HomeMy WebLinkAbout94-4459
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
$t.5'"':: ~
BUILDING
3..5.:: oV
ELECTRICAL
.3S'- c77:J
PLUMBING
Pmp'~v OW"" t It~t;;:!/;'U~L
Job Address: d
Parcell.D. # <-3 -.:2b -;u - 0 /..3 0 ~ tJ 2) C) e!) 0- tJ / 7' 0
Zoning: Energy Code: ldon Gas:
Description of Work '-f'1l ~ ,}I~ ~ _ ~ - ~
~I Jf17f/.,g ~<J~ .
NO PANCY BEFORE C,O.
Permit N.~
4459
Date 1/ -/0 ~ '7 y
Q.tJ. dV
MECHANICAL
Sewer Conn /,.J.... 7 tf-, tIb
Water Conn: 3..5,0 - ,,7,)
Water Meter: I 6..!>-: tll/
TI.F.'s: (Jj KV. crD
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
Valuation or
Contract Price
~~/f-
City License Registration # <..:?-Sb
State Certified License#
Telephone#
JI.;t(~~~
,
c.~~_
ELECTRICAc3-.5
7tURr:~
PLUMBING /"?,,
/3ak 71r~p"r/J/C-
MECHANICAL 1 r-
BUILDING
Ftr.
Pre SLB
Lintel ('
FRM,
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final I H S-Cl4- Bcl,--
SLB
Tub Set
Water
Sewer
Final 11-/7.. ~"'-f I~h
Breakers
Ducts Insl.
Compressor
Final j)-J 5~CY4 J3~
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
w- 1/-/tJ-9'f ~.
fL41/-/b-'1'j
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
APPLICATION FOR PERI'1IT
CITY OF ZEPHYRHILLS
BUILDING DEPARn1ENT
APPLICANT -1-1 cL-~ r NieIL5ThTt "\(E L-SO 10
- - .. . - ' ~....
ADDRESS 3 1 1.0 3 5 N e;' uJA-- J.:..:.J:' d A- Y 6
~o u.J ~ vJ 0 LD1<--~rTpf Kg-c~
Jon LOCATION zgpHye .f?.lDGe '
PHONE -r~' i--
Je'y Wl~
z-- -z- -J k
OHNER
LEGAL DESCRIPTION: LOT(S)
BLOCK
L'OT SIZE/JJillX I f.D 7 AREA SQ, FT. I 3 I 9 Z-
SUBDIVISION ,ze:-effY~ R(DGt
WORK PROPOSED:.:2if-Nel' Construction _Addition _Alteration _Eepair _Install
c:3 - Z- tp .:.- ZJ ':~ 0 /3. (') -- l) 6 (j C) 0 - 0 I q 6
PARCEL 1. D. i~
_Sign/Temp.
PROPOSED USE: ~Sinr~lc Family
_Sign '.'
_Hove
_Demolish
~M/F
~t~ of Uni ts
. ~tl/ II
_Commercial
~Indust.
SI",im, Pool
- '
Other
nUILDING SIZE:
_Restrlurant & Health Department Approval .
'Z- &" xJo.lL I I Z- Y z- ,-I -nrG stuCfrf;> fe'c t I
,
HeiGht
RESIDENTIAL: ATTACIl (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY FOR!'IS,H
COHl'IERCIAL: ATTACI! (:'.) SETS Of BUILDING PLANS & (1) SET ENERGY fOR~15. H
**COpy Or CONTI\ACT REQUIRED.
LBUILDING
~ELECTRICAL
~_JIECHANICAL
~PLm1BING
]'ERMTTS REQUESTED
$ S-L\ 700 Valuation of Total Construction
~50 AHP Service -*-Florida POI",cr Corp.
_h',R,E.C.
$ Z-Q 0 ~
.'
Valuation of Mechanical Installation
TYPE OF CONSTRUCTION: _Block ~Frame _Steel MOB' 1t--~J=1~fMer
___GAS
ROOFING
SPECIALTY
FINISHED FLOOR ELEVATIONS: FT. .
