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HomeMy WebLinkAbout93-2994 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2994-8 Date .2 -;;L -5'3 -.?o.UV ~ILD~0 ::LD_V'D ~) PL~ dl-O, cro GCHAN~ Sewer Conn Water Conn: ::~:;~,~:~.~~!'ii.r' 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. ';1 , "fr2.2.- fiT r\ vT . '(-cooL8/.. ') , ~ I . VAL,V A.u "O~,I /,'li~O , I '.....,,:........ _._-_.._--~_.~~~~~ ~~~~ . pLl.J~:::',~.~~,G.- .):' I ~ C-rP-1 (.1'\' l- ...~ .-..__.'0._--- :: i ry1 f;c.t\ 0.0.10J- S~BjQrr\k ; , , <:A~0\'\ ~-C0..~ _ -:So ..0 ...--y -_.,-~..-.-- I'. ' .. ,,'0 2>>. ., 20. ~;, <:) _.__..!..-~.. ._~ 70 . d~") , I, " -_..._-~..._--------""" -_.-~.. co~ ~f(I~J ~;~_f}:::.~> Sf-.vl_~_ ~ . " W.6.:rue... o 0 'tYJ ~ "tS. r2- L?_-Ct!L.- Nl, I I Jr _.~-_...~:".,.~~ , . ~~_ r( tr.D. ?!:Y_CCPLS 70 51 t4, '0 . ( " "'l' . , _~~J ~~lrrn ON . /)\11 ~L, EJ;J;.~___._..'d..'."___~.,..-,. ',' ~ .m ~:--~=~~,._""~~~=~~~.~',~~.~~~ .." '" ... " , ..' .--...".-.- .---."..--. ",.. '''.,' , , . - . """--;J/i' . ,'", , ....,...... .,_. ....,,_, .. /0 ~ 7?J L.___-:rf).:::70 i/UJ~ 10'" 7" i i ~ I I ~ ~ \ '\C) I i - i c V) ,?<\ ~ eo~ ~ ~~ ~~..j~ ~ ... \l.. ~I ~ v1~ \- .,J..l oq ::s -..J -:::! . ::J::. II: ">::. " '0 ~ ' <t ~ NI>O~ N~ ~~~ i I I -j I ~~ J ( l"--- D ~ J; ~ ~ ~.... ~ ~' ~ ~ ~ '\ ~ rn~ C; ~ ;1::l , / -. -' ~~'.,. , ,:~/';i;;,;~~h:',:." ::ir/.'''~:~' {: , ". "~;. " .. ~u.' ,.,~" 4" ~E'F1~ ~!\ 'WA!4.. { ,', tlt:lr,;, ,: .'" I "(.: ..;,.~ ,'~ - . :~ <.Hi' f " ,. ;'0' ";. ~' , . "1 ;.' 1". . I/O I ;~;i. :~\ SEAl. 3'dWr wnl\ ~"~T :;,S" ~ - "~;~~\;~[rL. 'l~"ij~', ~:~ ,',; S~:~t ,,;' ," 'i~;/~:!,.:~','~r7;,~ ,;,\;.;~:;",;..;':;,"ff~~'~( ',f' t" :i;;ii"""'l' ",,~.,,~, ' ' it!~~f~'~:)i);~f~~~2i;;~" .(.~ ,( '. ~:..:.:':::,~;'~ <~;" , -~,\;'t'c-J.~, ~}~~~~~;.' ~~i-_.~.. ........ ,),,;~..~~~,:\....v ". . - -~:~. f'~ '~~~r,~ -:-), ~~t7'/c/rT ~ /?0r ~. /' ,-,? /?:f i u;Y{~,~ ~ ?, i V "z." \\~ c..c:;'\~ G-,-\\ ~"-'\~. ~ ,~ ."-~c.-)QS " '\.'~:~-:\:'~ "f ~ Z~ ~ i ~ ~: 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 r. \\ ,') \ ...""~: \,,'" , -,~ '\\ 4f"..'........,\-\< <'. ~ c::.:. \\..e.~ -... _~ \ '-{2 I..{<i JOB ADDRESS C"' J"'~-" ~'''' "-4, "ii. '~ (' ", \ .>.\.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 /~.g,,;;'''"''':''''~''''''''ii:'''''''';;''''''''''''''''':';' ;:':',",,,,il:'idl,;:'il:::~~.!l'~2c~cl:; / 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