HomeMy WebLinkAbout94-3786
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
37866
/-If - 9'/
Date
~ ELECTRICAL PLUMBING MECHANICAL
P'OD"'Y Own" Il. "t1'!' $.... /.-0J:l-
Job Address: .3? 7 '/1 LIP ,,5',/ L:- ;:::;112 e2-.
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of Work -7 ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL 2-/7-
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
fA).
Signatur
Company
Address
Telephone#
Valuation or
Contract Price R"...s () ~ trf)
City License Registration # c2..
State Certified License#
lJ(!~ (lfi~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
SITE PLAN
(RESIDENTIAL USE ONLY)
PARCEL LD.
BLOCK
SEC
TWP
RNG
SUBD
PROPEHTY MEASUREMENT
/
CURRE.NT OWNEHS
LuT~ 1(/7
/
/1
DATE t/'.
acres or less.
All drawings shall be drawn to scale for all parcels or lots five
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
ANY BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE
THE SIZE, YEAR, ~ND N~~E OF MOBILE: SUCH AS 12' x 60'. 1981. FLEETwOOD.
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DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE
All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans.
HOUSE CONSTRUCTION
StAL.[: '..60'
PROPOSED ADDITION
,eALE: t.. .0'
MOBILE HOME SETUP
.tAL.l: .-. 10'
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20'
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P/L
ROAD NAME
ROAD NAME
ROAD NAME
s itep l;}!\: CP.
40'
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APPLICATION fOR PERllIT
CIlY OF :lIl;ntlllflll_Le:
BUlI.DI.lIG ORPARDurIJI
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PARCEL 1.0.1
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WORK PROPOSED:_Rew Construction -.J'ddition _Alteration _Repair _Install
S'
- 19I1
_lIove
_De.olish
PROPOSED USE:
Single F_liy
--1f/F
_' of Uni.t:s
_II/H
_~rcia1
_Indust.
_SwbI. Pool
Other
Rpstaurant & Health Deparblent Approval
BUILDING SIZE:
x
~e Feet,
Height
RESIDKNTIAL:
cotIftERCIAL :
ATlAm (2) PI.OI' PIAIIS & (2) SEIS OF BUII.DDIG PLAIIS & (1) SKI' ElIERGY FORtIS...
ATlAm (3) SEIS OF BUII.DIIIG PI.AIIS & (I) SKI' EIIERGY FORtIS...
..wn OF WlITKACI' 1UIQUlRIlD.
PEIUIIlS RIlOUESTED
_BUILDING
$.
Valuation of Total Construction
_ELEGTIUGAL
AtIP Service
Florida Power Corp.
W.R.E.C.
----1IECllANIGAL
$.
Valuation of Kecbanical Inst:allal:ion
_PLUtlBIIIG GAS ROOFIIIG
SPECIALTY
TYPE OF mNSmUCl'lOll: ---Block. -'~ _Steel
Other
FlIIISRED FLOOR ItLEVATIORS:
Fr.
IS PRO.JECI' IN FLOOD ZOIlE AREA'
YES NO
..........................................
BUTI.DRR I. 'l
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Signature ,--''''\ ",. ~--
QJIII'IHACIOR SECI'IOIl
<<DIPAIIY /..L:....-t... - '2'4 eJ,.:J, 4h.~ - c:I ~-
State cerl:. or Regist. . f?. '>l () 0 <,';4 f'1 if
City License Registration 1 7. ~
..........................................
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Itl.RCTRICIAR
aJIIPAIIY
State Cerl:. or Regist. 1
City License Registral:ion 1
..........................................
SiPIIAl:ure
PUllBER.
CDIIPAlIY
Sl:ate Cerl:. or Regisl:. .
City License Registration 1
..........................................
Signature
IIEaIAlIIGAL
CUlPAIIY
State Cert. or Regist. I
City License Registration I
..........................................
Signature
0T1III:R
CDIIPAlIY
State Cerl:. or Regul:. I
City License Registration 1
..........................................
Signature
APPLICAYIOIf APPROVED BY
PERllIT OFFICER.
COND 1 I JUNe..; UF PEHH I T nFF I. DIW I T
(). /'lQII.~~_P.E.___pgJ;~.!L,m:},Ig..U;JLQLI~3
Th~ "nd~rsigned understands th~t this p~r.it '~y bp. subj~ct to "d~~d r~strictions" Hhich lay b~ .or~ restrictive than City
regulations. The undersigned aSSUle5 responsibility for co'pliance Hith any applicable deed r~5trictions.
Fl . UNL I q;;NSE!L...hQN_If'~~.GJJJ-'3.9.0.1JI.t.. L__lJtn F3D_~ ILJft.. RE::E3F~QH);iI!UJ,::IIJ_~9..
If the OMner has hired a contractor or contractors to und~rta~p. Hork, they ~ay b~ r~Quired to b~ licensed in accordance Mith
state and local regulations. If the contractor is not licensed as required by laM, both the ONner and contractor lay be
cited for a lisde.eanor violation under state laM. If the OHner Dr intended contractor are uncertain as to Mhat licensing
requirelents lay apply for the intended "ork, they are advised to contact the City of Zephyrhills Building Departlent, (8131
799-6611.
