HomeMy WebLinkAbout94-4348
BUILDING PERMIT
Permit NC?
CiTY OF ZEPHYRHILLS
(813) 788-6611
4348/3
9-30 '-?'f
60~07J ~b, (./V ~. ~-u
~~~ ~CTRI~ 6UMBI~
Pmpe"y Owne" ~ ~~.Q 2
Job Address:S~- cJ....A. '
Parcell.D, # /1- c2(o & dJ - 00/0 - / .J....6oo - O/~ -0
Date
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code: Ra~Gas:
Description of Work 8t:< ~~ ~,rv-~
/'
-? ,~7'> IN l
NO OCCUPANCY BEFORE C.O. 10 _ I;? F A
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordarr:-e with City Codes and Ordinances,
DATE
DATE
Inspector
City License Registration #
State Certified License#
J~-
:~:::;:~.1!~
Company _ ~ _
Address
Telephone#
Valuation or
Contract Price
r ? y (, (}-o
,
QL4V.~~rAA<< ~~JL<4 M.J
BUILDING ELECTRICAL ;23/
~~~-
PLUMBING /0 ::s
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
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.
APPLICATIOIi FOR PERllIT
CItY OF ZIl;ntIKH ".Le;
BUII.DIlIG DEPARIIIElIT
~(~ -
OVRER'S ADDRESS 5z~{) l + <;+v c e+
5l?O l~ Sf-rcef-
Olt~
PIIOlIE
5~7-n11 (1Mi1-<"rSJ
OWNER. , S RAIlE
JOB ADDRESS
LEGAL DESCRIPl'IOII: IDI'(S) ~SUBDIVISION
PARCEL I4D.' I} -llo -2-1 - 00 I D - } 'LIP D D - 0150
WORK PROPOSED:_DIIev Construction _Addition ~teration _Repair _Install
S.
- :J.gIl
_lIove
_De.olish
PROPOSED USE:
Single F-ny
_IIIF
_, of Uni.t:s
_IIID
_~rcia1
_Indust:.
_Swi.a. Pool
Other
RpSt:aurant: &: Hea1t:h ~t: Approva1
BUILDING SIZE:
x
~e Feet.
Height:
RESIDENTIAL: A'lTAm (2) PI.OT PLAIlS &: (2) SEI'S OF BUILDIIfG PIAIIS &: (1) SEl" ENERGY FUlUtS...
COItItERClAL: A'lTAm (3) SEI'S OF BUD.DIlIG PIAliS &: (1) SEl" EIIERGY FORIIS.....
......OOpy OF mN'l"RAct KIIQIBIRED.
PIlmITTS REOUESTED
---...BUILDING
$
Va1uat:ion of Tot:a1 Construction
F.I.I1:CJ'RICAI.
AIIP Service
Florida PoIIJIer Corp.
._W.R.E.C.
---.JtItCIIANICAI.
$
Va1uation of lIechanica1 Inst:a1lation
_PLUtlBING GAS ROOFDiG
SPECIALTY
TYPE OF OONSTRUC'I'ION: _Block _~ _Steel
Other
FIIIISBED FLOOR ELEVATIOIIS:
FT.
IS PRO.JECI' 1lI FLOOD ZOIiE AREA?
YES NO
......................................................................
RUTT DER
aJlII'JIACIOR S~N
CDlPAlllYILjq
StAte Cert. or Re . t. ,
City License Regis t:ion'
....................................................................................
Signature
F.I.F.cr.RI.CIAN alllPAIIY
StAt:e Gerl:. or Regist:. ,
S. City License Registration .
..................................................................................
:=ture d; ~ ~:c:t~~:t.~E
, . ..........................................................................
IlEalAllICAL aJIIPARY
State Cert:. or Regisl:. .
Signature City License Registration ,
................................................................................
flo"'~;1'j
tl ~6 ':/. '3
I,'J
0TRJlR
CDlPAIIY
Stat:e Cert. or Regisl:. ,
City License Registration ,
............................................................................................
Signature
APPLICATION APPROVED BY
J1t1-t\&Ac1 711 h?~
PERIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
"Contractor Sections" of this application for which 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 work. If the contractor wishes you to sign
as contractor that lay be an indication that he 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 "Florida's Construction lien law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that 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 hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
, Departlent of EnviroDlental RequIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treatlent
, Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
, ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, US EnviroDlental Protection Aqency - Asbestos abatelent
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 which 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 the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YDUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RE G YOUR NOTICE OF
COKKENCEKENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND P "NOTICE OF C(JftItE "E
/.~~
r. SIGNATURE: DINER OR AGENT
STATE OF flORIDA /f
COUNTY OF /' ~ c..c;:::;
The foregoing in~~ument was acknowledged
before me this ~/~ ,19~ by
I
who 'i~~~it~~ow~~~hO has
produced
as identification and who did/did not
take an ~h. .. ../
~~~
(Sig~ature) .
STATE OF FlORJPA
COUNTY OF f;J s C {j
The foregoing instrument was acknowledged
befc,re me this Sl'ftE/J1I3E,,~!l19.2..i:.-- by
Gf!,AJ>'j Cv NIVIIY {;. J.-)J4m
who is personally kDO~ to me or who has
produced
as identification and who did/did not
tak~n oath (j)
~~dL ,'A ~
(Signature)
;<os';/":F- /J.. ('()oA/Ef6
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name
NOTAR
, ~rliff~ ~Tm~tfifil!ld
~ ,,/;) ,r,~Ap.:,<fo.:~~l!R.N~,F:..O
>l- COMr,1/..",,,_c'J Nd"i!:;ER
~r c~ ;. ",; ~:' ,:1 ;2' /~ 0 ~~~
-y~ <f MY CO!~:M;:;:.;~:;:;N C.;~;7l.
, OF FI,O M:..... rl.:...-~.:!.~;2,~L,~,-,
#\";~W'P(;/",,,
~~..,_..,..,~~\ ROSALIE R, COONER
f~f.''''''- fA'd
~ . ~ ).! ~rotary I"ublic State 0 on a
\~ / ~:I- My Comm, Exp, Apr. 17. 1998
,..... --,.....~,' 362892
"""'!!..!.~~''''' Comm, No. CC
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CYUNNINGHAM CONST.
MR & MRS BARTON
BATHROOM RENOVATION
UTILITY ROOM RENOVATION
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/ ~ UTILITY ROOM
HM J
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EXISTING HOME
SA THROOM __,__
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1\1r'\ TI= 1 All 1=1 Y'
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