HomeMy WebLinkAbout94-4064
BUILDING PERMIT
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BUILDING
yc2 /;. (Jz)
ELECTRICAL
CiTY OF ZEPHYRHILLS
(813) 788-6611
?02,s (J
PLUMBING
Permit N.~
4064,tJ
Date --5 -: cJ-s-- -,91
/~'..o-o
MECHANICAL
Sewer Conn f?9:J. ....5'b
Water Conn: I j /;2 ,-.5 0
,
PmpertyOwn.. :J;~~2.f!.cd~'.,(J ~
Job Address: 7CJ_ ___._ .
Parcell.D. #
Water Meter:
TI.F.'s: /3. H f. 0-0
Zoning: ~nergy Code:
Description of Work ~/\/~
-~U ~:;;J ~n1.-
NO OCCUPANCY BEFORE C.O. d~ jJ~ y-.,2.,-p~-
Radon Gas:
FINAL 1/ ..-z.t.
DATE
C.O. ~I - '1 - ~-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarr:-e with City Codes and Ordinances.
Inspector
P~rmit Fee /G !f?~()
Signature ~
Company
Address
Telephone#
Valuation or
Contract Price
I J~o. 000. o--U
-
City License Registration # J3]1
State Certified License#
BUILDING
ELECTRICAL
/l}o AfJ7A flud
PLUMBING /s-J--'
}/~ jJtJU~
MECHANICAL /07
Cf~~
~~;2~~
Ftr, ()~ ,If/Nt>
Pre SLB
Lintel
Tp, Serv, SLB Breakers
Rough In Tub Set Ducts Insl.
Meter Can Water Compressor
Canst. Pole Sewer Final
Pool Final ~ .........~..
Pre-Meter her
Final Il/J
. ,/1e z. 23 (1/ <( t1 'i. //18 L tt (~
CHu..K 11+~f'C.H~ ~WL. 1/J&tt..:X::t (r5VW( ~
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REINSPECTION FEES: When extra inspection trips are necessary du to anyone of the fOIlOW.i r
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for eac 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.
FRM,
Insul. CL
WL
Driveway
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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E.ASf rfr6a> ME..i~. C.,;J-riA-TATlLE A - h70RKSIIEP.T
C Itrn~ 0"^- / L.o B 8y J CITY OF ZEPIIYRIIlLLS CONNECTION rEI~S
RESOLUTION iF 3 12 \-lATER $1. 75/GALLON SEWER $6.39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence - $ 3-50,00 $1,278.00
Travel Trailer Pat'k 131.25 1,79.25
COMMERCIAL (PER FIXTURE)
Sinks 87,50 319,50
\-later Closet 131,25 " 7 9 . 2 5
Urinal 87.50 319.50
Lavatory ',3.75 159.75
Tub/Shower 87.50 - 319,50
Hashing Machines-Commercial Size 350,00 1.278.00
Washing Machines-Domestic Size 87.50 3J9.50
!
FOOD SERVICE - Dislnvasher 700,00 2.556.00
Sinks (3 Compartment) . 175.00 639.00
Car \\'Bsh (Per Stall) 1,000.00 6.390.00
FIXTURE G,P.D. il HATER SEI\ER TOTAL PER FIXTURE
Sinks 50
Water Closets 75 7 11~, 75" 3, 35~~, ~)s ~i 2..73 .'SD
, I
Urinals 50 J q7 S''O '1JQ 5"0 '-t 07 o~ -----
Lavatories 25 \':5 Db ., r" J I I Ii l. 5' f i..f'"2 i I S.' ,',
j )
Tubs / Shmve rs ' / I
50
Washing Nachine 200
Hashing 1'Iach ine 50
Dishwasher 1,00
Sinks-3 Comprt 100
Car h7ash-p/st, 1.000
I. ?J l, >() 4. 7C"Z ~. D I. J - ,:) ,)
; 1 , ffJ.,05t
,
"
h'A TEF: l'lETER
GRANn TOTAL
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.
