HomeMy WebLinkAbout92-2550
BUILDING PERMIT
Permit
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C~~) E~L P~_ MECH~, Sewer Conn
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Pcop,nv OW"". 16A~~ \;/1~.t1 W''': Met"
Job Address: -$I?"~ _------'__ __ T,I.~.s,
Parcell.D, # /3 -d2t -62-/ - C)CJ cJ 0 - 0-'0/0 <:) '- 00.:1...:L
CITY OF ZEPHYRHILLS
(813) 788-6611
N<1
Date
Zoning: Energy Code:
Description of Work {J p~ AL -Z-~.-.;J...
6(1A1
;~:"G~~
City License Registration # ?,;2
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
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NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Valuation or
Contract Price
~-: ,5.....C7ZJ . o-v
~
~4 t'N 1:
1?~,olS7Y!;.
ELE~_
PL~.
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
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.
APPLICATIOl!il FOR PE:RK'LT
CI'IY OF ZEPIIIRHILLS
BOILDmG DEPAR'DIElNlT
OWNER I S HAHE 1)vJ L G H-"J I h f Jt:-I tV S
OWER'S ADDRESS 2..e S S t; 5 r" J?- () "
JOB ADDRESS r+ is 2-~ ^ I fZ-t' D IL", R.o kP
LEGAL DESCRIPTION: LOT(S) 5'
PHOe
78~ -
q47q
FL
54 \I1/~r I l,JE5LEy CHf.lr1OeL
ZlZ-f H "tt. W1 L-L S Fl-- .:S "5 '5 +0
,
BI..OCK: SUBDIVISION
PARCEL I. D. f
13 ,/ U; - t.l - 0000.- 00 I 00 ,- 00 z. ~
WORK PROPOSED :_l1ew Construction _Addition
/Al -
_ terat10n
_Repair
_Install
_Sign
_Move
_Deaolish
PROPOSED USE: Single Faaily
/' ec-ercial
_KIF
_, of llInits
_H/H
_Indust.
_S..n.. Pool
Other
_Restaurant &: Health ~t Approval
BUILDIHG SIZE: roo X es ,
6':500
Square Feet,
?-J-' 0 II IA/A1.1.-
Height
. RESIDEHTIAL:
cottKERCIAL :
ATTACH (2) PI.OI' PLAliS &: (2) SEIS OF BUILDING PLUS &: (1) SET ENERGY FORKS."
ATTAaI (3) SEI'S OF B1ITI.DDiG PLOIS &: (1) SET DERGY FORMS. *~
**copy OF CONTRACT RIlQm:RED.
PERKITS REQUESTED
/ BUILDING
$
5 5c-c
I
~
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_HEGllAHICAL
$
Valuation of Mechanical Installation
_PLUKBIHG GAS ROOFING
TYPE OF CONSTRUCTIOl!il: ~lock _FraIIe ../' Steel
SPECIALlY
Other
FIIiISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
ClWI'RACIOR SECTION
Signature
COl!IPMff C-~S$. CDNC;'r, C'c.
State Cert. or Regist. if
City License Registration #/: (, ~
******************************************
BUILDER
ELECTRICIAN
COl!IPM'Y
State Cert. or Regist. ,
City Licefibe Registration t
*************************~****************
Simt::lture
PLOHBER
COl!IPANY
State Cert. or Regist. ,
City License Registration .
*********.**************~*****************
Signature
KEalABICAL
COl!IPAlJY
State Cert. or Regist. I
City License Registration I
******************************************
Signature
0T1JF.R
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C4Jllhv!Y
State Cert:!,.or Regist ;,. .'~".,~
City Lic 'e Regist@ti.9n"'f
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Signarot
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APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peraitaay be subject to "de~~ restrictions" which lay be lore restrictive than City
regulations. The undersigned assuaes responsibility for cOlpliai:~e with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they aay be r~quired to be licensed in accordance Nith
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state and local regulations. If the contractor isnot.'icensed as required by law, 'both the owner and contractor lay be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.
Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 peraitting privileges in'the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. COllSTRUCT I ON L I EN LAW (CHAPTER 713, FLOF: I DA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
Guide" prepared by the Florida Depart.ent 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 to the
"owner" pilor to cOllenceaent.
E. CONTRACTOR'S/DWNER'S AFFIDAVIT
I certify that all the infortation in this application is accurate and that all work Nill be done in cotpliance with all
applicable laNs regulating construction, zoning, and land developaent.
Applicatio~ is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
installati0n has coaaenced prior to issuance of a perait and that all work will be perforled to aeet standards of all laws
regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies aay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be ~n coapliance. Such agencies include but are not lilited to:
I nepartle~t of Environaental ReQulation - Cypress Bayheads, WEt'and Areas and ~nvironlentally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
I Depart_eot of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, WasteNater Treatlent, Septic Tanks
I US Enviijnlental Protection AQency - Asbestos abate.ent
I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "coapensating volute" will be subaitted Nhich is prepared by a professional engineer registered in the State' of
Florida prior to pertit issuance.
A perlit 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 perait prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unle~s th~ work authorized by such per.it is coa.enced within six .onths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six aonths after the tiae the work is cOlienced. One 9Q day extension of tile, lay be
allowed fcr the perlit with fee charge of $15.00. The extension shall be requested in,Nriting to the Building Official. An
approved lnspection lust be logged during each rix aonth 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""ENCEKlNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF'COMKENCEKENT".
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SIGNATURE: E 0 GENT
J::t'tuHTR~;ii{9~k
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
befclre me this 30th
was acknowledged
, 19 ---2.? by
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
befc'l-e me th is 30th
was acknowledged
19.-2.L by
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath
who is persDnally known to me or whD has
produced
as identificati not
take an oath.
(Name Typed,
NOTARY PUBLIC
(Name Typed, P
NOTARY PUBLIC
(SignatUl-e)
(Signatw-e)
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ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills, Florida 33540
38410 6th Avenue
(813) 782-8184
FINAL BUILDING INSPECTION
Fire Chief
William T. Fenton
Assistant Chief
Robert Hartwig
OCCUPANCY: A/tl('-IJ-erf llC1~;j
ADDRESS: 4-Rlt1J 4- ,'" !1J1-} PJ,
DATE: rp~2
BUSINESS PHONE:
OWNER/MANAGER:
This huildinJ1; has heen inspected by the Zephyrhills
Fire Department under the codes and regulations of the
NFPA Minimum Standards and other local fire safety codes.
-t- APPROVED COJ.,c)tf.'hQl
NOT APPROVED
CO~f~fENTS: h~ EtA'''} ~ltr'''~5 H?~4',t
~:::;;:) (j? l'y-M/L(2 il : ( l"
~ t.t;~~,L'''''4 tW,;L4
w q ..~',url) /.- ,'2~tJR.'r
INSPECTOR: tJ Ib~~L~
DATE: fj/Yf.2- TIME: II ()/)
SIGNED:
TITLE:
06/17/86 als