HomeMy WebLinkAbout91-1898
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
;;2 - UiJ
~ANI~
Property Owners!ame:, ~ ~22i:/ d~L
Job Address: -..5 2. / (} - -..5 r
Permit N~
1898 13
;2 0.0-0
(ELECT~
Date /!J -3/ -9/
PLUMBING
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of WO~Z4~./7" L~
~-t; 1~1-~ IJHy
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
I () (./~/. z;-v
/
OCCUPATIONAL LICENSE #:2 5'
Fee: /3~V
SIGNAT-UR ~f" 71-r.
COMPANY
ADDRESS
TELEPHONE #
11 Jr"c~,r-
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
Ftr.
Pre SLB
Lintel
FRM. JI-J-q I
Insul.CL '
WL
PLUMBING
SLB
Tub Set
Water
Sewer
Final
Ro~gh I~ JJ-I - q I
Meter Can
Canst. Pole
Pool
Pre-Meter /-/0'1 L
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
APPLICATION FOR PERl-lIT
CITY OF ZEPIIYRIIILL~;
BUILDING DEPAR'nmNT
APPLICANT
Future Builders of Florida
38300 Fifth Avenue
PHONE
'782-5574
ADDRESS
OI-lNER
Trustee Corporati on of Fi rst Bapti st Church'
JOB LOCATION
5210 - 5th Street
LOT SIZE
x
AREA SQ. FT.
(LEGAL DESCRIPTION: LOT(S) 19 & 20
PARCEL I.D.O 0010-15500-0190
BLOCK 155 SUBDIVISION
HORK PROPOSED: New Construction
---=
____Addition --2LAlteration
-x--Repair
____Install
____Sign/Temp.
____Sign
_Nove
____Demolish
PROPOSED USE: ____Single Family
____M/F J____ft of Units
._I'I/H
_Commercial
____Indust. _Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
He igh t
~UILDING
~ELECTRICAL
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS.**
**COPY OF CONTRACT REQUIRED.
,,~ Do ~ \ PERMITS REQUESTED
$ Pt)/JI11;~d Valuation of Total Construction
Z-oo ANP Service ~IOricla Pmver Corp.
H.R.E.C.
RESIDENTIAL:
COI'I./'IERCIAL :
____MECHANICAL
$
Valuation of Mechanical Installation
_PLlJMBIN'G
GAS
~lOCk
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION:
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Comp'any
State Cert. or Regist. iF. ~t'.... oo~'~d(
City License Registration, ~ ~~
.*...*......:::::::....)/J/:(;:'~':~, 6/c 6.
State Cert. or,Regist. 0
Ci ty Licertse Regis tra !:ion it 'L//
******************************************
Signature
pumBER Company
State Cert. or Rcgist. ff
Signature City License Registration U
HECIlANWA l.c?( Fez :;.,;;:;;:m:::::::.... .**..""", *,' "*',
. State Cert. or Regist. 0
Signature ,City License Registration iF
jJ(Y
#
****************************************~;*
\. ~
,. . ...'\..
Company~, '
State Ce1.'t. OJ.' Ji.c~gi.Sl:. "
Cit)1 LicCll:;C l:egisl~rat:ioll ;"
t,
OTHER
Signature
APPLICATION APPROVED BY
:: -.': .,~ 1: 0.:": * ..I: ~'; -;: -!, ;: -.':
!)EE~IIT OFFIn~g.
CONDITIONS OF PERMIT AFFIDAVIT
A,' NOTICE OF DEED RESTRICTIONS'
The und~rsigned understands that this periit may be subject to 'deed restrictions' whicn'may be more res~rictive than City
regulations. The undersigned assumes responsibilitY,fo~ compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ~~ner has hired a contractor or contractors to undertake work, they may b& required to be lic~nsed in accordance with
stale and local regulation~. If the contractor is not licensed as requirl!d by law, be,lh the ollner and contradeor nay hI!
cited for a ~isdeaeanor violation under state law. , If the ownl!r or intl!nded contractor are uncertain as to what licensing
requireAents may apply for the intended Hork, they are advised to contact the City of Zephyrhills 8uilding Departeent, (813)
7BB-bbll.
