HomeMy WebLinkAbout94-3826
BUILDING PERMIT
~
----
2.'0 ~f)
@ ~~T~ :~ ~ ~:::~::n
p'opertYowne\~i~3~~~5 ?_~Ilw~.
Job Address: T IF.s.
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
Parcell.D. #
~~~r" ~~:)/6 /J /~t;;w;J
Zoning:
Description oJ}W .
~ 1
f:f:L. -J
NO OCCUPANCY BEFORE C.O.
FINAL
City License Registration #
State Certified License#
r7
%~
<V
\
Inspector
Permit Fee ~-
S;gnaMe~~___
Company.__._
Address
Telephone#../'? f?~ r~23 Lb:___..
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
1
Valuation or
Contract Price
6~ 7' g:.o
~.
Ftr. Tp. Servo SLB
Pre SLB Rough In Tub Set
Lintel Meter Can Water
FRM. Const. Pole Sewer
Insul. CL Pool Final
WL Pre-Meter
Final
Driveway
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued lU ,.Ill' ptH<;on n"\,
same.
,JI""".....~...,.."'_.~::..,;;;."'*'f'S:...i.:w""'~~'I"'l'I'<i..J\lIt(W'..'.~~...,~.~.:.;..'.:"''''''"",?,'r,?-,";.!,..~.~~~'tlIIr'~<::"..,...~t'c~''''-''~1.'_'.:,'I;'7~'"7WI-'~~":,,,,,,",,,,,,""'-/""':'..,.,..'"~--<~'?1ll!f"","!f,,,",..,.n'J'.J\>f,"~~~~""'-"<':-~l{,:.."",,/,o.",'
.'
to y"~
,-
. ..(]STOMBa TELEPHONE
'HONE 782.5312
CMaae 0Ner Ne.
L.B.McKell Construction
35648 Chancey Rd~ ", , .'
Zephyrhills, Florida 34248
c.tnct Ne,
s g,*; /.I'/{<~~ ,~ilt:../f'-~q",
~ ...r~cUJ ~/t// /5/p</"
i 2-~N~?V gd"UY /
DATE
tltAILlNG ADOaEA.~
,-
CEIlTIFICATE OF COMPETENCY 45
TEIlMS
WClXTO. COMPIm'ED
J.tem
I)neript....
AIMa&
/_ ~tt?P6t;/P~-r- l';vfl5'},/~" wAIl I~ ')71')( g" 6'
(1- J. X t.f ~ fJ r V.L" IE! 0'1 ~ ~/ ,f . /6 / - C, ~ ·
· ..L II
4-4()7h ..5/~/t: PT 0ft/1 -.5'J~eT/J1~/4 ~~'
t; - 7/; f f/!!. 1-}='; 'tv ) ~ A 6' h ~ e 7 ~ ~ ~/('
/J- fJlI //lJ1 It<.? t> ~ tP.A i u r-/ /I f tu It I ' fe.
J..... F U f i (j J.. /! p.d ;' /IJ (5 ftA 'I / - J ~ 6' Y F/ j/tf A..
/~f,g,./pr d~.p}/ ~t'f j/r~-<-
1- fj1/}Jf jJ~r /,vk./fG
. ,
J.- rt< r ,.,i6h ,4 tV J / ~ 0$' fA (I 1-1' ')( r3 x-f:;
fWI!:- p/~ 0/~d4?'-CJ'
tj
/ I
GUAJlA.NTBB: 'H~-McKeII 'Construc:tion' ,.
lUU'Ultecs Work qUOIt dc~. in workmanship
for a period of)~, Jear to the orilinal
purchaser. The......ee does not cover
d......es ca~by.hi",'winds, tornadoes.
hurricmes. or any other acts of God.
~
,
.': I \.
UAJ.-':I '-'>>A...&......"""..A~ _.. __.0_____.__ -
..
1 State lleaistered
1!!!l:Y h, II} 93 Buildinl co."..... RBOOI2335 tI1 ~ A /. ~
Hem
~scriptiftll
/_ t'tPP6tYV~-t- I';.>f&f'/'c" wAIl I~,/I'X $"'tl
/1- J-X '-I ..f;ofv~ e. oJvd.f.. /6 'I C, ~ ,
;J-4t!JTh .,5/dC' PTw///I...$'n~..rNuf'/4 -{)I
t; - 7/J It!!!.+- j:; Iv i eI A 6' h II!' 4! I p.iI!J ~/r
/J- ;1/1/N1 rw~ ~ ~.A-! (.) // /It- tuA/le,
J~ Fwi8t. /lpA /JIliStiAtl /- JP6'i I/#A:..
//vfe';,/~r dplbr ~t'f 1/1";'<-
If- /11/pt il~r fpfkJ/fG
J- rur pi6k Il,.;> d i ~<6 fA (I / - ~ /)( i.J 'x-f:;
fW~ p/~ 0;fU4.!/~'
;J~ k f,
~-c.'~ ll~'-tHi/ " .,1
GUAllA:NTEE: ,,-.. MtK'eU'Con:.trtM.~, ", ;.-
luarantees Work apin.t defeCt, in worknwllhip
for a period of one year to the orilinl'
purchaser. The parllatee does not cover
dam..., CIU. byhi8h winds. tornadoes.
hurricanes, or any other acts of Cod.
d. -~ /t51,~ .