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APPLICATJ:OIIII FOR PERKI~
GI'IY OF ZEmYltlIiu..s
BUII.DIRG DEPAR'DIENT
OWNER'S NAME /fLJYe'JlJ/6r . #.t!fA.(?JV~/.s7~/I11/ SUAl,.6t7 PlIONE r.' ~ ?8!?"~"">'I~' I'n
OWNER'S ADDRESS ~ EA57~$to /dELJ/~~ eer/761Z
JOB ADDRESS 7/).2D f1/1LL ~"AJ) / .zEPt!I)'.eN/~ . ~ .7.:?.fjlc
LEGAL DESCRIPl'IOI!I: LOI'($)
~SUBDIVISION
PARCEL 1. D. f
&1:' A?7A<!..11€ /)
h1lRK PROPOSED:-LlNfev Const:ruction ---.J\ddit.ion _Alt.erati9n. _Re~ir.__~.tall
_Sign
_Hove
_DeIIOlish
PROPOSED USE:
Sing1e Fallily
_tl/F
_, of Units
---.Jf./H
_eo-ercial
_Indust.
_Swia. Pool
Other
_Restaurant &: Health Depar~t Approval
BUILDING SIZE:
x
Square Feet,
Hei~t
RESIDENTIAL:
eotmERCIAL :
ATTACH (2) PLOT PLANS & (2) SEIS OF BUILDING PLANS & (1) SF:I' RNERGY FORMS...
A1TACH (3) SETS OF BUllDIIilG PLABS &: (1) SET E1NERGY FORtIS. **
.*COPY OF CONTRAcr RIlXlUIRll:D.
PERKITS REOUP..sTED
_BUILDING
$
Valuation of Total Construct.ion
_ELECI'RlCAL
AKP Service
Plorida Power Cbrp.
W.R.E.C. .
_tlECllANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS .ROOFI~i(;
~J.'ti~_lAL'l'l
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FDfISDED FLOOR ELEVAnOBS:
FI' .
IS PROJEeT' IN FLOOD ZONE AREA?
l'ES NO
******************************************
8UILDER
mln'RACJOR SECTION
~ . COIlPANY ~ ~...n:e"~~1 Co, ~<
. ?::/. Stat.e Cert. or Regist. f CQ . c..Ok! ~~
'7'V'U- City License Registration' -- '3
******************************************
. .' " I \....
WllPANY ~-/'~. ~ ~-.~. ~.'
State Cert.. or Regist.. , - <!.f2~ ~ s 3 ' .
City License Regist.ration I b<~-3
******************************************
Signature
EI.ECTRICIAN
MECHANICAL
JI'
(DIpAlfY ~LLbJ YJt /)fj- ~
~ . SUte Cer<. oi{Begis<. I .. - .
City License Regist.ration I 'J ~
.. ************.**.************************** . . ..' ,~
COIlPABT I/o~k )1thf~ ~..
State Cert. or egist.'
City License Registration" I () ~
***********_**-**************************** . I
PLUKBER
Signa ture
Signature
\.r ,'l _ ,Y /1
I
,
OTHER
.1,-" ( i.'~
Signature
cmtPANY
St.ate Cert. or Regist.. ,
Cit,r License Registration ,
*t~********.***.***********************.**
. . _ ~ t
APPLICATION APPROVED BY
PERHIT OFFICEN. ,.
ft
:.'i~
_.
..
~T~~-'''''''''''''''~ - - --,=.~ .."., -- -""'COND I T IONS'" OF PERM IT. AFF I DAV l\r :r '....-.-..r"
A. NOTICE OF DEED RESTRICTIONS ~ ..~.' .'
The undersigned understands that this per.it .ay b~ su~ject tu.aeed restrictions" which lay b. lore r.strictiv. than City
regulations. .The undersigned assu.ls responsibilit( fOT cD.pliance with any applicable deed restrictions. .
