HomeMy WebLinkAbout94-4168
BUILDING PERMIT
CiTY OF ZEPHYRHILLS
(813) 788-6611
Permit ~
4168&
7-/7 -9Y
,
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~
Date
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn_
::~::;,~s:~3 47J: ~~
Parcel I.D, # /1 - CJb .cJJ - 0 CJ / 0 -. / h '> () 0- (1.;t /--.s
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ,_ Energn_
Description of Work o/J:?.A!.-Lo ......... 'J
Radon Gas:
~ ~A ~~
,/
NO OCCUPANCY BEFORE C.O.
FINAL
C.O. _l/-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar~e with City Codes and Ordinances.
DATE
Inspector
City License Registration # )' ~
State Certified License#
Permit Fee .t/ '--< '. crl)
Signatur~=s;::;r;?;~
Company V'
Address
Telephone#
Valuation or
Contract Price cZ 9' (J I'J . o-v
uA1'ZCJl\p/. ~~
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM ~1i-lL. UJIU.-7.. Zoq&/
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
BILL-Canst. Pole
Pool
Pre-Meter
Final
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.
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE
wI! 'r~ 1::" Y/..y/iIC,-"'-.
r~ t;.Lo ->b~
S4MG--
PHONE ,J'/ ] - ?.)I,2.;-( ~.l.J'
OWNER · S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: I.OT(S) BLOCK SUBDIVISION
PARCEL I.D.' //--2(,. 2/ -cJ (JIG c-/~f}-O '-o.4UIfOBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~ _Install
_Alteration _Repair
_Sign _Move _Deaolish
PROPOSED USE: _Single Faaily _M/F _' of Units _M/H
--~ercial _Indust. _Swia. Pool _Other
_Restaurant & Health DepartBent Approval
DESCRIPTION OF WORK:
..
R t'/YltJJ1trL I~
!'qp-(
X er u. y (}o:; I Square Feet. Q...1:)
Height
BUILDING SIZE: "1 J
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONS:mUCTION.
PERKITS REQUESTED
./BUILDING
$
:2 , 900
/
~
---
Valuation of Total Construction
_ELECTRICAL
AHP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUHBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION'
BUILDER
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
ELECTRICIAN
COMPANY
State Cert. or Regist. t
City License Registration f
******************************************
Sianature
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. f
City License Registration .
******************************************
Signature
OTHRR COMPANY C t If)" If. A L FIw~"1 (/It!? A (;At'eS71 ~ ) ":;?A.le.,
. ~"A.# ~ ~ ~ ~ .i .d' State Cert. or Regist. f -
Signature W~ ~- .....ec.-. City License Registration .7tJS
*~************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to "deed restrictions" whicb lay be lOre restrictive than City
regulations. Tbe 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 lilY be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireaents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections' of this application for wbjch they will b~ re.sponsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for tbe work. If the contractor wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to perJitting 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 - HOIeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOJeone other than the
"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
"owner" prior to cOllenceaent.
E. CONTRACTOR'SjOWNER'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, loning, and land developaent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas cOlleDced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies lilY apply to the intended work, and that it is
If responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
t DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
t Soutbwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t YS EnviroDlental Protection Agency - Asbestos abateaent
I also certify that, if filllaterial is to be used in Flood ZOne "AR or "A, etc. ., it is understood that a drainage plan
addressing a "cOJpensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall issuance of a peIlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becOJe invalid
unless the work authorized by such peIlit is cOlIBnced within six JOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntbs after the tile the work is COBenced" One 90 day extension of tile, lilY be
allowed for the peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each six JOnth period, or the project will be considered abandoned.
WARlHHG TO OWHER: YOUR FAILURE TO RECORD A HOTlCE OF COHHEIICEMEHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEJIEJITS TO YOUR
PROPERTY. IF YOU IITEHD TO OBTAIM FIHAlfCING, CONSULT WITH YOUR LEHDER OR AM AnoRlKY BEFORE RECORDIHG YOUR HOTICE OF
COMMENCKHENT. JOBS UHDER $2,500 IN VALUE DO NOT NEED TO RECORD AIfD POST A BHOTICE OF COHMENCKHENT".
