
OO\-JCOD
O'.CHAiN LiNK
Of1E-AlH
o ALUMINUM
OVINYL C L.
OP'lC
c
POSTS
, IN.! OUT IN-LINE
'NALK GATES DRIVE GATES
ROLL GATES
LATCH TYPE
[].wOOD
LENGTH
OPVC
HEIGHT
LENGTH
11 1/2
DIAM TOP HAIL
iCt-AL VINrl SYSEMO VINYL COLOR
VINYL WIRE ONLY 0
DIAM TERM POST DIAM TERM POST
CAGE FRAMEWORK
B RBED WIR
, S: R.'1NDS BARB ARMS
I) :1 6 IN OUT VERT
'--' ALUMINUM
LENGTH
OSTEEL
HEIGHT
STYLE
COLOR
SCHEWS
I', OUT
RESIDENTIAL XTRA
COMMERCIAL
tJ LEAVE ON JOB JOB CONDITIONS
o GOES TO BFC
o GOES TO DUMP ~~?)~~Zf~ (
SEE DRAWINGS ON BACK
P,III 10 BE SET TOP STRAIGHT
B CJ I(W ')1' f'ENCE TO FOLLOW
GROUND
Note: Company not
responsible for any
underground sprinkler
lines. !'
MEMBER
"'AFA
C". ~ AMERICAN
~_ . ~~~'ATION
4/1
'~; P~OPO~~H~d:n'~~6~tract i, 7
,;-'CEI\lE~oni727)857-1118 I ~JI.:J
t Fax (727) 856-6774 ~-~-
T --.' MEMBER".-'-", '
a~on "'pnngs (727) 843-0155 Suncoasl .~ "
UAR 2 8 200 ernando (352) 688-3151 Beller ~ I
'" ephyrhllls (352) 780-1747 Bus~ness '. '
. L.;ouncd "'1.--/
AQJtic2 Use ,:)nlvl
Candy Locate _ 7'1 Oq, '7 -1 i./- n <) 7
InVII~/- t.lf:' z-~ /-L;P. P.c
Crew W. C-'A~ : BELL ' St:.-
J
Sian Date
Complete Date
Contract # .-':'
''''I .,,'
~~/\.)
PARCEL#;
SUBDIVISION
__OTlI'
BLOCK#
LOT SIZE
__~~UNIT:t._
CITY
STATE ZIP
FRONT
SPECAILTY SERVICES TOTAL PRICE INCLUDES
o VISA 0 MASTER CARD 0 DISCOVER OAMERICAN EXPRESS ~.MATERIAL '!llTEAR-OUT &+W:JL
o FiNANCE 90 DAY 0 SAME AS CASH'1~_CHECK 'f:t i 2 (';' ::lAlLABOR OPERMrr K',:;J"''ji,
Total
II
25% DepOSit
D
CHECK HERE IF CUSTOMER is ACCEPTING RESPONSIBILITY FOR
GETTING PERMITS AND ANY RELATED FEES. FINES. ETC.
Balance
BALANCE MUST BE PAID TO CREW WHEN JOB IS COMPLETE
Note: This"prop-o~al is 'ia1id fo("--;r~' days.
.'! ~ ,,' , .'
; ~
PLEASE READ AND BE SURE YOU
UNDERST AND THE TERMS AND CONDITIONS
ON THE REVERSE SIDE BEFORE SIGNING
THIS CONTRACT. MANY OF THEM WILL BE
IMPORTANT TO YOU.
By signing this proposal. Customer is authorizing
Burton Fence at Pasco, Ine. to do the proposed
work. and IS accepting the pnces and specifications
shown above. and Burton Fence of Pasco, Inc.'s
standard terms 1 -15 which may be on the reverse
side. attached. or not attached. Customer may
request a copy at terms 1-15 by calling Burton
Fence at Pasco. Inc. Upon acceptance and signing
by customer, thiS becomes a binding contract
Authorized. !/ )
Signature -~'-'__-.il <r/;
,/' J
i ,;./
i._.,,-/-:,:~" / :. ..l"1;'(,,'( ~>.>
Date .~
Customer
SignatureX\
~~:- ;~-'
."\~'
. I
Date
--------;r---------
"'DID 1(0.1;1 RECEIVE WARRANTY PAPERWORK?
