HomeMy WebLinkAbout93-3231
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
32311.::'-'
Date S-7-7/
BU~
----
GECTRIC0
PL~_
MECHA~ Sewer Conn
Water Conn:
Pmp,,'y OW"~'~_ Po~ _ ~:f,,~ W=
Job Address: ,..;) _ __
Parcel I. D. #
Water Meter:
T,I.F.'s:
Zoning: Energy Code: Radon Gas: ~
Description of Work >>i 6-r-..r-@ A->-r .I( ~ -- _ -z 6-e-r ~ -=- ;A e
NO OCCUPANCY BEFORE C.O.
FINAL cf'" -..,,- 98
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
DATE
Inspector G<~ ~
/;:/ /f
City License Registration # di. YO
State Certified License#
d ....1""'7-:,
Permit Fee = (./ u
Signaturrf;. { f;.~d
Company
Address
Telephone#
Valuation or
Contract Price
'7~~A~ ~~;:~~
~N~. ~c~ P~G~.
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
f\il)1/ (.6~Lv' I~ ONL'i 0-/2..:-13 H1l:r-
MECH~L
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
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.
APPLICATION FOR PEmUT
CITY OF ZID"HIJIill.JlLLS
JIUJfllDDC DEPARl1!i!F!'JNJT
OWER'S MAKE O~N L. C4(AN 6- mONE, 56 7- / S' ~ '7
OWNER'S ADDRESS ).S-7d T?; /~/"J6- /;/A-/J-'E. c- (iy;'?L.' S sS.z J
JOB ADDRESS S '10 7 /j rt, 5 T Ze- flit /V/f (.f/t:{ S:-, ;=C L5 3 _"S" y/
LEGAl. DESCRIP'ITON: LOY(S) 9..f 10 BL.OCK 93 ,SUBDIVISION
PARCEL LD.' / 1- .2~ - ;2/- (JO! () - 0 15' 00 -- 00 90
I<<>RK PROPOSED:_lS1ev Construction _Addition _Alteration _Repair _Install
S'
- 19D.
-L.l!fove
_D~lish
PROPOSED USE:
Single Faaily
_KIF
_, of Units
_K/H
_CoB.ercial.
_Indust.
_Swia. Pool
Other
_Rest:aurant &: Hea1t:h Depart:aent Approval.
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COHI1.f.ER.CIAL :
ATTACH (2) PLOI' PLANS &: (2) SEl'S OF BUILDING PLANS &: (1) SlIT ENERGY FORKS. **
ATTACH (3) SEI'S OF BUILDDilG PLMS &: (1) SEt' ENERGY, FORKS . *~~
**COPY OF CONTRACT REQlIJIIRED.
PEmnTS REQUESTED
_BUILDING
$
m(}vE
VaI.uati~:~r Total """$tInction
j/}? E.-~~ TO 0 C/ TS iJ 6 0 r E/If'C--CvSe jJ
AKP Service _Florida Power Corp.
,fJc7'~h /I/eE:1'j<70wL K
W.R.E.C.Co'~9uf51(
-X-ELECTRICAL
_MECHANICAL
$
Val.uation of Hechanical. Installation
_PLUMBING
GAS
P.;OOFIRG
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_FraJIIIl! _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PRO.JECT IN FLOOD zmre AREA?
YES NO
******************************************
CONTRACIOR SECTION
BUILDER
COlfPANY
State Cert. or Regist. ,
City License Registration ,
******~***********************************
Signature
ELECTRICIAN /J aJ!fPABY;f:dMCf) CK.1WIfLL fLEcJl(rctiL LoAJ7~Ac-ro<.
~'/'h t./ C; /J State Cert. or Regist. :/IF k~ 00/.).. '/10
Sifmatur //-'-"z:;" - 'l cf~~e-f City License Registration I dl!I6
****** '~'************",-l!:*********************
PIDIBER COIfPABY
State C.ert:. or Regist:. ,
Signature City License Registration t
***~*::!;;"~'**~*******-l!:***********~********~***
KEC:HAlfiCAL CUlfPANY
State Cert. or Regist. ,
Signature City License Registration I
***~*'il:':'-":I!:***************~**~**********:I!:****
011IER C01IPMfi
State Cert. or Regist. ,
Signature City License Registra~ion I
*****~~:I!:*******************~**************
APPLICATION APPROVED BY PERKIT OFFICER.
