HomeMy WebLinkAbout93-3531
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N 4?
3531(3
Date / t:J - ~ - 9',- ;>
02~--' (YtJ
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Description of Work
.k;rgy Code:
P.AA ~
~
FINAL
C,O,
NO OCCUPANCY BEFORE C,O,
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or /
Contract Price '/ It, 7.5:.-; O'D
ftt4
Permit Fee '
S;gnaMev!1 ~
Company
Address
City License Registration # ~
State Certified License#
rg;}- J~~-r7,'>?
Telephone#
llaL af~~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
~":"" f.
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.
_U_'B__r-...MI.'...d' '~ V-.......
OWNER
,3725;)
Fe rnc-
l'73'X L) / 9
APPLICA~ION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
t
ADDRESS
PHONE
APPLICANT
JOB LOCATION
s+-.
LJr- .~ ~
LOT SIZE~X D~
AREA SQ,FT,
9(0 t/
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
WORK PROPOSED:
____Addition ____Alteration ____Repair ____Install
PARCEL I. D. 4F
____Sign/Temp.
____Sign
____Move
____Demolish
____Commercial
____Indust.
____Swim. Pool
_____MI H
,,5c 'f(!e~ -Rm~
PROPOSED USE: ____Single Family
~/F
____4F of Units
BUILDING SIZE:
,-~~'_.~ .~
~ESIDENTI~ ATTACH
CoMMERcIAL: ATTACH
**COPY
____Restaurant & Health Department Approval
9&
D
x I;);
Square Feet,
() i 71
Height
(2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,**
(3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
OF CONTRACT REQUIRED,
$
) (0 75~
(
PERMTTS REOUESTED
~LDING
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
******************************************
Signature
CONTRACTOR SECTION I
~ Gompany I
~ State Cert. or Regist. II
~ . ~ . City License Registration
*********************************-****-***
BUILDER
Sillnature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ET.ECTRTCIAN
Company
State Cert, or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
******************************************
PERMIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The undersigned understands that this per.it .ay be subject to .deed restrictions. which .ay be lore restr.ictive than City
regulations. The undersigned a5SUles re5ponsibility~'for co.pliance Nith any applicable deed restrictions.
. ,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner 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 .isde.eanor violation under state law. If the owner or 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 Departlent, 1813}
788-6611,
Further.ore, 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 Nill 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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the
.owner., I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
.0Nner. prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a per.it to do work and install~tion as indicated. I certify that no work or
installation has cOI.enced prior to issuance of a per.it and that all work will be performed to leet standards of all laNS
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other govern.ental agencies lay apply'to the intended work, and that it is
.Y responsibility to identify what actions I lust take to be in co.plianc!. Such agencies include but ~le not li.ited to:
....
I also certify that, if fill laterial is to be used in Flbod Zone "A" or "A,etc.., it is understood that a drainage plan
addressing a .colpensating volule. will be sublitted which is prepared by a professional engineer regi5t~ied 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 permit prevent the Building Official fro. thereafter
requiring a cDrrection of erfors in plans, constructiDn, or violations of any code, Every per.it issued ~hall becole invalid
unless the Nork authorized by such pertit is co..enced within six tonths of issuance, Of if work author lzed by the per.it is
suspended or abandoned for a period of six .onths after the tiJe the work is commenced, One 90 day e~t€nsioli of tile, lay be
allowed for the permit with fee (harge 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 dbd\Jdoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO ~ORD AND P~ST A "NOTICE OF COMMENCEMENT".
.-f-/~{l1./- 3 ~ g --I;;) ~~ 't3.- <j S 'i /.1
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_______ ~__ _ ~____________ SIGNATURE
f)~ER 0 AGENT
DATE________L~-:L __2:5________________
::~:::::::~~~~~~~~~~ MY ,
COM~N EXPIRES__________________
.' JAMES A. STONE
Notary Public, State of Florida
My camm. expires May 16. 1995
CC110274
JAMES A. STONE
Notary Public, State of Florida
My comm. expires May 16, 1995
.CC110274
BAHR'S ALUMINUM & HARDWARE, INC.
37827 FOUNTAIN RD.
ZEPHYRHILLS, FL 33541
(813) 782-3513
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Received
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, / ln case of claims or returned
goods, please present this bill
Tax
TOTAL
1675 c
9f{~~u
PR""nOlNlJ~;^
OWNER
r. CITY OF ZEPHY~HILLS BUILDING DEPARTMENT
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JOB LOCATION
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SHOW ALL EXISTING~& PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
'l?'MATION.
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1. SETBACKS FOR Rl, R2 ZONING
60'
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FRONT PROPERTY LINE
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SETBACKS FOR R3 ZONING
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PROPOSED
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FRONT PROPERTY LINE
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CARPORTS OR LIKE STRUCTURES PLEASE COMPLE~-T~FOLLOWING:
DESCRIBE WHAT TYPE: FREE STANDING ~~TTACH~IRCLE ONE).
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