HomeMy WebLinkAbout93-2934
BUILDING PERMIT
Permit
2934..8i
I-I ;---73
. rJ. / 1.....s0
~
CITY OF ZEPHYRHILLS
(813) 788-6611
;lb. ~ ;2.JeSV dlo- iTz)
G-E~TRIC~LUM~~'~0 ~HA~~ Sewer Conn d /;;: SZ>
/ Water Conn: ~7.~o
P<operty Owne, {JUfL .... LlIA<~~~" /tf;"J. w",e: Mete'
Job Address: 7&72-___ ~ .:rJ.:f-,-~.
Parcell.D, # 3.S - -:2..s- _..:2. /- / - /'0 6 -- t/
N<!
Date
Zoning:
Description of Work
Radon Gas:
Permit Fee
Signature
Company
Address
Telephone#
FINAL
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
Valuation or
Contract Price
~--'j7;-o" cTz::'>
"
90
City License Registration #
State Certified License#
PLUMBING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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.
Cc.<::- i),'..., - ,"" 1~{\:: >, ,":;: :\:. r:::"
Ct',."?1 'i .'i_IV: (- ""'" '-'"" "
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l_ ~t.~C/!i ,::>i:.L
.::'d~i..1:~, ~~_ :-!:'c ;<: ,a;E ET
CI TY _Q..':_.z.E.EuY~.~!'C,J,L.' _ .J:) N N E C'f ll) N F 1:' I~
----r- -- I~
RESOLUTION iF312 WATER ";}, 7.<:: :~i\LLON SEWER $G.39!GALLON
RESIDENTIAL (Each Lot or U;:1i t)
I
,
,
Residenc2 $ 350.00 i $1,278.00
I
I
Travel Trailer Park I 131.25 I, 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 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. if WATER SEWER TOTAL PER FIXTURE
..- --_._-
Sinks 50 I 'f>7JSO 3/'1,50 tfo7. i)O
,
[-
Water Closets 75 "
, !
I
I
Urinals 50 I ~
..~ -- --
Lavatories 25
Tubs/Showers 50
Washing Machine 200
Washing Machine 50
Dishwasher 400 ,
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
1>1.50 '31 CC. 5D ;.fD7 DO
"
WATER METER
N/fr
t-f07,00
GRAND TOTAL
\
\,
'A.
.~~
.
APPLICA'1"IOJ?l! FOR PIOOtIT
GIlT OF ZEPHYRIIILLS
BIUUUOOr.; kJEPARlHF.,iHi'T
OWNER' S NAME c? ~ fJ /f?l!f.) /l; ~/ ' Cw:tu mmm fr f- () tf Ir
OWRER'S ADDRESS 7~ $8 (nt!( t?u-ft/ ' ;2~tF'tlk I 7fJ .
~~~
JOB ADDRESS
LEGAL DESCRIPI'IOl!l: LOI'(S)
BL.OC:K
SlJIBDIVISION
PARCEL I. D. f
IroRK PROPOSED :_!lew Construction
_Addition
. ___'u~kJtt. Jttt~,{,
~A1t:eration ____Repair
_Inst:all
_Sign
__!!love
_DeJIOlish
PROPOSED USE: Single Faaily
_KIF
_, of Units
K/H
ItsR~ ----Oilier
,
_~rcial
_Indust.
_S~. Pool
_Restaurant &: Bea1tb Deparblent Approval
BUILDING SIZE:
x
Square Feet,
Height:
RESIDENTIAL:
cotmERCIAL :
ATTACH (2) PLOI' PLANS &: (2) SEtS OF BUIIJ>IMG PI.4U1S &: (1) SET EHERGY FORKS. u
ATTACH (3) SETS OF BUILDDG PLANS &: (1) SET ENERGY FORMS.'I:*
uCOPV OF COINTRACI' RE'Qm1nID.
PEImITS REQUESTED
_BUILDING
$ .:J.... <. - J"bv . o-u
~
Va1.uation of Total Construction
_ELECTRICAL
AMP Service
Florida Power COrp.
W.R.E.C.
_KECHAMICAL
s
Valuation of Mechanical Installation
_PLUMBING GAS ROOFlliG
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FraIIe ___Steel
Oilier
FIRISHED FLOOR ELEVATIONS:
FT.
