HomeMy WebLinkAbout94-4305
BUILDING PERMIT
Permit N~~
CITY OF ZEPHYRHILLS
(813) 788-6611
4305..8
9-//;'-7'-1
Date
9>~..s7J,'"
;2-0.. en)
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
BUILDING
Water Conn:
Pmpe<tv Owne' 7-_/ / ~~
Job Address:, f g'-S Y'f - _ _ --'-
Parcell.D. #
Water Meter:
TI.F.'s:
Zoning:
Description of Work
Energy Code: . ~ _Radon Gas:
f"AAl,? x~/~. ~-L.
NO OCCUPANCY BEFORE C.O.
/'
~7
,2>./ 'U
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar'2'e with City Codes and Ordinances.
c.o.
DATE
Inspector
Permit Fee 9) ,~(;J
Signature
Company
Address
Telephone#
+- :L(J. trD - //7~V
Valuation or
Contract Price 9~--zJ7J - [J-Q
./
City License Registration # f':; s
State Certified License#
~Ji:p4~tlA"Q 5fj;Jr ~J( ~~fc~
')
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
APPUCA'flOl POll .11II11
OlD or ZBJIBDIIlLLS
BU1LDlIG D..~t
1 .
(; . 1 /J
on.'S IIAHIl ~....~~ l1J-h )JQ.A/'7{'} l /Yft1J2fff,g)/l PlIO..
OllIIa's ~_ /366 Lex> ~ l~ 7)f!-1 i4J)OO r I.~ .3 d y It)
Joa ADDUII_ ~~644 '-~ aqE ~7_--Qphl1Rt\\ \\c:; ~. JI
L8CML nlSGUftlOll J.O!(S) 10 BLOCS I tcCj SUIDIVlSIOll
(-)q!{-- ~'i-U
TT
r
PARCIU. I.D.'
(Oa",AT. ...... 1'IIftDBn 'fp. -.rnca)
WORIt ROPOSBD,'
.... eo.a.tnctiDa ---Mditloo ~ter.t1oD
"',uc
Tn-tall
-JiIa
--IIoVe
~11ab
_ec-erelal
--Jt/p _' of Vail.. ---"'~
_1Dd.uat. _____'Ii.. Pool _otJ;wr
noroSBD USI: --'lAale hai4
".~t I: Bea1tb Depertaeat Approval
DIS<ilW'tlOl or tIOU:J F, \' {Y\e~'c vC ~ (' f)( I J- 1"<\"0 e A nO\-)L1 c::l4 Y ~G
IUUDUG 811I: ~ if x '30 , Square F.et,. 1 /5 ~iabt .
IlBSIDBIT1ALI AftMB (2) l'LOt J.UIs , (2) SITS or BUILDlIO .LUS I: (1) sa IJIIGY POlUIS.
CDMD.CW. I AftACIl (3) 81fS 0' 1UIJ.D1IO PLAlS a (1) SIT IDIGY ro_.
nonan SURVD DQUUBD FOIl ALL .. OOIfSDUCIlOll.
PRIUIITS II~"DD
L....aUlLDIIIG
.. 9SDO,~
ValuaU.OCl of Total Conatmet.ioG
KLIC'DlGAL
AMP service
"lorida ....1' Corp.
.....B.C.
~CAL
~DC
..
valuatlO1l of ~~"1ea1 Ioatallatioo
GAS
ROOrDIG
-
SrBCIALTI
otbe~
TlPlor cmnaucnoI: ---,1oclr. ~nM ~teel
I'DISIIBD PUKIl ItLBYATlOlUh
n.
15 IIDJICT U FLOOD ZOIII AlIA,
.DS' 10
..........................................
.
. . .
IWILDD. ~li~1 WIIl'AII .J{,('th~.~cf7tJ(2I.<',iLT
~-:::~ '_ _ - --..=:.:.:.__-~)_____--" State Cert. or ...tat." C Ide 0 S ~ I ~ ~
81lPUlture _ ==~~ City Lic... ...i.tratiOD .
..........................................
OOIl'l'llAr.Tf1III RRr.'l"TOII
""~1;PT" . ,OOIIPAIIY. /.,1- J! E LEe! T,e ILL!. cJ
- .. -- _u._ ~~ State Cea-t. O~ ......t.. .EL&~cJl'f'".7(
Sl~~ur. ~ __ City Lle..e _i.t.:rat:l.oG . e::l S.:B
. ........................................
