HomeMy WebLinkAbout94-4045
BUILDING PERMIT
CiTY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
4045E
Date
,S--/9-9Y
~~ .-J ELECTRICAL PLUMBING MECHANICAL
::~:::,~,:~e:i ~ Z ~~/!L~:/I-
Parcell.D. # ~ -.;Lb- ;;2/- D t?&-CJ- (j CJ/ 0 CJ .- 0/ b 0
Sewer Conn
Water Conn:
Water M.!l.ter:
T,I.F.'s:
Zoning:
Description of Work
Energy Code:
//t ;r
Radon Gas:
FINAL~,',-2b t.f
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordarr:-e with City Codes and Ordinances.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
;Ls'. o-u
~rP V 1fdP7/;:'
Valuation or
Contract Price ~ Y %0 . 0-0
City License Registration #
State Certified License#
O)-..!""YUV1-
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/1 00 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.
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APPLICATION FOR PERMIT
CITY OF ZEPIIYBIIILLS
BUILDING DEPARIIIENT
OWNER'S fWtE LLo V.D w. !lAiN ~:5
OWNER'S ADDKfSS IJ CJ 1. C) / / -!!f S/ Z rfJ#Y.e J.//' L L 5
JOB ADDRESS 6?7-3!'J // -6 5/ 2E P/lIf'/2/.1-/'1/5 rL
PHONE 913-..32::J 7
F L 33.5"740
335)Lo
LEGAL DESCRIPl'IOIi: LOT(S)
I/-,
BLOCK /
SUBDIVISION "r V5 0 /V
/
PARCEL I.D.t~C2::0 '-d.I-~oSO-OOI qo - 01(;,0
WORK PROPOSED: v" New Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_ne.olish
PROPOSED USE:
Single FaIIUy
_"IF
_' of Units
_If/H
_ec-ercial
_Indust.
_Sv18. Pool 5flJk'4&E 5f1cO Other
_Restaurant 5: Health Departaent: Approval
BUILDING SIZE:
Id-. X /.;2 .
I C/-~
Square Feet,
/0 " tf It
Height
RESID.ENTL\L :
COlftIERCIAL :
ATI'ACH (2) PLOI' PLt\IiS 5: (2) SETS OF BUILDIliG PI.ARS 5: (1) SET ENER.GY FORMS.
ATI'ACII (3) SEtS OF BUlLDIIiG PLANS 5: (1) SET ENERGY FORItS.
PROPERTY SlJKVEY KIlQUIRIID FOR ALL IImW OONSTRUCl'ION.
PERlfITS REOUESTED
-LBUlLDIRG
$
boo,
Valuation of Total Construction
_ELECl'RICAL
AIIP Service
Plorida Power Corp.
W.R.E.C.
_KECIIMflCAL
$
Valuation of lfecbanical Installation
_PLUKBUG GAS ROOFING
TYPE OF COlNSl'RUCITOIi: _Block L-Fralle _Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA? ~
YES NO
..........................................
CONTRACTOR SECTION
BUILDER COtIPARY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
ELECl'RICIAIi COItPAn
State Cert. or Regist. ,
SiPnature City License Registration .
...*..*...**..***......*..*...............
PLUHBER COtIPANY
State Cert. or Regist. .
Signature City License Registration ,
......................*...................
KEGllAliICAL COKPARY
State Cert. or Regist.. ,
Signature City License Registration .
..........................................
I
OTRF.R COHPANY
State Cert. or Regist.. ,
Signature City License Registration ,
..........................................
APPLICATION APPROVED BY PERllI.T OFFICER.
",,;'. l'
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersignec1 understands that this perait laY be subject to ldeed restrictiCll81 wbieb lay be lOre restrictive tban City
, reguJaticms. !he undersigaed BUIll respoasibility for cmpliance with any applicable deed restrictiCll8.
B. UNLICENSED'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OlDer bas blrec1 a contractor or contractors to undertake wort, they laY be required to be liceDSec1 in accordance with
state and local regulatiOD.ll. If the contractor is not licensed as required by law, both the 0IIDer and cootractor _y be
cited for a .isc1l11a1lOr violation under state law. If the 0III1er or intended contractor are uncertain as to what licusing
reguiruents laY apply for the intendec1wort, they are advised to contact the City of Zepbyrbllls Building Depart:lent, (813)
788-6611.