**********.***********************~**~*****
j\ 1111.\11::1
~ONTRACTOR 0E~fJ~
\~ ,Company pt15l..-D M.H-.~~"I(e
Ct"t cc.t 0\' l'l'['}' .'t' il ~I ~ ~
o 0. C t I . \..' ,I .' .. - ._~-
City License HC[',istrat inn:! ;3 ~ fa
******************************************
Company ~Ci. H JQ4UJA- rJ ,I,N G
State Cert. or Rcgist, II 32--3
City License Rcgistr:.ttion;! ...=5 S--
***********************************~***
~
. Company' ~ eLSC:> ~ rS: ~ M A J
State Cert. or Regis t. !,! I <c 11
City License Registration!~ I () $'"
******************************************
Signature
Comp'any BA.t-\-e./~ 'Pl21JPA-aJ6' CoA-~~-A.C.
State Cert. or Regist. i',' S-~ L}?>
City License Registration 0 7 ~
******************************************
Signature
Company
State Cert. or Rcgist, 0
City License Rcgist1:3.tion ii
,OTHER
******************************************
PEmllT OFFICER.
APPLICATION APPROVED nY
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! C :'.jC OF" r":Ilf1! -, A; j:" r ;o',lt.',\) 1 T
A. NOTICE OF nrcn RESTRICTIONS
The,undersigned understands t~at this perlit ~ay be subject io "deed restrictions' Hhich ~ay be ~ore restrictivc than City
regulations. The undersigned aS5U~CS rC5pons\bil\ty:for..co~pliance Hith any applicable deed rcstrictions,
, ,
B. UNL T CEt'-ISED cr.:.!:::!TnDCT.~)RS AND CONTRACTOR 8ESPONS I II I LIT I ES
If the owner has hired a centractor Dr contractors to undertake Hork, .they Iny be required 10 be licensed in accordance with
state and local regulations. If the contractor Is nol licensed as required by Inu, both Ihe ouner and contractor nay be
cited for a nisdeneanor viDlatirn under state la>>., If the oHner or intended contraclor are uncertain as to what licensing
requirelents ~ay apply for ih~ inlended Hort, they are advised to contact the Cily of Zephyrhills Building De?artEcnt, (813)
7813-6611.
Further~ore, If the owner h~s hired a cDntractor or contractors, he is advised te have the contractor Is) sign portions of the
'Contractor Sections' of this application for ~hlch they will be responsible, If you, as the owner sign as the c~ntractor,
you are indicating that YO\l, ralher than the contractor, ar-e respe,nsible for the wc.rk. If the ce,ntr"ctc,r l1ishes ye,u to sign
as contractor that nay be an indication that he is nDt properly licensed ~nd is not entitled to per~ilting privileges in the
City of Zephyrhills.
C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCT ~_ill:.LJ-.:} Et-!_LAI-l
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I CErtify that I, the applicant, have been provided with a copy of 'Florida's Construction lien laM - HD~eDMner's Protection
Guide' prepared by the FIDrida Department of Agriculture and Consumer Affairs. If the ~pplicant is SOle~ne other than the
'oHner', I certify that I have obtained ~ c~py of the above described document and pro~i~e in good faith to deliver it to the
'Dwner' prior to com~encrment.
.. ~ t. . ~.~:: 0 ': . ; : .
E. CONTRACTOR I ~'iL91I'Jf\IER' S AFFIDAVIT
I certify that all the infDrlation in this application is accurate and that all Hork l1ill be done in c~~pliance Mith all
applicable laHs regulating construction, zonirig, and land developcent.
