HomeMy WebLinkAbout94-3827
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N 9
_ 3827/3
~.-----.....
:~'LD1N)
,--~
Property Owner: C.
Job Address: ~f-Lf!
Date ~ -'/-9 Sf
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
!2~ _b,
Water Conn:
Water Mejer:
T.I.F.'s:
Parcel 1.0. #
Zoning:
Description of Work
~Energy ~ode:
~
Radon Gas:
qq
\ ~.;~ /
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
c.o.
DATE
"
I
Inspector
~.
City License Registration #
State Certified License#
1/Y
:~;~~::':;Otd~~ 1iJ~~=
Company
Address
Telephone#
Valuation or ")
Contract Price U 7~--' P()
IJ5i:;)j )/f~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway 02/07/94 bill
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 ot'rson
same.
APPLICAnOW FOK PERllIT
CItY OF 2.Il;mI'RHIT.L~
BUII.DIlIG DEPARnuJJIT
OWER'S NAItE Q L0 'D n:...W
OWREK'S ADDUSS l..f ~4 I l ~ ~ 5J-.
FIIOIIIE
JOB ADDRESS
~JY\ r" _
LEGAL DESCRIPl'IOII: I.OI'(S)
~SUBDIVISIOIl
PAR.CEL I.D.' I'-I-~ -.:< I -66/0 - 0 ~;)...OO -CJO 3-.0
liOn PROPOSED:_lIev Construction ~t.ion _Alt.eration _K.epair _Install
S.
- 19D.
_Hove
_>>e.Dlish
PROPOSED USE:
Single Fa.ily
_lI/F
_' of Unit:s
_lI/H
_ec-ercia1
_Indust..
_Stria. P001
Ot:her
_Kest:aurant. 6: Hea1t:h ~t Approva1
BUlLDIIIG SIZE:
x
~ Feet.
Height
RESIDENTIAL:
aJIttIERCIAL :
ATI'AaI (2) PLOI' PLAlIS 6: (2) SEI'S OF BUlLDIlIG PLAlIS 6: (1) SKI' ElIERGY FORtIS.....
ATI'AaI (3) SEI'S OF BUII..DllIG PIAJlIS 6: (1) SKI' ElIER.GY FORtIS.....
....OOpy OF OOllT.RAcr BIlQUIRED.
PERIIIl1S REOUESTED
~~LDING
$
375.0-0
Va1uation of Tot:a1 Construction
_ELEcnuCAL
AIIP Service
Florida Power Corp.
W.K.E.C.
---1fECIL\lIICAL
$
Va1uation of lIechanica1 Inst:allation
_PLutmIIiG GAS ROOFIIIG
SPECIALTY
TYPE OF OONSTRUCI'IOIl: _Bloc1t _rr:.e _Stee1
Other
nnSBED FLOOK ELEVATIOIiS:
Fr.
IS PROJECT IN FLOOD ZOO AREA?
YES 1i0
...............................................
RIITU)F.R
aJlIDIACI'OK SECl'IOll
W!lPAIIY J:#H rfJa5()NR-I~l"Y}+ } nc...
.4 .....-:-:> J St:ate Cert. or Kegi.st. I .
~~ .[<,/)L){ JJ;' City License Kegistration' {./{/-
..............................................
Signature
ELEcnuCIAli
W!lPAlIY
State Cert. or Kegist. ,
City License Kegistration ,
.................................................
Si.....Ature
PI.lIIIRF.R
aJIIPAlIY
State Cert. or Kegist. ,
City License Kegistration ,
.............................................
Signature
IlEalAllICAL
aJIIPAIIY
State Cert. or Kegist. I.
City License Kegistration .
............................................ .
Signature
. ~
~ .~
0T1IF.R COIIPAlIY
State Cert. or Kegist. I
Signature City License Registration .
................................................
APPLICAnOIi APPROVED BY PERIII.T OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules 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, they are advised to contact the City of Zephyrhills Building Departlent, 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 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 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 Departlent 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 prolise in good faith to deliver it to the
"owner" prior to cOllencelent.
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 developlent.
