HomeMy WebLinkAbout94-4537
BUILDING PERMIT
Permit ~
CITY OF ZEPHYRHILLS
(813) 788-6611
4537JJ
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PLUMBING
MECHANICAL
Sewer Conn
Pmp,rty Own", f!!W ftl~:!J; J ~~~-
Job Address: ..3 r
Parcell.D. #
Water Conn:
Water MeJer:
T.I.F.'s:
Zoning:
Description of Work
En~rQY C2
7.)~ ~ i/~
/'
Radon Gas: ~
~~}l
5
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee tf--S ..... - ~)
Sigl'lature K4/:~z__
Company ./
Address
Telephone# ~6'1- 7f'r-f 1;;; ?
Valuation or
Contract Price ~ ~ - ~~)
City License Registration # ,5 ~3
State Certified License#
,.
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICAnON FOR PERKIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTtIEBT
OWNER'S IWtE FIOrile< fJ1 pj), rriJ C In I~
. i"'-
OWER' S ADDRESS 5" 33 ~ 8 S-t- r f'*'
JOB ADDRESS .:$ 5? / () 9 In c.f"k e-t
LEGAL DESCRlP'lION: LOT(S)
PARCEL I.D.#
~ Lt.Ctre'
BLOCK
PHONE <613 - 5'-b '- 00'-/5--
2-eOA~/v/i~ 3 3.:5$10
I / / 1/
?r-pA7rhLlc<:
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:---.Jiew Construction --..Addition ---..Alteration
bign
--Repair _Install
--Kove
->>eaolish
PROPOSED USE: _Single Feaily
L~erCial
---It/F _' of Units ---It/H
_Indust. _Swia. Pool _Other
Restaurant &: Health Departaent Approval
DESCRIPTION OF WOlUt: W 0.../ i S ~ Y\
BUILDING SIZB:
x
Square Feet,
Height
RESIDENTIAL: A'rrACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS,
COtlKERCIAL: A'rrACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY PORHS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
----BUILDING
..
$ 6()rY) ~
PERMITS REQUESTED
Valuation of Total Construction
RT.RCTBICAL
AIIP Service
Plorida Power Corp.
W.R.E.C.
--1IECIWIlCAL
$
Valuation of Hechanical Installation
~UllBING GAS ROOFING
TYPB OF CONSTRUCTION: ~loclt _Praae _Steel
SPECIALTY .
Other
FDlISBED PLOOR ELEVAnONS:
Fl.
IS PROJECT IR PLOOD ZONE AREA!
YES NO
..........................................
BMI.DER
CONTRAC'1'OR SBCTION
.'" ,. ,,' . ~ANY ROt;~iS S,,^ ~i-
&. -L r ~ State Cert. eft Ilegist.' f
'0 . City License Registration # ,~ '3
..........................................
. COKPANY~G 'E/~Lir(c..
State Cert or Regist. .
City License Registration .
.......................................... ~ ~ ~~
Signature
RT.RCTRIClAN
SianJlture
PLUHBER
O OOttPANY
State Cert. or Regist. #
(lJ 4 City License Registration #
..........................................
Signature
Signature
IV (Ii
COHPANY
State Cert. or Regist. #
City License Registration .
..........................................
HECllARIGAL
OTRn
dJ I v;L
COMPANY
State Cert. or Regist. #
City License Registration #
..........................................
Signature
APPLICAnON APPROVED BY
PERKIT OFPICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'I'he undersigned understands that this penit Jay be subject to Ideed restrictions' wbich Jay be lOre restrictive than City
regulations. !he undersigned asSUles responsibility for COIpliance with any applicable deed restricti0D8.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance with
state and local regulatiOl18. If the contractor is not licensed as required by law, both the owner and contractor JaY be
cited for a lisdeManor violation under state lal. If the owner or intended contractor are uncertain as to wbat licensing
reguirl!lellu JaY apply for the intended work, they are advised to contact the City of Zepbyrbil1s Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
IContractor Sections' of this application for wbich they will be responsible. If you, as the OWDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILI~ 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 - lIoIeoImer'a Protection
Guide' prepared by the Florida Departlent of Igriculture and ConsUJer Affairs. If the applicant is SOII8OIl8 other than the
IOWDerl, I certify that I have obtained a copy of the above described docUJent and prOllise in good faith to deliver it to the
lowner' prior to COlleDC8l8Dt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cQIPliance with all
applicable laws regulating construction, Joning, and land developent.
