HomeMy WebLinkAbout92-2177
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 2177;;t
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Parcell.D,# /-P.-;:26- :2.1-00/0 - 0 DloD -DD~D
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Date
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or i~ ("'J 9 · ~
Contract Price ) 7 ~
Inspector
P."m;' Fee~'-
SlgnaM' . - : -. - t! .
Company
Address
J:fMo~
City License Registration # /ot>- m..~fl
State Certified License#
PL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
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 PERI-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
CLARENCE PAPINEAU
5114 20TH STREET
PHONE
780-6210
ADDRESS
OWNER
SAME AS ABOVE
JOB LOCATION SAME AS ABOVE
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) 0060
PARCEL I.D.# 512 T26 R21
BLOCK 00100SUBDIVISION PINECREST
WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install
_Sign/Temp. ____Sign ____Nove _Demolish
PROPOSED USE: ~Single Family _M/F ~# of Uni ts ,_N/H
____Commercial
_Indust.
____Swim. Pool
Other
~
!
____Restaurant & Health Department Approval
BUtLDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.*~:
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
____ELECTRICAL
~ME~HANICAL
AMP Service
Florida Power Corp.
_\-l.R.E.C.
$ 3,489.00
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
ELECTRICIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
Si~nature
Signature
Company
State Cert. or Regist. j~
City License Registration 1
**********************ft*******************
PUJMBER
MF.C~ ~ Company SUNCQAST SERVICE CENTER. INC.
1/ ~ ,L?' State Cert. or Regist. # RM0030862
Signatur f/lrktfl b ,....?.. City License Registration l~
******************************************
Company
State Cert. or Regist. #
City License Registration #
c5if$,..~~;;:tt**...
OTHER
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to 'deed restrictions' which tay be tore restrictive than City
regulations. The undersigned assules responsibility for cotpliante 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 lay be
cited for a tisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
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 tay be an indication that he is not properly licensed and is not entitled to pertitting 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 - Hoteowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it t" 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 developlent.
J
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all la~s
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not litited Ie,:
I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f De arttent of Health ~ Rehabilitative Services Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
addressing a "cotpensating volute" will be sublitted which is prepared by a professional engineer registered in the state of
Florida prior to pertit issuance.
A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
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, Dr violations of any code.. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cot.enced within six tonths of issuance, Dr if work authorized by the permIt is
suspended Dr abandoned for a period of six lonths after the tite the work is cOltenced. One 90 day extension of tile, jay 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 tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'rOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COHHENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~
SI'GNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19_ by
STATE OF FLORIDA .-- 1 . ,) }/
COUNTY OF /~.~~,::J..'"
The foregoing instrum,nt was acknowledged
befcl}-e me this ma<.vk 3 , 19 '12-- by
-?;J/ ~'t! c:Z 2~{l~~.e--
who is pel-sonall y knc,w.D to me Dr who has
produced
as identification and who did/did ~,t
ta~;e., a,'lil) oath./ rt1:~ K/ _ ~ !-
'-. ""'.~ t, fA, c./&~ ~ ,d- .
(1!~ture)
(Name Typed~ Printed Dr Stamped)
NOT ARY PUBLI C
JOSEPH WHITE HOPE SR. NOTARY PUBLIC
STA TE OF FLORIDA
MY COMMISSION EXPIRES 12/1.3/92
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
Clarence Papineau
5114 20th Street
Zephyrhills, Fl 3:J540
Karch 10, 1992
City of Zephyrhills
5335 Eighth Street
Zephyrhills, Florida 33540
Reference: Permit #2117
Name Clarence Papineau
Address : 5114 20th Street
To Whom It Kay Concern:
I Clarence Papineau had Central Heat and Air installed
in my home on Karch 5th 1992, by Suncoas t Service Center,
Inc. I am satisified with the work performed and do not wish
tha t the auxiliary drain line moved from it s present
loca tion. All the homes in my area have the auxiliary drain
line in the same location and being that we all look after
each others homes it is convenient. Suncoast Service Center,
Inc. has agreed to move to meet code of Zephyrhills.
However, I do not wish it moved.
Thank you for your consideration in this matter.
Sworn to and subscribed before me this ~day -MCUt.l:l9 ~ ~
/)
(~;/ W-~ ~ .4-.
Notary ublic
~ term expires JOSEPH WHITE HOP( Sfl.. NO!ARY PUBLIC
STA TC 0, I LOR.OA
MY COMMISSION EXPIRES 12/13/92