HomeMy WebLinkAbout93-3638
BUILDING PERMIT
Permit N <<?
CITY OF ZEPHYRHILLS
(813) 788-6611
3638.&
//- 16" - 73
Date
(Q
Pmperty Owne, ':! ~-i1:::if
Job Address: 6' /.::,- - 0 '
Parcell.D. #
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
71<AA?? ~
A jadon Gas:
r2/ -t:.P:,:%~ cf"V1 _I?~;;>4. ~~ J ~4/~
NO OCCUPANCY BEFORE C.O.
FINAL 11 _1A._q~
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector W.A. BURGESS
City License Registration #
State Certified License#
~
Permit Fee
Signature
Company
Address
Telephone#
~~Mh7
Valuation or
Contract Price t 7 O[) " CJ'D
6~ tJ";;//hV~~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
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0WlIHR' S ADDRlfSS ~} J V .' 1 04
APPLICATIOII FUR PERllIT
CITY OF l.m'HIKH IT. IS
BUllJ)DIG DEPAImUJ'Bl'
PIIOIIE
~S~rLeT
7&-
99~
JOB ADDRESS
SUBDIVlSIOR ---------..
LEGAL DESCRIPl'IOR: IDI'(S)
JII'.O(;X
PARCEL I.D.' _
WORK PROPOSED:_lIev Construction ~ition _Alteration _Repair _Inst:all
S.
- 19I1
_lIove
_De80lish
PROPOSED USE:
\ A'~e F8llily
_fl/F
_' of Units
_fl/H
_~rcial
_Indust.
_S~. Pool
Other
_Rest:aurant 5: Health Deparblen.t Approval
BUILDING SIZE: ~. dl~O
~ID~ A'lTAaI (2) PIJJI' PIAIIS 5: (2) SEIS OF BUD.DDIG PIAIIS 5: (1) SET ElIERGY FORtIS.......
mHIIERCIAL: ATrAaI (3) SEIS OF BUD.DDIG PIAIIS 5: (I) SET ElIERGY FURIIS.......
......OOpy OF OORTHACf JUIQUIRIJD.
~e Feet.
r3t01/
Height
~/7D002-
Pl!:RKTTS KEOUESTED
~LDING
$
Valuation of Total Construction
_ELECl'RICAL
AIIP Service
Florida PoIIer Corp.
W.R.E.C.
-.JtEmAlfICAL
$.
Valuation of flechani.ca1 Inst:allation
_PLuttBUfG GAS ROOFDIG
SPECIALTY
TYPE OF OONSTRUCTIOR: _Block _Fraae _Steel
Other
FIIIISIIED FLOOR .ELEVATIOIIS:
FI' .
IS P.RO.JECI' IIi FLOOD :mIlE AREA?
YES NO
..........................................................................................................................
Rml.DER
lDnRAClW ~ \
OO!IPAIIY . \rS A )UV>l1 l\UV~ (~qvd~ R,~~ J
~ '-~ State Cert. or Ilegist.' e-Bt:OillB.o7'j
City License Registration' ,..:,7 ~Cf
..............................................................................................
Signature
RI.F.CTRTCIAIJ
COIIPAIIY
St:ate Cert. or Regist. .
City License Registration .
..................................................................................
SilmlAture
PI.DIRF.R
c::DIPAlIY
St:ate Cert. or Regist. .
City License Registration .
........................................................................................................
Signature
IlECBARICAL
COIIPAIIY
St:ate Cerl:. or Regist. .
City License Registration .
..............................................................................................
Signature
0T1IF.R
c:DIPARY
St:ate Cerl:. or Regisl:. .
City License Registration .
..............................................................................................
Signature
APPLIc&TIOR APl'IIOVIlD IIY 11<7/2< -"Ad- _-;// f/k:Il-,r
PERIIIT OFFICER.
· . 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 .ore restrictive than City
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the\o~ner 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 .isde.ea~r violation under state law. If the owner or intended contractor are uncertain as to .hat licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813)
788-6611.
