HomeMy WebLinkAbout94-4380
BUILDING PERMIT
11J.-.~ -v
C;:ILDI0
CiTY OF ZEPHYRHILLS
(813) 788-6611
P . NO
ermlt '.
4380A
/0.-/'1-7'/
;;LS"': c:r-o
0:LEC:'C~
Date
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmperty Qwoe, ~~
Job Address:.3 . '~_ t2.u~
Parcell.D. #<.:?<,".%-d/- ~p.~ CJ89{)()'" C;Oc'J..O.... ()03/
Water I\/I~ter:
TI.F.'s:
Zoning: ~code: ~ Radon Gas:
Description of Work '\.~ l-"'l") .PA-1~~
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
City License Registration #
State Certified License#
J/:J. 7
Inspector
Permit Fee /3 7,. SV~
Sign'ature ~~ ~ .
,.
Company
Address
T.elePhoneq/ 3) y~~, ~ ytrO
~
Valuation or
Contract Price
/1. h Y3,. ~
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{I...I//;j;-~ -" .:~~V ~L",ne~.(l Al~
. .?b
BUILDING ELECTRICAL ~ PLUMBING
MECHANICAL
.:-P.' Servo , ~
~&th In /O-/7~c.f f};O
~eter Can
Const. Pole
Pool
Pre-Meter
Final / /-, -- t:'-/4 tbb
Ftr.
Pre SLB
Lintel
FRM. If} --/7--4t.{ GtlL-
Insul. CL r:1~-
WL ~ r1
, l}.. -4 ~ LV
Driveway 11"" J C
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
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.
'7(-<<!.ui /0 <3-9C(
J712f .f5D"fl
OWNER'S tWm CD/::) Y ,8/2 Y7~ 5/. /V(u- PHON.('S-/3) liG '? '.S- 39/
OWRER'S ADDUSS 3'<;5o;?-c, ~c6f::A-G Q;,h'Tc#Y 4uc?/7c/e!., 2~"pA't/yA/I/s; PC 3ssYt:?
/' V" ""
JOB ADDRESS 5f?c?;2~ ~d~RC U.n/-<#V #t/t?/1t/e, Z~~AVyh//I.s' 7?C ?..?s-f/C?
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LEGAL DESClUP'lION: LOT(S) .::? 13 BLOCIL.-SUBDXVIsXON g.c.c;> ~~C.4C A/s (:;"';?j/
PARCEL LD.' :3 s~J;lS;k~hO/~;b8-9C'qkplO 4 CJos ) (OBTAI.N FROM PROPERTY TAX NOTXCE)
WORK PROPOSED:~ew CoDstruction ---..Addition L...,uteration ---..:Repair _:Install
APPLXCATXON FOR PERKIT
CXTY OF ZEPBYRHXLLS
BUlLDXNG DEPAR'l'HENT
_Sign
---"ove
->>eaolish
PROPOSED USE: ~iDg1e Faaily
-Leo-ercial
---"IF _' of Units ---"/B
_Indust. _Swill. Pool _Other
___..Restaurant Ii Health Departaent Approval
DESCRIP'fiON OF WORK:~T-t"TI&~ ~mocU
BtrrLD:ING SI.ZE: 5<1 X '7"~ J'/Ib Square Feet, Height
RESIDENTIAL: A1TACH (2) PLOT PLANS Ii (2) SETS OF BUI.LD:ING PLANS Ii (1) SET ENERGY FORMS.
COMHERCl:AL: ArrACH (3) SETS OF BUI.LD:ING PLANS Ii (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTXON.
/~UlLD:ING
~ Rl.RC1'RICAL
---1IECllAUCAL
-PLUflBDfG
PERMITS REQUESTED
$ /~ ri>cJ3,(.?O Valuation of Total Construction
- 1'1/
7 7. - IE-^ 1<; T!../..;rvice
/"-> ~ 5e Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical :Installation
GAS
ROOFXNG
SPEc:lALTY
TYPE OF CORSTRUcnON: -Block _Fraae _Steel
Other
FDlISBED FLOOR ELEVAnORS:
FT.
