HomeMy WebLinkAbout93-3742
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
_3742A
Date /';,)... - q-9 7
.
~OINO ELECTRICAL PLUMBING
P,"p,rty Own" x!~ ~
Job Address: ?t i-..3S" ~ ~_ ' _ _ ~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D, #
Zoning:
Description of Work
Epergy Code:
'1~
\d--,1/
NO OCCUPANCY BEFORE C,O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
;~;~~:~:e J;~ ~iif-
Company
Address
Telephone#
Valuation or
Contract Price ! 'I!:.7) , d?)
City License Registration # .y- Y
State Certified License#
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Serv,
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 12 JO 9J BllL
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.
APPLICAYIOIi fOR PERllIT
Cl1Y OF ZIl;ntIKH IT.L~
BUI.lJ)lJIG DHPARllmllr
OWNER'S IWtE &roLJ e.f'
OWER'S ADDRESS~%3~
.JOB ADDRESS _SPl (Y\ ~
LEGAL DESClUP'I'IOII: J.OI'(S)
CJo.. ~
I q~ 5+
PIIOIIE
1~3 JS'~~
~SOBDIVISI(HI
PARCEL I.D.# /'I-.J.fo - ;J.J.. DO I () - 0 d. 3 ~o ... 005' D
-
WORK: PROPOSIID:_lIev Construction _Addition _A1teration _Repair _Inst:all
S'
- l..gD.
_lIove
_De.olish
PROPOSED USE:
Sing1e Faaily
_II/F
_' of Unit:s
_II/H
_ec-ercia1
_Indust.
_Swm. Pool
Ot:her
R"St:aurant &: Bea1t:h ~t: Approva1
BUILDIIIG SIZE:
x
~e Feet.
Height
RESIDENTIAL:
COItIIERCIAL :
AlTAaI (2) PUJI' PIAIIS &: (2) SEI'S OF BUILDDIG PIA8S &: (1) SKI ElIERGY fORtIS.....
AlTAaI (3) SEI'S OF BUIlDlJIG PLAIiS &: (1) SKI EIIER.GY FORIIS.....
....OOPY OF OORI'RAct 1UlQUIIUlD.
~LDIRG
$ I<jSD, DD
PIr.RtI1TS REOUESTED
Va1uatioo of Tot:a1 Const:ruction
_ELECTRICAL
AIIP Service
Florida PoIIer Corp.
W.R.E.C.
---1IEaL\tU.CAL
$.
Va1uat:ion of tlechanica1 Inst:a1lation
_PLUtlBIRG GAS ROOFIJIG
SPECIALTY
TYPE OF OORSTRUCl'ION: _Block _~ _Steel
Ot:her
FINISHED FLOOR ELEVATIOIIS:
Fr.
IS PROJEct III FlOOD ZOIIE .AREA?
YES RO
....................................................................................
BUTT.DD
aJIII'KACIOJI. SECTION
aJltPAIIY"h H f!JQ~(l.ri+('.e.JYVo (\ +- \ I"'\C.....,
~ J St:ate Cert. or Regis . #
~/)~ ~ City License Registratioo' 4'-1
..................................................................................
Signature
RI.F.cnuCL\R
aJltPARY
St:ate Cert. or Regist. ,
City License Registration ,
..................................................................................
Si....Rture
PI.BIRD
aJltPAlIY
St:ate Cert. or Regist. ,
City License Registration' II'"
.................................................................................... ' "
Signature
IIEaIAlIICAL
jp :' aJltPAlIY
;~~e~::,j :.. St:ate Cert. or Regist,. I
, .' City License Registratioo ,
'. ~..' J ,..~........................................................................
~.'~ '\ .! '" i
Signature
APPLICATIOR APPROVED BY PEIIlIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to 8deed restrictions8 which lay be aore restrictive than City
regulations. The undersigned assuaes 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 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, tbey are advised to contact the City of Zephyrhills Building Departaent, (813)
788-6611.
