HomeMy WebLinkAbout92-2841
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
2841A
Date I;;. - 9 - :9 ;L
Permit
N~
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Property Owner:. _ . . /"... ..
Job Address: 3~ 0
E~_
PLU~. MECHANI~ver Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
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NO OCCUPANCY BEFORE C.O.
FINAL-t -
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 ~ cr-o
Signature _ C'
Company
Address
Telephone#
07"
Valuation or
Contract Price ~ ~. t::r0
...-
City License Registration # d ~
State Certified License#
~~~ {;~
~BtJTlDI~
Ftr.
Pre SLB
Lintel
E~
--.---..,.....
~
--
MEO'I-tA.tiICAL
-------
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
Fiinal
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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APPLICATIOR FOR PERKIT
CITY dF :z.tl;ntI'KHII.Lc;
BUIIJ)IliG DEPARIIIEIn'
OWNER · S IiAIIE
ST .t~e.~~
(/
(' II.; t-- cA
PHOSE
OWNER'S ADDRESS
JOB ADDRESS
]87/0
6- ,4- P..e
2.ej7lty..e.t- hI J/J
LEGAL DESCRIPTI08: I.OI'(S)
_..JWJCX
SUBDIVISIOR
PARCEL I. D. #
WORK PROPOSED:_5ev Constructioo. _~tioo. _Alteration ~Repair _Install
S.
- 19I1
_./lIOve
~DeaoliSh
PROPOSED USE:
Single F-Uy
_Jt/F
_, of Urrlt:s
_K/H
_~rcial
indost.
_Swill. Pool
Other
_Restaurant & Heal:th n,,~:'::an:.ent Approval
BUILDDfG SIZE:
x
Square Feet,
Height
RESIDENTIAL:
cottKERCIAL :
A1TACII (2) PLOI' PIAIIiS & (2'1 SEIS .aF BUllDDiG PLUS & (1) SET ENERGY FORKS. **
A1TACII (3) SEIS OF BUII.DD'!<!. PIAliS & (1) SET ENERGY FORKS. *.
**OOPY OF OORTRAC7 KIlI)Ulln':'.
,lE"DiITS rOOOUESTED
WUILDIRG
$
3~, {TO
/
VC'."luat:1on cl' Tot:al Construction
_ELEC'l'RICAL
MIP Servicf::
Florida Power Corp.
W.R.E.C.
--1IECIfAIUCAL
$
Y'aloa.tioo. of Kechanica1 Inst:allation
_PLUKBDfG GI\S _llOOFING
SPECIALTY
TYPE OF OORSTRUCTIOli: _Block _FratIe _Steel
Other
FIIIISIIED FLOOR ELEVATIOIiS:
FI' .
IS PKOJECT Df FLOOD WIfE AREA?
YES Nn
***..!,~: ,,: .. .... _ ;.c'';;' _.... ,.:...........'" ....it.......*.******....**...**
R1ITT .DER
~
~croR SHCI'IOB
CDtPOY ~ ~ G.
(' ~ State Cert. or Regist. t C "" C 0",,1 7" :;J.
(~ity :License Registration f
...*.........****~~~~**.........~**...***...*******......****
Signature
ELEC'l'RICIAH COIIPAIMY
State Cert:. or Regist. f
Si.mature \.:i..ty License Registration f
...............***........................*~.~*...............*.****.****
PLUflBER CU!lPAliY
State Cert. or Regist:. t
Signature c:tty License Registration f
**.......................*..~.,..........*11............************
flECllAlfICAL aJIIP..'::IY
S'iate Cert. or Regist. #
Signature City License Registration f
***......***.*...............................................*
0TIIJlR COfIPAIIY
State Cert. or Regist. :f
Signature City License Registration .
.........*...*.......................**..*.......*~.*****.
APPLICATION APPROVED BY PERKIT OFFICER.
~
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3o-c~
Cry
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Re:1\C:WA-.:-
D~ Cee.'l.
CONDI1iONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit .Iay be subject to .deed restrictions. which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as requir~d by'.law, both the owne~ and contractor lay be
cited for a lisdeleanor violation under state law. If the owner Dr int~nded contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 perlitting 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 applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection
Guide. prepared by the Florida-Departaent offlgriculture and ConsulerAffairs. If the applicant is SOleone other than the
.owner., I certify that I have obtained a copy of the above described doculent and prolise 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 developlent.
Application is hereby .ade to obtain a per.it to do MOrk and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that aI' 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 govern.ental 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 Iilited to:
f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlV Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection Aqency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone .A. or "A,etc.., it is understood that a drainage plan
addressing a "colpensating volule" will be sublitled 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,) construLtion, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced withIn six lonths Jf issuance~ or if work authorized by the perlit is
suspended or abandoned for a period of six .onths after the tile the work is cOllenced. 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 .ust be logged during each, six lonth 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 IKPROYE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~T; 7" ~~T~' ro ~~.. AN'~CE; ~~NT"
'SIGNATURE: OWNER Ot( AGEN SIGNATURE: CONTRACTOR
STATE OF FLORI~
COUNTY OF LYe/A -<- e")
The foregoing instrum;rt was acknowledged
before me this ic:l/ ~ _, 19
STATE OF FLORln~
COUNTY OF ~o.I./' ._i)
The foregoing instrument was acknowledged
befc1re me this I.:L / 9 , 1914 by
I
.. 4h2/ oY ~f;
who is perso~)711~ known o~e or who has
produced G1:4 <~./~ L.u.~~.LJ ~
as . ent' 'cation and who did/did not
ake oath."
(Signature) ..v? ~
?;lVr t!..-I e.. " A~ /I U /J r
(Name Typed, Print~d or Stamped
NOTARY PUBLIC . ~ry Public. State of Florida
MY. Comm. Exp Sept. 3. 1994
(s~ature)
7FT ~I e... (fr
(Name Typed, Printed
NOTARY PUBLI C
fiw~
or Stamped) .
,. Neil
My ~m~~I~pS1ate of Florida
ept. 3. 1994
CHRI~ IANO
CON~ RlCTION
~}~ Cft., INC.
GENERAL CONTRACTORS
COMMERClflL
INDUSTRlflL
RES'IDENTlflL
DeceIIl-ber 9, 1992
Bui1qing Department
City :of Zephyrhills
Zeph~rhills, FL
Gentlemen:
This 'letter will authorize Mr. Gary C. Long, Vice President of
Chri~tiano Construction Co., Inc. to apply for and receive a
building permit for the St. Joseph Catholic Church.
Thank; you.
Sincerely,
CHRISTIANO CONSTRUCTION CO., INC.
~~:d~OdlD
Presiident
EJC/l)bc
- .?',;;
._--- L:-
STATE: OF FLORIDA
,
COUNTY OF PINELLAS
Subsc~ibed and sworn to (or affirmed) before me this 9th day of
Decemlber 1992 by Edward J. Christiano, ~_i~/i;lre personal~.
_known: to me or has/have produced
as identification.
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13790 ROOS'8JELT BOUL8JflRD
CLE:fIRWflTER, FLORIDfI 34622
S'TfITE CERTIFIED CGC008702
813-573-3612 FflX 813-573-7734