HomeMy WebLinkAbout93-3518
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N C?
351813
9-;;''/-93
Date
~DI~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. #
JJP(J};:;~~:;/!!:t5z;tyE:?:t:,.
Zoning: ~ner;!y Code:
Description of Work _~ g-t)( 10
Radon Gas:
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.
DATE
Inspector
City License Registration # 7 7
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
02k;J? ~
Valuation or
Contract Price 7 ~<....S: CJ7J
7S::;S' 7!?o q
-J~4A;L~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
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
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.
APPLICAn()1I fOR PERllIT
CITYOFZIl:JIIIYJUULLS
BlJIU)lJfG DEPAR1IIEIIT
JOB ADD.RESS
/ft;v /.'1 fo,{, TO L Iff Nb<!
:5',<\/ 07VL CvV
ArUo,Z;( /
PIIOlIE
~~ 783/
OWNER'S RAIlE
OVlIER'S ADDRESS
BUILDING SIZE:
_Restaurant: 6: Hea1th Deparment: Approval.
'7 X (0 , 2fU
~e Feet:,
Height
.RESIDENTIAL:
mtIIIERCIAL :
ATrAat (2) PI.OI' PIAIIS 6: (2) SEIS OF BUIl.DDIG PLAIIS 6: (1) SEI' ENERGY PORtIS."''''
ATI'AaI (3) SEIS OF BUII.DIIIG PIAIIS 6: (1) SEI' EIIERGY JIORIIS."''''
......OOPl' OF OOIn'.RAcr DQUIllIID.
PIlmITlS KEOOESTED
---..BUILDING
$
Va1uat:ioo of Tot:a1 Const:ruct:ion
F.I.RCl'RICAI.
AIIP Service
Florida Power Corp.
W.R.E.C.
-.JIEGllANICAI.
$.
Va1uat:ioo of lIechanicaJ. Inst:a11at:ion
_PLuttBING GAS ROOFDIG
SPECIALTY
TYPE OF mNSTRUCl'IOIi: _Bloclt _Fraae _Steel
Other
FINISHED FLOOR ELEVAUOIIIS:
n.
IS PIlOJEcr III FLOOD ZONE AREA?
YES NO
........................................................................................................................
aJIII'RACItBl SECl'ION
BIJTT.nm
~I(~~
C () AI Ci '?}ff-C-
St:at:e Cert:. or Regist:. #
Cit:y License Regist:ratioo #
......................................................................................................................
CUlPAIIY
/!LU 11>'~/1
~71
Signat:ure
RT.F.C'IRICIAN CUlPArIY
St:at:e Cert:. or Regist:. #
Sitm:.llt:ure Cit:.)" License Regist:rat:ioo #
........................................................................................................................
PLlINRRR aJIIPAlIY
St:ate Cert:. or Regist:. #
Signat:ure Cit:.)" License Regist:rat:ioo .
............................................................................................................................
1lEalAllICAI. CUlPABlY
St:ate Cert. or Regist:. #
Signat:ure Ci1:y License Regist:rat:ioo .
......................................................................................................................
I
0T1IRR aJIIPAlIY
St:ate Cert:. or Regist:. I
Sigoat:ure Cit:.)" License Regist:rat:ioo #
................................................................................................................
APPLICAUOR APPROVED BY ..manr OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay 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 .ay 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 .isdeleanor 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, 1813}
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 per.itting 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 - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuaer Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor'ltion in this application is accurate and that all work Mill be done in co.pliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has co.tenced 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 develop.ent 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 Depart.ent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaqelent District - Wells, Cypress Barheads, Wetland 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 abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A per.it 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 per.it prevent the Building Official fro. thereafter
requirinq a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay 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 lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Co"~NCE"ENT ~Y 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
Co""ENCE"ENT. JOBS UNDER $2,500 I oT NEED TO RECORD AND POST A "NOTICE OF
SIGNAT
I,f$~
STATE OF FLORIDA ~
COUNTY OF // If!) 7-2)
The foregc.ing instrum,nt was acknowledged
before me this I! If) , 19~ by
,
c..'<.
who is personally known to me or who has
produced
as id.ntifi~ and who did/did not
take an oat~~ ~
(Signature)
who is personally
produced
as identification
take an oath.
known to me or who has
(Signature)
\
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Notary Public Pasco Co. FL
My Commission Expires May 13. 1995
not
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Notary Public Pasco Co.n
My Commission Expires May 13. 1995
SlTg PLAN
(RPSIDEi,TIAL us~ ONLY)
:'ARCEL I. D.
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-- ---,-- ----...--.,-____. _n_ _ ...~. .
:UHHl-Xr OWNEHS
--_.__._-------~-_.
-.----- -__..._ n_. __ _...._...___ ___.._
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HI drnwings shall bcdrul./lI to Henle for Llll parcel:, ur LuLli l1Vl!
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S/lOW ALL E.XISTlNG AND pr-:JPUSED STHUCTUHES GIV1!il; DJKJiJIS l()~i~j Alii) ~l'::L.\l:i::,
ANY BOVIES Of WAT!J1 AtW HO/tL%\YS (HiCLUDIIIC ':MIE~;) ,\1).]1\(:1::.1' ';u . ,; .,
T1LE13IZE. YVJ{, .^ND NAl'lE OF :'\'J131U:; ~UCll AS L.:' ;; (j.j'. 1')(1.. d.:..:. I " I..
:.!"
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All "EASEMENTS", "RIGIlT-OF-\lAyll and "JU1U~;r)lCT;L:il\!. LJ;:;:.j"
;.;.... L ..; t'
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~ BUll,
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1CrIIlICA ..~~
SUN STATE ALUMINUM, INC.
37528 Hwy. 54 West
ZEPHYRHILLS. FL 33541
(813) 788.7308
NAME
CUSTOMER'S ORDER NO.
ADDRESS
RECEIVED BY
SOLD BY
QTY.
S'f
s~y JJ / vc .C"rTY'
/_.r<. /) (.
.;::> (-iA/'C-
CASH
DESCRIPTION
I
,~ Y("u
t3eF&J
~~.
,7hJ~
UJ1.r/
1-/. PO H../ 0 L...4/~c..Ie~
Interest of 1%% er month after 30 da s
..
All claIms and returned goods
MUST be accompanied by this bill.
PROOOCl610
PAID OUT
PRICE
AMOUNT
{~
,
TAX
TOTAL
C71J III I j;'
( J fULtl.R; I' li fJ/