HomeMy WebLinkAbout93-2994
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
2994-8
Date
.2 -;;L -5'3
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~ILD~0
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PL~
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GCHAN~
Sewer Conn
Water Conn:
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Parcel I. D. #
Water MetE;!r:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
Zoning:
Description of Work
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe,mit Fee fU;:7 -j:j;d
Signature J
Company
Address
Telephone#
Valuation or
Contract Price
I tJ-Zl7J. era
,
City License Registration # 33':S
State Certified License# (6- c 034 9/ tJ
PLUMBING
o
:;~ su5Z\ -0$ frH-1
Breakers
Ducts Insl.
Compressor
Final
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
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 ($15.00) 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.
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PLANS RE~WEO
UA IE 1- d- 7 - 7'
r'lliUJI~I('i n::;;" II P;;"IlI'::Q"2P.8,
AFl-l.i c.'*' "rTO'j F'OR("ERHT'T
GITY OlEl' ZEPIJYRHILLS
BUfllDlUili; Di1:PARTKE',~:"""
-;. \. \. .
OWER'S NAM.E \ ~,.'-<~ ~.-\-
PHO~E
OWNER · S ADDRESS (" S' l1.1
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JOB ADDRESS
C"'
J"'~-"
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"-4, "ii.
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(' ", \ .>.\.IL"-
LEGAL DESCRIPTION: IDl(S)
BI...OCK
SUBDIVISION
PARCEL L D. 1
WORK PROPOSED:~ew Construction ~ition _Alteration _Repair _Install
_Sign
_I!fove
_DeJIOlish
PROPOSED USE: Single Faaily
~crci.al
_KIF
_* of Units
_M/H
_Indu..c;t.
_Swi.-. Pool ~~~'O..~~~
Other
_Restaurant & Hea~th Depart:lllent Approval
7...,...,
BUILDING SIZE: ,.-A.j
x ~O ,
\~()u
.
Square Feet,
C. '''L-_ S\~o~
Height
RESIDENTIAL:
COKKERCIAL :
ATTACH (2) PLOT PLA1!iS & (2) SEI'S OF BUILDING PLA1!iS &: (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF B1ITIJ)ING PLMilS & (1) SE1" ENERGY FORMS. **
**c:on OF C01!iTRACT REQ[JJlRED.
PElMITS REQUR.'iTED
'V"BUILDING
./ ELECTRICAL
'I/HEGllANIGAL
$
Val.uation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E.G.
$
Valuation of Hechanica~ Installation
_PLUMBING
GAS
JIDQFI1!iG
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_er3llle _Steel
Other
FINISHED FLOOR EL.EVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
COTSlTRACIOR SECT'ION
Signature
mllfP.uJ"f .",.~ \~ ~,;.,".> '-~
State Gert.. or Regist. 4#
City License Registration #i S 3~
~************.***.**~*****************
ELECTRICIAN
aMlPANrY .~.~ ~\c: v. ~"'>
State Gert. or Regist. i
'City License Registration 4# ..2. S C>
~*****************************.****
Si
Signature
1
~c
COKPMr.
/l State Cert. or Regist. I
/ .. City License Registration I
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/ cmtPANY "fl'\., . ~-,~ \~ O:_-..Jo..~~__
/ State Cert. or Regisl. :f
City License Registration I
************************************
PLUlKBER
Signature
KE,CHMITCAL
/2!J
01'IIER cmtPAlNIY
State Ce~t. or Regist. 4#
Signature C:it:y License Registration i
**************.*....*************************
APPLICATION APPROVED BY PERKIT OFFICER.
COND I T I Gi'!S OF c'. t::F:I'i I T (~FF I D('~',) I T
A. NOTICE OF DEED RESTRI~TICiJ2
The undersigned understands that this pertit sa: ~~ subJect t~ 'deed restricti~ns. which may be ~ore restrictive than City
regulations. The undersigned aS5Utes resp0nsibiiity f~r c~lpliance with any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS AND CONTP_I"\CTOR F:ESPDNS I B I LIT I ES
If the o~ner has hired a contractor Dr contractors to undertak~ work, they may-be required t~icensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be
cited for a tisdeteanor vio!ation und2f state law. If the ow~er nr intenden contract~r are ~ncertain as to what licensing
requirelents lay apply for the intended work, they are advised to ~ont~~, the City of Zephyrhill~ Buiiding Depart~ent, (813J
788-6611.
Furtherlore, if the owner has hired a contractor or contractcrc, he is advised to have the contractor(sJ sign portions of the
'Contractor Sections' of this application f~r which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than th~ contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not prop'erly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TF:Ar-JSPORTATION II'1PACT FEES AND UTILITY CONNEC1)OJ'J FE~2,
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 Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
'oNner', I certify that I have ~btained a copy of the above described document and promise in good faith to deliver it to the
'owner. prior to cOllencement.
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 coapliance with all
applicable laws regulating constructi~n, zoning! and land developlent.
Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
installation has cOlmenced prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
regulating construction, City codes, zoning regtlations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulati~ns of other governlental agencies lay apply to the intended wor~, and that it is
IY responsibility to identify what acti~ns I must take to be in compliance. Such agencies include but are not limited to:
t Department of Environlental ReQulation - Cypress Bayheads! Wetland Areas and Environ;entally Sensitive Lands,
Water/Wastewater Treatment
t Southwest Florida ~ater ManaQelent District - Wells, Cypress Bayheads, Wetland Areas! Altering Watercourses
t Army Corps of EnQineefs - Seawalls, Docks, Navigable Waterways .
t Departtent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells: Wastewater Treatlent, Septic Tanks
t US Environmental Protection AQencv - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,ete,', it is understood that a drainage plan
addressing a 'colpensating volule' will be subaitted wl'ich is prepared by a professional engineer registered in the State of
Florida prior to perlit 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beeote invalid
unless the work authorized by such perlit is cO~lenced ~ithip. six Bonths of issuance, or if work authorized by the permit is
suspended or abandoned f~r a period of six tonths after the tile the work is cOllenced. One 90 day extension of ti~e, lay be
allowed ~or the perlit with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official, An
approved' inspection lust be logged during each siy lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEWCEMENT 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 Te RECORD AND POST A "NOTICE OF COMMENCEMENT'.
SIGNATURE: OWNER OR ~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
t."fcl\-e me 1:11:"s
was acknowledgea
19 u,
ae kno\'J 1 edged
.i'-:)_~ by
who is personally known to me or who has
prc,duced
as identification and who did/did not
take an oath.
who is personally known to me or who has
prDdL~ced
~s identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PLlBLIC