Application is hereby lade to obtain a perlit to do MOrk 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 that 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 cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environaental Requlation - Cypress Bayheads, Wetland Areas and EnvironlentallySensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environaental Protection Aqency - Asbestos abatelent
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" 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, Dr
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 tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of 515.00. 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 OVNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR
PROPERT:,~F YOU INTEND TO OBTAIN FINANCING, CONSULT VITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CDIt"ENC(NT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COIttlENCEIlENT".
~~ ~. ~..I'~ .fA.
SI6NATURE: OIlMER OR A6ENT SI6
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA ~
COUNTY OF iJ
The foregoing ins~~t was ackno~ledged
befc.re me th i s ..::{H. f3, 19...2:!!:.. by
~"""\Illl/I1',,,
~,""\ ~ .~.~~I ~III/~
'". h~ has
.. ~
. -
who is p
pl-oduced
as identifi
take an 0
:noi
i .::
. -
.... ~
. ~'q; ~
~ r"".. ...d'\. ~
~ '~ .......... 0' ~
~/Il 0 F F\.: "\",,,
'111/'1/ ""'\\
or St'aMped)
(Name Typed, Printed
NOTARY PUBLI C
... .-------...
'~"~.",~.illl''''''''''f.'''~(-+'~'~~,.;;::;;~~~,,,:,,,tl,.IM~,, , "',
STANDARD FORlYI OF AGREEMENT
BETWEEN CONTRACTOR AND OWNER
TIllS AGREEMENT m.do tho ~~~ do, of r'ee.
Nineteen Hundred and N/N - -"'0 , by and between G.ed113~
hereinafter called the Contractor, ann '(!.tL) /. ~
Owner, Witnesseth, that the Contractor and the Owner for the considerations named agree as follows:
It} the year
~reinafter called the
ARTICLE 1. SCOPE OF THE WORK
The Contra
entitled
prepared by
Contract Documents entitled the
. , Specifications and the Drawings.
ARTICLE I. TIME OF COMPLE110N
The work to be performed under this Contract shall be commencedl2S ...5'-LIJJ ~ fJl!:e/nir i~ )~eV~
substantially completed. lL:>I'7JIIN ()Nl? ~~
f ,.::;:, m"erl'''~o= .U 0' tho ~,k .ho~ on'" 0.._.. ODd deo<ribod in tho SpedB"tiom
_.. . /;Vt!- . , . acting as and in these
rchitect, and shall do everything required by this agreement, the general conditions of the Contract, the
And shall be
ARTICLE 8. TIlE (l()~CT SUM
I ;' , . . , ~: , r ," , '
The Owner shaD ~~~" . ,~rfOi/l!L;.2f the Contract, subject to
funds as follows: ." .' , , :,1 /2..EA
. (8-.. bent th8 lump .- lUllOWlt, UIIlt prioeI, 01'
Authorized Change Orders will be submitted by the Contractor for all work nol speciflcally included in this Contract.
ARTICLE 4. PROGBESS PAYMENTS
(Inllel't here any provi:!lo11. made for the amount retal.ued after the work reaches a certaht ltage of completion.)
ARTlCI.& S. ACCEi"'fANCr: AND FINAL PAYMENT
FInal payment shall be due-~_da>1t.&: substantial completion of the work provided the work be then fully completed
and tile Contract fully perfonned.
ARTICLE 8. THE CONTRACT DOCUMENTS
The General Conditions of the Contract the Specifications and the Drawings, to,ether with this Agreement, form the Contract, and they
are as fully a part of the Contract at ii hereto attached or herein repeated. The following Is an Itemization of other essential pertinent
iDformation:
~\",'tlIIUI""111.
~~.. II! ELL! 111,~
~ .....--=..........O}- ~
~ ~''':.:;.:01Aft,.:...;. ~
~ ...~ ... ~
d' h. ~i:) J
Owners, tJ\.... : ~ ;:
":::.. -~'."~UB\.\V.""...Q,f
~ ;'>- '. .' <"1.' -,::!'
~ ./~ ......... C\'r~:'"
"~'./".l 0 r F ~ \\\......1
"""1/'11I1111\\
~\"""n""111111.
~"\":Eo ELLI III/I/,
.tSfo ....+ .......... o...),~
~ '>.'r... 1'A 0 ..J r 'l.
;::: '^'.~O' 'Ty'. 'l.