IS PROJEct Df FLOOD ZONE AREA?
YES NO
..........................................
BIJTIJ1RR
CONTRACTOR SECTION
mKPARY A&i~;~.;; 1 ~flccl~~ .:);,0.
State Cert. or Regist. . C-..ijIL.-1J:t;;? '7...2-
City License Registration' __~_
........................................ ,/
COKPARY Uwtle NC C ~, IftLUS
State Cert. or Regist. .erz.~ 17S-
City License Registration . 0 1'71- ..2 ~
..........................................
Signature
PLUMBER
L f' ./
I
Signa
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
OTRRR
COHPARY
State Cert. or Regist. '_
____ City License Registration .
.........*............................*...
Signature
APPLXCATXON APPROVED BY
PERKIT Of'fXCER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this perllt lilY be subject to .deed restrictions. wbich lily be lOre restrictive than City
regulations. !be undersigned asBUJeS responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OlDer bas hired a contractor or contractors to undertake wrt, 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 0Iml!l' and contractor lay be
cited for a lisdeleanOr violation under state law. If the mmer or intended contractor are uncertain as to "bat licensing
requiretellu lilY apply for the intended wrt, they are advised to contact the City of Zepbyrhil1s Building Departlent, (813)
788-6611.
FurtberJOre, if the OIIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
.Contractor Sections.. of this application for wbich they will be respoosible. If JOU, as the mmer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the IIOrl. If the contractor "isbes fOIl to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
City of &epbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of .Florida's COnstruction Lien Law - BcIIeolmer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUl8l' Affairs. If the applicant is 8OIl!OIle other than the
.00000er", I certify that I bave obtained a copy of the above described doc1Jlent and prEse in good faith to deliver it to the
.owner. prior to co.encetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforliltion in this application is accurate and that all IOrt will be done in ~liance with all
applicable 181ls regulating construction, loning, and land developl8llt.
Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas ~ced prior to issuance of a perIIit and that all IIOrk ,ill be perfoIled to Het staDdarda of all 181ls
regulating construction, City codes, zoning regulations, and land develo(ll8llt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlK!l1tal agencies lilY apply to the intended IIOfk, and that it is
-r responsibility to identify wbat actions I lust take to be in cmpliance. Such agencies include but are not lilited to:
. DepartJent of Envirolll8lltal Regulation - Cypress Baybeads, Wetland Areas and Invirolll8lltally Sensitive Lands,
Water/lfastewater !reatlent
I Soutbwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
. Arty Corps of Engineers - SeawallS, Docks, lIavigable Waterways
. Departlent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic 'Ianks
I US Invirontental Protection Agency - Asbestos abatuent
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 .cOlpeJlSating volute. ,ill be sublitted wbich 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 ,ith the wrk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perIIit prevent tbe Building Official f[(ll thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becme invalid
unless the wrk authorized by such Perlit is COMeIlced ,itbin sillODtbs of issuance, or if wrk authorlJed by the perIIit is
suspended or abandoned for a period of sillODtbs after the tile the 110ft is C08eDced. One 90 day atension of tile, lilY be
allowed for tbe perIIit ,itb fee charge of $15.00. 'Ibe 81tension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODtb period, or the project ,ill be considered abandoned.
