HomeMy WebLinkAbout94-4302
BUILDING PERMIT
Permit N~
BUILDING
&~
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
~
PLUMBING
_4302,g
9-/~r91
/'
JjO
Date
c:t20
MECHANICAL
::~::;,~:~e' 917:;l1- ~ft~
ParceII.D.# O,q-.;2&'- .:lj-O/ 0 -0(50, Of) -tJ79. 0
Water Conn:
Sewer Conn -1 ell 7 f'
n -
<. ::;>, "SU '
Water Meter: / bY
.
TI.F.'s: Il"//?.t): :2.()
,
1'1. fj)
-
Complete Plans. Specifications and Fee Mu C.O.
All work shall be performed in accordar':e with C Codes and Ordinances.
~e '/3 Y.3!3
Valuation or ~ 4t /
Contract Price 7 A/ fl
l
I
Zoning:
Permit Fee
Signature
City License Registration # ;B t)~
State Certified License#
bI-
.
~A'I'
Company
Address
Telephone#
BUILDING
cBS-
'7 fJ .;} - ':;'.2 '7~
Ftr. Tp. Servo
Pre SLB Rough In
Lintel Meter Can 9- / ~ '} L/ 15 <;
FRM. Const. Pole
Insul. CL Pool
,/7 WL Pre-Meter-o.::-t=-
tl rJf'rf,./ Pi..-' ./, Final 4.....'2-'2-.-<}. '-I t;l)!:L
Driveway - ([ Z-2.-4 ~ bit
I.,;'
SLB
Tub Set
Water
Sewer
Final q ..l1....&tt.f ~
Breakers
Ducts Insl.
Compressor
Fiinal q-1-2........'11 fl.Qlb
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a.
b.
c.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
va. 9-/6 - yLj
~ / 0 ./ d-O '-- "1 </
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICAnON FOR PERKIT
CITY OF ZEPBYRIIIUS
BUILDING DEPARnIRNT
OWNER.' S lWIE rr/oJ A /u) ( ~ /V J loS . PHONE %13 ~ 7~- 2. z.. 76
OWNER'S ADDKF.SS3770.$"'" /V.&uJ~O/LT .D12... .2~mu~, FCA
JOB ADDRESS .5J4.m e- A-s R-/?:>I!3JIJL-.
LEGAL DESCIUPI'ION: LOT(S)
B~SUBDIVISION Z.!E"PH't'4t.~/::r ~ .
PARCEL LD.' t!J..3 - 21.: - 2-/ - ~/.3. Co> - 000 . =0 - ZJ 79. 0
WORK PROPOSED:-*-.Nev Construction _Addition _A1teration _Repair _Install
_Sign
_Kove
_Deaolish
PROPOSED USE:
Single F8IIily
_KIF
_, of Units
~K/H
_ec-ercial
_Indust.
_Swt.. Pool
Other
_Restaurant 6: Health Depart:llent Approval
BUILDING SIZE: 25 X S-g ,
IS~
ATI'ACB (2) PLOT PLMS 6: (2) SETS OF BUILDING PLANS 6: (1) SET ENERGY FORKS.
ATI'ACB (3) SETS OF BUILDDiG PLANS 6: (1) SET ENERGY FORKS.
PROPERTY SURVEY RIlQIlfIRED FOR ALL nv CONSTRUC'l'ION.
/1.:, 2.8'
~re Feet,
Height
RESIDENTIAL:
cotIKERCIAL :
PERKITS REOUESTED
~BUILDING
...,J(ELECI1UCAL
->J4 KECBANl.CAL
...... PLUtlBING
$
.3~b2Z
Valuation of Total Construction
I~ MIP Service
Florida Power Corp.
;f-::. W.R.E.C.
$ J oSo
Valuation of lIechanica1 Inst:allation
GAS
- ROOFING
SPECIALTY
TYPE OF CONS'IRUCl'ION: - Block - Fr8lle - Steel
/VI rl- (It:her
FINISHED FLOOR ELEVAITONS: IV /k fT.
,
IS PROJECI' IN FLOOD ZONE AREA? 1=:-
YES NO
******************************************
BUILDER
CORTRACTOR SECTION
~ COIIPANY IJ; f2. ~
if1 State Cert. or Regist. I
'..MuJ :;. ~ City License Registration I
******************************************
Signature
3=::;-6
:~CfRICIAN ~ COMPANY C';..I. JDfLr{)~ ta..H:..-T7th-
. ~ture(l~~~L ~~~\~O~::~~i:"~
~ *********** ******************************
~ COHPANY )jELSo0 r2.'-/.(Yl ~
L.:I State Cert. or Regist.' I
Signature //( ~ City License Registration' '(K
~ ******************************************
PLUKBER.
