HomeMy WebLinkAbout92-2387
BUILDING PERMIT
Permit
2387.,e
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~~ _ ~L P~ MEC~ Sewer Conn
Water Conn:
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Parcell.D. # .":j- tZ&- ::2..1-~G _ V.? 0/90- 000 Ol?- ,G /:lV
Zoning: Energy Code: Rad'}9 Gas: ;-::;J
Description of Work 'if I X- /0 I ~J./luL ~ ~ aAq, 4<. l7j~
CITY OF ZEPHYRHILLS
(813) 788-6611
N<!
Date
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O,
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or ~ {IV
Contract Price ~ /f 9 9' -
Inspector
Pe,m;t Fe~~~ 't
S;gnaMe - ~ - \17.., ..
Company
Address
Telephone#
y
C;ty Ucen,e Reg;suat;on # ft~ ~.
State Certified License# (!.~ f) , g;'O
0171 J a~/4Ib./JIJ
BUILDING EL~.c;FftlCAL
~ /
~"tl.11-- .... Tp. Servo
I Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLUMBING
---
M~
....
Ftr..
Pre SLB
Lintel
FRM,
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
f.i- 'i 4l ~
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 PERMIT
CITY OF ZEIllIYRlllLLS
BUILDING D~I)ARnIENT
Al)PLICANT
IJcE'
A/... J( r'l
OWNER
JOB LOCA'fIONLPr-/~
7HCJA1A~
..frs-~s Pt}LPI CROvL LJ~,
.
EL.Le~
6~()S' It.:ztt ...r;,;
t>01.
PHONE
7t1;) - ;)b/ b
AnDRESS
I,EG..\{, DES{;RIPTION: LOT(S)
LOT SIZE-ZtX //)S AREA SQ. FT. dJ s;-~
BLOCK ;J.~ SUBDIVISION a?/.. L.1 /.Pd" i?t:?ddt?...P/</J
PARCEL I. n ,I~
WORK PROPOSED: ~New Construction ~Addition _Alteration ____Repair
____Install
_Sign/Temp,
PROPOSED USE: ~ingle Family
_Sign
_Hove
_Demolish
_M/F
_It of Units
._H /11
_Commercial
_lndu6t,
_Swim, Pool
Other
_Restaurant & lIealth Department Approval
nUll.DING SIZE; 9 X Jt> yR c:J~ Square Feet, t? '~C 7' lIeighl
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF nUILDING PLANS & (1) SET ENERGY FOR~IS . * *
CUttttERCIAL ; A 'l"r ACIf (3) SETS OF DUll.DING l'I..ANS (. (I) SI::T EN&::RGY fORt-IS. * *
HCOPY OF CONTRACT REQUIRED,
PERMITS REQUESTED
/' BUILDING
$
;)'Il'f,OtJ
Valuation ot Total Construction
_ELECTRICAL
Al'tP Sel'vice
Florida Power Corp,
._H,R.E.C.
._MECHANICAL
$
Valuation ot Mechanical Installation
~PI.UMBING
GAS
ROOFING
SPECIALTY
T;PE OF CONSTRUCTION: ____Block ~Frame _Steel
ALIJJ'l.
Other'
flNISIIED FLOOR ELEVATIONS: FT,
, I
.*....*******...***.****.*.***.***********
Signature
J1J'.:' Ll, IA ""'. . CONTRACTOR SECTIQti A'.# L' II
{L1I(;" nl-Y" "J _ COlllpuny ~ nLIlt,P'}.
StaFe Cert. or Regist. II CIPt:t:),..i'y~S'p
City License Registration It /bt:J
***********........**.*$******.....*.*a.**
.\H111.PF.R
.&LECTRIC1AN
Siunqture
Company
State Cert, or Regist. It
City License Registration II
*.*.*..*.*.........*...****.*....*.*......
1)I.mtBER
~~knature
Company
State Cert. 0' Regist, It
City License Registration #
****..****..****..****.*****.********...**
tlECIlAN1CAl.
Signature
..
