HomeMy WebLinkAbout93-3467
BUILDING PERMIT
Permit
3467 t3
9-~-93
CITY OF ZEPHYRHILLS
(813) 788-6611
NC?
~(), dfJ C)..(j ~
0~1~G;~
Water Conn:
::~:;:,~,:~e6~~"';~ $: O~- ~~ ;~:e:,Me,",
Parcell.D, # C)- ~6 - .;1-/ - lYocf'?:J -~ 0-0/00 - 0 0 Y /
Zoning: Enjrgy COde:, _ _ Radon Gas:
De,c,;pt;onof.I/Vo<k t~~o ~L...J 4-L/l.;/.#L ~ ~o
~J
Date
PLUMBING
MECHANICAL
Sewer Conn
NO OCCUPANCY BEFORE C.O.
FINAL
C.O. ~
1/
Inspector
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee ~ 0 .- d7J
Stgnature~ Q2~
Company
Address
Telephone# /} n - 3 ( gcg
Valuation or
Contract Price ~S'2::rv. tTV
"
City License Registration # ;;:J"j~
State Certified License#
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. ~..'t"3 ~'" o...Q
Insul. CL
WL Q-/t{..q6 Bt&
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In tj-/-t4:j 3
Meter Can
Const. Pole
Pool
Pre-Meter
Final
-:k SLB
~ > Tub Set
Water
Sewer
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICAnOR FUR PERllIT
CITY OF ZEfII1'RIIIUS
BUl.l.DIIiG DEPARIIIMT
1 cr- ~~~~
OWIIER'S lWIE ()1/1 If. 14-2 1j6 R I , C /1 /F TO
t- _ ~ .' .
OWNER'S ADDRESS U/?6 J,'J., _/!/""' ,2 -~J2e...1
JOB ADD:m;S -S- -/l /11 L'
FmIlE 7?t;:-3Ig~
LEGAL DESCRIPl'IOII: IDI'(S)
~SUBDIVISIOII
PARCEL LB.' ;J - d. b - 1)1- De${? __ 0 C> 100 - 00"1/
-
IiORK PROPOSED:_lIev Ccmstnaction _Addition XAl~eration _Repair _Inst:all
S.
_ 1.8D
_Move
_DeIIo1ish
PROPOSED USE:
Sing1e Fa.ily
_tJ/F
_, of Unit:s
_If/B
_ec-ercia1
_Indus~.
_Stria. P001
Ot:her
Restaurant 5: Bea1t:h J)eparblent.: Approval.
BUILDIliG SIZE:
l:l X ~D .
,
~e Feet.
Beight
RESIDEIITIAL :
COIIItERCIAL :
A'lTACD (2) PI.OI' PLAIIS 5: (2) SEIS OF BUl.l.DDIG PLAIIS &: (1) SEI' EliERGY PORtIS. **
ATrAaI (3) SEI'S OF .BOII.DIIiG PLUS &: (1) SEr ElIERGY FUIUIS. **
**OOPr OF OOliTRAcr .RIlQU.DUID.;
PIlmIlTS REOUESTm
~BUILDIliG
~ELECJ'RICAL
tJC"
$ 7.u (JO
Val.uation of Total. Ccmstnaction
MIP Service
F10rida Power Corp.
W.R.E.C.
---1IEGBAIf.ICAL
$
Val.ua~ion of Ifechanical. Installation
_I'LUKBIliG GAS ROOFDiG
SPECIALTY
, TYPE OF OOliSTRUCI'IOII: _B1oclt _Fra.e _S~ee1
Ot:her
FIIIISBED FLOOR ELEVAnOllS:
Fr.
IS .PRO.JEcr IIi FLOOD ZOIlE AREA!
******************************************
YES NO
aJIIII'RACI'OR SECl'ION
RIJTTJ)RR CUlPAIIY ~ w: 1(/ /flu'? Ce-..,A./S/..-fc..JC;z. ~>"'f L:.-t,~
- 9;2 / 1\ l..tlh/ '"" State Cert. or Regist. ,
Signature ~r'...p.e (ft/..-e:-a ~.."..--.(!::) City License Regist:rat.:ion' ~.~ 51'
**********....****************************
~ ~,d,.w C~IW/OItLL ELE,r<r,u<- UUTj,1Ici?".
. / /} U ~ (/...(f.M , S~te <<:ert. or R~gist. -' J:f(<JcJ/2,7/0
- - - .......------:.~\. f..::_/_.--l~{ ~~ C1ty L1cense Reg1st:rat1on' :;J.. ~Cl
**....** *******************************
PI.DIIRRR aBPAIIY
Stab! Cert. or Regist. ,
Signature Cit:.y License Regist:ration ,
******************************************
IIIl'.CIIAlIIICAL aBPAIIY
Stat.:e Cert.:. or Regist. ,
Signature Cit:.y License Regist:ration ,
******************************************
OTIID aBPAlIY
Sta~e Cert. or Regist. ,
Signature City License Regist:ration ,
******************************************
APPLICAnOli APPIlOVIl:D BY PEIUIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors 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 lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to .hat 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 or 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 - HOleowner'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
"owner" prior to cOllencelent.
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 work and installation as indicated. I certify that no work or
installation has cOltenced prior to issuance of a perlit 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 governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environaental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands,
Mater/Wastewater Treat.ent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Metland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection Aqency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" will be subtitted which 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such pertit is cOltenced within six lonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six tonths after the tile the work is cotlenced. One 90 day extension of tite, tay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~"ENCE"ENT. JOBS UNDER $2,50~ ,I VALUE DO JOT NEED TO RECORD AND POST A "NOTICE OF COPIftENCEtlENT".
IVWd ;;f;. 7 (;)~ '~ _ / f)~
. -p' .~ lU:- 0
~ c~ 0
SIGNA RE: OIlNER DR AGENT SIGN TURE: CONTRACTOR
W If;).c'' -S53-,!j3?
STATE OF FLORIDA
COUNTY OF J?aseo
The foregoing instrument
before me this 9/1/
was acknowledged
, 19-21- by
STATE OF FLORIDA
COUNTY OF Paseo
The foregoing instrument
before me this 9/1/
Mike Williams
was acknowledged
, 19~ by
whc. has
( ignature)
Sandra L. Carvalho
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
t::: H
who is personally known to me or who has
produced Florida Drivers Lie.
as identification and who did/did not
take an oath.
who
(Signature)
Sandra L. Caryalho
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
T""' . . ,.... .,,, '''95
Dr-i \o.L~~:o~,'.."...., "_: ,,~.~f, I JI
eonded Tbl'lJ lrol Fain ~ lmuronce Ine..