IS PROJECI' IN FLOOD ZONE AREA?
YES NO
~~**~*****~***********~***~***************
BUILDER
COl!n"RACIOR SECI'IOIti
L OOltPANY ail, p: l) (d)I sl
r ~ Sate Cert. or Regist. ,
((. ~ .r City License Registration#/:
****I**~**~***~~**~*~****~***~*~~~~~~~*~**
f!fJ
Signature
ELECTRICIAN
a>>IPANY
State Cert. or Regist. ,
City License Registration #/:
*~***~*~*****************~~~*~~********~**
fH>&-
SiJm8ture
1-/~
Signature
C01fPANY Tr~i2lp"
St:at:e Cert:. 0 egist:.'
City License Registration #/:
*~**~***~". ',:::"'~'~>Il-.":E:*.***~~*~of,~....~*********
J~C;-
PLUKBER
COMPM'TY_ .1 ~/~A/'.
State Cert. or Regist. I
City License Registrat:ion I
~*~~~~*~~~*************~***************~~*
KECllAlUCAL
Signa ture
JtJ~
0T1IER.
c.n'!fPA~__.
State Cert. cr Regist. ,
Cit:y~icense Regist~Gt:ion ,
***~*******~**~********~k****~************
Signature
APPLICATION APPROVED BY 71 ~~ 9ff-d!!/)41~
PERKIT OFFICER.
~.{.~{.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peraitlay be subject to .deed restrictions. which lay be .ore restrictive than City
regulations. The undersigned assuaes responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
If the owner has hired a contract~r or contractors to undertake work, they lay be requi;;dlto be iicensed in accordance with
state and local regulations. If the contractor is' not licensed as required by law, both the owner and contractor .ay be
cited for a aisdeaeanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
requireaents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (8131
788-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 .ay 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 1, the applicant, have been provided with a copy of .Flor,da's Construction Lien Law - Ho.eowner's Protection
Guide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs, If the applicant is sOleone other than the
.0Mner., I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
.0Mner. prior to cOllenceaent.
E. CONTRACTOR1S/OWNER1S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby tade to obtain a pertit to do Mork and i~stallation as indicated. I certify that no work or
installation has coaaenced prior to issuance of. a pertit 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 governlental agencies lay apply to the intended work, and that it is
ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not Iilited to:
I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
I Departlent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection AQency - Asbestos abate.ellt
I also certify that, if fill aateri~l is to be used in Flood Zone .A" or "A,etc,., it is understood that a drainage plan
addressing a .colpensating voluae. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perait 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, construction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such pertit is co..enced within six Bonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six tonths after the tile the work is cOI&enced. One 90 day extension of time, lay be
allowed .for the perait 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 Bonth periDd, 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
C~NT. ~DE~~EE~ TO RECDRD AND POST' 'HDTICE OF CD"E:CE'EHT'.
'~~l ..(~ ~"f#=L
SIGNATURE: OWNER OR AGENT .--- SIGNATURE: CONTRACTlfR ' {I
was acknowledged
, 19~ by
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
before me this 1/11
STATE OF,FLORIDA
CnUNTY OF pasco
The foregoing instrument
before me this 1/11
was acknowledged
, 19~ by
\ G\\.;
Ken Griffin, Jr.
\o'lho is pel-sona 11 y knO\o'lll to me ;;,o.r......wl;.Eo~+C\oS
~~~~~--------------------------
-2I'9-oiEle-l'l-'lH..f-+e-a-iH-E'ofj and who -+.:k.Q/did m.t
ta ""e an oath
Bob A. Dodd, president, EPMC
who is persc.nal1 y known to me eo.1=-~-1:i-iil.6
~crnnc~---------------------------
"'i"d""rrt-i-f'i:L~rn-and who-m.-d/did not
tal:. an oath.
(51 nature)
,J"Il~ IlL H9rnoml
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Commission #AA643275
My Commission Expires:
Notary Public, Stcte of Florida
My Commiss;cn Exn;r~, rc~. 1. l'1J
(Si natLlI-e)
June M. Herndon
(Name Typed, Printed or Stamp9~~
NOTARY PUBLIC
Commission #AA643275
My Commission Expires:
Notary Public. St<:te of Florida
My Commission Expires Feb. L 1993
'5'" ,'"
. ''of
;1:
,j '!p E'-l';:" i
'f i' . ..-=- ;z::r, '-~L
126 F'0~
if.-:=tN 11'
:. ~5 : -a. ,.;-'-1.
