HomeMy WebLinkAbout93-2899
BUILDING PERMIT
CITY OF ZEPHYRHILLS
..,/ - (813) 788-6611
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~ CREcTRlr~ ~f\I1BI~ C~~ECHANI~. Sewer Conn
Water Conn:
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pa<cello.jy-..tt--"u-3-.:L ~~ p~7fi- ~o-
Zon;ng, _-Jlne,gy Cod".. ~. Rado~' ,1+1 V 'JJ -/5 -]J
Description of Work ~ .A1...1PJi.J .J:J,iJ (~J tl "'-- ~ LZ(:;
&41 ~ 15'.5..Jl.eolQ ATT;IM'I)
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NO OCCUPANCY BEFORE C.O.
Permit
NC! 2899~
I-~- 93
Date
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or 4- ~ ~
Contract Price /I J 000'
City License Registration # .s 59
State Certined u~;n'e# r? ~
~:~ ~ ~.
BUlL 'ING ELECTRICAL""'~
~j~,
MECHANICA
Ftr.
Pre SLB 3...\1"''16 6~
Lintel
FRM. vY-lq,~3 t>LU-
Insul. CL
WL
Tp. Servo SLB .;>-IJ~ ~~
Rough In 3--lej- "i S ~k Tub Set - -9' r;5.lL
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter .L '3. j().'1~ f-6L
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 ($15.001 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.
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TABLE A - WORKSHEET
CITY OF ZEPHYRHILLS CONNECTION FEES
RESOLUTION #312 WATER $1.75/GALLON SEWER $6.39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131.25 479.25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1.278.00
Washing Machines-Domestic Size I 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE
Sinks 50 i ~7.5D 31'1,5'0 4~ / .'~. .:)
, V t,
Water Closets 75 i 131.L~ 47'1, ~S fe/c, :$0
Urinals 50
/ ,.
Lavatories 25 43,75 J51.75" '/ ...., ,
:,0.... r,C;
Tubs/Showers 50
Washing Machine 200
Washil)g Machine 50
Pishwasher 400
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
. lb2 r () 95'5.5 I} 22..1, c",' (~
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or/
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WATER METER
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GRAND TOTAL
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APPLICATIOB FOR PHRKIT
CI'IY OF ZEPHYllIIILLS
BUllDIlIGDEPARJlU!Jr'f
OWNER · S NAIIE
\ '"
l/.elJtI" <' Ie,,,,,, S~l
2.0'; " ~"...~.Q s f
'~ll Gj"Jl
PHONE
e' '":!.
'i'5lt 0'\<:] 0
OWNER' S ADDRESS
$<'1 reo. ~ Co 4-
. C "'-
JOB ADDRESS
ry ?::. 't ~
/)/ c..ber So
'"j' ~~e; L-i'rl
LEGAL DF.SCRIPTIOI!f: WI'(S)
BI.OCK
SUBDIVISION
PARCEL I. D. t
WORK PROPOSED:_lIev C'oostruction .-...Addition _Alteration _Repair _Install
S.
- 19D.
_!!love
_Deaolish
PROPOSED USE:
Single Faaily
_KIF
_, of Units
_K/H
_~rcia1
_Indust.
_S.n.. Pool
Ot:her
_Restaurant &: Hea1th ~t Approva1
BUILDDfG SIZE:
x
Square Feet.
Height
RESIDERTIAL:
COKKKRCIAL :
A1TACII (2) PLOl' P.I..MiS &: (2) SEIS OF BUILDlliG PLUlS &: (1) SKI' ENERGY FORKS. **
ATI'ACH (3) SEIS OF BUILDllIG PLUlS &: (1) SKI' ENERGY FORKS. *oJ:
**copy OF CONTRAC'f ~.
PIlmIITS REQUESTED
_BUILDING
$
Va1uation of Tota1 Construction
_ELECTRICAL
AKP Service
Florida Power torp.
W.R.E.C.