Company
State ~crt. or Resist, It
City License ReGistration #
.*************..***************.a*******.*
OIliER
Signature
Company
State Cert, or Regist, It
City License Registration It
*******.**..*..**************..*****.*****
APP~ICATION APPROVED 8Y
PERMIT OFFICER.
'.
CO\'-lO 1 T i UNS OF PEkh,
d- IDAV 1 'I
j>4
NOTICE OF DEED RESTRICTIONS
lhe under5igned underit.ndi th.t thil perlit I.y bl 5ubiect to "deed reitricti~ni' ~hich I.y be I~ri reitrictive th.n Cily
regulitioni. lhe undtriigned aisu.ei responlibility for ,o.pli.nce Nitb any .pplic.ble dted reitrictioni,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESpONSIBILITIES
If tbe ONnir hii hired. contrictor Dr contr.~lorl t. undertikl Nork" thlY I'y bl re~uired to be licenied in iccord'nce Milh
.tite ind loc.l regul.tioni. If the contr.ctor I. not ticenled .1 re~uir~d by liN, both lhl ONner .nd contr.ctor lay be
cited for . lilduunor viohUon under Ihte l.lt. If the lINner'lIr inhnded unlrutllr ire unurhin u to IIhil Iiuhiinll
require.enti I'y apply fllr the intended Nork, they .re .dviled tll cllnt.ct the City of Zephyrhil15 Building Dep.rtaenl, 18131
18iHUI,
furtherlore, if the ONner hal hired. contr.ctor or contrictllrl, he II .dvl.ed to h.ve the contr.ctorlil iign portioni IIf the
'Contractor Sections' of thii .pplicition for Nhicb they Nill be responiible. If you, il th. ONner lign al th. contractof.
you .re i~dicitin9 that y"U, r.ther than the (Ontrictor, ire resplln5ib'e for the Nork. If the (IIntr.ctor Nishei y"u to iigll
.i contractor th.t .ay be an indication th.t he il not properly licensed and il not entitled to perlitting privilegi5 in II,~
City IIf Zephyrhil15.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, f~ORIDA STATUTES, AS AMENDED)
1 certify th.t I, the .pplic.nt, h.ve been provided Nith.. copy of "flori~"1 Conltruetion lien lilt - "".eoNner'i Prllt~etilln
Guide' prep.red by the flDrida Depirtl.nt of Agrieultur. Ind Conlu.er Aff.irl. If the Ipplicint il IOllllne other than 11.1
'IINner", I certify thit I hive IIbtiined I cIIPy of the .bove delcribed doculent .nd prllais. in gllod f.ith 10 deliver it lu II,~
"ONntr' prior 10 co..ence.enl,
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
1 certify th.t .11 the inforlation in thii .pplie.tlon Ii .ccur.te .nd th.t all Nllrk Nill be done in cII.pliinee ltith .11
.pplic.ble I.ws reguliting cllnslructilln, zlIning, ind lind develop.ent.
Applic.tion il hereby ..de t~ obt.in . perlit to do Nork .nd init.llition i. indlciled, I certif! I~at nil MlIrk ~r
in5till.tion hii co.,enced pr.ior to iS5u.nce of . perlit .nd th.t ill Nork Nitl be perf~rled to leet stindirdi ~f .11 I.ws
reguliting constru,lion, City cII~es, zoning regulitionl, ind I.nd developaen' regulitioni in t~e jurisdicli~n, I als~
certify tblt'l underitand th.t tbe regul.tioni of .ther g~vernlentil 'ger~iei .iV ipply t~ the inttnded ~ork, .nd lhit it is
IY ruponlibility to identify Ilh.t iCUoni I IUlt tiki to be in cupliinu. Suct, '9trlC~t5 ir.c1ude bill ," lI~t liail~d iul
~
I Dep.rt.ent of Environ.tnt.1 ReQul."on - Cypreil '.yhe.di, Netl.nd Areii .nd Envlron.entilly Sfn5iti~t li"ds,
N.ter/W.lteN.tC" Treit.ent
. S~uthlleit Florid. N.ter ".n.qtlent Dis,rill - Welli, Cypresl D.ybe.d., Wetlind Areii, Altering W.terc~ur5fS
I BrlY C~rpl of EnQi~e,rl - Se'N.1II, D~ckl, "ivi,.~I. V_t'rlliYI
I DiPirtlent of "eilth L Rehibilititive Servlcel, ~nvlronlentil He.lth Unl' - Weill, WilteNiter Jreiteent, Septic Janks
I US Envir~nl,nlil Pr~'ecti~n Aqency - Asbe.tol ib.telen'
,I
.
