HomeMy WebLinkAbout92-2335
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
233sB
Date -.5- -?- 9;L
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Parcell.D. #__1-;2 . d-/ - - 06'00
~L
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
- LA?~ (')
Zon;ng, ~ Ene'gy Code,
DescriPt!?1 of Work i?~ 4'1 ~~
_-4J /1"A,.1">-r1.
~ : Radon Gas:
_",L.f /~~ cfA~~~
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe,m;t Fee -d?:. -, iJ7) -:;;!i
Signature' . -1 I~) OM A
Company
Address
Telephone#
Valuation or
Contract Price ~ / -5-'" 7. crzJ
City License Registration # / b D
State Certified License#
Ok~..O~
BUI~DI~
EL
AL
Breakers
Ducts Ins!.
Compressor
I=inal
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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 PERNl'f
CITY OF ZEIlllY lUll LI.S
BUILDING DEPARTNENT
AIlPLlCANT Ilc~ Ilt-v( /J) ,
ADDRESS JPS'l~ ,tJ/J~~ b/2PJI.c /}~,
OWNER jJ1tJfJ1I9S .8I9Lt/tI'll/J
JOB LOCA'flON.lorh/rp ~//}6E~4Y lJ/Z.
.}6'
U:G.^l. DES~RIPTION: LOT(S) J
2-#/i/t-S" fin.
PIIONE
7?~-~~/b
.
2-J..JII.A6 rill. LOT SIZE h6
BLOCK ~~ SUBDIVISION
x/Clo AREA SQ.FT. 6.PR
~I
PARCEL 1. D... ..3 - .2t~~;). I - t' /.10 - tltfJtfJt:J{1 ,- t1d6CJ
WORK PROPOSED: ~w Construction ____Addition ____Alteration ____Repair
____Install
_Sign/Temp. _Sign ____tlove ____Demolish
PROPOSED USE: ~ingle Family _M/F ____.. of Units ,_H/ II
_Commercial _Indu6t. ____Swim. Pool Other
_Restaurant & Health Department Approval
nUUOING SIZE:
9 X /.2
/t?R /
Squ(ue Fee t I
3'9 "rl7t9 P ,
lIeighl
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING llLANS & (1) SET ENERGY FOR~tS."
COUHERCIAL: Al"fACIl (3) SETS OF UUILDING l)l.ANS & (1) 51::'1' ENERGY l~OlUlS. **
"COpy OF CONTRACT REQUIRED.
PERMITS REQIJESTEO
/BUILDING
$
'115Cf.OO
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
,_W.R.E.C.
._HECHANICAL
$
Valuation of Mechanical Installation
~Pl.UMBING GAS
ROOFING SPECIALTY
Vprame _Steel IILI1I11.... Cp~R5r~Other 0
~
TYPE OF CONSTRUCTION: ____Block
flNISlIED FLOOR ELEVATIONS: FT.
. ,
********************.***...*.............*
Signature
I1cE hi-I{ ff}_
kL/~;L '-
CONTRACTOR SECTIOti /1 - dL tJIn .
COlllpuny aCe /7 ./l
StaFe Cert. or Regist. 4. C.t:..cD .:i'L/t.Ro
City License Registration II /6C>
.**.*.*...*.*******.*..~*..**.*..~****.*.*
.lUIlI.DF.R
Siunature
Company
State Cert. or Regist. /I
City License Registr~tion II
...***.******.*****.*..*****.........*....
llf,CTRICIAN
Company
State Cert. O' Regist. /I
City License Reaistfation II
**...**.*****..**.*****.**..***..*********
rI.UHRF.R
.~~nature
.'
tU;:CIIANIGAI. Company
StaLe Ce~t. or Resl~t. II
Signature City License RegIstration a
***~.*.*.**..********.*..*.*****.***..***.
UIIIF.R Company
State Cert. or Regist. II
Signature City License Registration /I
APP~ICATI0N APPROVED BY PERMIT OFFICER.
'.
CONDITIONS OF PERMIT AFfl0AVll
A. NOTICE OF DEED RESTRICTIONS
lhe underligned underltindl thit thil per.lt .iy b. lubject to "deed r'ltrictionl' Mhi,h .iV be '~ri reitrictive It- r',
It. Th d' r 'loOl-ly
regu i loni. e un erilgned iiSUles responsibility for co.pliince with iny .ppllc.ble deed res'ricti~ni.
B. U~LICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner hii hired. contrictor or contr.ctor. to undert.ke work,. th.y liY b. re~ulr.d to be licen.ed in .,cord.nce with
.'.'e .nd loc.1 regul.tions. If the contr.ctof tl not tlcensed .. re~ui,'~d by t.w, both th. owner .nd ,ontr.c'or a.v be
cite~ for. Illde.einor viol.tl~n under it.te l.w. If the owner'or in'lnded 'o~tr.ctor .r. uncer,.in .1 to wb.t licelliing
re~ulrelentl liY .pply for the Intended work, they Ir. Idvi.ed to cont.ct th, City of 2ephyrhill. Building Dep.rt.ent, 18131
'188 -6611 .
Furtherlore, If the ONner h.. hired i contfic'or or con'rictor., he II Idviied to hive the 'ontr.ctorlil sign portions of Ille
"Contr.ctor Sections" of thl. .pplicitlon for which they will be relpon.ible. If you, .1 the owner .ign '1 th. con'r.cior,
you ire indici'lng thit you, rither thin 'he con'ric'or, ire responiibll f~r 'he Nork, If 'he contr.c'or wiihes you t~ ~i91l
'1 contr.ctor th.t I'y be in Indic.tion thit he il not properly lic.nied ind ii not entitled to perlitting privilegfs in ll,e
City of Zephyrhllli.
