HomeMy WebLinkAbout93-2945
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
294s-8
Date
/-~6 - 7'3
.
~ ELE~_ ~RING
pmpe"Yowne'lf4~
Job Address: ,6 _ '
P"ce'I.O.. ,;). - d-../- O. ~ -~" (>..q ..
MECH~^I
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Energy Code:
0:/::0'1' w,;;; ~... ~~ .
~ Radon Ga"
~~~-
J)~~-
FINAL II - / t. --72
DATE
NO OCCUPANCY BEFORE C,O.
Complete Plans, Specifications and Fee Must Accompany Application, C,Q.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
:~;r~~;~-
Company
Address
Telephone#
Valuation or
Contract Price
J ~ /j7rZ:J <. CN')
i; :L
~
City License Registration #
State Certified License#
r;,~(~1-
(?D~J
~~~979 E
ELEC~L
---
PLU~
MECHA~
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 Ins\.
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.
APPLICATION FOR PERHIT
CITY OF ZEPHYRlIILLS
BUILDIlIiIG DEPAR11IE'.lIiIT
OWNER · S RAttE
William F. Nye
PHOllilE
813/782-5506
OWNER · S ADDRESS
4927 Coats Road, Zephyrhills, FL 33541
6845 Dairy Road, Zephyrhills, FL 33541
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SllfBDIVISIOllil
PARCEL I.D.I Section 2 TWP 26 RNG 21 02-26-21-0010-01000-0010-8-24-92
RORK PROPOSED: _lIiIev Construction _Addition _Alteration
_Sign _lIfove _Deaolish
PROPOSED USE: Single Faaily _))._K/F --2..# of Units
_~rcial _Indust. _Swia. Pool
Repair _Install
_H/H
Other
_Rest:aurant & Hea1th Depart:aent Approval
BUILDING SIZE: 2 4 X 3 6 .
Square Feet.
1,728
Height:
RESIDENTIAL :
COttKERCIAL :
ATTACH (2) PIm' PLAlIiIS & (2) SEIS OF BUILDIlIiIG PLAlIiIS & (1) SET ENERGY FORMS. **
ATI'ACH (3) SEIS OF BUILDDilG PLAlIiIS & (1) SET ElIiIERGY FORMS. **
**COFY OF COllilTRAC1' :REQtJJl'BED.
PEmII'IS REQUESTED
_BUILDING
$ 12,000.00
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Kechanical Installation
_PLUMBING
GAS
ROOFIlIiIG
SPECIALTY
TYPE OF CONSTRUCTIOllil: ~Block ~Fr8Be _Steel
Other
FIRISHED FLOOR EI.EVATIONS:
FT.
IS PRO.JEC1' IN FLOOD ZONE AREA?
x
YES NO
******************************************
~ . (J-1 \1 gJiImlAClUR SECTION ,
BUILDER ~. '^^-1/' ~~ COKPANY Cross Construction Co., Inc.
State Cert. or Regist. I.
Signature (/'/ , City License Registration #J: 6'2
,******************************************
ELECTRICIAN
CU!fPAlIiIY
State Cert. or Regist. #I:
City License Registration I.
******************************************
Si!m8ture
PWHBER
COl!fPAFl
St3!:e f'.erL or Regist. #I:
C.it:y Lice.o.se Regisi:rai.ion i
******************************************
Signature
KECBAlUCAL
COl!fPANY
State Cert. or Regist. #I:
City License Registration j
******************************************
Signa ture
OTHER
COl!fPAHY
" '-.".,... State CeJ;t.-...or Regj,Ji):....,
, G. <.":. City License Registration' .
******************************************
Signature
APPLICATIOII APPROVIID BY 71 MUlA ~ ~ '-"'/\AI'>-.r
PERKIT OFFICER.
t
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit.ay be subject tu "deed restrictions" which lay 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 contractors to undertake work, they may be required to be iicensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor tay be
cited for a lisdeleanor violation under state law. 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 Departaent, (813)
788-6611.
Furthertore, 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 tay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT rccs AND UTILITY CONNECTIQN 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 cOllencelent.
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cO.lenced prior to issuance of. a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies tay 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 liaited to:
, Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treat.ent
, Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
, Departtent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, US Environ_ental Protection AQency - Asbestos abatelent
I also certify that, if fill .aterial is to be use1 in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance. ~
A per_it 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 froD 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 per_it is cOltenced within six lonths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
alloNed 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 Nill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS 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".
- C
VU~
.ISNATUR. IINE~ OR A~
STATE OF FLORIDA
COUNTY OF Pasco
i 1-:1~t rUfT)pn i: w.=ti::. ?r t;P~, /~ j ~'--isr~'ci
1/19 ,19~ by
STATE OF FLORIDA
COUNTY OF Pasco
The foregolng ins~rument was acknowledqed
befcq-e me this 1/19 , 19~ by'
The fDn:;>gro i ng
before me this
(SignatUl-e)
Dwight Hopkins
\o'lho is personally known to me k-crc~X~
l'Omcb4R~
~.~oi~R~W~R9tk~~ and who ~x1/did not
take an~~ M~
(Signatw-e)
William F. Nye
who is persc1nall y known to me lXXlfRCOCKI>>
pnntlXCBd
alGXxctantX:fXostXJlIK~nd whet xf*~:I c i oj ;-,l' t
take an oath.
(Name Typed, Pr i '."< ect' t,j- t~Sct5~m~c~N:\ :,'11895
NOT ARY PUBLI C ~:~ J Co,,,,,," cs '-' 1 _,
'N T d ' '-.. d -(""0... "'" d"
{ame ype, 17lT1",.e ,c',)~.:"',,;fl;IlR-e,~ "
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