Furthermbre, if the owner has hired a contractor or contract~rs, he is advised to havl! the contractor!s) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign 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 aay 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.
CONSTRUCTION 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 than the
'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to thr
'ollner' prior to COimencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor~ation in this application is accurate and that all work llill be done in co~pliance with al I
applicabl~ laws regulating construction, zoning, and land development.
Application is hereby made to obtain a permit to do work and installation as indicated. I ce~tify that no work or
installation has com~enced prior to issuance of a per.it~nd 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 intend~d work, and that it i~
,.y responsibility to identify lihat actions I llIust take to be in cClmpliance. Such agencies include bill "Ie nol li'lited to:
I Department of Envir'o'nment"al Requlaticln - Cypress Bayheads, Wetland nreas and Envirc,nmentally Sensitive L~"ds,
Yater/Wastewater Treatment
I Southwest Florida \later Manaqement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar~y Coros of EnQineers - SeaHalls, Docks, Navigable Water~ays
I Depart~ent of Health L Rehabilitative Services. Environmental Health Unit - Wflls, Waste\'later Treat~en:, Septic Tanks
f US Environoental Protection Aqency - nsbestos abatement
I also cer,H..Jy that,. iL1fill lIlatl?rial is to ne used in Flclotl ZClne an" o,t ~A,etc.', it is understcleld th~l" a drainage plan
addressing a: :.coJ\\p.insating voluille' Hill be subJ\\itted which is prepared by a prclfl?SSlcln'aI, e'nqineer rl!qi'sl;;r~d In the State 0
Florida prior to permit iss~ance.
A per~it issued shall be construed to he a license to proceed \'lith the work and not as authority to yioJ~te, cancel alter,
set aside any provisions of the iechnical codes, nor shall issuance of a permit prevent the Building Official fro~ thereaft
requiring a correction ~f errors in plans, construction, or violations of ~ny code. Every permit issued ;hall becole inval
unless the wDrk authorized by such permit is comhenced within six months o~.issuance, Dr.if ~ork'authorlzed by the perlit i
suspended Dr abandoned fe,l" a perield of six aonths after the time the llork is CDmmenced. One 90 day e;:tto,SiCIII elf tilie, say
allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Sui Iding Official. ~
approved inspectieln /!lust be logged during each six Mnth period, or the prcljed \'Jill be nnsidered iibaiidclned.
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 $2,500 IN VALe
DO NOT NEED TO ECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATUnE~ ' fl$--.,( "_A __
~CTOR ~~
MY COMMISSION EXPIRES
----------------------
DATE__L)~--~~-Lq-f!-----------
NOTARY A~ j. m /J IJ. , -
CONTRACTO~~~~
MY COMMISSION EXPIRES
Notary RepubliC. stait at..: r=btda- _.-
My Commission Explru July 8, 1i92.
DATE_______________________________________
NOTARY AS TO
OWNER OR AGENT_____________________________
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ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills, Florida 33540
38410 6th A venue
(813) 782-8184
FI:\:\L BUILDING INSPECTION
Fire Chief
William T. Fenton
Assistant Chief
Robert Hartwig
OCCUP:\l\CY: hR>T 8.-rp,/s....- CJu/!.c..//
DATE:
ADDRESS: ~/O S -/'~"- SF
BUSINESS PHO!\'E: 7'3:) -Ss-.) <J OWNERJ~fA:\AGER:
(-/l-'1'A..
This building has bt't'n inspected by the Zephyrhills
Firt' Department under the codes and regulations of the
0:FPA ~finimum Standards and other local fire safety codes.
~PPROVED
NOT APPROVED
CO~f~fE:\TS: C-1r<I 8e (..;S,c-,LJ/dl$ In~;:;c-r'oj
,A/~D CO /c:;,~ /::/.,/, i. ,Ju,-c- "vcr;
j ); /rs, ) 9
,," ~J-
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INSPECTOR:. (?6& (;t<
DATE: /-/7-0;::'2.
TIME: / yo:::;
/) /
, / ..... /
SIGNEDj-t' (I ~ J' V~,f / ,.,( jr
/" v
TITLE: Af y"" /f r<,-j";j-",.< ,
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