HomeMy WebLinkAbout93-3152
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit N~ 3152
Date f-g~ ~~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmpe"Y Owne, -!it' /f1 C - ~; 'f Rd So, -je- )
Job Address: . ~O C;?~L €(d l'icvse
Parcell.D. #, ~-.;l~- .;l/- / - //cJ 6 -0
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
~~k
FINAL p- -/ 0 - tjS
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
P~'m;t Fee ~
Slgnatur~ _ ~~
Company
Address
Telephone#
Valuation or
Contract Price
~
City License Registration #
State Certified License# /
( 4-
~le LbH~ <<
~~LDI~
J;J...j:f' nil C A L
-=rb.b'M~' I'Vlt(MAr<Jl~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB tt-q-l13 ,Bu../
Lintel
FRM.
Insul. CL
WL
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 ($15.00) 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.
..c;.~
JOB~... '-'
I~():=':-i~:_:~ (~Ot~3r.::R;J=1~I :,:.!{ CO., INC.
SHEET NO._.__._.
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CALCULATED [1Y~.
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APPLICATION FOR PERl/'IIT
CI'lY OF ZEl".fIYRIlILI..s
BUILDING DEPARTHRitl1T
O,",,"NER 'S NAME
. .
'. k/l$7 a$'e~"71lE"P/~#'.j t!EAJ7E;e
7'~ ~~a ~II.P
,:z:;,e-MjlR#I US--" ?~
MinNIE
OWNER'S ADDRESS
JOB ADDRESS
( 5" A-Af~J
LEGAL DESCRIPTION: wr(S)
RLoeK
StmDH"ISION
PARCEL L D . #
,,"'URK PROPOSED:_l!iJew Construction --^<Idition _Alteration _Repair _Install
_Demolish V'" _SJ.1t t3f CANe. 'PI
/(4tJ/?/t;Af7?) &RdIlAl.P$ ..;e4l/~P/;'v €i
_Sign
_Hove
PROPOSED USE:
Single F3Ilily
_KIF
_, of Units
_MIll
_CoImIercial
_IndUlst.
_Swim. rool
Other
BUILDING SIZE:
_Restaurant & Health DepartDent Approval
.:241 X .;:;~ /,
Square Fee t,
7t/t'J '/--- li~ igh t
RESIDENTIAL:
COKHERCIAL :
ATTACIT (2) PLOT PLANs, & (2) SETS OF n~DING rLA~S & (1) SET ENERGY FO~S.**
ATIAC1l (3) SETS OF BUILDING PLAOOS & (1) SET ENERGY romls. ~~
~~COPY OF COINTRACT RE'Q1IlIllUID.
PERmTS RF,QUP_'>TF.:n
_BUILDING
$
Valuation of-Total Constnlction
_ELECTRICAL
AMP Service
Florida PO\i"Cr COrp.
W.R.E.C.
_MECHANICAL
s
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECL\LTY
TYPE OF CONSTRUCTION: _Block
_Fr<me _Steel
Other
FINISHED FLOOR ELEVATIm~S:
FT.
IS PRO-TECT IN FLOOn ZONE ARR~?
YES NO
*~*~~~~~~~********************************
R UII.nm
, ~ OOHI'A>IY Ii 0 7,E'Vt
~ St:ate Cert. or Regisl. 4#
Cil.'Y License Uegisr:ration ;I:
~. ..........................................
Signat:ure
F.T.F.CTRICIAN ClOOiPANY
State Cert:. or Regist. ##
SiRllat:ure Cit:}~ License Registration iJ
******************************************
PUJlKRER CUIlfPM/IY
State Cert. or Regist. #
Signature City License Registration u
******************************************
HP.CJTANI GAL COMPANY
State Gert. or RegisL 4#
Signature City License Registration ~
*~***************************************~
0TlTY.R CO}[PANY
State Cert. or Regist. *
Sienature City License Registration ill
******************************************
APPLICATION APPRO\~D BY rF.:RKIT OFPICER.
CONDITIO~S OF P~RMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait '~ay be subject to 'need restrictions' which ~ay be .ore restrictive th.~ City
regulations. The undersigned assules responsibility for COlp) ance with any applicable deed restrictions.
B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESP(]N~I B I LIT I E::?.
If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
state and local regulations. If the' cOTit'ractor is .1ot,"licensed as required by law, both the (,wner and contractor may be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, ,hey are ~dvise~ to contact the City of Zephyrhills Building Department, (BI3)
7BB-6611.
Furtherlore, if the owner has hired a contractor Dr contractorsj 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 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 properly licensed and is not entitled to per~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONi'jECl1..QN FEE~.
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 - Homeowner's Protection
Suide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is someone other than the
"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
~owner" prior to cOllencelent~
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, :and land development.
Application is hereby lade to obtain a perlit to do Hork and installation as indicated. I certify that no work or
installation has commenced prior to issuance of. a per.it and that all work will be performed to leet standards of all laws
regulating construction, City c(ldes, zoning reg'ulations, andl.and development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to the intended worK, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
f Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entally Sensitive Lands,
'Hater/WasteHater Treatment
f Southwest Florida Hater Manaqelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - SeaHalls, Docks, Navigable W'aterHays .
f Department of Health ~ Rehabilitative Services. Environlental Health Unit - Hells, Wastewater Treat;ent, Septic Tanks
f US Environmental Protection AQency - Asbestos abatement
I also certify that, if fill aaterial is to be used in Flood Zone 'A" or "A,etc.', it is understood that a drainage plan
addressing a "compensating volume" Hill be submitted whic~_is pr~~ared 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 Hith the Hork and n(lt as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fr(ll thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every periit issued shall becole invalid
unless the Hork authorized by such perlit is commenced within six months of issuance, or if worK authorized by the permit is
suspended or abandoned for a period of six months after the time the work is co~~enced. One 90 day extension of ti~e, lay be
allowed f?r the perlit with fee charge of $15.00: The extension shall be requested in writing to the Building Official. An
approved inspection lust be logg~d during each six month period, or the project Hill be considered abandoned.
WARHING TO OWNER: ytlUR FAILURE TO RECORD A NOTICE OF COHMENCErlENT MAY RESULT IN YOUR rAYING THICE FOR IMPROVEMENTS TO YOUR
PROPERTY. . IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDIHG~YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IH Y~LUE DO NOT NEED TO RECORD ~ND POST ~ 'NOTICE OF COMMENCEMENT'.
SIGHAIURE, O'HER OR AGEHI , ~R
was acknowledged
, '19_ by
ST~TE OF FLORIDA
COUNTY OF
The foregoing instrument
befcl\-e me th i s
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
\'las ac knol.Jl edged
19 by
who is personally Imoltm tD me OY' ,';1 r~,s
produced
as identification and who did/did not
take an oath.
.~J~'::; i s pC'~-~,c:nL\ 11 '( kno~'/fl to me or ~.JhCt has
pl-oduced
as identification and who did/did not
take an oath.
(Signatul-e)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUPLII:.