~ .,...,-. ~ . ~
lie ....~
- . . -
:: . g
8I1M.NO... 1'0ltM ..8
i'r
~ ,,\-2'
-1}~
"
~
"
~
~ ~ rJ'-'
~ uJ.-
'" v:>\'\ \' ~.
\\ \)~-y~ .fA_O-
(0/>11: (). -c'-\.
~,
~ -
~\P
~
~~
~ ~
3 l~
(t\ v J
l~
.
Notice to Lill contrnctor~ concerned \.lith concrete for tho dasign,
fnbr1cutlon, and erection of Aluminum Structures Only.
P:tcio Slnb's: Hlnimum Olx12" footer \.I/2U 5 rcbnr.
Effective November 15, 1990 concrete Ilhall be installed as l'c'1uln:cl
in detail beloy.
.
'1. 500 r<e. I co.~".
.. .-"-",FooT, \-..\~ ~... f'OOL. ~Nc:..Lo~U~ec..)
...
roOQ. i Go '-l c.. .
:"':.~" ,-" I.;' 0 w.w. "".
~e.~LIt...
~e.e.~tz.."t:II.T, e f!J'.otl 0;"
.z . w r:-,;, {l ~ f-l:; A ~-::.
CO S\.1EO All.f!:. ~6.I~E.~ 31h.1l
Z~'r'" c..o."c...
"
n r ..:.............
~ .' . . .' ,-1..:. ';' ..:.... ._'.
- r;- --I< "-.' ,... .' ,,,
---- ...... ... . .\ .
,~.hi~~ ..7" " -f':jJ, .:.::..:.::-.::'iiiji::"., }~I _. II '
hj~'" ..~ "1;!: -... . -., .
. .", .' ... "- (, .. c. ... '. ::>.y. 1>. 'i-!. 'tl.I,.J. . .
. ,.' ":::-" :"::I~'i';:;:r~ I _.It. s'~ .~ Ii ~Ac.... .. '.
J _. .
-:- :; '/Z II
'~
j,j\
Notice to nil contrJctor~ concerned uitl1 concrete for tho daslgn,
fnbricntion, anu erection of f\ltllnln~trlJcturc~ OnlY.
r..clo Slab's: Hlnimum [)1I)(12" (ooter 'oI/2U 5 fobnt'.
~f(cctivc November l5, 1990 concrete ~hall be installed as l'cquln:c1
in detnil below.
~O'4c- .
~r:.~tl.K..
..,-'-~'FOC>T'~~ ~.. f'OOl- ~N~Lo~U~E:.S
I
J f~~):;~ _~t2,.c,J~~6-. SLAe, -c
II/''-n--../,! /". "~= ',. = ''-__:, --.J71 1-4 t-= E.. VV 6. L L.; f) i\ ~ '" I (.., eMU
r,nll ;.~;.-: ~_. 't _ ._ .
.. -r-l - '~}IFjil ,~, .~ .::: i 1/ r~I.~
t:'1 .'. L. _ _
O'J 1'11')' ~ ... ::,:~ ,z. .t. :~.1 {J r~ e.~Aa..-:..
' "I.. :;-j __
.. ou--_l__ ~ _ t -:7-~;:: -'~ili~
~,_I? ;;:2:11~1 3:f
I
r"C. , Co 1-.1 c.. .
. ..... .
...
~:.G."c.,. 1.;'0 w.~,,^.
~E.~L~
~e.e.'\cz.''/t:U.T. e (;'.0.10/(..
-, '2,i, ~~~. .~;;'.::~---:- m: ,~::: i',"~ Z:~ '.:: ':::: .: 3 'Iz "
l.~~' ~ ~:~ ..::Ji!,' \" . .
, ----._.u..~, :-... c.. c.... .::0/10 'l.t'll.!.},..
. . _. \ ,I :::'-J~I ---... l~'.t) r;j,~ k ci. ~A.c.... ..', .
., -.
.. . ..
_ S~r;o Art-f'!:. ~6.1~E.6 3'11. u
Z~.x::o . r'" c.. 0 ~ cj .
"
1
I
"
~
.....
-\ vJ"vJ' r-
"{I
~ wl vJ .
tl v~wr ~.D~
to v'1'{
p(f
f~ . \
1{!
..
~-
.... '.-."
~\
~(p
~
~~
~ ~
%\~
..
. /