_HEGHAlUCAL
$
Va1uation of Kechanica1 Installation
_PLUKBDfG
GAS
KOOF'DfG
SPECIALTY
"
TYPE OF CONSTRUCTIOll: _Block _Fra8e _Steel
Ot:her
FIRISHED FLOOR ELEVATIONS:
FI' .
IS PROJEC'f Df FLOOD ZONE AREA?
YES NO
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Signatur
COJl'I'RACI'OR SECTION
BmT.DER
CO!fPMY
State Cert:. or Regist:. I C G- c: 037:2 '? ?
City License Registration I <.. ;:>,...Cr
.
******************************************
lDIPAJJYm~~ r4M/ (:Z-<P'
State Cert. or #egist. f E::..C 0000 .J' Lei
City License Registration , ;:) ?/ y
,
******************************************
PLUttBER
CO!fPARY~, ~:v--
State Cert. or Regist. "
City License Registration t /f-o
*********************...********************
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-----:::
Sigoat:nre
~ I
ClVARY~~
State Cert:. or Regist:. ,
City License Registration f /~(~
******************************************
CO!fPARY
State Cert:. or Regist:. f
Signature City License Registration .
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
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CONDITIONS OF PERi1IT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Th~ und~rsign~d und~rstands that this p~rait 'aay b~ subj~ct to 'deed r?strictions' Mhich lay be lore r~strictive than City
regulations. The undersigned assuaes responsibility for coap~iahce Mith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OMner has hired a contractor or contractors to undertake Mork, they aay b~~~quir~d to be lic~ns~d in accordance Mith
state and local regulations. If the contractor is not licensed a~ required by laM, both the OMner and contractor aay be
cited for a lisdel~anor violation under state laM. If the OMner or intended contractor are uncertain as to "hat licensing
requirelents lay apply for the int~nded Mork, they are advis~d to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the OMner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for Mhich they Mill be responsible. If you, as the OMner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the Mork. If the contractor Mishes you to sign
as contractor that aay 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 Mith a copy of "Florida's Construction Lien LaM - HOleoMner's Protection
Guide' prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
'oMner', I certify that I have obtained a copy uf the above described doculent and prolise in good faith to deliver it to the
'oMner' prior to cO.lencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all Mork Mill be done in coapliance Mith all
applicable laMS regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a perait to do Mork and installation as indicated. I certify that no Mort or
installation has cOlaenced prior to issuance of a perait and that all Mork Mill be perforaed to aeet standards of all laMS
regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies aay apply to the intended Mork, and that it is
ay responsibility to identify Mhat actions I aust take to be in coapliance. Such agencies include but are not lilited to:
f Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/WasteMater Treataent
f SouthMest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Aray Corps of EnQineers - SeaMalls, Docks, Navigable Watenays O'
f Departaent of Health L Rehabilitative Services. ~r.vironaent~l Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection Aqency - Asbest:s aUdt~~~Et
I also certify that, if fill laterial is to be used in Flood Zone 'A' ~~ 'A,etr,", it is understood that a drainage plan
addressing a 'coapensating volute' Mill be sub.itted Mhich is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance. ~
A perait issued shall be construed to be a license to proceed with the Mork 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
unless the Mork authorized by such perait is coaaenced within six aonths of issuance, or if Mork authorized by the per.it is
suspended or abandoned for a period of six aonths after the tiae the Mork is coa.enced. One 90 day extension of tile, lay be
allowed for the perait with fee charge of $15.00. The extension sh~ll be requested in Mriting to the Building OfficiJl. An
approved inspection lUSt be logged during each six gonth period, or the project Mill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DU NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'.
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SIGNATURE: OWNER OR AGENT
SIGNATURE: CON1~ACTOR
b;;:,ft:>~;;;. m:: th:.s
.0
""-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
?:~'.',E. fhe this 19_ by
STATE OF,FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
who is persc,nally known to me or whl) has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
(Name Typed, Printed or Stamped)
NOTARY PUBLIC