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HomeMy WebLinkAbout93-2903 BUILDING PERMIT Permit 2903B /- 6 -2 grO, o-u ~DIN~ CITY OF ZEPHYRHILLS (813) 788-6611 NC! Date E~ P~ ME~. Sewer Conn Pmperty owne3/t; . ~dzifL ~ P/m,J Job Address: ~ ~ ~ Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Work~ e .A~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 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 ~I Permit Fee Signature Company Address Telephone# A; 'c~ Valuation or Contract Price ) :J. . ~ /)/')- /77) ./ City License Registration # State Certified License# :tft~~~~ _ aUI ~'NG ' E~ _. ~G - ~AL -------- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. 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. GRIFFITH ROOFING AND ASSOCIATES, LTD. 2255 STARKEY ROAD UNIT # 1 LARGO. FLORIDA 34641 . P.O. BOX 5400 LARGO. FLORIDA 34649-5400 (813) 536-4546 FAX (813) 538-4637 December 17, 1992 City of Zephryhills 5335 Eight Street Zephryhills, FL 33540 To Whom it may concern: I Donald Grimes as license holder for Griffith Roofing do hereby authorize Mr. Gary Long of Christiano Construciton Co. to apply for our roofing permit on our project known as St. Joseph Catholic Church, 38802 Fifth Avenue. Ltd. Sworn to and subscribed before me this _-'1 .-...",-'" -~,., ,~- . dl"""'~'~"'''1r c"J ,.:~:..lV'-"-;~,} ~,',;? . , APPLICATION roE. PERKIT CITY OF ZEPIffRl''ILL'5 BUlLDIl!iIc' LEPARJfKE1i.!'T OWER'S HAHE 51 rr..~ ~ PROlNlE OWNER. , S ADDRESS ] g 7/ () J "l-P-e. L~~ JOB ADDRESS J?71o 5-,fJ-r-e LEGAL DESCRIPI'ION: LOT(S) BLOCK SUBDIVISIOINl PARCEL LD.' WORK PROPOSED:_lNlew Construction _Addition _Alteration _Repair _Install _Sign _!!love _Deaolish PROPOSED USE: Single F3IIily _KIF _, of Units _KID _~rcial _Indust. _SWI... Pool Other _Restaurant &: Health Depart:aent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHHERCIAL : AttACH (2) PLOT PL.MilS &: {2) SID'S OF' BlITLDUilG PLAINlS &: (1) SET RNERGY FORKS. U ATTACH (3) SETS OF B1ITLDDilG PLAINlS &: (1) SET EINlRRGY FORKS. *"" **COFY OF COINlTRACT REQUJI'BED. ..i....-BUILDTN~ $ PIIT~JlUTS REQUESTED 11..tPd" . ,,:~aluation of Total Construction _ELECTRICAL AKP Service Florida Power COrp. W.R.E.C. _KECllANI.CAL s __Valuation of Mechanical Installation _PLUMBING GAS __ROOFIlNlG SPECIALIT TYPE OF CONSTRUCTIOINl: _Block _rnmf> _Steel Other FInSHED FLOOR ELEVATIOlNlS: FI' . IS PROJECT IN FLOOD ZONE AREA? YES NO ***********""************""**********""*""***"" COlNlYRACI'OR SECTION BUILDER Signature COUPANY State Cert:. or Regist:. , City License Registration , ****************************************** ELECTRICIAN Sifm3ture CU!lPANY State Cert. or Regist. , City License Registration I *********~************r.H***************** PLmtBER Signature UIlfPMY State Cert. or Regist:. , City License Registration I **********************""******************* KECBAliJICAL Signature C01IPANY State Cert. or Regist. , City License Registration I **********~**"*w.~""""""**,;J:o';:******""**""****""*** OTHER Signature ~ cmlPANY r;. ;. ~ 11'11-4 vPd" .;:'/1'//'. ~ State Cert. or Regist. , r C City License RegistraHon I 3/ *******",****.I"l',',,-******"''''**'JI:**''''''****-!:**''''**'''' - I APPLICATION APPROVED BY 71,( MA'A~ s1! f.k<l?AJ PERKIT OfFICER. f'- l,~--~'~. CONDITIONS OF P_RMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it ~ay be ~~bie~t te "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assu.es responsibilit, for co.pli~n(e Ni~h any app'icable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAC10R RESPONSIBILITIES If the owner has hired a contractor or cpntractors to undertake work, they laY-be r~Quired to be--licensed in accordance with state and local regulations. If the contractor is' not licens2r as required by law, both the owner and contractor lay be cited for a .isde.eanor violation under state IaN. If the owner or 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 Departlent, (813) 7BB-bb 11. Furtherlore, if the owner has hired a contractor or contractors, 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 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 (C:~APTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a cOPr of "Florida's Construction Lien LaN - HOleONner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the "owner" prior to COllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVI~ I certify that all the inforlation in this applicatiun is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. 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 issuanre of. a perlit and tha~ all work Nill be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and IJn~ develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: f Departlent of Environlental Reoulation - fypress Bayh~ads, Wetlard Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water "anaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways ' t Departlent of Health ~ Rehabilitative Service~. Environle~t~l Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvironlentaI Protection Aoency - Ash~stDs abatement I also certify that, if fill laterial is to b~ used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will 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 l~c~nse to proceed ~ith 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 from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the Nork authoriled by such perlit is cO.lenced within six tonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the ti.e the work is comaenced. One 90 day extension of time, lay be allowed .for the perlit with fee charge of $I~ 00. The extension shall be requested in writing to the Building Official. An approved inspection. lust be logged during each six lonth pericd, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVE~ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD INS YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~~9rIb ~C? SIGNATURE: OWNER OR AGENT SIGNATURE: NTRACTOR STATE OF FLORIDA ~ COUNTY OF G!../~ . ..___,_ The foregoing instrument was acknowlpdged b~= /~ ,190_ by ~ Q ,_~ ~<rl- ~~ ____ who is pers~ll y_ known tg,,)Tle 01- who has produced ~~~/.f~ ~e as identification and who did/did not ca~~'~_ ) >Y V~ (Si~ture) hi 7b nfl- 'r1r~/~/ /I' c:J<< /1C7 (Name Ty~ed~ P:-inted Dr Stamped) / NOTARY _EUBL I C STATE OF FLORI~ COUNTY OF CY t:lt:LL.o The foregoing instrument was acknowledged oefcq-e me this //~ ,19 ?..3 by . ~~~k or who has produced ~~ ~? / as identif' ation and who did/d~d not ath_ ~;-~/~ /t (Name Typed~ Printed NOTARY PUBLIC f~otary Public. State of Floridi My Comm. up Sept. 3. 1994 J~otary Pub/lc" State- of JIroti... My Comm. lip SeRlo ~ 4994