HomeMy WebLinkAbout95-4606
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
4606E
Date
/ - 9 - 9:::'-
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
G "'!z
Property Owner: f Z
Job Address: 'I'l <.,...,pA (J.A::' ~
Water Me!er:
T.I.F.'s:
Parcell.D. #
Zoning: .:z: Energy Code:
Description of Work. .1\; tJA/1 r;J M .L~
,/ - /
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL~I-~~,q5
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordal"ce with City Codes and Ordinances.
c.o.
DATE
Inspector
&J
City License Registration #
State Certified License#
cJ '/-.2
Permit Fee ft~"""" tJ<,.:>
Signature ( 4../)/)1AA IV!
Company
Address
Telephone#
'12 Yo"--
Valuation or
Contract Price ~ /, 9" 6<< cr-V
~~/~/f&jrWY\
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr. /-l.;' 1 ~ ~tU-"
Pre SLB /-Ib. ''5" B,lJ....
Lintel
FRM. :;-1-'15 litH
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
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 ($15.00) 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.
APPLICATION FOR PERKIT
CITY OF ZEPHYlUIILLS
BUILDING DEPARTMENT
OWNER'S BAHR ~. -r ~ \:.. ,\ Sc.. t-\:
OWNER'S ADDRESS 4-,00\ SILV6R.
JOB ADDRESS -AS \!1<eoV~
LEGAL DESCRIPlION: LOT(S) BLOCK SUBDIVISION~N.T VlLL~..s
PARCEL LD.' f.(.c;cogp PJ-~ Bode- 3 \ Pt4&e b~(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction .-0ddition ~teration ----:B-epair _Install
PHONE /82- 3l4-'I
e\ 'O~ 1 Z6Pff.::1R..11ILLS FL 3~~q..\
}
_Sign
----1fove
_Deaolish
PROPOSED USE: ~ingle F_ily
--14/F _' of Units --14/H
_ec-ercial
_Indust. _Swia. Pool _Other
----:B-estaurant it Health Departaent Approval
DESCRIPTIOR OF WORK: , C; c... R 6 e J......c. Po (<. G~
Lf-<J ( I 0 ( ~
BUILDING SIZE: 0 X I , 33 b Square Feet, D 3 Height
RESIDERTIAL: AnACB (2) PLOT PLARS it (2) SETS OF BUILDING PLANS it (1) SET ERERGY FORMS.
COMMERCIAL: AnACB (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION.
PERHITS REOUESTED
bUILDING
$
Valuation of Total Construction
_ELECTRICAL
AIIP Service
Florida Power Corp.
W.R.E.C.
--1IECBABICAL
$
Valuation of Mechanical Installation
_PLOHBING
GAS
V ROOFING
SPECIALTY
TYPE OF CORSTRUcnOR: _Block _Fraae _Steel r-i LU W\, N l) ~Other
FIllISBED FLOOR ELEVAnORS: (7 FT.
15 PROJEct' IN FLOOD ZORE AREA'l ....L
YES NO
..........................................
Signature
.', CONTRACTOR SE~
~ ~~, '. '=~rt.:r ::.~~ c~~~~~ ~
~ fl..!1 ~~ City License Registration' ~43
..........................................
RUn.DO
SionAture
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
F.T .R.CTRICIAR
OOMPANY
State Cert. or Regist. .
City License Registration .
..........................................
PLUMBER
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
MECllABI.CAL
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
OTRRR
Signature
APPLICATIOR APPItOVED BY.
J1~m~~
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pemit Jay be subject to "deed restrictions" which Jay be lOre restrictive than City
regulations. fhe undersigned assUleS responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they JaY 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 .isdueanor violation under state law~ If the owner or intended contractor are uncertain as to what licensing
requirl!lents Jay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611. ,
FurtbeI'lOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 tIle 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 _ BnIeotmer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleOne other than the
"owner., I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
"owner" prior to COllellCl!l8llt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developllent.
Application is bereby Jade to obtain a pmit to do work and installation as indicated. I certify that no work or
installation has c~ced prior to issuance of a perlit and that all work will be perfol'll!d to 18et standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other P811llental agencies JaY apply to the intended wort, and that it is
If responsibility to identify what actions I lUSt take to be in colpliance. Such agencies include but are not liJited to:
t Departtent of BnvirollleDtal Regulation - Cypress Bayheads, Wetland Areas and BnvirollleDtally Sensitive Lands,
Water/Wastewater 'lreattent
t Southwest Florida Water Managl!l8llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Al'IJ Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'lreattent, Septic 'lants
t US EnvirODJental Protection Agency - Asbestos abatl!lent
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 "COIpeDSating volUJe" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to pemit issuance. .
A pemit issued shall be construed to be a .Jicense to proceed with the wort 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 flOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
unless the work authorized by such pellit is COIIeDced Idthin six IOIlthS of issuance, or if wort authorized by the pemit is
suspended or abandoned for a period of six IOIltbs after the tile the wort is co.enced. One 90 day l!Itension of tile, Jay be
allowed for the perlit with fee charge of $15.00. The l!Itension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each sil IODth period, or the project will be considered abandoned.
WARNING TO OWNBR: YOUR FAILURE \'0 RECO~ A. NOIICE OF C(lDlDCBIIINf MAY RESUL\' IN YOUR PAYING fWlCE FOR IIIPROVBIIDfS '10 YOUR
PROPBRfY. IF YOU IIIDD 10 OBfAIH 'FUCIIfG, COISUL'l.WI'lH YOUR LBlfDBR OR IN AnoRDY BIFORE RECORDING YOUR IfO'lICE OF
COMMBNCBMBlft' . JOBS UlWBR $2,500 III VALUE 00 NOI IfIBD '10 RECORD AND POS'l A 'NOIICI OF C(JIMDCBMmIl.
~~.2~
SIGXA'lURE: COli R
. .
SIGlAftJRI: OIflIBR OR AGBJI'l
STA'lB OF FLORIDA
coum OF
The foregOing instrument 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 oath.
S'lA'lB OF FLORID~
coum OF ~)
The foregoing i~rument was aCknOWledged
before me this dO, 19~ by
~.~
who is personally know.q to me o~ who has
produced F L ~..J t." c....)
as identification and who did/did not
take~ ~
(Signature) (
(Signature)
(Name, Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~""y 1'14t.
~~~ NANCy LOAENZ
*W MYCommisslollCC4f:u&2
* EXpires Oct. 23, f ll98
~ Bonded by ANe
~{JfR.~" 800-852-5878
/~
ARKAY ENGINEERING, INc.
structural engineers
BRGIBBER'S CER~IFICATE OF DESIGR
I, Richard L. Kiddey, P.E., hereby certify
that the attached plans for the PORCR ADDITION
FOR PETER EISCR located in Pasco County, FL
were reviewed by myself and found to be
designed in accordance with Chapter 12,
Section 1205 of the Standard Building Code for
100 MPH wind loads and accepted engineering
practices I to the best of my belief and
knowledge.
Signed & Sealed this 22th day of December
1994.
Florida Registration # 37296
921 Shadow Drive - Suite # 1 0 - Lakeland, Florida 33809
Phone: 813-853-2711 Fax: 813-853-8593
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