KECllANICAL .
Signature~~~~
~ CUfpMIY~iLS fJQopi>f.JB U1lS -1K-~
~ State Cert. or Regist. ,
~ City License Registration I 7!?
~ ******* *********************************
OTRF.R
Signature
~~
COKPARY
State Cert. or Regist. ,
City License Registration ,
******************************************
APPLICAITON APPROVED BY
PERKlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this penit JaY be subject to Ideed restrictions I which JaY be lOre restrictive than City
regulations. !be undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the mmer and contractor JaY be
cited for a lisdeEanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
requireJellts Jay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the OIner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
IContractor Sectionsl of this application for lIhieb they will be responsible. If you, as the OIIDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the IIOrt. If the contractor wishes you to sign
as contractor that JaY be an indication that be is not properly licensed and is not entitled to perlitting 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 IFlorida's construction Lien Law - lIoIeoImer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOEIle other than the
lowner", I certify that I have obtained a copy of the above described docuIent and prOJise in good faith to deliver it to the
"owner" prior to COllBDCeJeDt.
E. CONTRACTORtS/OWNER'S AFFIDAVIT
I certify that all the infoIlition in this application is accurate and that all work will be done in COIpliance with all
applicable laws regulating construction, zoning, and land develo~t.
Application is hereby Jade to obtain a peIlit to do IOrt and installation as indicated. I certify that no work or
installation baa CDlenced prior to issuance of a peni t and that all work will be perfol'led to .et standards of all laws
regulating construction, City codes, zoning regulations, and land develO[lll!l1t regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies JaY apply to the intenc1ed IIOrt, and that it is
If responsibility to identify what actions I lUst take to be in COIIpliance. Such agencies include but are not lilited to:
. Departlent of EnvirollleDtal Regulation - Cypress BaybeadB, IIetland Areas and EnvirollleDtally Sensitive Lands,
IIater /IIastewater 'I'reatlent
. Southwest Florida IIater Managl!leDt District - IIells, Cypress Baybeads, IIetland Areas, Altering IIatercourses
. AllY Corps of Inqineers - Seawalls, Docks, Navigable IIaterways
. Departlent of Health & Rehabilitative Services, Envirouental Health Unit - IIells, IIastewater 'I'reatlent, Septic 'I'anks
. US EnviIODlelltal Protection Agency - Asbestos abateJeDt
I also certify that, if fill Jaterial is to be used in Flood Zone IAI or "A,etc.", it is understood that a drainage plan
addressing a IC0Jpen8ating VOIUleI will be subtitted whieb is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A perlit issued shall be construed to be a license to proceed with the IOrt and not as authority to violate, cancel alter, or
Bet aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall becCIIe invalid
unless the IOrt authorized by such penit is co.enced within sillODtbs of issuance, or if IOrk authoriled by the penit is
suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 day I!Itension of tile, lay be
allowed for the penit with fee charge of '15.00. !be I!Itension shall be requested in writing to the Building Official. An
approved inspection lUSt be loggecl during each sillODth period, or the project ,ill be considered abandoned.
IIARMING '1'0 OIIIIIR: YOUR FAILURE '1'0 RECORD A IIO'I'ICE OF C(IIMIRCIIfm MlY RESULT IN YOUR PAYING DICE FOR DIPROVIIIBIl'S '1'0 YOUR
PROPIR'I'Y. IF YOU IOIlD '1'0 OBflIN FIUlCING, COISUL'I' 111m YOUR LBRDIR OR II AnoRDY BEFORE RICOIIDING YOUR IIO'I'ICI OF
crJOIDCIMIN'I'. JOBS UXDER '2,500 IN VALOI 00 110'I' lIED '1'0 RECORD AID POS'I' A INOl'ICI OF C<IfIIDCIIIII'II.
~ M~?--
S'I'ATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
SUR OF FLORIDA
coum 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)
(Rame Typed, Printed or Stamped)
ROTARY PUBLIC
(Signature)
(Rame Typed, Printed or Sta.ped)
ROTARY PUBLIC
. '," . "
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CONTRAC:Tcm #:
NAME: H & R INTERSTATE
ADDR: 37705 NEWPORT DR
C/ST:
C E N T R ALp E R M I T TIN G DATE: 10/10/94
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE ()FFICE: D
RECEIPT NUMBR: 00226738
OFFICE: DADE CITY
F CIF< :
C:HECK # 11 ~:. 7::.:
RESOURCE FEE ON PERMIT 43028
ZEPHYRHILLS PERMIT
AC:CNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 2
11 . 2:3
AMOUNT DESCRIPTION/PERMT DATA DR/CR
11.23 ****** SOLID WASTE FEE 60
RECE I \lED :
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