Loading...
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