1 illO certify th.t, if fill literi.1 il to be Ui,. in FI~o. Zone "A" Dr 'A,etc.', it il under5to~d tllit i dr.inagi plin
iddre.ling i "c~aptn,.ting v~lu.e' Nill be lublitted Nhith it prep.red by . profeilionil enllinier re9i5l~i~d' in ihe SI.le ~f
florid. pri~r I~ perlit ii5uine.. I
,
A perait illued Shill be construed to be . litenle to proceed Nith Ihe Nork ind not il luthority to viol.t" cinctl .llif, ~I
set ilide .ny provhions of the hchntcal "'d", nor .h.lI hluince of . PIlUlt prevent the Building Offici.1 hili UIUeoHf:1
requirin, i c~rrecti~n of errorl in pl.ni, constru.ct'on, Dr vi~l.tions ~f iny ,~d~, Every per.it issllu~ ~L;II bec~.e iny,lid
unle5i the Nork .uthorized by such perait 11 cOI.ence. within si. lonth5 of iliuinee, or if work iulh~1 Ized by the perlit is
suspended or .bindoned fllr . perilld of Ii. lonthi .fter lhe Ii.. the Ilork i5 (~aaenced. One 90 4i1 ~~Iiniioll of li.~, lit L~
illllNed for the'perlit Nith fee chirge lIf $15.00. Thl extenlilln Shill be re~ue5led in Nriting t~ lhe Building Offici.l. Ah
ipproved inspecti~n lUSt be logged during eich Ii. .onth ptriod, or the proj.ct Nill be considered ;b.lIdll~~d.
.
WARNING TO OWNER, YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERlY. IF YUU
INTEND TO OBTAiN"FINANCING, CONSULT WITH YOUR LENDER OR AN Ail'ORNEY
BEFORE RECORDING YOUR'NOTICE OF COMMENCE~~NT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "t~OTICE OF COMMENCEMENT".
~GNATURE~~ ~ ~~- -Z------- 6IGNATURE_____~~ ~-----,/c
/ _.' O~NER O~ ;,;""-<><- ~~j(~4<>_~~ ^ c-"'''-'/
(DATE___~~~_~__;L~__(~_~~~--------------- DATE______~~~~____~___{_~j(~_______
~:Yo~6~~N~~~--- ~~~~:~C~~R~~_~-~~
..on N "F 11- e .."flunNI. r rr ,.!::> '!?.A,... ". ~ -<--S'U/ o.e { r/
MY COMMISSION EXPIRES______________________ MY COMMISSION EXPIRES__________________"
.'b~~~~:.f~;;". DAN FARNSWORTH
~:rih;"'f;;~ ~ C0MM1SSl0~ /I CC 186067 EXPIRES
~"~~:?: ApnI21.1996
."if.;p.i.~~1f.;,.. BONDED THRU TROY FAIN INSURANCE, INC.
"''''''1 ARNS t
~~~!'o' rs:?~< DAN F WOR H
t{"'1t:~\:~ ~ COMMISSION /I CC 186067 EXPIRES
<~'~"$: April 21 , 1996
....t,f,'9.f.1~~~... BONDED THRU TROY FAIN !NSUAAHCE, INC,
38545 Palm Grove Drive
Zephyrhills, Florida 33540
ACE
ALUMINUM
Job No.
Phone: (8131 782-2616
.---.,
SOLD TO
ADDRESS
SHIP TO
DATE
PHONE
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PERMIT
PRICE .--
TAX
The undersigned agrees to pay TOTAL PRICE ';;~t?9. 00
INSTALLERS IN FUU ON COMPLETION DEPOSIT
BALANCE C.O.D.
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