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HomeMy WebLinkAbout92-2109 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit :N~ 2109~ BUILD.ING .../,- ./ ~/JO._...o... ~.....,.,." CTRIC .C Date ;:2-4 - 1,2 PLUMBING .---'.--- M~r Sewer Conn Property Owner: Job Address: Parcell.D. # /, ~ 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., ~ --- ~ ~/~ ~A- 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). ._~ 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 " t' I' , ,. , I: t~ j I I i - - - - - - - - - - - - - - ---;.~=.;. - - - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - . FEB-04-1992 11:25 FROM Tr lC14:3817:::;:E:49Dl F' . ~=(2 i~~i4/19'2 lel29 ~RCM PRTTli WHO~ESRLE DIST. TS l ~:3~)se~s P.<Jl .. .. .":,";"'-':'." 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/