HomeMy WebLinkAbout93-2919
BUILDING PERMIT
?1(F-s-v-oo
Permit
2919/]1
/ -I J. -;<3
CITY OF ZEPHYRHILLS
(813) 788-6611
N<!
7/cllSlJ CJ. {T[} so- otJ
~ ELECTRICAL PLUMBING C:::HA~~ Sew" Cooo
~ ~ ~ JJ Water Conn:
Pwperty Owoe" ;;; '11:11~~:.../ ~J W"e' Mete"
Job Address: 7 tJ _ _L.-._. T.I.F.'s:
Date
Parcell.D. #
Zoning: Energy Code: Radon Gas:
Description of wo~ ~.ALA'J-y---p'Z~AL ;/' rL !},? -J- r -Z:~ LJ/-'g .
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
InspectorQ
Permit Fee
Signature
Company
Address
Telephone#
t! (o/t ,~J7.~
Valuation or
Contract Price
sr. tJ7TlJ - c1'()
'"
City License Registration # 9 ()
State Certified License#
Tp. Servo SLB
Rough In .1- / q.,1J.i10.D Tub Set
Meter Can Water
13 \ VConst. Pole Sewer
Pool Final
Pre-Meter
Final
/cJ~
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. t-\ \J - q3
Insul. CL
WL
Driveway
CA.4 41'i l... 2
~i) 1- -~ ~q3 --p/IL
~l...iC- *8",,'L
UiIU~~ Z-'l~3 B~~
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.
APPLICATIl>OO FOR PERHIT
CI'IY OF ZE:PlIYRllILLS
B1ITLDlliG DEPARDIE'RT
OWNER'S NAME
f,lhf
70)6
~
;J~~lJ "d. ~
~
if/u-/ .
PHONE 7Ff--01/(
'ktly!.h I F1-
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPI'IOlli/: LOT(S)
BL.OCK
S1JJ8DIVISIOl!il
PARCEL I. D. t
WORK PROPOSED :_lIew Construction
.-Jdd,ition
____ € e " ()~ t,.~.e.
_Alteration _Repa1r _Install
_Sign
_lIfove
_Deaolish
PROPOSED USE: Single Faaily
-"IF
_, of Units
_~rcial
_Indust.
_Swi..-. Pool
_K/H
/t. ~. tJ Other
,
_Restaurant &: Health Deparbaent Approval
Square Feet.
Height
BUILDING SIZE:
x
RESIDENTIAL:
cottKERCIAL :
ATTACH (2) PLOI' PI.MiS &: (2) SEIS OF B1ITLDING PLUS &: (1) SET ENERGY FORKS. H
ATTACH (3) SEI'S OF BUILDDifG PLMS &: (1) SET mmRGY FORMS. "'....
"'....COpy OF COl!ilTRAC'I" REQumED.
PERKIlS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power COrp.
W.R.E.C.
_MECHANICAL
s
Valuation of Mechanical Installation
_PLUH.BING
GAS
ROOFlliG
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_F'raIIe _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJEC'I" HI FLOOD ZONE AREA?
YES NO
........"'................"'........................................................................................................................................
Signature
~
CO~croR SECTION
WlIPANY G;., -rr'.v ('~rl-~(t;.."
~ J State Cert. or Regist. ,
., City License Registration i ~Z?
**....*~....**....*............*....*............................*........"'....*........*........**............*....
BUILDER
ELECTRICIAN
CO!IPANY
State Cert. or Regist. i
City License Registration ,
........*....***....*........******....**............................*............***........***............
A- Pb-
:JJ?'
Sismature
Signature
-
I " ,.,_ -'
COIIPARY .. 'r .."
State Gert:. lor Regist:. :f#
City License Registration I
*........****........*........***....*............***....*........*................................*****....
PUmBER
WllPANY litIIuAl'-
State Cert. or Regist. ,
City License Registration I
....*....********........*...****........"'.~ .:l:....***........************
KECHAlfICAL
Signature
/~;:)
OTHER.
Signature
WllPAl!iIY
State Cert. or Regist. i
City License Registration i
****....******....*****........***....*.~*....*....****....**r****
0-P' /\~
APPLICATION APPROVED BY
!iJl'."" ~ - ~
,
PERMIT OFFICER.
f'
CONDITIQNS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICT~ONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which may 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 c~ntractors to undertake Mork, they aay be required to be licensed 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 lisdeleanor violation under state I~N. If the owner 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 Depart.ent, (8131
788-6611.
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 2ephyrhills.
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 - HOleowner'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 doculent and prolise in good faith to deliver it to the
"owner" prior to cOltencelent.
E. CONTRACTOR'S/OWNER'S AF~IDAVIT
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 lade to obtain a perlit to do work and ipstallation as indicated. I certify that no work or
installation has cOllenced prior to issuance of. a pertit and that all work will be performed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I alsc,
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 cotpliance. Such agencies include but are not lilited to:
t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
t Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
t Departtent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Environaental Protection AQency - Asbestos abatetent
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 "compensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A pertit 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 yiolations of any code, Every pertit issued shall becole inyalid
unless the work authorized by such pertit is cOI.enced within six months of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six lonths after the ~ile the work is cOlienced. 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, Dr the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CUNS~LT UITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~CEMENT~OBS UNDER 2,5~O IN VAL~~T NEED TO REC~HD AND POST A 'NOTICE OF COMMENCEMENT".
