HomeMy WebLinkAbout93-3199
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
3199~
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C:C~DING:=>
P,"perty Owne, ~/;:. ~/ ;2tp-eJ<# ~ ~)
Job Address: . ~_
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CELECTR~
Date
P~G
ME~L
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of wo;;-I-f J2Ai~V"7!'i'~ ~
Radon Gas:
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NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
6
DATE
Inspecto
City License Registration #
State Certified License#
Pe'm;tFee ~~
Sign~ture ~ . """L.
Company
Address
Telephone#
Valuation or
Contract Price
9 ~. c/O
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MECHANICAL
(JM~A..
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BUILDING )
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
~wJc,- ~~~
wd-ktJU -\ ~tpc4t~~ 10,,'2- q.3 &.
REINSPECTION F'EES: 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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APPLICATIOISl FOR PHRHIT
CITY OF ZEPIIYRHILLS
B1JJII.DIISlG mrPAR1'WE:NlT
OWNER · S NAIfE
// 11/2 Tz ~ t f..., .> $ tMlftl
, , --
S-S-/,f C-/12L- BL- t/~
5/fMt$-
PHO!!iE
7 13-6 6-7~
OWNER' S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
_~ _SUBDIVISION!
PARCEL LD.'
WORK PROPOSED:_Jlew Const:ruct:ion ----.JUIdit:ion AAlt:erat:ion _Repair _Inst:all
_Sign
_Hove
_Deaolish
PROPOSED USE:
Single FaBlily
Lec-ercial
_KIF
_' of Ufnit:s
_HIH
_Indust: .
_Sw:L.. Pool
Ot:her
_Restaurant: & Healt:h Depart:.ent: Approval
BUILDING SIZE:
x
Square Feet:.
Height
RESIDENTIAL:
COHKERCIAL :
ATTACH (2) PLOT l'I..MlIS & (2) SETS OF BlITLDING PLANS & 0) SEI' ENERGY FORMS. **
ATTACH (3) SEI'S OF ~nm..DD!G PIAH~f & (1) SEI' ENERGY FORKS. **
**COPY OF COHTRAC:':' REQun:mrl:t.
PERlInTS REOUESTED
_BUILDING
$
VaJJJai":iou of '("..tal Const:ruct.ion
_ELECTRICAL
LHECHAlUCAL
AMP Service
Florida Power Corp.
W.R.E.C.
s
Valo.at:ion of Mechanical Inst:allat:ion
_PL~ING
GAS
RfJOFDlG
SPECIALTY
TYPE OF CONSTRUCTION!: _Block
__Fr3llle _St.eel
Other
FINISHED FLOOR EI.EVATIOHS:
Fi'.
IS PRO...."ECT IN FLOOD ZONE AREA?
YES NO
*'l!:*"'******ihl!oft*********"'*"'**********ojI,ojI,***"'*
a;~TR!\croR SECTION
BUILDER /~~. 1t CUltPAHY
-,;:'7 . I /) St:at:e Cert:. or Regist:. :/#
Signat:ure _ ~~~ City Licen.~e Regist:ration :/#
***********************-1:."'**"'**************
efta-
S.
Fr~r ((4Y;J
5 t:e Cert:. dr Regist:. I.
ity License Regist:rat:ion I I~;
*** -:**'5:*****iI-******************
PLOKBER
cmtPARY
~~at:e Lert:. or Regist:. I.
City LiceEL~e Regist:rat:ion I
***'" *****of.: *** ,i'-II:""*'ilcoJ:-II: "ll:'il-il-*..t:-II:***-II:-II: !J:**,'I:*****.",*
Signat:ure .
MECHANICAL ~ CO!fPARY
~ /~ 0 f) Stat:e Cert:. or Regist:. I
Signat:ure/i It . ~ City License Regist.ration I
**iI-*****~iI-**il-il-******il-il-*******iI-*iI-****-II:*****
OTHER. CO'IfPMiIY
Stat:e Gert:. or Regist:. :/#
Sigoat:ure City Li~ense Regist:rat.ion j
****iI-********iI-*r.,:-******. .". .1t********ojI,********
APPLICATION APPROVED BY PERKI'r OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit .Iay be subject to "deed restrictions" which may be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE$
If the owner has hired a contractor or contractors to undertake ~ork, they may be required to be licensed in accordance with
state and local regulations. If the contractor is'hot licensed as required by law, both the owner and contractor lay be
cited for a lisde.eanor violation under state IaN. 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 Departlent, (813)
788-6611.
Furtheraore, 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 lay 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 FEE2,
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 - Hoaeowner's Protection
Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. if the applicant is sOleone 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 cOlaence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
installation has coatenced prior to issuance of a perait and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent 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
ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
I Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
I Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Aray Corps of Enqineers - Seawalls, Docks, Navigable Waterways
I Departtent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environmental Protection Aqency - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perait 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 permit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeoae invalid
unless the work authorized by such perlit is eOI.enced within six aonths 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 eomaenced. One 90 day extension of ti&e, 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 must be logged duri.ng each six month period, 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
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this ___________, 19 _ bv
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as-{~entification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
N9TARY PUBLIC
ZEPHYRHILLS,FIRE DEPT
"
Zephyrhills Florida-a.. 33540 .'
FIRE CODE INSPECTION' ~, "
Business Name C c,;; Ii C Classification
Address 5-)>.1.. Ga f I 13 / J J r OwnerlManager
Business Phone 7?'J - C;~ 7 tf. Emergency Contact Phone
Occupancy Load
o QUARTERLY
o
o
TYPE OF INSPECTION CONDUCTED
~L
o ANNUAL
OBI-ANNUAL
RE-INSPECTION
o OTHER
o NOT APPROVED
APPROVED
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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