Application is bereby Jade to obtain a penit to do wort and installation as indicated. I certify that no work or
installation has ~ced prior to issuance of a penit and that all work will be perfoned to leet standarc1s of all laws
regulating construction, City codes" 10Ding regulations, and land developl8llt regulations in the jurisdiction. I also
certify that I understand that the regulations of other 90verDleDtal agencies JaY apply to the intended work, and that it is
If responsibility to identify wbat actions I lust tue to be in COIIpliance. Such agencies include but are not lilitec1 to:
. Departlent of InvirOlllelltal Regulation - Cypress Baybeada, Wetland Areas and Invirolll8llta11y Sensitive Lands,
Water/Wastewater 'I'reatlent
I Southwest Florida Water Hanageaent District - lIells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
I Any Corps of Engineers - Seawalls, Docks, Ifavigable Watenays
I Departlent of Health & Rehabilitative Services, EnvirOllleDtal Health Unit - WellS, Wastewater 'I'reatlent, Septic lants
I US EnvilOllleDtal Protection Agency - Asbestos abatuent
I also certify that, if fill IIterial is to be used in Flood ZOne IAI or 'A,etc.', it is understood that a drainage plan
addressing a lco.pensating volUJe, will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to penit issuance. .
A perlit issued &ball be construed to be a license to proceed witb tbe wort and not as authority to violate, cancel alter, or
6et aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becOIe invalid
unless tbe work autboriJec1 by such penit is co.enced within sillOnths of issuance, or if wort autboriled by the penit is
suspended or abandoned for a period of sil IODths after the tile the work is CDleDced. One 90 daJ atension of tile, -y be
allowed for tbe penit with fee charge of $15.00. '!'be atension &ball be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODtb period, or tbe project will be considered abandoned.
WARMIIIG '1'0 omR: YOUR FAlLURI 'f0 RlCORD A R01'ICl OF C<IIIIDCIIIBH'f MAY RlSUL'f III YOUR PIYIIG IWICI FOR IIIPROVIIIIIIS 'fO YOUR
PROPIRIY. IF YOU IIIUD '1'0 0BI1IIf FnwtClKG, COIfSUL'f IUlH tOOR LIIIDIR OR II A'f'fOIlIIY BIFORI RICORDIIG YOUR R01'ICH OF
COHMIJICIHIIlf. JOBS UIDIR $2,500 III VALUI DO 101' MIlD 10 RICORD AID POS'f A 'ROIICH OF COIIDCIMIIlf'.
SIGIIA'I'URE: COII'I'RAC'I'OR
SIGJIA'I'URE: OWIIR OR AGEM'I'
S'I'I'lI OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by.
S'I'I'I'I OF FLORIDA
coum OF
The foregoing inst~t was aCknowledged
before me this , 19_ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oa.th.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Bame Typed, Printed or Stamped)
BOTARY PUBLIC
(Bame Typed, Printed or Stamped)
BOTARY PUBLIC
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1'~O WHOr; IT MAY,.. (;ONCERN ;
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ii/~_ ~:iH\0 1<'" i'-AV~LA---!..licen.se-holder (Jf
'. .'liE-G '~~~~\C)l I iJC-. :, hereby aCl<no-Jled".
! (Na mff of Company) .
:.~L}at '::::!iJ'ill be '<loin::;- ~lt?:ctriGal ...ork !or Permit
-, !ciu~be.r:! bt I~l C,' _, application number. ,
.. ~, Yh~~ .h~ ~egal descrip.icb or address is listed
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Date
October 19, 1994
TO WHOM IT MAY CONCERN:
.~,-,
THIS IS TO CERTIFY THAT ROGERS' SIGN DEPOT, INC. HAS
OUR PERMISSION TO PULL A PERMIT TO INSTALL A SIGN AT
OUR ADDRESS AT: 38109 Market Square, Zephyrhills, FL.
33540
IN THE COUNTY OF PASCO
tl20
- (J('-~olat.~ r1, /qq4
",,~.:,f.\~ KEllY EVELYN HERNANDEZ
f:('ib..'\:~ MY COMMISSION Ii CC409423 EXPIRES
%~.~ September 25, 1998
"'~iff.:r..~' BONDED THRU TROY FAIN INSURANCl:, INC.
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TAPCON SCREIJS
ALUMINUM RETURN
AND BACK
./ .125 Lexon face
TRANSFORMER r TRIM CAP
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