PUMAD 0UIIrAIIY.
State Cert.. or ......t... -w
8i1Mt.ure City Ltc__ IleaI.tratlOll .
.............................,............
l
OOIIPAIII
State C8rt. or ......t. .
City Llceoae ".latratloa .
..........................................
~t.lt'..&...
S......ture ~ l
SiJutUft!
CCIIPARY T
State Cert~ or ......t. ...
T T City Lie'" ...ut~atl_ . Ll _
..........................................
mR
t
I
APPLIc:Au. __ ft Y7l1ht:~ YJ:. d-lrj~
(J .
.-xT .Oft'lClll.
--.-.....---;---;0- ::>t:.r -- lb-;;'-! t- r< 1 ld'::;l: 4,:5 1 U:
It:.L liU.
I-I.:..-JU I U.:.
CONDITIONS OF PSRMIT AFFIDAVIT
A. !mUa or fi J118TH~~IORI
11II .....,., .... t WI pen1 III be .jeet to .d114 reltdctlw.' Iblch III be .. d8tdcU" tIIm Clt,
replltl_. .lIIl1erI1p1l1..... I1IJIOIIlbllltJ for UllplllDCt 11th 10' IppllC1b1. .. Ultrlcu..
B. UlfLI~8.BD COJft'RACTORS AND CONTRACTOR RBSPONSI!ILITIBS
If till ... Melli a _tractor or c:ontractor. to .rt.. work, talr ., be rllQll reG to JlllIc.'IMIIlla ICXlDCdIICe ,ltJa
.tate _ local qp1IUCU. If till CODtractor I, lOt U~ II rlQUlnd hr 1., botlt tile .. ... atnctar III be
cltltl for 11I__.r 'lollt1ara IIIIIItr ltatela. If the 0IIIIl' or ID-.w _tractor an ...tIht . tAl at 1l~11l9
requl~tI ., wlr for tile latea4ed lOll, tJler In _1_ to CGItact till eit, of IIpitJrWlI IulIGIII...-t, (113)
788-6611 .
Jurtllulon, If till .. .... .1n4 . c:onUlCtor Ol' coauaetarl, he 1. .lm to .. tile aaDUICbtr(I) Ii.. ,.Ucu of the
.CllDtIlCtor 1IGtI.-I~ of WllppllcaU. for .Ida tiler 1111 be rllpllDl1ble. If JaIl, . .. _ alII . till ___,
fOIl HI iatic:aUDg tIaIt p, ntller tbu tile coatractor r are ",pcuDle fot tile lOll. If till CGDtnctor liIIlII JUU to lip
U CGDtnetar tIIIt ., be III iDI11eaU. tbat III II Dot properlr UCIDMll _ II DOt IIIUUIl1 to pmlttJag pd'U.... 11 till
CUr of IIpIaJrUllI.
C. TlWf8POIQ'ATIOH IVACT FEES AND UTILITY CONNBC'1'101f 'DB
D. CON8TJWCTI~ LIBN LAW (CHAPTER 713, FLORIDA STATUTBS, AS NllUlDBD)
I ee.rtlfJ tIIIt I, tile." CMt,"" lieu prOIIW .lth I copr of 'rlorll1l'. CODItACUIlIl ItS_ ... .. _r'. Protectlara
Guide' preplfec1 br till 'wlt. ___t of Agriculture anc1 CaaIuIet Iffun. If till IIIPU_t 11 __ otIIIr tIIIII the
'0IDIl., 1 ..wr OIt 1 lint obtalDecll ClOPl of the .. c1l1Ctlbe4 aoa-t ... ~ II goal fdtll to tell_ It to till
leNOir' prior to CU.'lIC\WIlfIIt.
B. ~'8/OWN~'S AFFIDAVIT
I c:erUff t tIIIIDfolllUOII ID tlallappilc:atlOD Ie lccurate 11II1 tllat all 110ft ,Ill be ... In __ .1~ all
appliClbl1 1_ ,.I.t1Dg catncU.., 1CMIiDg, _ 1. t1elllO(lll8t.
