HomeMy WebLinkAbout93-3700
BUILDING PERMIT
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BUILDING
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
3700 E
/),,-7-'73
Date
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PLUMBING
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MECHANICAL
Sewer Conn
ELECTRICAL
Water Conn:
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ParceII.D.# II-db ~:J-/-('){)ltJ..... as-~7{)O-..I'J~/
Water Meter:
T.I.F.'s:
Zoning: r-Energy.~ Radon Gas:
DescriPtionofWo~~';.L- ~ /fJJ?A ~-<L
/ /'
Permit Fee
Signature
Company
Adqress
Telephone#
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price / CJ t.J7J?:). era
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City License Registration # ~
State Certified License#
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PLUMBING
du7~16'3
MECHANICAL
BUILDING
ELECTRICAL
SLB 12~ 2.u43 ~
Tub Set 12- 2fJ.1. ~
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
ftStr./5- C,ii-'Ll~ ..
/ -I'b '<:1 L-/ ~
Driveway
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
WALL ~c 12-15-93 RJB
Ftr.
Pre SLB
Lintel
FRM. 12-17-CB RTTJ".
Insul. CL
WL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
APPLICAUOII fUR PERllIT
CITY OF l.m'HIKH IT.'-~
BUII.DIIIG DEPARnuIB:r
OWNER'S IIAIIE Ce:c / / /Ile CI9 t/~~/V
_'S ADDIlIlSS 37/32 ?:11 8'/; Z7/-)-"A//.
.JOBADIlJIIlSS S?~o (;:,/)/1 tt/.j zp-/0-//s
~SUBDIVISIOII
PIIDIIE
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LEGAL DESGRIPl'IOII: tor(S)
PARCEL LD.' 11-- 2 Ie - "LI- C,C)/GT.- Os ;; 00 = CJ;:25 /
-
won PROPOSED:_" Coosuuction ---Addition _~ration _Repair _Inst:al.l
S'
- 19B
_lIove
_Deao1ish
PROPOSED USE:
Single Fam.1y
_~rcia1
_fl/F
_' of Dnit:s
---1IIH
_Indust:. _Svia. P001
Other
--taurant &- Bea1t:b. ~t Approva1
BUILDIIIG SIZE:
x
~e Feet.
Height
RESIDElITIAL: A1TAaI (2) PUJI' PIAIIS &- (2) SEIS OF IIUII.DIIIG PIAIIS &- (1) SET ElIERGY FORtIS...
mtIfIERCIAL: ATrAaI (3) SEI'S OF IItJII..I)IIIG PIAIIS &- (1) SKI' ElIERGY I'URIIS.....
..001'I" OF mInBACl BIIQUIRIID.
PDIIT'IS REOUESTED
---BUILDIIIG
$.
Va1uation of To1:a1 Coosuuction
_ELEC'1'RICAL
.AfIP Service
F10rida Power Corp.
W.R.E.C.
---1IEaL\NICAL
$.
Va1uation of flechani.ca1 Inst:allation
_PLlItIIIIIG
GAS
.ROOFIIIG
SPECIALTY
TYPE OF mIlSTRUCTIOJI: _1I1oclt _r-n.e _Stee1
Ot:b.er
FIlIISHED FLOOR. El.EVAnOllS:
Fr.
IS ftlOJECI' III FLOOD ZOIIE AREA'!
YES 110
..............................................................................
OOIII'.RACIUR SItCI'IOI1
RIJTT.Dg f'1...\ C. ~.. IDIPAIIY-.-Li) A.t1Je-. 11Y1/.!1V1V' c;~d.
J.j ) I St:ate Cert. or Regist:. ,
Si.gnat:.ure ./..; , City License Regist:ration , CJ '1.
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--=.-----!: F'klU,c'--7o'C I ., L(d;'1;tt;~L{( City License Regist:ration' n.). I/o
PJ.DIRg g~~ /).f;~{&~.........-:::.~:~A- !Iv '" h;A"J
r; I Sl:at:e Cert. or RegisU t
Signat:.ure City License Regist:ration , J -2 j
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tIEaIAlIICAL
s~Wre0~
~ _AllY 1-)(' t, f1( 7'
~ St:ate cert. or Regist. , (. A (1 {i }'?;7S:S-
/ ~=City License Regist:ration f -
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OTRRR
alflPAlIY
St:ate Cert. or Regist. ,
City License Regist:ration ,
..................................................................................................
'fl (J41"~ .J., AAJ
Sigoat:ure
APPLICAnOIl APPIlOVIID IIY
PEIIfIIT OFFICER.
