HomeMy WebLinkAbout93-3530
BUILDING PERMIT
Permit N ~
Date
35308
/0 -'1-f3
CITY OF ZEPHYRHILLS
(813) 788-6611
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ELECTRICAL
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PLUMBING
BUILDING
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Parcell.D,# I/-;)..{;,...;J/- DOlO.. D..s-;r-oO~
020- trz.)
MECHANICAL
Sewer Conn
Water Conn:
(/J1~:ft;y,~~) Water Meter:
T.I.F.'s:
oo7v
Zoning: Energy Code:
Description of Wo~~.M.""'!}..4IZ~
Rado~
d2...t J!2..RA...
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~A,.:,db1~
NO 0 CUPANCY BEFORE C,O.
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O,
Valuation or
Contract Price
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.
City License Registration #
State Certified License#
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x!I~~!b~ t;,d-
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/0
ELECTRICAL
BUILDING
Tp. Servo
Rough In /i), -fy.q.J R:.b
Meter Can
Ftr.
Pre SLB
Lintel 01 n..~/q4 RTT.T.
FRM.
InsuL CkS t'- vi
W\ -\ ~ r\.cr\
1.1..\ n...vY
Driveway - V V
SHEA'IHING SEPERATE RJIIDING 02/07/94 BILL
Const. Pole
Pool
Pre-Meter
Final 1-I7-Cfc.f .fStl.4..-/
DATE
Inspector
Permit Fee ~:J. -5'0
Signature ' ~ ~. \flrtu-JJ1--
Company
Address
Telephone#
o~ ];;Jt
PLUMBINGJ/
2-11-&('1 ~Lu..-
SLB
Tub Set
Water
Sewer ,-., Q ,
Final 1i') --cr4 f'llJ....
r ,~t~U<R4A/c
MECHANICAL 7 JY
Breakers
Ducts Insl.
Compressor
Final 7?'-/C;-"i'f ~LL
see attached sheet for inspections
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.
01/25/94 Office lintel Bill
02/17/94 Slab rough plumbing office Bill
02/25/94 Second rough plumbing office Bill
02/25/94 Duct's installed office Bob
02/28/94 Rough electric office Bob
02/28/94 Framing office Bill
02/28/94 Rough electric office Bob
02/28/94 Wall insulation office Bill
04/18/94 Final office only, pending FD approval Bill & Bob
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
G.
L,
STEviE LOA.JSTIZ0CT/D",J
G I A-- 0 E .s L 1/-.0 E PHONE 7 CZ).. - '7 Y V ..L
0, J{)t0E.s
ADDRESS
..177 l../G
OWNER
\
/YlILTv,.J
JOB LOCATION
j(;, / ..\-
GItLL
ISL V D .
LOT SIZE
x
AREA SQ,FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
" PARCEL I.D.# (1- ;)..'-01.1- ()<JI () - Cj-~{)() - c)() '70
WORK PROPOSED:_New Construction ----Addition ~ ----Repair _Install
I!p rJ,)o,) P-T t D'V
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
~commercial
~/F
/5 ~~ of Units
.-M/H
_Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
BQILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,**
**COPY OF CONTRACT REQUIRED,
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
_MECHANICAL
AMP Service
Florida Power Corp,
_W,R,E.C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
G
CONTRACTOR SECTION /1 -, .AJ
Company G. ( . ..s Tf2{ (;. I..:.-VAJSr /G()CTI ()
State Cert. or Regist. ~~ <!...r.3.. Q. 0 c3dl3-SJ
City License Registration # I~I
******************************************
Signatur
F.T.F.r:TRTr:T AN f!.."c..WltfUJ /)..vr=plf,El..b Company . 'Z.-\..l\u..~ ~L~'\'. 5.at\.v.
~ ~~~ State Cert, or Regist, 4~ c.:>ou:l...( (..~
Sillnatu~~ ~ J City License Registration 4~ l n
****************************************
PLUMBER ~.;) 6, I3A-NfC... Company a 's
., //~_ () d / State Cert. or Regist. #
Signature C~ ~. ~ City License Registration ~~
*********************~********************
MECHANICAL ~, AJ ~
Signature .% ~.L .4 A-
,
Company gAH~ ~ ./'.6:I~A.v t.. b~.5 l. ~k
State Cert. or Regisrt. # C<4C.DY3"18
City License Registration 4~ ;7,
******************************************
J-;Vt;.
OTHER
Company
Stat~ Cert, or Regist. #
City License Registration #
Signatt1re
APPLICATION
n~OVED BY
*~********~**~'**************************
LL.~":~r::~..OAAJL....Y" ~ . ':'.. .::~~MIT OFFICER,
.~ . ~ J, "
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CONDITIONS OF PERMIT AFFIDAVIT
~. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay 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 a contractor Dr 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 .isdeeeanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 - HOleowner's Protection
6uide" prepared by the Florida Depart.ent of Agriculture and Consueer Affairs, If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and protise in good faith to deliver it to the
"owner" prior to cOleence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent.
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 per.it 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 eay apply to the intended work, and that it is
.Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaoe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
t US Environ.ental Protection AQency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
addressing a "colpensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to per.it 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 per.it issued shall beeoee invalid
unless the work authorized by such per.it is cOleenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six .onths after the tiee the work is coeeenced. One 90 day extension of tile, lay be
allowed for the pereit 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 looth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAVING TWICE FOR I"PROVE"ENTS TO VOUR
~ROP. I.F~OU INTEN OBTAIN FINAN,CING,. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
NC NT, ~UNDE ,$2, 0 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COK"ENCE"ENT",
z., {LP'--:f. 0; :-<:- f rz'(/74-~
~ - ~.L. ,..i.e"-<- Ie;;. L-. .s 7a1G GOJJ"'-<.
SI6NATURE: OWNER 0 SI6NATURE: CONT ACTOR
STATE OF FLORID~
COUNTY OF ---t 4 s ( 0
The foregoing ~strumert was acknowledged
before me thi9+' - , 19q'~ by
A \ ,'(..(:,. -SO(\cS-
who is personally known to me Of who has
produced \~ f\Gi..Ol'\ Q.t'("~Cr'\ A "~
as iden ification and'who di~i no~
take oath. (~
,/,~:~t%~ IJ /h(U/!UIYl
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF P ASeO
. The foregoing instrument was acknowledged
befclre me this Sept, 8, 19..2.3- by
Debra W. Steve
x who is personally known to me or who has
produced
as identification
ta' an oath.
(SignatUl-e)
Merry T. ,
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
.~~ OFFICIAL SEAL
(!il\ SUSAN A. McCOLLUM
} My Commission Expires
'ft.. I April 16. 1997
....~Qt~.. Comm, No, CC 268679
........
MERRY L ACKETT
f#( COMMISSION , CC253538 EXPIRES
J8nuIry 15. 11197
IllNllED l1fU 1RDV FAIN 1HSUlWlCE. INC.
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name LA lV) /.y ^ I f./ ,//.{ Pfr/?,1".:?_SClassification
r/ /- /7
Address ,_~ (p IS- C9A l {. 1,5 L f...J LJ
Business Phone 71'3 - / '-/ <j ",I
Owner/Manager
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Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
~ FINAL 0 ANNUAL
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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Inspect. Date e /0 Inspect. lime .', ~~e DepjlD # _I:> { -'
Re-Inspect. Date ~/ %nspe rs Name cd CC?/L...-c~ ---
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OwnerlManager Signature/;~/: "/Iz-e. . ' Title
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This building has been checked by the ~phyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy - File Yellow Copy - Bid, Dept. Pink Copy - Business
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