HomeMy WebLinkAbout94-4237
BUILDING PERMIT
CiTY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 4237 J5
Y--;t-?'I
Date
&,..!>-, o-v
010 - t7V
ELECTRICAL
PLUMBING
~o ~ tIv
MECHANICAL
Sewer Conn
Water Conn:
BUILDING
Pmperty Owne' _ h~J r5-~ p
Job Address: 0 ::s-y~ - ~
Water M~Jer:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code: Radon G;.j': -
Description of Work --;It..VA.J ~-<.A~~~ - ~.LJ - ~C-
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
10 - I 3 - 9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordart::'e with City Codes and Ordinances.
DATE
Inspector
WR6~
City License Registration #
State Certified License#
6lf
Permit Fe~ / .tJ -S -: Pc:.)
Sigl'lBture ~ K. 80-0 < ~JJ
Company (;. f-I ~
Address I ~ Oz :l'1 '1 ~ ~ \)~~ 'Jf'
Telephone# '10'-( ..51."7' (., s-f-/
Valuation or
Contract Price
/ cJ (J;tJ-zJ. crz)
,
BUILDING
JJl44Z; ~I
ELECTRICAL ~ 7/
PLUMBING
4~
MECHANICAL OZ
~ )./,).9 .
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~ q,\a.,Q.l+6o\.-
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 00/100 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
G)P!~~ 11-9~
G rll4i~
:)b 7--6~ (l
JOB ADDRESS
C_~/C!- is toll-I Ie
SJ~S- 9<<- s-f
Sri-m L.
PHONE
OWNER · S NAttE
OWNER' S ADDRESS
LEGAL DESCRIYl'ION: LOT(S)
BWCK
SUBDIVISION
PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:____New Construction ____Addition ----Alteration ~ Repair ____Install
____Sign
____Kove
____Deaolish
PROPOSED USE: ____Single Faaily
____KIF ____' of Units ____KID
____~ercial
____Indust. ____Swia. Pool _Other
____Restaurant & Health Depar~ent Approval
DESCRIYl'ION OF WORK:I!I:'7tI (tJtJ;:: - M AJ~()uJS -~..6~ .- ,4-/c!_
.
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
/4,flt>
/tfZ5' AKP Service
Valuation of Total Construction
V Florida Power Corp.
W.R.E.C.
_ELECTRICAL
-----1IECBAIIlCAL
$
~ f&?t?
Valuation of Mechanical Installation
_PL1JKBING GAS ROOFING
TYPE OF CONSTRUCTION: --=::Bi"ock ____Fraae ____Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA T
V
YES NO
..........................................
CONTRACTOR SECTION
BUILDER Kevin T. Roberts OOKPANY General Home Development Corp
r:a ' State Cert. or Regiat. . CGC005695
Signature "'" (}-.~ ~ ! ~l-Il'J City License Registration' 21
..................................****.**.
ELECTRICIAN
SignAture~^"-O-""I --:y. ~V\..s;>.~
COMPANy\f'~J-~.. ~
State Cert. or Regist. ,
City License Registration ,
...............................*..........
\dU/-+P-1 L
E~C>c:..I'3 ~'\"'\
~7J
COMPANY
State Cert. or Regist. .
City License Registration .
~ - ...... .............................*~****. ,~
KECBANICAL COMPANY 5" 0 /Vfi, L/ S" D ,Ie; ('e' c.J ~ 1/J /;l ), JA-e>c ~ /l
~m. ~ State Cert. or Regist. .
Signature . City License Registration' :?--
, , .~~. ....*............................. .
PLUKBER
Signature
JV/;"
OTRRR
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
APPLICATION APPROVED BY
Yf CVJ1A'~
4~)
/1l~L,
i
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit laY be subject to Ideed restrictions I whicb lay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired 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 laY be
cited for a lisdeteanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
reguirelents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
IContractor Sectionsll of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, ratber 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 pertitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tbat I, the applicant, bave been provided witb a copy of IF10rida's Construction Lien Law - HOIeOIDer's Protection
Guide" prepared by tbe Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleOne other tban the
100mer", I certify tbat I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to tbe
lownerl prior to COll8DCeleDt.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify tbat 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 bereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
installation bas cOllenced prior to issuance of a perlit and that all worl will be perf oIled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify tbat I understand that the regulations of other govemaental agencies lay apply to the intended wort, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
· Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands,
Water/Wastewater Treatlent
· Soutbwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· Departlent of Health' Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
· US EnviroDlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone IIAI or IIA,etc.lI, it is understood that a drainage plan
addressing a ICOlpensating volute I will be subtitted wbicb 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 tbe wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall beCOle invalid
unless the worl authorized by such perlit is COJJenced within sillOnths of issuance, or if IIOrt authorized by the perlit is
suspended or abandoned for a period of sillOnths after the tile the wort is c-.mced. One 90 day extension of tile, laY be
allowed for the pertit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each sil IOntb period, or the project will be considered abandoned.
WARNING TO OIIMER: YOUR FAILURE TO RECORD A NOTICE OF COMHKNCEHm MAY RESULT IN YOUR PAYIIfG twiCE FOR IHPROVKIIBIfl'S TO YOUR
PROPERTY. IF YOU INTEND TO OBTAllf FINAlCING, CONSULT WIrH YOUR LINDIR OR AM ATTOMEY BBFORE RECORDllfG YOUR NO'rIes OF
COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT lfBED TO RECORD AND POST A IINOTICE OF COIIMBNCEllBNTI.
~, tiiliIl.M~k,.~~~
ATURI: R R AGINT
~ ~
<L . t fi-<. ~~Q
SIG RE: CO crOR {J
STATE OF FLORID~
COUNTY OF let ~ c.o
The foregoing instrument was acknowledged
before me this ~. I' , 19~ by
Ja..ne.{- B(ac.i:::vJdl
~ho is Dersonally known to me or who has
produced
as identification and who did/9i d "ot_
ta~n nath ~ tJ. ~
(Signa~
B~.....bara... A,. A (( is ot")
(Name ~yped, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA ~
coum OF ;S c.-o
The foregoing instrument was aCAnowledged
before me this A~ fI , 19~ by
~ l') 4'.J- BJ<<<:... t:..f..X?.{ l
who is personally known to me or who has
produced .'
::k~d::t~d who did/4id nnt ,
(~gnatu~) '. ~ ~:,. ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
"".,
BARBARA A. ALLISON
Notary Public, st.t. of Florida
My Comm. exp. 03.26.98
Comm. No. CC 358940
8ARBARA
Notary Public ti ~llISON
My Comm, 'exp' t3o~:'orlda
Comm, No, CC J5SlI.;gs
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