The URL can be used to link to this page

Home My WebLink About94-4179 BUILDING PERMple!N' ~ 4179E CITY OF ZEPHYRHILLS ~ (813) 788-6611 Date l' -2h ~7cf M~IIArJIe:AL - Sewer Conn Water Conn: ~1'1b.81[4(!, Property Owner: Job Address: Parcell.D. # Water M~jer: T,I.F.'s: Zoning: Description of Work -'r ,L)tta::3 r NO OCCUPANCY BEFORE C.O. FINAL /'" 2 ~ 9' DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordart:'e with City Codes and Ordinances. DATE Permit Fee Signature Compa Address Telephone# Valuation or Contract Price ? ~7't City License Registration # State Certified License# -~l.J.IU) I N~ --? "7;;K,fru'1 iff ELECTRICAL 01 1 I~.:e-- ,..M[CH_~ Tp, Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ($15.00) 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. GOLDEN EAGLE ESG, INC, '* SITE SURVEY '* DATE: p_/Lfl9A BA NKA ILA N Ii C/N kBLW. A L:~AB T _ A IM._BQ-LL:QUI 1 = FRONT DOOR 2=A TM lOCA TION 3=PHONE ROOM 4= POWER SOURCE MARK ALL LOCATIONS IN THE DIAGRAM BELOVv, DRAW THE DESiRED PATH FOR BOTH DATA liNE AND ELECTRICAL LIST ALL SPECIAL INSTRUCTiONS BELOW, . \ \\J.... ~t-J~V- =- ~1- ~~'J ~ L_ I l' ~-_h \L~ d - tJ~ \0(( pO - 'STORE NUMBER WSC #_~Q(Q________________ STOR E A DO R E SS--_.=1Y25_-=-GnlLJ:_~1lD___________ IS POWER AVAILABLE IN TELCO ROOM FOR CIRCUIT? tJO 'APPROXIMATELY HOW LONG IS THE RUN FOR THE DATAiIN-E-?~q~~FTET APPROXIMATELY HOW LONG IS THE RUN FOR THE ELECTRICAL ?fuJEET DESCRIBE THE ELECTRICAL PA TH IY' ~ <2>' ce\llU'\c rern T'l \e5 POWER PANEL TYPE: ~ QUAre. b DESCRIBE THE DA T A LINE PATH, , t 6'tr 1 (" , SuBC L{ Cf,{ \ \ hb ((~ll \' \ le s..,.. (p[LJI<"C ~ , ,: G _ GU<; I ....'!- DESCRIBE lOCA TlON OF A TM: WA\ l ~eDf\(Al to-fA' Ju flU'tl P"" S NP.ME OF WAL-MART OR SAM'S CLUB MA~AGER: J I J ,,( STORE PHONE NUMBER: 815 7t5Z;' CrS-? 2eph~rh"\ \ Is. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER · S NAKE /;J 01- '1 {l r t OWNER · S ADDRESS 7 L1 '2 e;- (; c? tf {I (u 1 JOB ADDRESS 7 L1 2- S 6' a II (J ( (/ J PHONE 7q2-/1)7 LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 1.D,' 34 2<)' 2/ 6000 tJ050tJ ODL(O SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction LAddition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single F8Ilily _M/F _' of Units _K/H -L~ercial _Indust, _Swim, Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: I I') 5fJi (j) .f-so(c-dJ 0vuvV/c1 {}()f/e f Pot!' If TJrl 1j//aG~/n 'e [nsr~J(J (fort BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLABS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, ATTACH (3) SETS OF BUILDING PLABS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, PERMITS REOUESTED _BUILDING ~ELEGTRICAL $ Valuation of Total Construction AKP Service Florida Power Corp. W,R,E,C, _HEGBAIIICAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT, IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACIOR SECTION BUILDER COMPANY State Cert, or Regist. , City License Registration , ****************************************** Signature RT.RGTRICIAR COMPANY Ie k f vi 00 E Ie c f r Ie c:d( )y <;1 e-,,) S State Cert, or Regist,' f'- co dr:/ III G City License Registration . ****************************************** SiRnAture PLUHBER COMPANY State Cert, or Regist, , City License Registration t ****************************************** Signature HEGHARICAL COMPANY State Cert, or Regist, f City License Registration , ****************************************** Signature OTHRR COMPANY State Cert, or Regist, f City License Registration f ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that tbis perJit lay be subject to "deed restrictions" wbicb lay be lOre restrictive than City regulations, fbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations, If tbe contractor is not licensed as required by law, both the owner and contractor lilY be cited for a lisdeJeanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing requiretents lilY apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-6611, FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the "Contractor Sections" of this application for whieb tbey will be responsible, If you, as the owner sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for the work, If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to perJitting privileges in tbe 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 witb a copy of "Florida's Construction Lien Law - HOJeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs, If the applicant is sOJeOne otber than the "owner", I certify tbat I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to COllenCl!Ient, E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent, Application is bereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation bas cOllenced prior to issuance of a perJit and tbat all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulationsr and land developleDt regulations in tbe jurisdiction, I also certify that I understand that the regulations of other governJeDtal agencies lilY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance, Sucb agencies include but are not lilited to: t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Vastewater TreatJent, Septic Tanks t US EnvirODJeDtal Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A,etc,", it is understood that a drainage plan addressing a "cOlpensating volUle" will be sublitted whicb 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perJit prevent the Building Official frOl 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 sucb perJit is cOllBnced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOntbs after the tile the work is co.enced, One 90 day extension of tile, lilY be allowed for the perJit with fee charge of $15,00, Tbe extension sball be requested in writing to the Building Official, An approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned, WARMING TO OWNER: YOUR FAILURB TO RECORD A NOTICE OF CIllMENCEMEtIt' MAY RESULT IN YOUR PAYING fWICE FOR IMPROVHMHtn'S TO YOUR PROPERTY, IF YOU IIIIEIID TO OBtAIN FINAlfCING, CONSULT WITH YOUR LEIIDER OR AX AftORREY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UffDER $2,500 IN VALUE DO NOT NEED TO RECORD AIfD POST A "NOTICE OF COMMENCHMHtn' " , ~kk/ /) ,~IJ SIGN TURE: COtlt'RACTOR ;) ~/ljf SIGNATURE: OVIfER OR AGEtit' 7 STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUN'fY OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC