HomeMy WebLinkAbout92-2109
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit
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2109~
BUILD.ING
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CTRIC
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Date ;:2-4 - 1,2
PLUMBING
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M~r
Sewer Conn
Property Owner:
Job Address:
Parcell.D. #
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Jtto . ..(?;;hC)~
Water Conn:
Water Meter:
T.I.F.'s:
~A-6
Zoning:
Description of Work
NO OCCUPANCY BEFORE C,O,
FINAL
z..
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
C,Q, _
DATE
Inspector
Pe,m;t Fee ~ ~ ;
S;gnaMe L':-:::. . t ~
Company _ _
Address
Telephone#
Valuation or
Contract Price
City License Registration # S 1 ab}) ,
State Certified License#
BUILOJNG
.-----
,~'~.~~
'.' .. ..~. 0." (fI'
C(.i~~CTR~A~
PLU.M8t1'rt'f
--
MECHANIr..6.1
Tp, Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15,00) 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,
APPLICATION FOR PER~IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~ FJJ:zt./!-u:"
ADDRESS i1~}l ;,0 FJ (L&" m-
OWNER ___I ~~
JOB LOC~TION SP/&O ~J" ~.
PHONE
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.#
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp. ____Sign ---- Move ____Demolish
PROPOSED USE: ____Single Family ____M/F ____# of Units .____M/ H
,/.,
V Commercial ____Indust. ____Swim, Pool Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S,**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED,
PERMITS REOUESTED
____BUILDING
~ELECTRICAL
$
Valuation of Total Construction
AMP Service Florida Power Corp.
_W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
_PLllMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
*********************u********************
CONTRACTOn SECTION
BUILDER Company
State Cert. or Regist. #
Signature City License Registration if
F.1.F.CTRICTAN~~' ~:.....:::::::..~~~~-
~ . ~- Stat€~ Cert. or Regist. #
Signature / "'7 L City License Registration ,; ,">.9'
******************************************
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
CompulY
State Cert. or Regist, #
City License Registration #
******************************************
MECHANICAL
Signature
OTHER
Signature
if
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait 'aay be subject to "deed restrictions" which .ay be lore restrictive than City
regulations. The undersigned assuaes responsibility for co.pliance with any applicable deed restrictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 .ay be
cited for a .isdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
788-6611.
Furtherlore, 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 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 per.itting privileges in the
City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
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 - Ho.eowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has co..enced prior to issuance of a perlit and that all work will be perfor.ed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also
certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it is
IV responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, ~etland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environaental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flc~j Ztne "A" or "A,etc.., it is understood that a drainage plan
addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A per.it 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 perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
unless the work authorized by such perlit is cOltenced within six tonths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six aonths after the tite the work is coaDenced, One 9Q day extension of tile, lay be
allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each six .onth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY 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
CO""ENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.,
~ --- ~
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ISNATURE: CONTRACTOR
STATE OF FLORIDA ,~
COUNTY OF
The foregoing inst
before me this
STATE OF FLORIDA~
COUNTY OF <\- CLc....,c...c)_
The foregoing instrument was ac~~ledged
before me this Ll-L.~ , 19_ by
\ Oh~ ~P-r
who is pe sonal..lY k to me er whcr has
produced ~\ V p_r """-.., ) 1 cer-. <::~p->
as identification d who did/did not
ta ,'e an t
nat nf C
c- ,'LL fl~Y\
(Name Typed, Printed or st mp2d)
NOTARY PUBLIC
ROOMY PUBLIC STMB CP FLClUDA
Mr Ca4MISSION EXP. JULY 11,1995
Bafl)ED 'lIIlW GJDIB1Wi US. uti).
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A
re) C'
I L' ~ ,orr--I"oo.-l-D,.......,
(Name Typed, Printed or S~amped)
NG1 ARY PUB~~ STATE ~ n,(IUI)A. ,
NO'lAIU: t'u ION BXP. JULY U,l- '
MY ceH4ISS __.......y: DIS UlID.
BONDED 'l81W -- · .J
B2/~4~1~~2 10120 FROM P~TT!F YMOL~SRLe DIST.
TO 1 :5use,s
Politt
~. -. ~
Pattie Electric & Refrigeration
AJr CondtIor*lg a'Id Elec1rfoat Cordroc1or ..
391" PAme RD. . 2EPHYRHll.lS. R. 34248 . (813) 7I2-M 19
AUg'WJt 28. 1991
Tom Browen
lUnMed
5200 Sast Bay nrive
Cl.a~water, florid. 34624
Re: Inatallatiau of 4ao volt electrio ~er~ic. for East Pasoo
Radiol09Y.
Oear Tom
1 have consulted with FloridA Power with respect to electric:
servic;e opt-ions. In c::onver-sation St..,. Bunter re;ard1ng this
project I was informeo that he bad p~evi~usly spokec with 10U~
offic:re and submi~ted a proposal to install an un4.rground service.
After surveying the loeat.ion we determined that. because the
underground service could only be provided Bpprox1mately half the
distance to the t;equired outlet, that it would De JOQre cost
.ffec:rtive to irUltaIt an overh.ad. service along side tbe other
servioes and. carry a branch c:ircuit to the no~th end outlet.
.--- -'--Pi.-ori c1a--po~i-resa ..,d:l.s.conne.cting-...mea.n.s- ahead oLt..h.e.J.'x__m-..t...J'___. .
on 480 volt ~.rv1Qes (overhead or underground). Local authorities .
~equire another diseOhn9~t after the meter and at the outlet.
~x.ct cost~ that Florida pow.r will ~harge oannot be determined at
tbia time, charges will include and not be limited to (<<) deposit
(b) upfront cost ( contribution in aid of construction, ~sed Oft
amount, of revenue expected/month ). These costs will be required
t'\lfiardlesa of overhead or undflrqround. In. addition, HI:' Bunter
iric11gated that previously a price of $600-$700 had been submitted
to provi4e underwround service approx SO ft north from tbe south
wall. 1 suggest that you conta~t Mr steve Bunter at Floriaa Power
in ZephyrhiIls, his phone n~er is 813-792-1518.
Pattie El.et~ic proposes to purcha$e and install eleotrioal
equi.;wment to provide 200. amp t 480 vol t, three phase, overheaci
servic;e tmtra~ce on SQutb wall. A 200 amp branch cin:ui t will't'be .
installed to ac::c:essi.bla location on north wall and provide4with
me.tching rec:apta.el e for chord. Disconnects wi 11 be provi4e4 in
a~~grdane. with Florida Power and Looal author1ties. All conductors
~111 b. oopp9r aAd ~at.d for the 19ad and eODditions. Switch g.ar
w111 b. heavy duty &8 manufactured by ITE or equivalent. Russell
Stoll r~eptacl. will he 89 3pocified.
Tot~l e05t for this proposal will be $6751.00 .n~ include
eleet~ical permit. An invoice for paym.nt will be s~tted upon
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. FEB-04-1992 11:25 FROM
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c~letion of 1~8tal1ation and due CD reeeipt. Material will b.
O~Q.r.4 1mmeaiat.ll ~pon signing of proposal and installed soon
th.r..tter. If you have ~ny questions or observations regardinq
thlsprojec:t I wou.ld appreciate hearing from you.
~,~
DODald d. Pattie, owner
ACCBPTAHCB OF PRO~OSAL- the above prices,
~,~~~ficatioftS, and Qonditi~~s are satistaeto~y
~~<~r. berebl accepted. You are authorized to
do the work .. .peoified, farment will be made
.. outlined.
Si9nat
IV-
:3 F / ~ 0, .!~t0-~~(- ~1A-'LeL Pr/