CONDIfIONS OF PERMIT AFFIDAVIT
A. N.QI.LI;E OF DEED F:ESTR I CT I Q.!:Jf3
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assuaes responsibility f~r co~pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to u~dertake ;ork, they -~~y'-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 what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI31
798-66 I l.
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 "ill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contract~r, 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 H1PACT FEE? AND UTIJ_I TY _~ONNECI1...Q.!:LFEE$..
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 Departtent 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 pro.ise in good faith to deliver it to the
"owner. prior to cOllencelent.
E. .CONTRACTOR ' S/m.Jt.,jER 'S AFF I Q!:!Y-I.I
I certify that all the inforlation 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 pertit to do work and installation 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 perforled to teet 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 .ay apply to the intended work, and that it is
.y responsibility to.identify what actions I lust take to be in cOlpliance. Such ~gencies include but are not li.ited to:
· Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive lands,
Water/Wastewater Treat.ent
t Southwest Florida Water nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
· Depart.ent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, US Environlental Protection AQency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.., it is understood that a drainage plan
addressing a "colpensating volule. "ill 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 pertit 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 perlit is cOI.enced 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 cO'lenced. One 90 day extension of tile, tay be
allowed for the perlit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
approved inspection .ust 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"nENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROVEnENTS 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 IN VAlUE DO NOT NEED TO RECORD AND POST A .NOTICE OF OHnENCE"ENT..
~Ah0~11
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF ~
The foregoing instrument was acknowledged
before me this 1/ - I'? ! 19~ by
Cj~()" \ G. O"\(l...(1n ()e\1\
who is personally known to me or who has
produced CP/Pr~nn \ h I \~ not.'\ f""\
as identification and who did/did not
~ke an oath. .
~-"' . .ora D ~ ~. m<::L,"",-
W.ign~tLII~e) ,
~n.s+l~ K. rlIn~r
(Name Typed~ Printed Dr tamped)
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF <:1=b~ C.D
The foregoing instrument
before me this 1/ - Ix
Io'las acknolo'lledged
! 19~ by
w . ~. Ne t l-JY\C1 A t""\
who is personally known to me or who has
pl-oduced C\)e..- .""0 V"\ n I ''-l k.r..r.....' .'.. ........
as identification and who did/did not
take an oath.
(1j)..~""t....'a-' ~ f'l\~
<,$ignatLl~-e )
( l h r'I.~+ IC" K rY"\~ C~.,..-
(Name Typed~ Printed or Stamped)
NOT ARY PUBLI C
OFFICIAL NOTARY SEAL
CHRISTIE L MAJOR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC316103
MY COMMISSION EXP. SEPT 15.1997
Ofl'iCIAL NOTARY SEAL
Ci-mISTIE L MAJOR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC316103
MY COMMISSION EXP. SEPt' 15,1997
. ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name 00/)[ '~?J 1 L I) 1-\.6
.--,
Address ~);2 0 //(1-1 ~.~'5c '-' /)
Classification
Owner/Manager
6;) . /i/,! (, .1-//f-' 'V:+-/
Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QU~RTERLY
ORE-INSPECTION
.~. APPROVED
o FINAL 0 ANNUAL
A3 OTHER I? (( .// /
o NOT APPROVED
OBI-ANNUAL
/'
l).<,>- ...If' C
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.
//t .
OwnerlManager Signature L/~,.- 101~,'
.//. /1 i)
~ // /y~
//() 6 Fire Dept. ID # .5:;," '.f
//~~- "">-="'Cr~~h
Title
Inspect. Date / 2 s/ - ~ .3
Re-Inspect. Date
Inspect. Time
Inspectors Name
This building has been checked by the Zephyrhills 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.
While Copy . File Yellow Copy . Bid. Dept. Pink Copy . Business ".
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
~)
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Business Name O/?E !...Je.N '-/)/;(/6
../' '\
r 1 r, /~
Address ::J 77. c... '-_) Ii (c l..5 l J l)
Classification
Owner/Manager
Business Phone
792- 7o'8n
Emergency Contact Phone
Occupancy Load
Alann Monitoring Co.
Phone #
o QUARTERLY ~ FINAL
o RE-INSPECTION ~ OTHER
% APPROVED 0 NOT APPROVED
o COMMERCIAL CHECK
TYPE OF INSPECTION CONDUCTED
OBI-ANNUAL
o ANNUAL
(\
(]<.i> rJ/t-r;.1
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
Re-Inspect. Date
Inspect. Time
/~.~..,. - ~Dept.Ji>#63
/ (-~~ --
OwnerlManager Signature
Title
This building has been checked by the Zephy . Is 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.
While Copy - File Yellow Copy - Bid. Depl. Pink Copy - Buslness