HomeMy WebLinkAbout94-4313
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
_4313/3
P-~O-9''/
Date
~ ELECTRICAL PLUMBING
Pmpe<tv Ownee ~^(j iI-~
Job Address: 6;<.s-c____ ~
Parcell.D. # J-c:2b ._r;}j/-/r9.. - 0
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: k Energy Code: /J
Description of Work _t:?47A1 ../~Y~L/A J:L
Radon Gas:
/
9~
I 0 ..-13";
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordar'2'e with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
/rl
Permit Fee ~6 - ~
Signature ~A.a.... .t
Company
Address
Telephone#
~
Valuation or
Contract Price
9~, u-v
v4 ,,-f: /-~ ~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. 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 ZEPHYRBILLS
BUILDING DEPARTHENT
OWNER'S NAtIE GAR" l,..., ~ -1.L ~e...>
OWNER'S ADDRESS 377tJh 8~ l.A..tE-
JOB ADDRESS I.o~~ HUI\1J' I\l~u Th
LEGAL DESCRIPTION: LOT(S)"'" ).;:}O
PHONE gl.3- 78~-qt/L}:J.
2E:f'H~u-,l.L& fl- 335Li J
BLOCK
SUBDIVISION ~ I UltJl.. ~V.s
PARCEL I. D.' ~- ~" ~ ~ 1- 1..2. - D - (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction ---..Addition ---Alteration ---Repair V" Install
_Sign
--.JIove
-Deaolish
PROPOSED USE: _Siogle Faaily
--14/F
_' of Units
----1I/H
&Jr ~_78-<J
_ec:-ercial
_Indust. _Swill. Pool _Other
---Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: .IN.s"'flLL_~~~rjn~~{?F-, ~ ~~U.zZ.\"&IST'Nb5UlB
BUILDING SIZE:~, I~' Square Feet, Height
RESIDENTIAL: ATTACK (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COItKERCIAL: ArrACK (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UlIJ)ING
PERMITS REQUESTED
$ t1W. ~
Valuation of Total Construction
_ELEC11UCAL
AIIP Service
Florida Power Corp.
W.R.E.C.
--.JIEClWlICAL
---PLUMBING
$
Valuation of Hechao.ica1 Installation
GAS
ROOFING
SPECIALTY
~LOJ .. AW100ther
TYPE OF CONSTRUCTION: ____lock
_Fraae _Steel
PIRISBED FLOOR BLlVAnOBS:
Fl.
IS PROJECl IN FLOOD ZONE AREA!
L
NO
YES
..........................................
CONTRACTOR SECTION
RIJTTJ)RR ~ COKPANY c...L. STEVE MNs-i1cucnoN
~ State Cert. or Regist. . (t(O~'ii~~l3'l
Signature (2~./ City License Registration .
..............*...........................
F.T.RCTRTCIAR COMPANY
State Cert. or Regist. .
SianAture City License Registration .
..........................................
PLIDIBER COMPANY:
State Cert. or Regist. .
Signature City License Registration .
.......................................***
IlECllAHICAL COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration ,
..................................*.......
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pemtt laY be subject to 'deed restrictions' which la' be lOre restrictive than City
regulations. lbe undersigned asSUles responsibility for cmpliance with an, applicable deed restrictions.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OIOler bas hired a contractor or contractors to undertake work, the, laY be reguired 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 laY be
cited for a lisc1eJeanor violation under state law. If the owner or intended contractor are uncertain as tq what licensing
reguirelents laY apply for the intended work, they are advised to. contact-tb8.City of ZepbJIbil1s Building Departlent, (813)
788-6611.
FurtheIlOre, if the OIOler bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this applicatioo for wbich they will be responsible. 'If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor lIishes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to pemitting privileges in the
City of Zepbyrhills.
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 Constructioo Lien Law - lkIIeoImer's Protection
Guide" prepared by the Florida DepartBt of Agriculture and ConsUJer Affairs. If the applicant is 8OI8OI1ll other than the
'owner", I certify that I have obtained a copy of the above described docUIent and prolise in good faith to deliver it to the
"owner' prior to co.encl!lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIlation in this application is accurate and that all work will be done in COIpliance with all
applicable laws regulating construction, loning, and land developl8Jlt.
Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
installation has ~ced prior to issuance of a perlit and that all work will be perfoIll!d to leet standards of all laws
regulating construction, City codes, IOning regulations, and land developl8llt regulations in the jurisc1iction. I also
certify that I understand that the regulations of other govemJeJ1tal agencies laY apply to the intended work, and that it is
., responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not liltted to:
I DepartBt of InvirOllll8lltal Regulation - Cypress Baybeads, Wetland Areas and InvirollJelltally Sensitive Lands,
lIater/llastewater 'I'reablent
t Southwest Florida lIater lIanagl!leDt District - Wells, Cypress Baybeads, lIetland Areas, Altering IIatercourses
t ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
I Departlent of Health' Rebabilitative Services, Invirouental Health Unit - lIells, lIastewater Ireablent, septic 'I'ws
t US InvirODllental Protection Agency - Asbestos abatl!leDt
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 'co.pensating vol.' will be sublittedllhich is prepared by a professional engineer registered in the State of
Florida prior to pemit issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall beCCIIe invalid
unless the work authorized by such pemit is COII8IlCed within slllOnths of issuance, or if IOrk authoriled by the perlit is
suspended or abandoned for a period of slllODths after the tile the work is co.eDced. One 90 day utension of tile, IaJ be
allOlled for the pmit lIith fee charge of $15.00. tbe utension shall be requested in IlriUng to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the project lIill be considered abandoned.
IIARMING 1'0 omR: YOUR FAILURB 1'0 BlCOBO A 10llCE OF C(JIMIJICBIIIIf MAY RBSUL! II YOUR PAYIIG !lICE FOR IIIPROVIIID'lS 1'0 YOUR
PROPIJI'I'Y. IF YOU mlllDfO OB'I'IIII FIIIIICIIG, COISUL'I' III1H YOUR LlllDD OR II AnoRDY BBFOlIB RICORDIIG YOUR IO'IICE OF
C(JfIIDCIHDt'. JOBS URDU $2,500 II VALUE DO 101 lIED 10 RICORD AID POS! A 'IOIICK OF CCllMllCIIID'I".
()J~ Vr~~
SIGUtURB: (IJIIR OR
lliJJ-l..a.. U/ J~/6.l .S7t:Yi (]OV.:5.T.
SIGIIA!URB: COI'lIllC'l'OR (
STATI OF FLQRfDl
coum OF ~ --r Pr'S~D
The foregoing instrument was ac~owledged
before me this S~-\ dO, 19<1L\ by
\)~\ ~A- \0 - S\-0 0.~
.~~ personally known to IIIQj or who has
producea---- -
as identification and who did/did not
~~'h~ a ~RLb
(Si~re)' ~,
\ Don ~~ Vt 0) (\-e~
(Ramp,Typed, Printed or Stamped)
ROTARY PUBLIC
4~~~ BoNITA G. JONES
t,,: MY COMMISSION , cc 358356
EXPIAES: Mwch 22. 1998
80ndId 11Il1I NotIry NlIc lhIeNiIIlIJa
S'I'ATI OF ~
CDUm OF' 0( ~~
The foregoing i~rument was aCkpowledged
hefore me this A- do, 1~ by
0...1.. \'~l\. \..u; Stjl~.lL
lwho fR personally known to JI@jor who has
produced ---
as identification and who did/did not
~an~~" Q ~)~1J\
(S~ture). ~ ~
\ 'C6 {\ . -h=\ '-=\ n ..p ~
(Rame Typed, Printed or Stamped)
ROTARY PUBLIC
,"l.';f..\~" BONITA G. JONES
l~' ,.~~ MY COMMISSION' CC 358365
EXPIRES: March 22. 1998
IIondIId lIuu NoIIIy NIle ~
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:.log bTlOlJ fc~ Ht:N1lIJb Th.
Lor~l~ S'W~ Dl(t)
&.l
q. ~. Steve eoJt4tzuctioJt
CERTIFIED BUILDING CONTRACTOR
302 8TH AVENUE W. ZEPHYRHILLS. FLORIDA 34248
(813) 782-9442
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