At'YLICmotr\ f-'),K Pfl<!,{Il
GI!Y OF l..l:PHI~8n.lS
iroI!J)nG OEPA.~,.
RECEIVED
JAN 1 1 1993
O"-'iElP~; ~A,tU__c;A--~_i~rl"{) !lt~,/ , r;~___ _JROXE _.f~nst~~;('
Dt.liER'S MHIRF:~> 7~ Su (n;l{ r.?v/I -2-y.1t~',~_-+~7fJ '__.
.-
. .s ~A-.
JOB AnD" t: .: '
LEG\.' nFSCRTPTION; LOT ( S),
Rt..ocK__. SnmTITSION_
PARCEL LD.'_____
"'URK PIlOroSED:
~~ r~;~ruc~~oo
. . AJWJ:,~ vUs:'".
_:\ddition _ ..YA!teration .. .Repaix
. __Ins ta II
___SlgJl
_:"Iov("
__~.li~h
eRQPOSFI> t'~~; _5"i ngle Faai 1 \;.
_!Iff
. -f, 0 t Cui l' <>
.~-""/H
~4<~ .J)t'her
__~r('ifJJ
Lco.dus i _
_s,,"~. Pool
ReST''''~mt & Hea1t.b Ot:.part"aenr AppJ:ova}
CtJIl.DLHC SIZE:
x_,
Sqwlre feet.
_ Jh":~h(
RESIDENTJ A L '
COMMtRCI.A 1. '
.\lI.\CH (2) PLOT PlA'I\~ .\ (2) SEIS OF BFTUHJiG PtA"=S 6: (1) <a5 E:\r:RGY F'OR"G. H
~ Tl' 4i-_!I (J) SETS OF fltTr...n--rx~ PlA.'~ &- (1) <; ~ E:;TER(,~" fOR14.t; _ _ _
.: ~ r:nPl' Of C[)~BACT ltl:Q>:~flL
p~ Rt)Jlj'E:" IEl)
__liU IlJJ T NG
s _____
.__i'al.U3t.iou C)f Totdl ('..nnstrucf.ivu
_ J;l.!CTRJ.CAL
.:\.."11' Sen""iC€
f'lorid8 PoweT' COrp,
W.R.E,C
H5-......~ TI <\.
~
'''nlnll"lt-;.n.n I"I-F v,........-,.in.nl T.......-r--....l1nr-.:...
_PLUMBiNG
__ , ___CAS
ROOFT~C
SPi.CI \LrY
TYPE OF' UJNS lKf&(:T' 1O~: _-.Bloc). ~Taae
Steel
___Other
FTXlsmm PLOOR n.EVAnO~"S:_. f"-
T'i ~ct D FT...oor. ~o, f: .\RF..\?
t r.S NO
-t.~~~-!-~~~.~+.."'''~-a'~~-:- ~~ ~ ~'-'t-:: :-~': -"'}o~~*,"t""
8UTJlJ~
~CiUR.~$ECl:ION
um-MI~ G~,q:v r:rvs(
State Cer-r" or &egi.st. #
City Lic~se Regis~~ion *
..~**+~~~~~~~~~~~~~~~~~~
9tf
Signature
ELEC
01!tPM'Y: __
State Cert. _ or Regist'. to
Ciq Li~ense Registration #
~.~~*~~~~~~~~~~~L~~~A+~~
/tf~
_t2L F-
Signature
ClltPAn T ~4-~"
SUu:e Cel:t:. 0 egist:.:j
Ci.t:y Li~ens.e Registra1:i.OI1 .
~~~~~~*~~~4~~~~~*~**~~*~~~
PUMBf.iB.
HECH..~c.\1"
Cl:BFAn' Iitlbub' .
State Cert. or Regist:. t______~_
Ci~ License Regis~ratiou ~
='.:':'Jlll:A+.~~~~~~"*"'-3:-:t!l.':';:'~~~fp"''''
Si8QB.ture
C11HKH CO!fPAn__~_
Stat:e Cert. or R~$t. t
Sicl2:at:are Ci.ty License Reg:ishat.ion .