Print Name ""'~
Clearly
, ,
--~------
rtJ RRr1P.At ellstomer
o Yellow Paqes
o Referral
o Other
~ I
\)
"II
,
01
"I
,,<'
- ~
___'1~1
I /'
/
iJ35S (M)
"
, ----
),
..................
~:J I ('r<)
,
'"".-
t I
rr;
CQ
C) ~
;; \...
(}
Q)
~ 0) ,
~ ~ \)
~ " ~
['j (1)
\J
"
\~
~ t
'1 :~
f-- :\1) !
\) \J !
'-l', I
~I
; I
+
I / Ie
I ~ t "
/0" I /lJrr
I \ ~.
"i
.'" :l:
Q ~
() )
')
Ii; v-,
/
nEATHE/C
?.a 24
WOOD
.-aG, //7
1
j '~ . I N I ~J
S.2 i Q N:89 550+ E. - 7/,4-7 ~J1;
~ ~Asr - 7 /.S5~(R)
, .a. ,. ...
~.1,:S-51'(~~,~ ~ ..'
.,~ " /53
I'( ---
~;r:;-Asi
'-z,...
--.~..
~... > "'-sr ..
,
~I
s_
~ ~ ~
'( <l\ <l\
,; ~ ~ I
~ \I) ~
Oi '\ ."
Q \\. t--..
" \ ,~
I, ~ .~ I
$. "" C'J
" ~ ~
,~~ ..I
~ ~
tg 1:-'" \:... ~ "
~ 2~1 !"
"< l)\ I'
~ ~ ~ I '~i:'
\... 1- \ l'4
" '{ ""
Cl \J ~
~ ~
0') l:lC
~ ~ ~
" Q "
~
\-.
\
"- 0 t'--.;
o () "
~"
~ .
~ ~ \,!)
,'oj ~
'<'{'
,~~
1iI't'""
...11; ...
n~
I>Jry
oly
. ~vl
o
f
~!
4
tii.Q
1".0'
Cl
..;
....
()
~
/4,3
/7: 7 /
In
\1J ~
~ ,
" \',
, >
,;
',> ."
() ~ "-
~ ':.:1'1)
\..1\1)
~II'(
7<1'
J . V)
QI)
~'-.
ft.'1
V)\J.j
~~
~
I~
~'
I..~
~.
Q ()
Ir)o
it)
C) A,/,€
STQR y N7A.sO..v,Q~'
VW'-CLL /oVG
# 39035
:l.J. -4
"
~ .~
I ~ !~
I " '~
\ 1 Q
~ \oj
() ~ ~
C)) ~ l'l
"" "I \...
~ v,
!') ~
'<:,~
'<ii'J
~:
-~
4.
~ ~ '.
{ ,
/0
~
~ '< ~
~ 'v ~
~ ">
f.- . "" ~ ' ~ . \
'" ~~ ' 0 .
'< .lJ.~
i "
~ 9 TN AV.::N4./E
w
s
Scale: 1
== 20
2
,
0'
10'
,
10
BASIS or"' BEARINGS: '!be West
of Lot 5, HEA~ ~ SUBDIVI:
as IIlOllUIUeIlted, being S, 00022 I .
r
5
LEGAL DESCRIPTION
Tha t pClrtion of Lot 99 and Tra
per pla t of ZEPHYRHILLS COLON
LANDS, commonly called YINGLING:
TO ZEPHYRHILLS, as recorded in Pl
Page 16 of the Public Records
County, Florida, being further dE
follows; ComOlencinq at th,.:; NW
the S W 1 / 4 0 f the N ,~I ; .. ,j f S
Township 26 South, Range 21 East
County, Florida, run East 307.50
the North 1 ina of the SW 1 /4 of
of said Section 12;'0 th~nce 50\
feet for a POINT OF BEGINNING; t
63.55 feet; thence South 109.80 ft
West 63.55 feet; thence North 1
to the POINT OF BEGINNING; TOG.
the East 1/2 of vacated 16.00 foe
lying West of and adjacent to 8
(alley vacatt;;d by Resolution AI)
3591, fiG 1976, Public Recorda
County, Florida).
J
'.C.M. 4" X 4"
827 ~
!
i
QI
/ \~:
/ ,I