Furtberlore, if tbe owner has hired a contractor Dr contractors, he is advised to bave the contractor(s} sign portions of the
8Contractor Sections8 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 iicensed 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 8Florida's Construction Lien Law - HOleowner's Protection
Guide8 prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
80wner", 1 certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner8 prior to COllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
1 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 developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has COllenced 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 developlent regulations in the jurisdiction. 1 also
certify that I understand tbat 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 coapliance. Such agencies include but are not lilited to:
I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlV Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environaental Protection Aqencv - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A8 Dr 8A,etc.", it is understood that a drainage plan
addressing a "colpensating volule8 will be sublitted 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 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 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 tiae the work is cOllenced. One 90 day extension of tile, lay 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 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 COMKENCEMENT 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 S2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 8NOTICE OF COMENCEKENT8.
~ 'Lt:'f7
SIGNATURE: OIlMER OR AGENT '
~~
SIGNATURE: TRACTOR
who has
not
'Ill ~\...
'I16'1l'\\\~\d
(ANt: ~ i) 7T
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
(Signature
(Name Typed, Printed
NOTARY PUBLI C
STf\.NOAllP fOllMOV .4Qllt3l3MENT
TljI$AC;II\'!l!o!l!IIT "'!<!e~-;~~~ CQ~T~PTgl! :~~
~~::~er~:::4~n~:~~: an" .,. ," r* (!ItA. by ~\Iotw~n ~ ~..~c ,
OWJ1!lr. Wi~llt!t; tllal tho ~ntrlLct!)r @Dill tl)e Owner r the con.i~ratio~ ~ "F~ ~ fqUo.,..; ,
;"'~ -. ,,: II ",,;, ":"0":' ....r:;. :. ,'. '.' , ,. "i . ", , .'t. ..
~l111f"~ J. ~f;::9f~ Qf Tm: WON: ,
TJl, '99~' ;~ .n of ~ ~~~~) norm ~11 of thowor~~\YIl ~p tho Prawipss and described in ~ ~~~:
en"~0.4 '. . .
pre~by , . , .",. . actin, .. and bi tbete
~:U;~q~:~~~ cl1i~t. ~ ~~ ~ ~~, r~1Jlred by thiI .,~t. tho senera1 CO~1lll c># ~ Co~ ~
AliTJqu I. 11MB 0' CQMP~nON . l
The work ~ be perfprmed under this Contract shall be commence.l/lS ~ ~ "o~;r /"5 ~11'(Jn.1) pnd ~ be
subJtantiallr completed . LUrflIlN, ~N(i"' ~K .
<:'
f"~ r~
ll"roinafter ~ tb(,
. , 7 . l < ; ~ ' !~ i -
Authorized Chanso Orders will be submitted by the Contractor for, ~ wor~ DOt spociflcally b:1cluded in this Contract.
AJiTICLE 4. P1\OGUSS PAYMENTS
"'- . .
(Juert here any provUiou made for'~ ~t ~ ~. dJe worll; nacbeI . certaiD RIf' of completlon,)
41\'n~ 5. 4CCEPT4NCE AND F~AL :rAYMENT .
F~l payment shall be due . 71/(f . .Jay",~, su"'~~1 ~,"," pletion of~", work provided the work be then fully CQplple,' ted,
and the ~ntrllC~ fully perfon,peq, ,,', " .. .' ," ."'.'.', "'" .
A1\TlCLB"" . ,. me C()~Tl14crDOCVMENTS
The Cenera} Conditions of the Contr,a, ciJt the Specifi, ca,tions and th, e, P" ra",',win,,1D,g,IS. togeth, e,r, ,with, thiI Agreem, ent", form, tho, Co" n,tract"" and", the,Y
:;o~~~ .. P8J~ of the Contract as pereto atta~~d or berein reper.ted. ThO fOUowinJ is an itemization of . other ~ntiaJ, ~
.ENINOLa ~ORN ...
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Notice to all contractors concerned with concrete for the design,
fAbrication, and erection of Aluminum Structures Only.
Pntlo Slnb's: Minimum 8"xl2" footer w/2U 5 rebar.
Effective November t5. t990 concrete shall be installed as required
in detnil below.
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fnbrication, and erection of ~luminum Structures Only.
Pntio Slab's: Hlnimurn lJ"x12" footcr '.J/2U 5 rebar.
Effective Novcmber 15, 1~90 concretc :Jhall be installed I1S required
in detail below.
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