HomeMy WebLinkAbout92-2599
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<! 2599131
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BUILDIN6 )
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Pmpe"v owne':4m-t -7~
Job Address: 0 Vb - ~
P~
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GECHA~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel 1.0, #
h'-<L
Radon Gas~
~ 4'LA
,/ IT -
Zoning: ~
Description of W~.A
NO OCCUPANCY BEFORE C.O.
FINAL q ..lO ~4l :t
DATE
C.O. !i - -:;t
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspecto
Permit Fee
Signature
Company
Address
Telephone#
7'..s--: ere,
~l)f. yf~
Valuation or
Contract Price
...5- {)71[). o-v
/
City License Registration # /R-'J
State Certified License#
~ Ale.
7JY"
Tp.. [bp,..
Rough In ~.:;\SJCQ. b
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. ~..:;E-9~ ~
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.
APPL'ICAT'ION FOR PERl'l'IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTt'IENT
APPLICANT
GL1 5TBJE i';...:CbNS~tlON
ADDRESS "<,/7 Lf ~ C;LA,,::YE~S' LN ~
OWNER -J D'M. .5 -cDl FNS
57 J to hffl
7<i2-Q4I..{L
PHONE
'.
JOB LOCATION
.~
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.4t
WORK PROPOSED:____New Construction ~Addition ~Alteration ____Repair ____Install
_Sign/Temp.
_Sign
_~I()ve
____Demolish
PROPOSED USE: ____Single Family
~commercial
~/F
_4t of Units
,._M/H
_Indust.
____Swim.. Poo 1
Other
_Restaurant & Health Department Approval
BUILDING SIZE: ~1":bx 2..( ·
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. **
**COPY OF CONTRACT REQUIRED.
~F.RMIT5 REQUE5TED
X-BUILDING
AELECTRICAL
~MECHANICAL
_PLUMBING
$
~al?0l0
/
~ AMP Service
Z8S? r
Valuation of Total Construction
~Florida power Corp.
_H.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
.~.... .
TYPE OF CONSTRUCTION: ~Block _Frame ____Steel
FINISHED FLOOR ELEVATIONS: FT.
Other
*********~********************************
Signature
r-ONTRACTOR fiF.CTIO~ L S .
. Company 0, _l ;]flJf:-
State Cert. or Regist. D
City License Registration D
******************************************
('.njJj~7T[)W
:T~:~~~d:) . Company 'L-\-\'U-5 €LC~7 ~<~
. State Cert. or Regist. it bO ~ -:LILS-
~'" 1 ._ City License Registration il I c) .
*****************************************
PIJJMRtR . Company ~"(~/M') J /3A(l1t f!:;/-;./~t;..,(/ h
41, -' ~ ~ ~ /! -iL State Cert. or Reg1St. ,! 1(.
Signature -,. F./VLn ';It q j Y'I 1 City License Registration i~ . t;7-
. * *********************** ***** ** ** o{, 0{: ;:0{: o{:;: o{: ,~;:
MECHAN1CAT. Company ,4'4H ~ ',5 r;eeUJA.-vL GIiS L 7J/< I,A/C
-V ./ / " !:. S ta te Cert. or Regis t. if C. A CD "J~ "',tr
Signature ."L-- ~~ . City License Registrationii 7~
~ ******************************************
Signature
Company
State Cert. or Regist. 0
City License Registration U
OTHER
APPLICATION APPROVED BY
~.......~................*..........
". ~ O.(lA!kT "
PERMIT OFFICER.
....
CONDITIONS. OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Th, .undersigned understands that this perlit lay be subject io 'deed restrictions" which may be ~Dre restr.ictive than City
regulations. Th. undersigned assu_es responsibllitf;fof..colpliance with any applicable deed restrictions.
. .
'.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor .Of contractorl to undertake wDrkl .they lay be required to be licensed in aCCDrdance with
state and local regulations. . If the contractor il not licensed as required by law, both the OHner and contractor ftay be
cited for a .isde.eanor violation under state laH., If the oHner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart_entl (813)
788-6611.
Furtherlorel if the owner has hired a contractor or contractors I 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 e.wner sign as the contractor,
you are indicating that youl rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed ~nd is not entitled to periitting 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 applicantl have been provided Hith a copy of 'Florida's CDnstruction Lien Law - Ho.eowner's Protection
Guide' prepared by the Florida Depart_ent of Agriculture and ConsuDer Affairs. If the applicant is so.eCone other lhan the
'owner', I certify that I have (,btained a. copy of the above described dc,culDent and prcorrtise in gcood fiith to deliver it to the
toNner' prior to cOllencelent.