FurtberlOre, if the OlDer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiOD.ll of the
IContractor SectiOD.llI of this application for whieb tbey will be responsible. If you, as the OlDer sign II tile cootractor,
you are inc1icating that JOU, rather tban the, contractor, are responsible for the wort. If the contractor wi8bes fOIl to sign
as contractor that _y be an indication that be is not properly licensed and is not entitled to perlitting privileges in tbe
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMEHDED)
I certify that I, the applicant, bave been provided with a copy of IPlorida's COnstruction Lien Law - lkIIeoImer's Protection
Guidel prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8OIl!OIIe other tban tbe
1000erl, I certify that I bave obtainec1 a copy of tbe above described c10cuIeDt and promo in good faith to deliver it to the
1000erl prior to ~cuent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infOIliltion in this application is accurate and that all wort will be done in CfJIpliance with all
applicable la18 regulating construction, loning, and land develo~t.
Application is hereby lade to obtain a perlit to do IfOrt and installation as indicated. I certify that DO IIOrl or
installation baa CDleDced prior to i881lallce of a perait and that all IIOrl will be perfcned to _t standards of all 1_
regulating construction, City cocles, loning regulations, and land aevelOpMDt regulations in tbe jurisc11cUOIl. I also
certify that I understanc1 that the regulations of other goverDleDtal agencies _y apply to the intenc1ec1worl, am1 that it is
IJ responsibility to identify wbat actions I IUIt tale to be in COIpliance. Such agencies include but are not lilited to:
t Departlent of InviIOllllelltal Regulation - Cypress Baybeads~ Wetland Areas and InvirODleDtally Sensitive LaDds,
IIater/llastewater !reatlent
t Soutbvest Florida later JlaDaguent District - lIells, Cypress Baybeac18, lIetland Areas, Altering IatercoUrses
t AIIY Corps of In!Iineers - Seawalls, Docb, latigable lIaterways
I Departlent of Health , Rebabilitative Services, InvirODleDtal Health Unit - lIells, lIastuater IreatMnt, Septic !anD
I US InviIOllll!Dtal Protection Agency - Asbestos abatl!ll!Dt
I also certify that, if flllllterial is to be used in Plood Zone IAI or lA, etc. I, it is understoocl that a drainage plan
addressing a lCOI(IeD8iting vol_I will be sw.itted wbleb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sba11 be construed to be a license to proceed with the wort and not as autbority to violate, cancel alter, or
Bet aside any provisions of the tecbnical codes, nor shall i88U8DCI of a penit prevent the Builc1iDg Official fa thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit iasued aball becme invalid
unless the wort autboriled by sueb pmit is ~ced within su IOIltbs of iB8U1DC8, or if worl autboriled by the perlit is
suspended or abanc10ned for a period of su IODtbs after tile tile the work is co.enced. ODe 90 day atension of tile, laY be
allowed for the perlit with fee charge of $15.00. lbe atenaion sba11 be requested in writing to the BuiWng Official. In
approved inspection IUIt be logged during eaeb sillODth period, or the project will be considered abanc1oned.
WARIIIIG !O (MIll: YOUR PAILURI !O RICORD A KOlICH OP aJlllBlCllllllllAY RBSUL! II YOUR PAIlIG nICH POll IIIPROOIIIIIS !O YOOIl
PROPmY. IF YOO U'DID !O OB!AII PIIAlCIIG, COISOL! IIID YOUR LIIIDIR 01 U AnoRIIY BIPOJIB RICORDIIG YOUIIOIICH OF
aJIMIICDIBII!. JOBS UIDIR"2 ,500 III VALUB DO IO! IUD !O RICORD lID POS! A IDICK OF CCIIIDCIIIIII!I.
SIGllAIURI: COJI!RAC!OR
SIGlAIURI: CIIIBR OR AGII1
SIAII OF PLORIDA
COURY OF
The foregoing instrument was acknowledged
before me this , 19____ by
StAll OP FLORIDA
coom OP
The foregoing inst~t was acknowledged
before me this , 19_ by
who is personally known to .e or who has
produced
as identification and who did/did not
take an oath.
who is personally known to .e or who has
produced
as identification and who did/did not
take an OiJth.
(Signature)
(Rue. Typed, Printed or Stuped)
ROTARY PUBLIC
(Signature)
(Rue Typed, Printed or Stuped)
ROTARY PUBLIC
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