HomeMy WebLinkAbout93-3385
. BUILDING PERMIT
.,: o.~p- CITY OF ZEPHYRHILLS Permit N~ 3385't<'
~5~P - P
d- /' ~ (813) 788.6611 /"f - "r"}_ 03
J.;? Date -I- P'-')f 7-
~ E~- ~... Sewer Conn
Water Conn:
Parcel LD. #
~ {)8
Zoning: Energy Code: Radon Gas'
De'c'~,~-=~..q-; (Ofty ;fo1- (!~~-rq-
NO OCCUPANCY BEFORE C,O. FINAL
Water Meter:
Property Owner:
Job Address:
T,I.F:s:
r) 11t
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or ~ 9<)
Contract Price ~ S"v 1). -
Permit Fee
Signature
Company
Address
Telephone#
cay Ucenee Reg;"'..;on . I/'I--m/J>i~
!~~'~~.
GUILDI~ EL~L
~;~ SLB110/ f7 [J t7 ~~~:~r~.
Lintel Meter Can
~
P-'.UMgTNG-
~
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Const. Pole
Pool
Pre-Meter
Final
FRM.
Insul. CL
WL
Driveway 7---'P /7'.3 I if
REINSPECTION FEES: When extra i~spection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/1 00 Dollar~($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.
& l......IG&TIOJl FOP p,E'RhI'r
CI'.!Y OF ZIlPIIYBi,-'It.L'S
BUU~:rJII/G D:ih::>>AJr\JiJU'!'
OWNER'S, NAME~ LiDS e-t\ ~ob.&ker--
OWNER'S ADDRESS ~
loOY:~ Zf'~~r 'ftlclcye__ )),
PIIOIiIE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL LD.I _~~cX, -d-\ - O\?D - COO .W - Obi. Q
WORK PROPOSED:-Ll8lev Construction _Addition. _Alteration _Repair _Install
_Sign
_!!love
_Deaolish
PROPOSED USE:
"'-/sing1e Faaily
_KIF
_, 0:[ Units
_K/H
_~rcia1
_Indust.
_Swill. Pool
Other
_Restaurant " nea1t:h nepan:.ent Approva1
BUILDING SIZE:
x
Square Feet.
Height
_ RESIDENTIAL:
COHKERCIAL :
AttACH (2) PLOI' PLUS " (2) SEI'S OF BUILDING PLUS" (1) SET EHERGY FORKS.**
A1TACB (3) SEI'S OF BUII.nlllG PLMIS ~ (1) SET mmRGY FORKS. **
**copy OF COIfTRACT RIlQm:RED..
PERIPIITS REOm~Tlm
~UILDTNG
$ 15CO.oO
,
Va1uation 0:[ Total Construction
_ELECTRICAL
A!IP Service
Florida Power Corp.
W.R.E.C.
_KECIIAIilCAL
$
Va1uation 0:[ Kechanica1 Installation
_PLUKBIliG
GAS
ROOFllIG
SPECIALTY
(lnf\i.(lre....+-e--- Other
TYPE OF CONSTRUCTION: _Block. _~ _Steel
FllIISHED FLOOR ELEVATIONS:
FT.
IS P.RO.JECT H' FLOOD ZOHE AREA?
YES NO
******************************************
BUILDER
~croR SECTION
CO!IPOV --g+ l+ n\.C\fLi 1'\\"1../ +ee~'\ e ~"\\- \ \\C .
....! l Ii I State Cert. or Regis':. IR}(O()I~7u,1Y.
~~~O~ City Lice1l1Se Registration I t.{LJ
r ******************************************
Signature
Simlature
CO!IPA,WfI'
State (;';!lCl:. or Regist. 'I
City License Registration f
************************~~****************
ELECTRICIAN
\ ~
". , .,
CO!IPARY
StQ~e Oert. or Regist. I
CiT.1 Licr~e RegistIation f
**********~*~**********~~*****************
PLUKBER
Signature
0T1IF.R
COl!!'PlfJff
~' "~~.j:J .
{l~t1:' " Si:ate Cert:. or Regist." 'h
~;m: ~. ~ ' City Lict!llSe Regi~C;l'.{I,.lfion j .
"; "'" 0. ***********.....****1l-***.... .~**il:*******..*fr~~~.. ~ I \it :
..~,.;.::/ HL .' " ' ~ l:,;aT~~ ~'t. ;
1'1") . --' '. '. ..... .,... I
.. < ~,'~ COIIPOY_' -::(.);"'."'1';8 ... ,,'
,I State Gerl:. or R~#,JJ"."
____ Ci~ License Regis~~l~,#
*********,*,""" .,..""**...****'><**...******1l-**********
KECBANICAL
Signature
Signature
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitaay be subject to "deed restrictions. which lay be .ore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired ~ contractor 0; co~tractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not 'licensed as required by law, both the owner and contractor .ay be
cited for a lisdeleanor violation under state law. 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, 18131
788-6611.
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have, the contractor Is) 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 FEES
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 - Hoteowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
.0Nner" prior to cOllencetent.