Application is hereby ~adp. ~c' (,btain a percH to'do Hork and installdic.n as indicated, I certify that no Hork or
installation has cO~1enced prior to issuance of a permit and that all work Hill be pErfor~Ed 10 ~eel standards of all laMS
regulating construction, City codes, zDning regulatiDns, anc land development regulations in thE jurisdiction. I also
ccrtify that I understand that the regulations of other govern~ental agencies ~ay apply'tu the inlended l1urk, and that it is
ey responsibility tel identify lfhat actions I itust take to be in cc,mpliance, Such agr:nciEs ir,cludc bill ~I r: Ii"t lir.iled 10:
. ".;.> .
l Departs!nt of Environ~r:n\a] Reoulation - Cypress Dayheads, Hetland Areas and Environmentally S~n5i tiv~ L~ndsJ
, Hater/Yaste~ater Treatment
l SouthWEst Florida Hater. "a~ane~ent District - Yells; Cypress Dayheadsr Hetland Areas, nllering Yalercourscs
l Arty Ceoros ,of EnQirleers_ - Se;;l1alls, Ducks, Navigable Hatenlays
f Departmcrlt c.f fleal th !, EEh~h\ I i tative Services. EnviroMental Health Unit - IIc-lls, \lilSlcl1aler TrE::l,:cn.~. Sept ic Tanks
I US Environ~r:ntal Prutr:clion ~Qr:ncy - Asbestos abatement
also certify that, if fi]1 natedal is to be used in F1'elod Zeone 'n" elr 'n,dc.', it is unoc-rstc,[,d \:..;\1 a drainage plan
addressing a 'co~pen5ating VDlu~e' Hill be submitted lfhich is prepared by a profe5si~nal engineer registr:red in Ihe Slate of
Florida prior to per~it issuance.
A per~it issued sr.;;11 be construed to be a lice~se to proceed uith the Mork and not as allther!ty 10 viol~le, cancel alter, or
set aside any pru\'isie.ns e,f tl,e technical ce.des, nor shal1 issuance of a permit prevent the ['uilding tJjf\ci~l irc.~ thereafter
requiring a cc,rrEc\ic,n e,f errors in plans; ce,nstruc\ic,n, cor violations of any cude. Every pr.rdl i5SIl<,d ~hall becc,f(' invalid
unless the wc.rk aut!.c,ri:ei! by such permit is ce,ml1enced Hithin six 1Il0nlhs of iSSIl,1ncE, e,r if IICo1l: aI' 11,[" },0J by Ihe pNlit is
suspended or abande'lied fc,r a pcric,d c,f six lIonths after the tbe th~ \lerk is ce,rlmencEd, Dill' ~(I day e~\~;.si.;ql l'f ti~", lIay be
allowed for lhe permit Hith fee charge of $15.00. The extension shall be requestEd in IIrililiQ to lhe Building Official, An
approved inspection ~IIS\ be lugged during each six month period, or the project l1il1 be considered dballduned.
WARNING TO OW~IER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDI~IG YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO 'ECORD AN .: ST A "NOTICE OF COMt1ENCEI"ENT"'~
SIGNATURE SIGNATURE -------- ------------
GENT!;:;-;;;;;;::-'i--j.,Jn,.;JJ CmHRACT fa!Sc)JlfLL::/ P1JnJAJ
DATE ____,_J.a ::.d.7_-=-_i.t{----.:.-.~~~--_.~------ DATE - - ____/-a _:2-:. Z -- 9- If- - - - - - - -- -- - ---
......
NOTARY AS TO~' .. I? .
OWNER OR ()GENT ___ _ ~__4:..~~
TJli-~E:/V $- J3/?OWtJ
MY COMMISSION EXPInES______________________
NOTARY AS TO / ~
CONTRACTOR~___~~~~-~~~~
" K.4'l71L.I:;.~ ::J;jl -B,e,-wN
MY COMMISSION EXPInES__________________
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C E N T R ALP E R M I T T
PASCO COUNTY, FLORIDA
CONTRACTOR #:
NAME: EDWARD LORETTA KECK
ADDR: 37635 NEWELL AV
CIST: Z/HILLS
FOR:
I/L/--S/
DATE: 11115/94
PAGE: 1 OF 1
I S:3UE OFF I CE : [l
RECEIPT NUMBR: 00230685
OFFICE: DADE CITY
I N G
CHECK # 11845
AceNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
6.30
AMOUNT DESCRIPTION/PERMT DATA
6.30 ****** SOLID WASTE FEE
DRICR
60
RECEIVED BY
/'"' ,r;
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