LC>iD I T I CiNS OF ',~c:~:'Y;:: T ;'c - ,
A . tl OT. ICE 9 F DEE D F: E ~:;T.-:::)..r~I...J:..Q.i~L:~
The undersigned understands that this r2flit .ay be subject to "deed restri:ti[n~' which lay bE more restrictive
regulations. The undersigned assumes responsibility for co~pliance ~ith any applicahle deed restrictions.
than City
B. UNL I CENSED CmHRACT hLRSi....i:lt!D Cq)\ITRAC..TjJIU:s.9.eC:U~I~I..!~lLJ..I) ~fi
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 cr~tractor is not licensed as required by law, both the owner and contractor may be
cited for a misdeeeanor violation under state latl. If the owner or intended contractor are uncertain as to what licensing
requirements may apply for the intendEI1 KDrk, they are advised to contact the City of Zephyrhills Building Depart~ent, IB131
788-billl.
Furthermore, 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 Hill be responsible. If you~ as the own~r sign as the contractor,
you are indicating that you, rather then the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that ~ay be an indication that h~ is not properly lic~nsed and is not entitled to permitting privileges in the
City of Zephyrhills.
c. TF:ANSPORT AT I ON Il'lPPCT FEES AND UT I L I TY CONitECI.LQN,......FEF.:,[?,
D. CONSTRUCT I ON L I EN L 2"}!, (CHAPTER 713, FLOF: I D{~ SnHUTES ~ AS AI'IP,WED)
I certify that I, the applicant, have Leen provided with a copy of "Florida's Construction Lien Law - Homeowner's Prot~ction
Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. if the applicant is someone other than the
"owner", I certify that I have obtainell a copy of the above described document and promise in good faith to deliver it to the
"owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT.
I certify that all the information in 'his application is accurate and that all work will be done In compliance with all
applicable laws regulating constructic"'j .oning, and land development.
Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work Dr
installation has cOllenced prior to issuance of a permit and that all work will be performed to meet standards of all laws
regulating construction, City codes, z~ning regulations, and land developleot regulations in the jurisdiction. I also
certify that I understand that the reg.'lations of other governmental agencies may apply to the intended work, and that it is
my responsibility to identify what actlons I lust take to be in compliance. Such agencies include but are not limited to:
I Department of Environmental ReQulati:,n - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/~astewater Treatment
I Southwest Florida Water ManaQement Dlstrict - Wells, Cypress Bayheads, Hetland Areas~ Altering Watercourses
I ArlY Corps of Enoineers - Seawalls, 00cks, Navigable Waterways
t Department of Health ~ RehabilitatiVe Services, Environmental Health Unit - Hells, Wastewater Treatment, Septic TanKS
I US Environmental Protection Aqencv - Asbestos abatement
I also certify that, if fill material \s to be used in Flood Zone "AU or "A,etc'"j it is understood that a drainage plan
addressiTI~ a "coDpenslting yoluL2' .i;l bE 5ub~itt~d which is prep~rEd by a prof(s~ional engIneer regIstered in the State of
Florida prior to permit issuance.
A permit issued shall be construed to .'e a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the techni,~al codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in pi Jns, construction! or violations of any code. Every permit issued shall becole invalid
unless the work authori.ed by such per1it is comeenced within six Bonths of issuance, or if work authDrized by the permit is
suspended Dr abandoned for a period of six lonths after the time the work is commenced. One 90 day extension of ti~e, lay be
allowed for the permit Hith fee chargE of 115.00. The extension shall be reqUEsted in writing to the Building Official. An
approved inspection must be logged dUl'lng each six month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECJRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN Flh~NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN vt"UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
1f!~I/J 4Jk~
SIGNATURE: CONTRACTOR
STATE OF FLOR~
COUNTY OF 11 S c 0
The foregoing instrument
before me th is /114'1 7
/) j
/~tJ . C j, / ~~ fJ 6-
who is personally known
pn)duc~d 1i21J,L-i1 r---
as identifY~ation and
take an oath.
STATE OF FLORjpA
COUNTY OF YIf 5 CO
The foregoing instrument was acknowledqed
befcq-e me th i 5 r7;1/r- 'I 7 , 19 93 by"
f
/? / /J
Ie r: It ;i-1L{j ( /vd.A-IUOA-/- t--
who is personallY known t I
p.r:r.rll \ C 'iii d
as identif catiori
take an oath.
/J-~
was acknowledged
19 93 by
me Clj- ~lh(o hi\.S.
~---/h----'t--,-------
cmped)
(Signay~SZ~) :L~/,--
(name I ypf0d, !-'r l)'11:ed/or Stamped)
NQJ.B.f;,:LE.L.J_~1-JI. ~'
ROBERT L. JOHNSON
My State of Florida
Comm. Exp, May 8. 1995
~~,."".<..,',~
~. ~
g ,';". 1;
ROBERT L. JOHNSON
State of Florida
My Comm, Exp, May 8.1995