A........ ~Ye <:,":.;;"
In -'event seller ha, to sue~coi1eetion or all or any part or cantract
price, "purchaser -arees to PllleetiOll costs incJudin. reasonable
Attorney rees.
.
\
Slln TUT.U
SAI....._" TAX
RUII.D1N(; "FoRM IT
, .V
Please make &Ii ehecb ...,able to Lewis B. McKell,
CHAND TOTAL
A_t
...
\
, \
.
.
.
. t?(J?: t.r"
. ......_c.
David Hayford
d/b/a FIRST CLASS ELECTRIC
5519 Gall Blvd,
ZEPHYRHILLS, FL 33541
(813) 782.7861
License #00 11517
cu O....ER.S OR N.
/" :~7
2c"
NA....E T'~ /, .. .'.. /~)
A[;)[;)RESl.::,']1...'~:)2L.: J..~t:}.. ..,. ..,/(dA.w....../L-;t-.t..0-<i:~<,.,"
I
i\
f
r
f
I
i
I
w..'w,;;;;:r"........f....w., .'....... ,........
/ . ", /""/(' /'J /
,c-.. / /?(i('l
,/6"
1
.... ... w.. ........!.
I
..., '" ." ..... +. .
I
,...... "". .",.... 'j
I
. ,>/0..,..."."';/;,'...
/ r<' /4 (?
, -{;....... ....(.....................................
/
y' ... .P_h ........__.._ ........ ,/' ...../..
'-v/
.,' .,./ ( 't:/
.. .. ........,..,,,..
/
!
.... . ... ... . ,I.
(.r....)
0;;2(\...+. '
I
w..t..
,
,
!
,
I
I
r
,l
. ......-....... ............ -..............-............................................. ..... ....-.......... ........ "0 ... ......... ......._.... ,
...........w.. ...". ........1.
. ". ..,\ ..
I
\
f
"
,
TAX
RECEIVED BY
f
;
TOTAL
All claims and returned goods
MUST be accompanied by this bill. %.ank C:;You
A~"'~i .L~,
In "'~ent Seller h'. to .ue~oileetion 01 all or any part 01 COIluact
~~.:..~=~ ...... to "1:....... ...... ....,....... __bIe
,
p .'
J
Please make all checU pay.We to Lewi. B. McICell.
".,.:.- ',' ,;..;~~iiI'i""tll;,<,., ,- "':< ,.-.~'::. :.:~::.-.~., ", "'....;.",.:t:<:..,,,, 'N" '.
)..- . ~ ...__ .,..,-1(:1 ~_ .... "","_ J~~U. ............1!1>'''''"',. ...,
CIIup 0rW He.
jn
.,
c.eracc He.
1A1UNG ADDaE.~~
1
I WCIX,TOU COMPL1!TED
~
!
I
! A.....t
,
~/X 3' tl'
I
i " II
~~~4 {-
j
lie..
1
1<;-
~ Ill/if ~
I
I
!
"
,
. '\
slIn TUT.U .
SALF.S TAX .
RU 11.1)1 N(; I'F.RM IT .
CIfAND TOTAl. . ~(J~ O"l'
APPLICATION FOR PERMIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
OWNER I S NAME r::;uI- r&'.Y fl P/ / () e; / ,iP ~ _ 4 _ ~ PHONE .
llIIIlBR'S ADDRESS ,YJ? il-P ?/t'/ I {If{ LV <;L ~ rnf"'- ~-' 1.// ~ ,r/ (:s- ~/
JOB ADDRESS L5~~L/ tft/!// ,t/5//C::::/ :2.~/~40-.rh</~, F/ 3'@S-p'/
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL I.D.' 1/- .;). 6- (:J. I - () 0 ( 0 - () :J... 00 - (J~'j()
WORK PROPOSED:_New Construction ~ddition ____Alteration _Repair ____Install
_Sign
Hove
____Demolish
PROPOSED USE:
Single Family
_M/F
_, of Units
_M/H
_Commercial
_Indust. _Swim. Pool
Other
____Restaurant &: Health Department Approval
BUILDING SIZE:
x_,
Square Feet,
Height
RESIDENTIAL: A'l"J.'ACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET DUGY FORMS. **
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
_BUILDING
ELECTRICAL
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_V.R.E.C.
MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block _FraBle _Steel
Other
FINISHED FLOOR ELEVATIONS:
Fl'.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
BUILDER
CONTRACTOR SECTION
/ C<IIPAIIY q!;5 <1;;~// &451',...-
~ ~~~ State Cert. or Regi t.' C~/2..--..33S---
(. \ /11' 0 ~~>~~ \ City License Registration' . if?