:t....: '
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all Hork will be dDn~ in coapliance with all
applicable laws regulating construction, zoning, and land developcenl.
Application is hereby ,ade to obtain a perlit to'do work and install~tion as indicated. 1 certify that no work or
installation has CODlenced prior to issuance of a per_it and that all work will be perfDrmed to m~et standards of all laMS
regulating construction, City cod~sl zoning regulati~ns, and land development regulatiDns in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies ~ay apply' to the intended work, and that il is
IY responsibility tCI identify what actions I lust take to be in compliance. Such agencies include t'\l1 ~Il! Ilc,llilSited to:
#'
I Departle~t of Envir~nlental ReQul;tion - Cypr~ss Bayheads, Helland Areas and Environmentally Sensitive ldnds,
Water/WasteHater Treatlent
I Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Helland Areas, Altering Watercourses
f Artv Corps ~f EnQineers - Seawallsl Docks, Navigable Waterways
I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - lIells, IJastewaler Treat~en~. Septic Tanks
I US Environaental Protection AQency - Asbestos abatement
1 also certify that I if fill .aterial is to be used in Flood ZClne 'A" c.r "A,elc.', it is underste.e.d tli~t a drainage plan
addressing a "colpensating volu.e' will be sublitted which is prepared by a professional engineer rr:9ist~ir:d in the State of
Florida prior to perlit issuance.
A per.it issued shall be construed to be a license to proceed wilh the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froa thereafter
requiring a correction of errors in plans; construction, or violations of any code. Every per~it iSSlled ihall becole invalid
unless the llc.rk authe,rized by such penit is cCluenced within six lonths e,f issuance, cor if IH.d; allll,[o,IIed bt the perlit is
suspended or abandoned for a period of six _onths after the tiJ~ the Hork is COlllm~n[ed. Dne 90 day r::I~~sioll of tile, lay be
allc,wed for the perlllit with fee charge of $15.00. The extensic,n shall be requested in liriling tc, the Bldlding Official. An
ilpproved inspectic,n oust be IClgged during each six lonth period, or the prc.ject Ilill be [eonsidered db.;\IdCoi,cd.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO' NOT N 0 RECORD AND POST A "NOTICE OF COMMENCEMENT".
-~ ON--ER OR---A-G~EN--T-' ---". -......- SIGNATURE_~~':~)-f--t.r:: -,,, -
~ G~ CONTRACTOR fjCl5 ,>LJe;;.;;..,
DA TE____.~:.~Ljh-----------------.------- DA TE_______~___~~L=_C[~ --- -------------
NOTARY AS TO .
OWNER OR AGENT_~-~-~-~~~--~-~-
"(y..,A \td l. L R..o<J l(.(j . J .' .
MY COMM I SS ION EXP I RES Notary PubliC, S.ate of flOrida
f1.i ComniisSiOn E'Xpmrs~ay 1C7,4993'
Bonded Thru Troy fain. InsuJance inc.
NOTARY AS TO '-1/1/1 ---/
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ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills, Florida 33540
38410 6th Avenue
(813) 782-8184
FINAL BUILDING INSPECfION
Fire Chief
William T. Fenton
Assistant Chief
Robert Hartwig
OCCUPANCY: ~p~~tf j?~~"S~
ADDRESS: S-7 I R (p ff/ sf
DATE: cr 110/9 7-
t I
BUSINESS PHONE:
OWNER/MANAGER: --'J1 ASoM
, .
.._:;>-, .. I ) A
-1-- . /1 I. . .
I c~/j/l.'\.J2L\.....,)(, / I ti-dA'Y\.;
,,/~,~~(:d;.fL-:':~;,-.
This buildin~ has heen inspected by the Zephyrhills
Fire Department under the codes and regulations of the
NFP A Minimum Standards and other local fire safety codes.
~APPROVED
NOT APPROVED
CO~I~tENTS: ~t~ .4;lL 0,0_ 1\.00 ~c L \flj;)
~-<::'~A.cC~"'b l.-wo (~~ ~ ~t--s. pc:;1s-{-tc.~, ~ (l J rc-"Lry
Lt. ~ H-t- P ^cX- \. tv H^ce- gy'''y ( ,..qp , t\/ ~ c ~ '
TIME: CJ ?'3f5J
DATE:
SIGNED:
J-Jo
t:? /f./ L tt:l1V
<;;t!r
TITLE:
06/17/86 als