~"-~+.Y++i:'f:~-I:~t>S;lt*+,a,~~~"':,~ ":'J.':~.t-a:
APPLI~~05APPROVfl) BY ._ u___~ PERKIT OFFICER.
"'.
:.
:Hr.m.al:ur@,... .
Sl..IIJLe cert:. or lteBi~t.. ____
Ci'-fr Li.c:eu.e ltI:!SUit.:r-.tiOll .
...*..*...........~.***.......6......*..
-+ .J 1
~AlrY TM4Ik.I''',~-.A. ...__
sr.ajte Cert. o7i""egist. , en 0:2. :c~......./~._
Cit:ir Lic;au;e legistrat.ioo . rl "II'.~
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c.. . -----v..... V ~ /' St"''f:e Cert.. 0,". .lCel' S1;. t --('V1 c.._ 1$ I . . _
SiRfLi"H: ;r;: . :>. _ Ci.t)' License Registration . 1 - :;1/ z..
............ ............" & A A 1-......."...'. A.a
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Sicoatur~- ~ _~
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................ ....................
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APPI.TCAT1UII APPKOVt"..o BY
PEBIII'r
CEll.
01/12/93 09:45
81. 5 (~ .:>b 1. '=:ICi LH':> I r- M'~'-W
TAPPOUNI MECH
I ......1-' . 1._, I 110..- .&.... .
. 0~3,
APPL"ICA.'l"1:0ll fUll PDKlT
C".LU 01" 2.EJ.lPYtaO.U.5
ISUUJJ111C DIII'AImmfT
cn.~Im"S Ii^HY.~ fJ~(J I/tL/' ~ moD ?Jrf~. .~o/I(~.~___
OWER'S AJ)f)RE5S 74 S'L) &.:df_. Hu-It/ " .2:f./J~'~1k_-f-'Jf.~.
S- ef""~ 1
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1iOJ:J: l'KOI'051!D:_iWev CQ.",....uction ----.Jdditiioo -....t:::Alt.e.c.r.ian _Repair _~~t.all
~~ilP1
........._ JIm.--e
~11sh
rkO~5!iD U~.t;._SjncJ.~ "OIIil)"
----.Jt/F
_c:.o-erc:1a.l
TIlVInsIt..
.. ...--' (If un.. f"s
-.--Svt... 1'001 ~ft'
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ot.her.
I
.........-11cstaurllnt ~ UeaJ.t"Ja nep.r....t: Approval
UUUJ.J.lNG SIZE:
x
. :. _ _$querfl: "f.....1;. "__ ...
..HeiJthr.
~J.D~ln'l^I.: Al'J.'ACIJ (2) PU7l PUlIS .. (2) $~ OP' BUIlJJIIIG PLAIfS . (1) sa
wrmflCC;rAI.: AttACH (3) SE:I'S OF BUD.Dl.*; ~ .. (1) SEt' DftIRGt f01ttI5.**
.. exuoy OF ctllrrUCT .F.QldED.
GY' POltIIS.....
__.--1'OLLDINt;
$
..... '\~...II.f.IlOESTRD
__~_Ya1uatl1011 of Toe;a1 Coust.:1I:IJCt:loft
_t$LHC;'1'RJ ("-AL
AlIP Sea:v lee
FIo!".!'" ~T c.ocp.
W.R.E.C.
--.JIt:GllAKJ.GIU.
s
VaJuat:!iao of llecb.aaicat IJ)I;t:aUat:ion
_ .. , . ._" LutlIs l!f(;
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SPECIAI:rr
Trl"F. Of' CONSTKUCTIo.'t; _B'loe:lL _Pr.-e _Steel
.
Otlte
nYTSllED t"LOUR f..1".EVAT.IOIIS:,.,..__l'T.
IS Il"BnJ'8Cr III FlOOD ;r;OIlE AREA!
n: NO
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r~.
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~.... ". cit)" License llegi5tral::l.oo. .
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. MY tlf..'-
~~ cert::. or kBi~t.. ,__
Ci.~ L1.ceDlle .1I:8UiC.~l:iOll .
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