IIARHIIIG TO OIfIIBR: YOUR FAILURE '10 RBCORD A 1I0001CE OF COIMIIfCBllll1' MlY RBSUL'I III YOUR PI G !IIICE FOR IMPROVBIIII'IS TO YOUR
PROPIRn. IF YOU IOBIID to OB'IAIH FIIlAllCIHG, COIISUL! WItH YOOR LlllDER OR III A RICORDIIG YOUR O'IICE OF
COMMBIICBHBM!. JOBS UNDER $2,500 III VALUE 00 101' mo fO RECORD lID POS! A '101'1 CBIIBI'lI
,/~~
SIGIIAfURI: (II)IIR OR' AGIO
~~O~/~#,~~
Tbe foregoing instrument was ~~wledged
before me this tPd- s ,19~ by
~ ~~\1 nt//?/
who i person 1 y known to me or who has
produced
as identi
take
Notary :Puliflc; "State of FlorIda at tarp
My CommiSSion Expires Dec. 11. 1995
\ Bondedthru Agent's Notary Brokerage
SIGIIA
StAfl OF FLORIDA 1ft
coum OF ;z;;J/le' 1:4-->
Tbe foregoing inst~t was acknowledged
before me tbis 3 ~&C/f; 19~ by
It! / d;~~~
who is(l)ersonall . mm:> to me or who bas
produced
as identification and wbO.d~/did not
~,.tb(;). L.)~
(~gnatule) W
'(~c..,...~ W L01,J
(Name Typed, Frinted or Stamped)
NO'l".nv PHDLI'" 'd at Large
AIU up. "" State o~ FlOrl a 995
NotarVpuo,1C, . DDc.ll,l
. . EX"I[e<; c. __
My commiSSIon ~'N~tary Brol<er..,..
Bonded tnru Agetlt_s
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PLANS (i_iE~~!
DATE -I r~ qq-'
..
~ BUilDING DEPT. APPROVED
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h\..~~,-~: Ih""~~t~';~:~ll. ,r r;p,/iII.~."",. lff!lJ~
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, Scope d f Work
2.
t
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~~It~.'I~.\il
-aedo'le appro~i~atolY 44 L1 of interior part1tion walls. See pian
fql" lOQat!ont ..
, R.~o'l~ '~rte (ftttrlor doors.
'~han&$ swinS of walt1ns roo~ door.
Re~o'le ex~atln$ water closet in b3thro~~ at re~r of spa~e
~nd ca~ oft plu~blns'ae ~o~ sink. and wasbing Ita~hin$ station.
, gejO'l8 tal$t1n8 e~istin$ elect~ical in walls betns re~o'led.
g~~ove <<al$ttos wall~ablnet and sh~lvlns.
. .
SMOKE DETECTORS SHALL BE ELECTRIC
POWERED tAC) IN All NEW CONSTRUCnON
NFPA-101 a NFPA.14 LIFE SAFETY COOL
_8 '1\\Nll\toU\\\tO
· 'OHtJOBA'lE ...,=--f1f~
\o(~! }.4
dont~~otot sb~11 build ne~ interior partition walls to ea1st1ns
C~il1ns ~~dstruoted with 3 '/S~ aotal studs at 16~ on center with
1/2~ b'lW~ll o~ eaeb side. See plan for location.
~crOfte OR 0WNE'FJ8
IlL 0. VOUR 8Ue.cONTAAOTOAS
MUST Be REG'STERED WITH ClTV.
fkE~A~~mtEf~:'Pf:on8"
~~~~~~~. Pk~~W.~: ~E~~:A~I~~
~'''\~'r\N~1 '~c..o~
$ \~C r-t.J R ~
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!Jo~t~ <
Install (1) ~06~ wood blfold for oloset.
In$tal1 (1) 306$ rnterto~ ~a~an $olld oore door in new wall at
\"'1'! t-ill~ tOO}l.. ~
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Conttadt~t ~b~.('tepa1t drywall 1ft ateas 01 wall reao'lal.
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eont~aotot "shall ~aln' ne~ Walls and doors) and ropal~t eK'sti~s
w~11$' 1n lhl~~oal tberapy area.
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'Cdnt:,t..i~~(jt" lla~~' ln91u<hd .\~ allowance for new carpeting in
,ph1~~oal t~et~Pt ate~. l~G Sq. 1tds ~ $1',00 ~ '1,800.00
~oatt'~~.t,ot 'shall lll$tal\ n~'w "'i~yl b~se to new carpet area and
. h'dw walllJ. .
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',.aOll:t,i:~~l:'~'t h~a- t1?t 1ri~~uded the fol10winSf "indow treabun!s.
, ,'~a.l1:~t~P?.t j f(f~Orc~t-~<Ul of t~lepbon<e 4<llJiptlent, tGaoval <>t
"l~~~~11~tl~~ ~f '~tnis~~os or the~~Pl 4q~iptlept.
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