~ ' ******************************************
COMPANY r:;e -1' t (-. / ff S ~ f~/p C( If " C
State Cert. or Reqist'. , 00 If :;-/7
City License Registration' /~cl
**'**************************************** .
Signature
~LUMBER
v COMPANY
State Cert. or Regist. ,
City License Registration'
******************************************
Ugnature
~ECHANICAL COMPANY
State Cert. or Regist. ,
~ignature City License Registration.
******************************************
lTBER COMPANY
State Cert. or Regist. ,
Jignature City License Registration'
******************************************
~PPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
fbe undersigned understands that this penit JaY be subject to 'deed restrictions' wbich JaY be lOre restrictive than City
regulations. !be undersigned assU1e8 responsibility for Impliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they uy 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 lilY be
cited for a lisc1t!1ea1lor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
reguirl!leDta lilY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building Deparblent, (813)
788-6611. .
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
'Contractor Sections' of this application for wbich they will be responsible. If fOU, as the owner sign as tile contractor,
you are iDc1icating that fOU, rather than the contractor, are responsible for the wort. If the contractor wisbes fOU to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to peilitting priVileges in the
City of Zepbyrbills. ' .
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Plorida's construction Lien Law - lbIeoImer's Protection
Guide' prepared by the Plorida DepartJeot of Agriculture and ConsUIeI Iffairs. If the applicant is 80IlKIlI other than the
'owner', I certify that I bave obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the
'owner' prior to co.enCl!lellt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
. I certify that all the infoIlation in this application is accurate and that all work will be done in COIpliance with all
applicable laws regulating construction, loning, and land developlellt.
Application is bereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
installation bas CDlenced prior to issuance of a penit and that all wort will be perfoned to .et standards of all laws
regulating construction, City codes, loning regulations, and land developlellt regulations in the iurisclictlOll. I also
certify that I understand that the regulations of other gov8IDlelltal agencies IIY apply to the intended wort, and that it is
If responsibility to identify wbat actions I lUSt tate to be in cmpliance. Such agencies include but are not luited to:
t Departlent of InvirOlllelltal Regulation - Cypress Baybeac1s, Wetland Areas and InvirOlllllltally Sensitive Lands,
Water/lfastewater !reatlent
t Soutbllest Florida Water Jlanaglll!llt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArIy Corps of Engineers - Seawalls, Docks, lavigable Watenays
t Departlent of Health i Rebabilitative Senices, InviIOJllental Health Unit - IIells, IIastewater !reatlent, Septic lanb
t US Envil'OOlental Protection Agency - Asbestos abatl!lellt
I also certify that, if fill taterial is to be used in Flood lone 'I' or 'A,etc.', it is understood that a drainage plan
addressing a 'CCMIpeII8ating vol_' will be subtitted wbich is prepared by a professional engineer registered In the State of
Florida prior to penit issuance.
A penit issued sJlall be construed to be a license to proceed with the wort and not as autbority to violate, cancel alter, or
set aside any provisions of the technical cocles, nor sball iuuance of a perlit prevent the Building Official frOl thereafter
requiring a correctiOll of errors in plans, construction, or violations of any code. Ivery penit iuued &ball beCOll! invalid
unless the wort authoriled by such penit is co.enced within sil IOI1ths of issuance, or if wort autborbed by the penit is
suspended or abandoned for a period of sil IODths after the tile the wort is ~ced. One 90 daJ lltension of tile, .J be
allowed for the penit with fee ebarge of $15.00. !be IItenaion .11 be requested in writing to the Builc1ing Official. An
approved inspection lUSt be logged during eaeb sil IOI1th period, or the project will be considered abandoned.
"ARMING to OVIIR: YOUR FAlLORl to RICORD A IOIICI OF CCIlMIICllllllIIIY RlSULf II YOUR PAYlIS !IIICI FOR lIIPROVIIIIIIS to YOUR
PROPIR'IY. IF YOU lIDID to OB!III PIIIICIIG, COISUL! 11I0 YOUR LDDIR OR U AnomY Droll RICORDIIG YOUR IOIICB OP
aJtMBICIHIIIt'. JOBS UlDII' $2,500 II VALUE DO 101 DID to RECORD UD POS! A 'IOIICI OF aJlMDCBIID!'.
VL~#--
~rtJRI: omR 'OR
SIGllrtJRI: CON!RAC'fOR
SrAfl OF FLORIDA
coum OF
Tbe foregoing instl'WleDt was acknowledged
before me this , 19_ by
SfAfE OF FLORIDA
COOIfi OF
Tbe foregoing instrument was acknowledged
before me this , 19_____ by
wbo is personally known to me or wbo bas
produced
as identification and who did/did not
take an oath.
wbo is personally known to lie or who bas
produced
as identification and wbo did/did not
take an o~th.
(Signature)
(Hue Typed, Printed or Stuped)
HOTARY PUBLIC
(Signature)
(Hame Typed, Printed or Stamped)
HOTARY PUBLIC