HomeMy WebLinkAbout93-2900
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
NC!
2900.6'
Date /-S.....r3
~ ELE~
PwpertyOwne' J}:I ~h~~L4;
Job Address: 6 ~b -
PLU~-
MECH~ Sewer Conn
Water Conn:
Water Met~r:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code: Radon Gas:
Oe,cription of wo,~...,< ::... ~ <: d.._ ,,- r Q=d 1~........ ~ / '" -.<- L:e/'~
FINAL 7-/6 -~S
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
:~;~~:;:e ~dP~
Company
Address
Telephone#
Valuation or
Contract Price
r /J7I?J, chJ
City License Registration # -:.? 7 ..t;
State Certified License#
~~~~~~- ft:H:> JJflri ~
~UILDI~ E~IC~__,
PLUMB~
MECHANIC~
Breakers
Ducts Insl.
Compressor
Final
Ftr. Tp. Servo SLB
Pre SLB Rough In Tub Set
Lintel Meter Can Water
FRM. Const. Pole Sewer
Insul. CL Pool Final
WL Pre-Meter
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.
API'LIGA.TION FOB. PERKI'f
CI'IY OF ZF~PllYRHILLS
BmLDlliG Dil',PARI1IfEN'T
OWNER · S ADDRESS
PIt:! /~ Kyd! K rcCJo./;?
.5:798 KDQ.5 EvELT
::s-roeE5
l3L vLJ. N.
PHONE 81 3 ~ S'3L1- /4 z-B
LLG:AIZvJfl7't7 , R...
,
OWNER · S MAKE
JOB ADDRESS
CODL-Co AJ. al9t [ 8L_'/D.
zCPH,'fRH ILLS FL.
I
LEGAL DESCRIPTION: L.OT(S)
_BLOCK.
StlfBDIVISION
PARCEL LD.#
WORK PROPOSED:_lNlew Construction _Addition _Alteration _Repair ~nstall
V Sign
__Hove
/~eaolish
PROPOSED USE: Single Faaily
ve::.ercial
_KIF
_, of Units
_K./H
_Indust.
_S.n.-. Pool
Other
~estaurant &: Health Depar-=-ent Approval
BUILDING SIZE: (0 D X 21'0,
1770tf
Square Feet.
1'2:,-~
Height
RESIDENTIAL :
COHKERCIAL :
ATTACH (2) PLOI' PI.ANlS &: (2) SEI'S OF BmLDING PL..l\MS &: (1) SET ENERGY FORMS. u
ATI'ACB (3) SETS OF BlITLDDilG PI.ANlS &: (1) SET mmRGY FORMS. **
**COFY OF CONTRACT REQ1Jl1l'R:IID.
PElMlTS REQUESTED
/
~BUILDING
$
4DDD~0C)
valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power COrp.
W.R.E.C.
_MECBANICAL
$
valuation of Mechanical Installation
_PUJK.BIHG GAS ROOFDiG
TYPE OF CONSTRUCTION: _Block _Fume ~teel
SPECIALTY
Other
FI' .
IS PROJECT IN FLOOD ZONE AREA?
/
FIlNlISHED FLOOR ELEVATIONS:
YES NO
************...****....*.***..*.***.******
CONI'RACI'OR SECTION
Signature
CO!tP.MIfY .::SDL.{"'T1-\.~A$-r r::: e r0,
State Cert. or Regist. ,
City License Registration ,
******************************************
s-rr::g:cre;-c.. fY\FG,. l~ .
C. ~ ~ os;<r<l/9
376
BUILDER
Sismature
COIIPANY
State Cert. or Regist. ,
City License Registration f
***************.****.*****.*..************
ELECTRICIAN
CO!tPANY
State Cert:. or Regist:. ,
____~.,,__.__._ City License Registration f
********.*****.***********~***************
PLtDKBER
Signature
CO!tPANY
State Cert:. or Regist:. ,
City License Registration I
****.*********~*****.*****************.***
KEC'BAIfi CAL
Signature
COI!tPANIY
State Cert. or Regist. f
City License Registration f
****.*.*****.**********~******************
OTHER
Signature
APPLICATJOIi APPROVID BY ~ ~ s/!.<1/J /1)- ~
PERKIT OFFICER.
CONDITIGNi: OF :=<:C::.',::: ....r-FID(.~'vJIT
A. NOT I CE OF DEED RESTR I CT I OI'I~;
The und~rsigned understands that this perlit.ay be~lIbject tli "deed restrictions" which lay be lore restrictive than City
regulatIons. The undersigned assules responsibility fo; cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTOSS AND CONTRACTOR RESPONSIBILITIES '
If the owner has hired a contractor or contractG,': to underta:e ~ork, they may-'~ ;equired ~icensed in accordance with
state and local regulations. If the contractor is not licensF1 as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owr.ar 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 Departlent, (8131
788-6611.
Furtherlore, if the owner has hired a contractor or contractor., he is advised to have the contractorlsl sign portions of the
"Contractor Sections" of this application for which they will Je responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are res?onsible 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 FEE2
D. CONSTRUCTION LIEN LA~ (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 of Agriculture and Consuler Affairs. If the applicant is 50leone 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
"oNner" prior to cOI.encelent.
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 co.pliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a perait to do worK and installation as indicated. I certify that no work or
installation has cOlaenced prior to issuance of. a perait and that all work will be perforled to leet 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 govern.ental agencies aay 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 lilited to:
f Departlent of Environaental Reoulation - Cypress Bayheads, Wetland Areas and Environ;entally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water Manaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways '
f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection Aoency - Asbestos abatelent
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 "colpensating volule" will be subaitted 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 fro. 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 perait is cOI.enced within six lonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six aonths after the tile the work is comienced. One 90 day extension of time, 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 COMMENCEMENT".
"'
~
STATE OF,FLORIDA
COUNTY OF
The foregoing instrument
befctie me this
was acknowledged
,19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
befeq-e me th i 5 19 _ by
who is personally known to me or ~ho has
prc,duced
as identification and who did/did not
take an oath.
who is personally known to me or who has
pl-oduced
as identification and who did/did not
take an oath.
(SignatLll-e)
(Signature)
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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EXPRESS WRITlEN PE'~MISSION OF
STEELTE'C MFG:', INC.
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DESCRIPTION
REVISIONS
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/ STEELTEC .
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1800 SANDY PLAINS PKWY., SUITE 222
MARIETTA, GEORGIA 30066 (404)-427-0956
JOB ADDRESS:
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DRAWN.-- - CHECKED:
JOB NO.
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