AppllceU.. I' ....., .. to obtaiD . limit to do IOrl 184 iD8ta1I8UIID II lD4lc:ated. 1 cut1fr tat 110 _1 or
lDltallitlal .. 4JV..m ,dot to i8I1IIDCI of I penlt en4 tIIIt all 101:1 IUl bll*fOll8l1 to .. ...... of IU ..
regulating .....tnct1I1l, City CCM1ee, IOIllog ragulaUOOI, _ 111I4 4etel~t ngulatlClllIa till jurWlctJaa. I 1110
emUJ tIIIt I WI6atItaal1 tblt tile ngulaU_ of olller gogrDIIIItal apadu .., IPPlJ to tIIIlDtIIIIII .., .. Pit It II
III fIIPOIIIibllltr to i_tiff .t ICtlanl I IUIt tab to be iI CGlpl1l1e1. 11dI~. lDcl_ lilt In lOt Illltlll to:
· Duln.t of IDYlro.BItll _hUon .. Cypr.. ..,...., Wlt1II4 kill uc111lwm..at.llr ...IU" ,..,
. ..ter/lllWtlt.r !nebat .
· BoutMit PlorIdlllltIr .......ut Dllulct .. 1fI111, Cypnu Bar", hUIIIllIteu. Uteri.. hterCGlnll
· Am ~ I,"'''' .. .....1., Docb, ,.dgabll Vatltle,.
· ~t IIIIItII ~ ....UtaU" 8enlcu, IDdICIIII8Iltal Health IIaJ! .. "111, VII_tar lnatIut, IIpUe ,.
· US ..IIf!:!:..ntll ~ ~ .. llbeltos lbat.ut .
I .ilO C.'IItlfJ tMt, if fill lItIrial II to bI .. 18 ,lood Ioae '.' or 'I,lte.', it II WIl1eQtGal1 tllat . de" pllll
aaarMl1lg . I~ tal.' 1111 be aabdttea lbici II prepaqa br . prof_laaIl "'.... light_ II tIIIStlte of
Floria. trior to .....t __ceo
A pentt 1IIUIl111l1l1 III coutMl1 to 111 . IiCIIIII to pr0cee4 11th thlIIOl1 u4 DOt U I1ItbDrltJ to tlollta, ... .ltu, or
let ula. q pmdllou of till taclmlC11 coG., nor lball iII1IIDClI of . penlt pmat tile 8d14lag OffIcial h1I tllmlftlr
r.,aldag I cornct1Ga uf erron 11 pllll, CODItnctJlIl, or 'lolltlOll of IDJ CCIl1I. herJ (lImlt __ 11II11 .... IMllcJ
unl_ tile IlOrllltllorlle4 br lAd penit II ~ ,IWn It. _till of 1..., or If .. lIItIIoriIIIJ ., tile penJ.t II
....... or _bell for I perlocl of III -tbllftu tile u. tIII_lII~. ~ to GaJ .... of till, _, be
111_ for tile pealt Mlttl f. cIIup of '15.00. !lie __lOll Uall III ~ 18 IdtlDg to ~ Ia1WIg Offlelal. An
IpprovlG 1IIpectl1ll _t .. 1_ cklDg IICb 111 _Ii perlOl1, or the project 11111 hi COIIltutG ........
_UC 10 ~I 111 ru.. 10 BalD 11011(.1 or DIIIICIIII JIll IUUI.! 0 _ PII. 1I1C1 fCI ...... !O 1M
'IRIIJ. I' . IIrIID 10 CIWI '11llEl.R, allULt 1111'1 !WI 11IIIII ClIIIIICIIII .... ... III 1OI1C1 or
CCIIIIICRI!. ..... '3,HO D YILII 00 lOt _10 IICDID lID POll I 'IIICI or ~'.
81G111t111: MIl CI MIll
Ileu_: aIlIIIC!QI
IIln or nGIIIJI
amn or
The foregoing inatrUIIeDt 11.1 aclmovle4ged
before _ W8 , 19 by
-
nlll or MIDI
aIIIt 0'
The foregoinG ID8truli8nt va. acmowledgBd
before _ this , 11 by
who ia per8OD011y .... to .. or wbo bas
prOduced
a. identificatiOD aad wbo did/did Dot
take aD oath.
(Sigut..)
(...... TJped, priDted or Sta.ped)
ROTARY ~
who i. personal I, 1m0llll to .. 01' tIbO baa
produced
.. 1dentlf1catiDD and wbo did/did Dot
take an _tb.
(Sipatufa)
(1(- 'lypecJ, Prlated or BtuIped)
IIO'1'UY PUBLIC