HomeMy WebLinkAbout92-2230
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<!
22308
Date ...3 - .2 Y - ;l d..-
~ ELEC~ .P~'NG MEb...NICAL S,w" Conn
~ -_...~ .-. ~ Water Conn:
Pmw" Own., -i-~: ~ wote: MOl.,
Job Address: 2 ___ ~?!:-_ _ T,I,F.s,
Parcell.D. # /1-:J...'.:J-j - bIt 0.. b 01:700 ;t;. r-d ~ Yo
::0;;5: ~./h L
Zoning: ~ Energy Code;
Description of Work AL1t:J-# ~ - ~-::z- ~
... . /
~ " -~ ~ .
: ,2o<6I$~) 6. ~-:L;/
N' OCCUPANCY BEFO C.O.
FINAL It-z.,$ -q z..-.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee ~'-O . trv
Sig'nature a..-rn JJlVI4 v ~
Company
Address
Telephone#
Valuation or '7
Contract Price ") ~ . cf-z)
City License Registration # ./ h 0
State Certified License#
a p ati'./LAYl
PL
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
lj/2--tj Z-0;U
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERmT
CITY OF ZEPlIYRIIILLS
BUILDING DEPARTMENT
It c.. ;; 1)1-11 PI
DDRESS J f SV.5 f>fJj..PJ &R./)tJ~
IWNER rlblU 50 .$'. ~P;>I)J..II ~IJ.. ,f## /1111'S
,
iOB LOCATIONlar.l/ .?rt1$O MP//}-tV/)# A.btJ~ LOT SIZE~X /1)0 AREA SQ.FT. ?(fP
.EGAL DES~RIPTION: LOT(S) / r BLOCK db SUBDIVISION .;)0
t?/6tJ - tfJpt:/LJ~ - C9tJ?p
laRK PROPOSED: ~w Construction _Addition _Alteration _Repair _Install
PPLlCANT
jJl/.. .
PHONE 71'..J -;)."-1'"
cr; ~.sr J#fm
)ARCEL I. D .I~
_Sign/Temp.
_Sign
_Move
_Demolish
~ROPOSED USE: _Single Family
_"'F
_I~ of Units
,_M/II
_Commercial
_Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE: 1/ X ~ I
//0
Square Feet,
I} 7-" ?'
Height
RESIDENTIAL: ATTAal (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS...
(;OmlERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORt-lS. U
**COPY OF CONTRACT REQUIRED.
/ BUILDING
PERMITS REQUESTED
$
7tJPd"O~
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS
TYPE OF CONSTRUCTION: _Block
ROOFING
~rame _Steel
SPECIALTY
/lLIA /11. Other
FlNISJlED FLOOR ELEVATIONS: FT.
, ,
******************************************
Signature
fA y L)PJf//~I...s CONTR~~~~~n~ECTION ACE /lL-JI /11, " I
/J/J.~/ ..,t;- i1 . Sta~e Cert. or Regist. i~ CAcz> .:r'l"'6
~ City License Registration j~ /bC>
******************************************
.lilll I.DF.R
ElECTRICIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
S.ignature
~~~nature
Company
State Cert. 0' Regist. #
City License Registration #
******************************************
nUMBER
Signature
M
Company
State Cert. or Regist. #
City License Hegistration #
************************.***.******.*.****
I1ECHANTCAI"
Signature
Company
State Cert. or Regist. #
City License Registration #
OTIIER
******************************************
APPLICATION APPROVED BY
PER~l1T OFFICER.
CONDITIONS OF PERMIT AFFIDAV1T
A. NOTICE OF DEED RESTRICTIONS
Ihe under5igned under5tand5 that thi5 perlit lay bl subject to "deed reitrictions" which lay be lore reitrictive th.n Cit
regulation" lhe underiiqned a5SUles responsibility for cOlpliance with any applicable deed restrictions. y
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
lf the owner has hired a contractor Dr contractor. to undertake work.. they iay be required to be licensed in accordance with
stite ind loCil reguhUlIns, If the contr;actor h not licenlied is riquh~d by liw, both the owner and contru\lIr lilY be
cited for a lisdeleanllr violation under it~te laM, lf the owner'or intended contractor are uncertain ai to whit licensing
requirelenti lay apply for the intended work, they are adviied to contact the City of Zephyrhills Building Departlent IB13)
7BB-~~11. '
Furtherlore, if the owner hai hired a contractor or contractors, he is advised to have the contractor I,) ,ign portillns uf tt.e
'Contractor Sectioni' of thi, application for which they will be respllniible. If you, ai the uwner sign as the cuntraclDr
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes yuu to si~n
ai contractor that lay be an indication that he ii not properly licensed and ii not entitled to perlitting 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 Conitruction lien Law - HuleuNner's Pruttc\iun
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleune other than the
'owner', I certify that 1 h~ve ubtained i copy of the above described ducuaent and pruaise in quod faith to deliver i\ t~ the
10Nner" prior to cOlaencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
1 certify that all the inforlation in this application is accurate and that all "lIrk will be done in cu.pliance with all
applicable lawi regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that nu work Dr
installation hai cOllenced pr.i~r to issuance of , perlit and that all work witl be perforled to .eet standards of all loWS
regulating constru~tion, City c~des, z~ning regula\ions, and land developlen' regulations in t~e Jurisdiction. 1 also
certify that I under5tand that the regulations of other governlental agencies I.y apply to the intended work, and t~at it is
IV responsibility to identHy what utioni IIUi\ tike t~ be in cOlpliance. Such agerlties include !Jilt .Ie II"~ li.i~ed lul
~
I Departlent of Environ.ental ReQulation - Cypreii Bayheads, Wetland Areas and EnvirDnlenta\ly Sensitive Lands,
Water/Waltewatrr Treatlent
I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheadi, Wetland Areas, Altering Watercourses
. Arlv Corps of EnQi~eers - SeaMalls, Dc.cki, Navigable Waterways
t Departlent of Health L Rehabilitative Services, Environlental Health Unit - Well., Wastewater lrcatlent. Septic lankS
. US Envirunlental Protection AQency - Asbestoi abatelcn!