~
~~
STATE OF FLORIDA
COUHTY OF PASCO
The foregoing instrument was acknowledged
before me this July 11 , 19~ by
STATE OF FLORIDA
COUNTY OF PA.!=;r.()
The foregoing instrument was acknowledged
before me this .Tn1 y 11 , 19--9..4- by
WAYNE 'T'A.NNF.R
who is personally known to me or who has
produced A. F1 or; nrJ nr; vers License
as identification and who did/did not
take~d<< ' ~ ~..... j
(Signature) 1
Brenda Geiger
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
MICHAEL J" WAZOCHA
who is personally known to me or who has
produced A Florida Drivers License
as identification and who did/did not
ta~ ~L
- .- U!-4 .J
(Signature) .
Brenda Ge1.ger
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
,'''''''' BRENDA "BGER
~~'f.rv.:t~" g
'"",' &'.~ EXPIRES
~~f i~ Mf COMMISSION , CC 198331
~.> :S~ May 2. 1996
"'~.7f.Ji,~" IIONllEll TlRl TNlY MIIIINSUIINll;E. uc.
,....1iA!/j.:!!1.<I. BRENDA GEIGER
!~r' '. ~ .... ^^u.It<mIOM' CC 198331 EXPIftES
:*_ -*I. 11I1 \AIIIIIIIKJQI
· :. ~i May 2. 1996
~i;;;lo\,,~~ IIONllEIl THIIJTNlY MIll 1IllIlllWIllI.1NC.
'Hhl,,1I
PROPOSAL
FROM: CENTRAL FLORIDA ACOUSTICS, INC.
1845 TAMARAC COURT
WESLEY CHAPEL, FLORIDA 33543
813/973-4102 FAX# 813/973-7323
DATE: 7-9-94
JOB NAME: OFFICES MR. WAYNE T.ANNER
WE HEREBY PROPOSE TO FURNISH ALL MATERIALS AND PERFORM ALL THE LABOR
NECESSARY FOR THE COMPLETION OF SHEETROCK,
MATERIALS: 5/8 TYPE X SHEETROCK
DESCRIPTION: INSTALL TYPE X SHEETROCK ON EACH SIDE OF SOUTHWEST CORRIDOR
WALL AND CORRIDOR CEILING, INSTALL TYPE X SHEETROCK ON EACH SIDE OF WEST
WALL AT LIVING QUARTERS, BUILD NEW WALL AT ATTIC. ALL WALLS TO BE TAPED
COMPLETE READY FOR TECTURE.
NOTE: COST OF PERMIT TO BE REIMBURSED BY OWNER.
ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED AND THE ABOVE WORK TO BE
PERFORMED IN ACCORDANCE WITH THE DRAWINGS AND SPECIFICATIONS SUBMITTED
FOR ABOVE WORK AND COMPLETED IN A SUBSTANTIAL WORKMANLIKE MANNER ANY
ALTERATIONS OR DEVIATIONS FROM THE ABOVE SPECIFICATIONS INVOLVING EXTRA
COSTS WILL ONLY BE EXECUTED UPON WRITTEN ORDERS FOR THE SAME AND WILL
BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE. ALL AGREEMENTS
CONTINGENT UPON STRIKES,ACCIDENTS,OR DELAYS BEYOND OUR CONTROL.
THE TOTAL AMOUNT OF THIS PROPOSAL IS:$2900.00
ADDITIONAL CHARGE OF $375,00 IF WE INSTALL DOOR FRAMES AND DOORS.
NOTE: THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 30 DAYS.
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ZEPHYRHILLS
FIRE DEPARTMENT
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ZEPHYRHILLS FIRE DEPT
ZephyrhiIls Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
I"~ ." :<~,(~ F'
L
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/~:' /c>' /
{ ." \
'/4-./'l/>"L,."..:'~ f
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Classification
~ ' ::~.;, ..- J"' ~;, /..'
Address ;/ ,7 </
~/-J t::.-"-',(
Owner/Manager L-/~/., ,
.-,'
I f j./'i.. . 'l..- ;.,- "",",:
Business Phone
Emergency Contact Phone
Occupancy Load
Alann Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
@\ APPROVED
<>>' FINAL 0 ANNUAL
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspec~n, report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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Inspect. Date
. ///..1/1"
Inspect. Time ,/<7 >".:7
Fire Dept. ID #
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Re-Inspect. Date
OwnerlManager Signature
( -'-'>"-.;/"::.. -i/
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Inspectors Name ./ / /, /' ;, 7~~ < ,_
,.. ,/ , /- /1 , /",.It--- "'/'~'Yc. Title
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy . File Yellow Copy . Bid. Depl. PInk Copy . Business