Further~ore, if the o"ner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for "hich they Hill be responsible. If you, as the ONner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the "ork. If the contractor Mishes 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 lephyrhills.
t: " InON!:;)F'ORT A T I l,l1:LJ t"lf t41,:;_L,L~t;:_~_ 1')HP.__lJ._L!'=JJ.:_Y:_,.~!Jl~t!s..~I_LQ!:~LF EE,!;?,
n. 1.:~JJN~IRUGT JjJN_l.::L~!L1-J)H (Cl'f\PTEn"7:1:3 ~ FLUn J DO STlHLJTES ~ ()S IWIENDED)
I c~rtify that I, the applicant, have been provided Mith a copy of "Florida's Construction Lien laM - IIoleoMner's Protection
Guide" prepared by the Florida Departlent of Agriculture and [onsuler Affairs. If the applicant is sOleone other than the
"oHoer", I certify that I have obtained a copy of the above d~scribed docu~~nt and pro~i5e in good faith to deliver it to thp
"oHner" prior to cOllencelent.
F. G(jt'lIR"I;TQR I SLQl'JN~B-'-_!3___f}E_EJ.PO\lJ.I
I rertify that all the inforlation in this application is accurate and that all "ork Mill b~ dOn~ in cOlplianr~ "ith all
applicable la"s regulating construction, loning, and land dev~lop.~nt.
Appliration is hereby lade to obtain a perlit to do "ork and installation as indicated. I certify that no "ork Dr
installation has co..enced prior to issuance of a p~r.it an~ that all Nork "ill be perforled to leet standards of all la"s
rfgulating construction, City codes, loning r~qulations, and land develop~ent regulations in the jurisdiction. I also
certify that I und~rstand that the regulations of other gOYfrn.~ntal agenries lay apply to the intended "ork, and that it is
.y responsibility to identify "hat actions I lust take to be in ro.pliance. Such agencies include but are not li.ited to:
. Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Ar~as and Environlentally Sensitive Lands,
Hater/HasteNater Tr~at.ent
· South"est Florida Nater "anaqe.ent District - H~lls, Cypress Bayh~ads, Wetland Areas, Altering Watercourses
. ~r.y Corps of Enqineers - Sea"alls, Docks, Navigable Hater"ays
, Q~~artlent of IIealth L Rehabilitative Servi~~vir~~ental "~~~lt - Hells, HasteMater Tr~atlent, Septic Tanks
, US EnvironMental Protection Aqency - Asbestos abat~lent
I also [~rtify that, if fill .aterial is to be used in Flood Zone "n" Dr "A,etc.", it is understood that a drainage plan
addressing a "co.pensating volule" Mill b~ sublitted Mhich is prepared by a professional engineer registered in the State of
rlorida prior to p~r.it iSSllanc~.
A per.it issued shall be construed to be a lic~nse to proce~d "ith the Mork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuanre of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall beco.e invalid
unless the Mork authorized by such per-it is co.,ented "ithin si~ lonths of issuance, or if Mork authorized by the perlit is
suspended Dr abandoned for a period of si~ lonths after the tile the Mork is cO'lenced. One 90 day e~tension of tile, lay b~
allo"ed for the perlit "ith fee charge of fI5.00. The e~tension shall be requested in "riting to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project Mill be considered abandoned.
HARNING TO OHNER: YOUR FAilURE TO RECORD A NOTICE OF COMnENCEMEHT nAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
PRUPERTY. IF YOU INTEND TO OBfAIN FINANCING, CONSULT HITH YOUR LENDER OR AN AfTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOf NEED TO RECORD AND POST A "NOTIC OF COMMENCEMENT".
~ I A~ f/S~iJ. 15,.
f~ER OR AGENT
Sf ATE OF FLORID~~
COI.INfY OF L tJ..4 Co
The foregoing i trument was acknowledged
bef~l'e e this 'jN.~ L.,)/!l!L by
~
STAfE OF FLORIDA /"J .'
COUNTY OF . v a~..o C-<./
The foregoi ng i I tnlment
befDre me th i 5 /7t-'
e c.r NhD has
(Signahl1~1 /.1 V') '/? ~ L
~----- - ~{; ~ ~
(N~me Typed. Print d or Stamped) (Name Typed, Pri ted or Stamped)
N01 ARY P~ C (1; ,-'1. ", ~.~ / '? '" I.. NOT ARY~U () !. ~ ~/ t/ s; A.. ' 13(.( s II
..... .~ 17 L-'{O;:-;~~:; t..( """'OFFICIAL SEAL .... -..-----.- ~~ QPFICtAt. ~I;At;
l ii\ G''''/t~\ GLADYS L. BUSH ~J GLAOVli ~, ~Y3"
: : M, C"nf!;':. : My Commission Expires t My (:gmmia!llifl ~~~'r~
: I : uc\. ! Oct. 7, 1996 ~ OGt. 1, I@ijg
\~~ (ff'....... Cor-.re.. :..*~~ ~.. Comm. No. CC 234022 "*~~oFF'u1!.. Comm, Ng. gQ ~~4Q2a
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