C. TRANSPORTATION IMPACT FEES A~D UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, F~ORIDA STATUTES, AS AMENDED)
I clrtify th.t I, the .ppllcint, h.ve been providld with,. copy of 'floridi'l Con,truction lien l.w - HOteowner'1 Protkclion
Guide" prep.red by th. florid. Dep.rtllnt of Agricul'ur. Ind Conlul.f Aff.lrl, If 'h. .ppl'c.n' Ii 101.~~1 o'~lr thin 1.'1
"owner', I certify t~i' I h.ve obt.ined I copy of the ibove delcribed d~culent .nd pr~llse In g~od fiith to deliver i' l~ III~
"~wnfr' prlof to collencuenL \
E. CONTRACTOR'S/OWNER'S AFFJPAVlT
I certify lhit ill the inf~rlatl~n in thii ipplltitl~n Ii iccur.te .nd th.l ill M~rk Nill be done in c~lpli.nce Nith ill
.pplic.ble liWi regul.ling c~nitructi~n, zoning, .nd land developlent.
~
Applic.tlon il hereby lide to ~bl.in . perlit to do Nork .nd init.ll.li~n .i Indic.teg. I cerlift '~it n~ w~rk ~r
Initillillon hi. cOllenced pr'i~r to iSSUince of . perlit .nd lh.t ill Mork Mitl ba perf~r'id l~ .eet st.nd.rds of ill I.ws
regul.ling conitru,tion, City co~es, z~ning regulation., ind I.nd devel~plen' rlgul.tions in lhe jurisdiction. I .150
eerlify thit 'I underitand lhit the regulitioni of other governlent.l ige~ciei ..y ipply to lhe intended w~rk, .nd l~.l il is
'v ruponlibllity to identify whit iClioni Ilu,t like to be in tolpllinell, Such iger"i.e~ irlclude bul .It 1I0t Iilill:d l~l
t Dep.rt.ent pf Envlron.ent.1 ReQulit\on - Cyprei5 .iyhead., Me'lind Are'l ind Envir~n.en'illy Seniitly, l,"dl,
W.ter/Wi,tewit[~ lreitlent
t Southwest f'~ridi W.ter "iniqelent ~is'rill - Welli, Cypress B.yhe.d" We'l.nd Are.., Altering WatercoNrsel
. ~r.v Corp. of Enqi~eer, - Se'N.III, Docki, N,vi,.bl. W.terwiYl
, Dep.rtlent of He.llh L Reh.bilit.live Servicel, ~nvlron.entil He."h Unit - WeIll, W'I'ew.'er Jreiteent, Septic l.nks
. MS Envif~n.enl.1 Prolection Aqency - Albeitoi .b.te.enl
.1
.
1 illO certify th.t, if fill lileri.l il ,~ b. UIld in Flood Zon. "A" or "A,etc,', I' il underltood t~.l . dl,.in.ge pl.n
.ddrelling . 'colpeni.'ing volule" Ifill be lub.i'ted whichi. prep.red by . profe"ion.1 engineer reqi51~j~d' in 'he SI.Ie of
Florid. pri~r to perlit iliuin~e.
~ ,
A perlit Illued sh.ll be construed to b. i licen'l to proceed with lh. work and not '1 authority to viol~te, c.nctl ill~r, ~I
let .side iny provilions ~f the technic.1 codel, nor ,h.11 illuince of a perllt prevent the Building Uffici,1 frot Ihtreitl~1
requirin, . eorrecti~n of errorl in pl.nl, construction, or viol.tionl ~f iny t~d~, Every pereil issuu~ ;h.ll becoae invilid
unlei' the work iuth~rlzed by such perlil I' ,...enced Mithin si. .onthi of illuinc" or if Nork .ut~~rlzed by the ptrail is
suspended or .bindoned f~r . peri~d of Iii lonthl after lhe tiae the N~rk i"o'lenced. One 90 dit ~~lins,ou of lilf, .if Lc
.110Ned for the'perlit with fee cbarge of '15.00. lhe ..tenlion ,h.11 be re~uelted in writing t~ tho Building Officiil. All
.pproved In5pecti~n IU.t be 16gged during R.ch II. lonth periDd, or the pr6jee' Nill be considered ~b.lId6fi~d.
WARNING TO OWNER, YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESU~T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRdPERrV. IF YuU
- INTEND TO OBTAiN'FINANCING, CONSU~T WITH YOUR LENDER OR AN A1TORNEY
BEFORE RECORDING YOUR'NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD A POST A "f.OTICE OF COMMENCEMENT".
· SIGNATURE~~_ _ ~________ SIGNATURE__~~~_________
OWNE AGENT fk~ ~ CONTRACTOR ~ k~
, DATE____~~_jt~~~___~______~--------------- DATE_____~:~=~~_____________________
NOTARY AS TO ~~ ~ ~ ,
OWNER OR AGENT_~-C]-~-___
f-A T1-;llE~-;:;-';-:7JRtn..JJ.J
MY COMMISSION EXPIRES______________________
f:lotary Pub/ie, State AI large FI 'd
My Co " , ,on Q,
mmfSSlOn ExpIres Apri/2, 1995
NOTARY AS TO -1/
CONTRACTOR___...ts.~_(j,_~
KA;;Z.EEN J. ....BR;eJ tJ
MY COMMISSION EXPIRES__________________
Notary Public, State At large, Aorida
My Commission Expires April 2, 1995
38645 Palm Orove Drive
Zephyrhlll.. Florida 33640
ACE
ALUMINUM
Job No.
Phone: (813) 782-2616
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