HomeMy WebLinkAbout92-2738
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N'! 2738.,8,
11- 2. - y!L
Date
Property Owner:
Job Address:
Parcell.D. #
El~ Pl~
~+~ IL/~~
M~I'IlI~AL .~ Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
FINAL
NO OCCUPANCY BEFORE C.O.
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
Contract Price
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1"~ lint;
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Permit Fee
Signature
Company
Address
Telephone#
Inspector
City License Registration #
.~~, c"a" iliad". license#
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C~~~~~~IN~
ElE.o-RtCAl
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PlJ.J.MBt1"ffi
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M~ICAl
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Ftr.
Pre SlB
lintel
FRM.
Insul. CL
Wl
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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.
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'[ SHZNGLE fi'oor ::.PECICATIONS I
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- REMOVE EXISTING SHINGLES. DRIP EDGE. AND FELT
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il- ,fI.I~,'!nLL "~EI.IJ VA~L-~' Mr::HiL... FLASHING. AND VENT BOOT,?" I
'I .., HJ::, T,'\U t 11:::\.<,1 Gl.t..J~ ALUt1INUM DRIP EDGE I
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3:3525
832 South Highway 98. Dade City.
Phone # (904)567-8580
Bonded and Insured
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GENE.r.:AL SPECl F lCAT ION::" ' -r t! J3,'1 ~
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r [; - - [:fJI'1r:.'LETE TPASH RE.110\"'{L
D I D::-c3AR ~;~~T ~A~~~;.;~~ ~;~c~~6~n ROOF AREAS
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T07AL COST:
~ AT COMMENCE~ENT. BALANCE AT COMPLETION.
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APPLICATION POR PER~IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
JOB LOCATION
APPLICANT
ADDRESS
PHONE
C?t}L/ - !3? 7~ 3D 5u
OWNER
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
SUBDIVISION
PARCEL I.D.~F
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign/Temp. _Sign _Hove _Demolish
PROPOSED USE: ~ingle Family _M/F _1F of Units ._1"1/ H
_Commercial _Indust. _Swim. Pool Other
,
_Restaurant & Health Department Approval
BuiLDING SIZE:
X_,
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.~':
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS."'*
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$ .3, 95n'~
Valuation of Total Construction
_ELECTRICAL
..'
_MECHANICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
GAS
Valuation of Mechanical Installation
1/ ROOFING
SPECIALTY
$
_PLUMBING
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
Signature
******************************************
CON'!'RACTQE SECTTO~cA ~ ./ / '0---
Company ~~~~
State Cert. or Regi~ tJl(!. ({)t75f, 7'-' 3
City License Registration 4F if;).
**************************************
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ELECTRICIAN
Company
S~ate Cere. or Regist, if
City License Registration #
**********************ft*******************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration if
OTHER
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it ..ay be subject to "deed restrictions" which .ay be lore restrictive than City
regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Dr contractors to undertake work, they maY-be requi;;dl~iicensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
cited for a .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
7BB-bbl1.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~,
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 Construction Lien Law - Ho.eowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.eone 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" prior to cOllencelent.
:}
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
l
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f De artlent of Health & Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatment, Septic Tanks
f Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a .colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit 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 perlit 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
unless the work authorized by such perlit is cOI.enced within six .onths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
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 NEED TO RECORD AND POST A "NOTICE OF COMMENCE ENT".
STATE OF FlORID~
COUNTY OF t"-A "SQ 0
The foregoing instrument was acknowledged
befclre me this O::tT 2. ,191~ by
J \YD'-1 Sc> H "''''E.~
who is personally known to me or who has
produced
as identification and who did/did not
take an oath~,\ Q:YA. )2
(Signature)
NOIQ~ "mul.' S~"lte, or r.lu,,,,-
(Name TyQ.e ".... .r llnl;Eo ,Dr ;:) \.amped)
'1'(0 "'. liar es Ehrman. Jr.
NOT A~ €;U.iIl.;Ubn Expires April 27, 1996
Comm. No. CC 196771
STATE OF FLORIDA
COUNTY OF TASCt 0
The foregoing instrument
before me this ~ Z
was acknowledged
, 19CJd--. bv
, -'
\
\ j \~b'<' ~s.t".\4 p;p E:~
who is personally known to me or who has
produced
as identification and who did/did not
take an oa'h&;;;O~ ~CVV. _ ~
( Signa tur el~otary Public, State of Florida
Rebert Cllarles EllrR'laFl, J...
(Name TlilijfC~Jlnnf.'!!sAA1\1ii/'l1rER'Apm~~~g16
NOTARY PUBLltOinm. No. CC 196771