B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
If the owner has hired a contrac~o~ Dr contracto~s to undertake work, they .ay be required to be licensed in accordance with'
stlte and local regulations. If ltii""cllriErachr h.\1otA;!icensild.as required by law, both the ollner and contrachr ..y h. '
cit.d for a .isde.eanor violation under stat. law. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are a~vised to cGntact the City of Zephyrhills Building Depart.ent, 18131.
788-6611.
Further.ore, if the ollner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
"Contractor Sections" of this application for which they Nill be responsible. If you, as the ollner sign as the contractor,
you are indicating that you, tather than the contractor, are responsible fOf the 1I0rk. If the contractor IIi shes you to sign
as contractor that .ay 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 - H~'eoNner's Protection
Guid.. prepared by the Florida Depart.ent of Agriculture and ConsulI!r Affairs. If the applicant is soltone other than the, ,\.,
"oNner", I certify that I have obtained a copy of the above described docuaent and proaise in good faith to deliver it to the
"ollner" prior to co..ence.ent.
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 co.pliance Nith all
applicable laMS regulating conslrurtion, zDning, "a'bd land developaenl. '.
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that .no work or
installation has cOI.enced prior to issuance of. a per.it and that all work will be perforled to leet standards of all 1 ails ,
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
'Y responsibility to identify Nhat actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
f Depart.ent of Environ.ental Reuulation - Cypress Bayheads, Hetland Areas and Environlentally Sensitive Lands,
.Water/HasteNater TrEat.ent
f Southwest Florida Water Kanaoelent District - Hells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enuineers - Seawalls, Docks, Navigable Waterways ,.
I Departlent of Health & Rehabilitative Services. Environlental Health Unit -Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection Auency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" Of "A,etc.", it is understood that a drainage plan
addr!!;!;!!'g' a .Ctl!!~!!!!;aH!'!~ ytl!!!!!!" ll!!! h~ ~!!~;'i"~I~ ~h!~!! !!; ~!'e~:m'~ !!y ~ ~r!'f!'!;!;i"'!~l e!!gi!lp.!!~ !'e~!ib!r!~ !!!the stat! l)f
Florida prior to per.it issuance. .
A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, Of
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 per.it is cO.lenced within six tonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the tile the work is cOIDenced. One 90 day extension of tile, lay be
alloNed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
approved 'inspection .ust b.e logged during each six month period, or the project will be considered abandoned.
WARNING TO OWNER: . YOUR FAILURE TO RECORD A NOT'~E OF CO""ENCEKENT KAY RESULT IN YOUR PAYIIIG TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF Y,OU INTEND TQ O~TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""EHCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM E"ENT"~ >
STATE OF FLORIDA
COUNTY O{ Pascc:o
The foregoing instrument
before me this 4/26
was ackno~ledged
19~ by
David Hauqen ___ _.._ _
who is personally 1'"0\'10 to me N-W~~fi
~~~---------------------------
4a-i..d.e.I:l.t~'t.i..c.&t.l.t&.Q. and who ....tWd id not.
~~^-Th.\\o~
~ture)
JuneM. Herndon .,' ,
(Name Typed, Printed or Stamped)
NOTARY PUBL I C .hotary Public, Staf~ ,M flfifrld..
JUNE M. HERNDON
h1y. :commisslon Exp. Feb. i, 1991
.Comm. No. 252632
V' . ...''"''-..:.._....---.., '-.. \
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument was acknowledged
before me this 4/26, " " 19...2.L by
Charles D. Poole .~,:L_,_.-._,___
wh~ pen;cona 11 y k~own to me "Ji-wt'n:o-."....-; i" h
pr~c~-___ ____________________
l!r!!t"-1,1!Ie".1t-i-f-i.eer\-i-&n- .md whc. c;I-Hj.,ld i d no t
an oa
(Si
Ju e M. Herndon
(Name Typed, Printed
NOTARY pueq~
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