I alu certify that, if fill utE'riil is to be uud in Flood Zone "A' or "A,etc,", it il understuod that iJ dlai~age plan
addresiinq a "C"lpensating vc.luae" will be sublitted which is prepared by a professional engin~er reqi5t~icd' ill the State of
Florida pri~r t~ perlit issuance,
.'
.
.
A perait issued shall be construed to be a license to procfed with the work and n~t as authority to viol~te, cancel .lt~rl ~I
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Uffici.l fr~a there.ftel
requirin~ a correction of e.rrors in phns, cc.nstruct1on, or vic.litions of any code, Everyperlit issllud ;tlall beco.e in'l.lid
unlesi the work authc.rized by such perlit 11 cOllenced within six lonths of iSiuance, ~r if work autll". lIed by the perlit i!
suspended Dr abandoned fC.T a period of six lonths after the tile the wor~ ii co.aenced. One 90 dat c~l~nSIOII of ti.e, aay ~~
allowed for the perlit with fee charge of $15.00, The extensi"n shall be requested in writing to thc Building Offici.l. Arl
approved inspection lust be logged during each six lonth period, or the pro~ect Kill be cDnsidered ~bal~Dned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRdPERfV, IF vuU
. INTEND TO OBTAiN FINANCING, CONSULT WITH YOUR LENDER OR AN AlTORNEY
BEFORE RECORDING YOUR'NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND P!JS-~. A "t~OTICE OF COMMENCEMENT",
. SIGNATURE__~~_~~~~. SIGNATURE_____~~------
7t/OWNER OR AGENT FL.. J:>i?'''c.~ l-ie.t:1J!.c CONTRACTOR Fi- .])t<\\I~s L-1C'~el1~
,DATE________~~_~~_1~______~--------------- DATE_______~~~~:-~~-----------------
NOTARY AS TO ~ J2.
OWNER OR AGENT __ __._k~- Q--~~-----
1'<- en-\ L.E"E ;i7j. ERe vJ IJ
MY COMMISSION EXPIRES_~~ P~~!!.c;.~t~~.t\t.I..ar~f1oritla
.." Vi.1rnrnIS~lOn [xp'ro' A- ': 2
' , '-;j pm " 1995
NOTARY AS TO
CONTRACTOR____~/d~~. --~~-
~A: 11-tL.~~ U"3N;;,k; ,
. U . I C. ~'lt9 At l,.'lmo R '
MY COMMISSION EXPIRES_~:~~~~~~~_~x~[~~i2~~~~
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38641 him Grove DrIv.
Z.phy....., florid. 33640
ACE
ALUMINUM
Job No.
Phon.: (813) 782-2818
SOLD TO WI} I(wltlLD WIII//J:.5 A/ltI_l'lffU( . &().lJrfJlJJ..,4 ~ f/;srllg~
ADDRESS"'?Pt>.S"'t> )JJw/fN/JA ,Lpt)Jl .
SHIP TO Z-.EPH Y~fI /t-L.-<~ r/A- . .3? S L/ /
DATE
PHONE
..
. "
n.............. tID pay
NTAWI$IN RJU. ON COMftET1ON
PIIMIT
PItCE
TAX
TOTAL Pilla
DEPOSIT
IW.ANCE C.O.D.
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C~"SllM&ure
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~P_T)~ OF Z~P~RHI~LS ~UILD~Na. DEI'ARTMEN:.r
OWNER lJD~ r C. GpP()~A p.e. /"#t:')1IAJ ';FI fi/I ST#/'!JP'
JOB LOCATION 1'17=9 :?~t)~ L/lJ,V/J,!JIt}/J L/)pp 'Z-#ILI.-.S
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CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
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OWNER l)1~i r E. C~pP()~A p.e. /"#t'.I11A.J JI ~ ST.#AJ11
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