-d ~ <<...v. - . ~
L.e~ Cj - .,,--~ ~
SIGNATURE: CONTii-
STATE OF.FLORIDA
COUNTY OF Pasco
The foregoing instrument
before me this 1/11
was acknowledged
, 19-22.. by
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
before me this 1/11
was acknowledged
, 19.9.3-.. by
Bob A. Dodd, President, EPMC
who is personally known to me Q.J:-..wl:ll;l...h.aJ;
~~~~--------------------~~~~
~-4Qiil-J+t.i.:f~~~"",,j;l and who LH.'t!/dic not
t ke ~n o~ )~
. gnatUl-e)
ne M. Herndon
(Name Typed, Printed or Stamped'
NOTARY PUBLIC
Commission #AA643275
My Commission Expires:
Ken Griffin, Jr.
who is persona 11 y known to me C!.J_.kl.b!;!,~
~~~u~_ _______________________
""'l?!'9-~el!"lTlH...+e_a4H._€<f'l and who -4i-el/did not
~~ an oat~ \.....\. ~, ~.'"
"---' ~ \ \ ,,-. ~ \l 'i\. \'\r',uC~
(Si nature)
June M. Herndon
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Commission #AA643275
My Commission Expires:
Notary Public, St?t~ of Florida'
My Commission Expires Feb. I, 1993
Notary Public, Steta of FlorId
My Commission Expires Feb. 1, 199~
11 rl ,.).,
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APPLlCA't f il,.. fOE PER.'1Q'l
CJ n OF ZEl'lffR1ULLS
.8Cll..DUIC I}~~:\R'J~""
RECEIVED
JAN 1 1 1993
Griffin Construction
~ I- <7 ;;; /' "
O\.t'E.R':-- ~__~ fh', _ lht" 2 If::...~/ ~~ _ _ PH:]!1;~\_ ?Ff--o'1/( .
n.'"n'WI>llESS_ 7.:,; ")'0 c;;/.~ 1j/,,/~._. 'k ~ J r.l_
JOM A.l)j)kt:.SS~ ___ .~~____. __~.__
I. 1-.:(;,'-1. DESCR I l'r J o~ : l.O!"( ~ L.. __,
___8T..OCIC_ _._St'l8DI'iI5 fO~C
PARCF.L 1.. D t_
. __--.-~: .e:;-(~ t;, nf.(
_Ut.e1"3t"ion _.__R,'p..'Ji J _ .__Insu,J 1
ai()RK PROPOSED:
._'li!~ CQns~t:~on
_Addition
_Si~
~\'t'
n(~l i s.h
PKO.POSTID USE.~ _ _ "')iagle fani ly
___~I r-
_ _._~ of Pnit.s
\":&1Ie1 ci.1l
-~~[-
__$.0... . Pt.)oi'!
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~'~/___~lltD~r
..--.-Jt..",r.aorant & l!p:11 t h De~r~'"H .\ppr/,,'al
Mil I J.lI I tc{; SIZE:
_x
~..-...-
___:'".qU:Ht" Feet,_
_______.__.Lj,. ;gl.lr.
RE.SJDENTIAL~
CO~ClAJ.
Al'lACl1 (2) Pl.O'1 PUXS & (2) :iElS CF RtIJ.D~G PL.J.:~S b (1) ';ET o;~Gl' lt~I{~', ~~
UT.\.:.}! (3) Sf:l S OF Hr.n.DISG PI..\..'t':, & (1) SET .E..VL.~C'i I HR"i:') n
: ~COPT" Otl m'\'lR.\cr RFQntillJ.
PFR:I'I: I TS ~RLOUE$ 1'1-.0
Bm.tOl."~
s_____..
__~alnat IOU of Total Con.s.t.!.W( ,(;ot
__F:II '-fKlCAl.
'd _'\.'lP Sfl1"\."'i or
}'loTi~'l Pl,)\I<(', Coro.
W f\.. E I:.
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SU!:natlt.Je ''!!1'VYl. t)(!. '. 'i-._ _. Citr License Regbtrat lOti ~
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01/12/93
09:44
TAPPOUNI MECH
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APPI.lCAnOll l"OIt ,1"EIUIIT
C'J.'I'Y OF ZIa'IIJ'JO'ILl-".i
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;oRK PR.OPO~V.J):..".._};ew ~~rucU.oo --I'ddt.l:.ioo _Alt.eX'at101l .......--..Repai.r
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_swo.. Pool
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.._IlC:lot..uran~ fr r(eodth ~~ ApproV'llll
:lJ 1 WING ~a~~; .. --J,
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ES IDF.NTIAL:
Ott!ft:Jl(: l.A.L :
AnACO (2) PLOT l'LAJIS &: (2) SEI5 ot 80ILDJ.JIG PUlIS II (1) SET EREk
AlTACR (3) $'trS OF BUUDIM: PLAIIS . (1) SEI' JtIIEItGT f/OlQI.<<i."
....00"' Of' COnR.\<.,. lIBQUJ1tID.
YORKS _ ....
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.. ..__Val_~ioai of :total Coost.~act.fol\
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._Valuar:.i.O'.li of nec:;benic.e~ l:r..t:aJ.J.(leion
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C;A:)
MDOFDG
_._..~_SPEC:IAl.n
IP~ OF COMSTR'1C;r.IoJe: _Block
~
_.Fr~ -+-Steel ___
15 ~cr XB FIDO.D ~owr; AREA?
Ot:her
'1.. SIIJro fT...noR ELEVATIOlN."i: _n'.
n:s 110
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,\P'Ptt~IJOII APPROVED BY
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PEIU(I:T OF
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