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do lIork and installation as indicated. I certify that no work or
installation has cottenced prior to issuance of a perlit and that all work will be perforled to seet 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 governtental agencies aay 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 lilited to:
f Departtent of Environaental Requlation - Cypress Hayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water "anaQelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enqineers - Seallalls, Docks, ~avigable Waterllays
f Departlent of Health L Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environtental Protection Aqency - Asbestos abatelent
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 "coapensating volule" will be sublitted lIhich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit 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 frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becose invalid
unless the work authorized by such perlit is cotlenced lIithin six tonths of issuance, Dr if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the lIork is cOlienced. One 90 day extension of tile, lay be
allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection aust be logged during each six tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE"ENT "AY 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
COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~@2~~
IGNATURE: OWNER OR AGENT
~ ~o/~ .
SIGNATUREONTRACTOR
has
STATE OF FLO~
COUNTY OF ~
The foregoing instrument
before me this 7-~t7
I
(Name Typed, Printed
NOTARY PUBLIC
~gnature) I' --.J-'
--DIl1J\e/ ElL1Ql.L ,
(Name Typed, Printed or Stamped)
NOT ARY PUBLI C
STANDARD FORM Qf ,4qap~MENT
13pTWl313N CONTR4CTQ8. 4NP QWt'ffl~
m", A(:1\!l~"'~NT ...'" Ihe .,-wF~ -$eur rrfh ...... ...... ....: ~ . ~
N.i~~t~;D Jlundre~ .n~ . Nt NTE'Y- ~~ by an4 between ~~ ~
hereinafter called the Contractor, an~ U ell ~S+Ir")}-, eJ<.e..r .
OW'!l~f, Witnl:$$e~; tha~ thl' Contr~ctor ~d tl1e Owner for the cOll$iderations ~ apeo, ~ follow..
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AR'fJ~t;~, $CpPt; Of TJJE WOlUC
ThCl9'ntr 'tor ~1l fUJl)iih aU of the ma~~ !lpd perfonn a" of the worlt 4hown o~ the ~ ~ ~~Q~~
en~ElCl ., en ' , . . '0 i- 1 I U If) . I .' ."
pre~rQQ by .. ..' , '. . ' actin, ai and ~ ~
Co~tf.ct ~lm" .nti~ the , . chi~t, pel ~1l W eV~1 req,*ed by ~ !l~; ~ J~ CQnclitioN ~ ~ ~~ ~
~~';iQ~"n4 ~ ~wir'I" .' '... ',' : . '.' ~. ,', . . '.,.. ." '" .,..,. . ., '.. ...'. '1<,> :~.,
~:f lbe ::~ =:l'I~:~t lhall be commenceclll:2 ~A1 ~ r'~ir i~ ~~li~4 ,neJ ~,be,
~ubstan~UY comJ>~ted ~JT#I/f .~A1(f ~t< ' ,
, ..: ' . '.... ,. , . 'r,; ",' "...
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ARTICLE 3. Tm: CONTRACl' SUM
The Owner shall' the Conte tor for the perfonnance of the Conteac subject to additioN and deductioN provicled t1Fein, ill current
~ NO "
funds as follows: 'I ~ ()
, . (State bore the lump aum &IDOIIPt, ~ pJit;eI. or bolla, ~ deUred)
Authorized Chan,e Orders will be sublQitted by the Contractor fo" all wor~ not spec/.8caUy included in thiI QlPtr14
ARncu: 4. I'I\OGBESS PAYMENTS
(loaert here an)' provillcm made fj)( ~ ~t retaiDed after the wmk nacbet . C011alD ltafe of completion,)
ARTJPLE 5. ACCEPTANCE AND FINAl- PAnreNT .
Final payment shall be due JJI(1 day." substantial completion of tho work provided the work be then ful4r com~ted
~ tliO ContrJct fglly perfonned. '
AJlTIPLE 6. Tm: OONTRACf DOCU~TS
Th.o. General Co. neli.'Pons of the Conte.acijt the Specifications and the ora... . WI. 'nSI, .toieth. e.'.. wi. th thia Asreem. ...ent.. fO,rD1...the. Con.........b'actt...........aD...d....tl1....e.y
WO;=~~; a paft of tl1e Contract as hereto a~hed or herein r~poateq. ~ fo~'Yin' is an UeDUzat\O.. .of other~ti~,~
crr~.~k~
~ f?;o~
elor
1/r....
SEMINOLIl "OR'" 41&
Notice to all contractors concerned with concrete for the design,
fabrication, and erection of Aluminum Structures Only.
Patio Slab's: Minimum 8"x12" footer w/2(J 5 rebar.
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Effective November 15, 1990 concrete shall be installed as required
in detail below.
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Notice to all contractors concerned with concrete for the design,
fabricati~n, and erection of Aluminum Structures Only.
Patio Slab's: Minimum 811xl2" footer w/2U 5 rebar.
Effective November 15, 1990 concrete shall be installed as required
in detail below.
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