Furtherlore, 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 .ay 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 Departaent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
"owner" prior to cO.lencelent.
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 develop.ent.
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 .eet 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 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 cOlpliance. Such agencies include but are not lilited to:
I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
Water/Wastewater Treat.ent
I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
I US Environlental Protection AQency - Asbestos abatelent
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 "co.pensating volule- will be sub.itted 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 8uilding Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
unless the work authorized by such per.it is cO.lenced within six lonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay 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 .ust be logged during each six .onth period, or the project will be considered abandoned.
YARNING TO OWNER: YOUR FAILURE TO RECORD'A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COItKENCEKENT. JOBS ~DE~ ~OO IN YAlllE DO NOT NEED TO RECORD AND POST A -NOTICE OF COItItENCEtlENT-.
J)L;f+- H?30'- 5"33 - 30 450' 0 I ~_ J
STATE OF FLORIDA~
COUNTY OF rt:71- S {I D
The foregoing instrument was acknowledged
before me this 10- 026 ,19..2..2.. by
A..otl/se /J1, fle:9/Jr
.
who is personally know~ to me or who has
produced ()~ I ()~/U ^-, ~ .
as identification and who did/did not
~. e ;;::tb. S~
~~ature)
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
STATE OF FLORIDA /)
COUNTY OF r It s (! ()
The foregoing instrument(was acknowledged
before me this /0 -,}...&, 19~ by
17-Je.. ON
is personally me or who has
produced
as identification and who did/did not
= (j, ~~
~
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
JAMES A. STONE
Notary Public, State of Florida
My comm. expires May 16. 1995
CC110274
JAMES A. STONE
Notary Public, State of Florida
My comm. expires May 16, 1995
CC110274
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8AHR'S
ALUMINUM & HARDWARE, INC.
.. ... the cIcHt..,.........
212 Fowdain Rd.
ZEPHYRHLLS. FLORIDA 34248
(813) 712-3513
IO/J(P/93
Lou I~ ~ ~I f hi
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fV1<<i (' 1"; (.\ \ '" -t- La bOi( 4\ \ he c, I Dil e.. qdthl' 55
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V I f\Y ~C()VV\ WI I Y\ , '-. .J ('-) \
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\<oo-T - ;) I 'f.) 1 ~ jU \c;~ eA .. , _
LJQ\ Is AI 8'~ 101Q\ k:'ooY"\ kl1 i'?' )nwl"
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LH \ - :.)1..0 'I l
IrVMI't + l-qXe~ T VIe ILJ{'Jrd
WE PROPOSE to furnish labor and material - complete in accordance with above specifications, and subject to
conditions found on both sides of this agreement, for the sum of:
roUt- Ihou~1V\q 5eVeh f!tJrdred-;/~dollarS($ L/7{){) ~ ).
Payment to be made as 1cIlows:T,~) ~)e- I rl- r? Y 1)) I Y} e J
l,lcQ, <-.c r"' 4\;I() 4:JiOcr]" :ML /JUi?-'1'/;JDO.,.,.... ~:!wn
ACCEPTED. The above prices, specificatio and conditions are satistac. Respectfully submitted,
tory and are hereby accepted. You a,e authorized to do the work as
specified. Payment will be made as utlined above. (R ad reverse side).
",
By
BAtIt'S
ALlMNUM & HARDWARE. INC.
By ~ ~~~
Note:This proposal may be withdrawn by us it not accepted within days.
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JOB LOCATION (~f I) , /. /v ~~. ~ I
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MUST SHOW SIZE &
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PROPOSED STRUCTURES-GIVING DIMENSIONS.' SET~ACKS.
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2. . SETBACKS FOR R3 ZONING
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PROPOSED
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FRONT PROPERTY LINE
fQR CARPQRT~ O~ ~IK~ STRUCTURES P~EASE COMPLETE TijE FO~~Qij~~G:
(1) DESCRIBE WHAT TYPE: FREE STANDING OR ATTACHED (CIRCL~ ONE).
(2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE?
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