HomeMy WebLinkAbout95-4743
BUILDING PERMIT
Permit Nt!
CITY OF ZEPHYRHILLS
(813) 788-6611
_ 474311
<..3--3- ?...s--
Date
~
Pmperty Ow,", - r;f! 1I;47.r
Job Address: ~ ~ -
Parcell.D, # / / - /)." -d-/- 00/ 0... o~--.zL 00'"
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Me.ter:
T.I.F.'s:
0/10
Zoning: ~Jnergy Code: ..,/J Radon Gas: ;'
Description of Work ~.eLL:.n. ~ ......~.11 Q ~
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
/
\3/7 >
I D ./
FINAL
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
730
~\
Permit Fee - CJ-v
Signafure RJ<,
Company
Address
Telephone#
Valuation or
Contract Price
9/o-trV
City License Registration #
State Certified License#
~~~ fl ~J;~Y\A
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.001 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.
- - - - - - - ..!~..l - )
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"~ICrIOt.. "'e , ~ &EA~S AUIhar'rtd CoIlI,1IC1or
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mawoocr ....." RlIpeIlAnl F'lllllll\lnt rr..led bow ~ FMet
S"ISCIAlINSTAlJCTlONS FENCING [(...;. IOU li_lIrJN, X _ .
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\VIIH CII"tJUEn
SPECI"\. WOfll< TO BE
AIrORMED BY CUSTOl,tiR
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ar,n~.re;lt~~f OUT
R.'uon~~ 01 ~L '09'" 10 loclnlll ~'Id Id.n!lf~ 'he I1'QDe"~ dnll. ellIs.mo'II' arid lIW 'ldllraround cable, elld pipe.. f 110<" Ih,,, , ..... et>looly
"'IX" 'II . ':II' I . I:lI'iQn 0' I". r...r.1I t14lsCtll)JJd In I"", O"",o,al. I w'lI a1lo defend !~_ i1MOlalnQnd Elltlllflors. Inc .nd ,.imbl.,y I"'m fgr
~II (:/)'013 'n c(>"'O!!c:holl Will. eny el"I,", mllde by lIn:tOf1ll IIbOVI II'll Ior-QUIIII Qllhe fence Ill,.., nr..,ons'bICIlQr ally ~eocI,I' WOlle de.c;,~ in Ihl,
PfOJ",..1
[fr'uSll4lf GQlI~f~'* t!Wll!'~ ~~. 11Ign:I" ,~, 1I,,,,l'1Ono:l ed~,IOtf,. 'ne hRe IhCI tiCl'llo mlllle 8dQll1Ol18l ch."",'1f Unveuel ground cOndiUone
,,~ tl~ 1M' ltori-suc unus.W1 lI'OIlnu cundillon.. ...:t~ bQ mcl( fQ,,,.,,,ti<Jf15. hid(Mn l(lIJndalions, Ir" 11:I<1I1. II1d olh., tl/l1ilijor obtItoclfl' AMy
o:t,<"II~~ '_cu.,y I" "IlIIIlI:l(:IQ<"Y 0:0"'I'l.'" I~ ~.~I;l"3t'(In wUll>e 1l8&p.d on eoltlfll ado1itlonallebot. ~ .1Id MlI,tllllf co.la,
hlPlO""'.III Al>PlVwimale , """""'.... !lilt It _ on ........f 6<H. _ I ....... C(IIll_
Sl~tI'lIQ 0,,18 I I C(lInolelioo 0... / ..... 10 ...Ie _ ... ~ ... _...............
CuaIOmat CIIn buv II ~Ot frIfOrlnlltbl ~)'llIJt ..1Intete 01' IflllallOllon CIlII.IOO-224..'J4lt'
Ihll klt ,,",H
Melhod 01 ~nt (The credit terms end COrtdlf~ ,rt OfOtfided Wl , ~ (lr.)CumenL)
IJ r:ash; fl<lyment. III fOIlQwlI' $ CIoWI'. blle~e due Ol'l eompletloo,
I] (.m.Jit l11elhod financing; ~~4. (10 S down, bel."ce du. on complellon
~;;, .......9<<4 ~ ~~No =0.'
I/Wr, lhtr _11""" Ole:;~ tMsc,lb-.!d 'b~ {herlilln,'I" lefllfted 10 .. 'CUItotIltt'fl)"} Ilffer to gontrllCt with 0Iem0nd E"I.rlors,
k.c. " ~il'. AvlhQtl..d ConI'lIetor. 10 furnish, .Iivef end arr.1IQlt fOl In""'~ (fA .. ""'1"'" _8"'1" 10 ~ 1"- ",......
...o:...,ejI.'9 to .". (I~bow lIP_IOIfIo(lI'O".Oo4~ T.""''' .."., CONOltlONS 01' T.... .too~I~HT "". CONTAND ON IIOTM _. M ''''' FOfI....
,t,CCl;PtED BY
""'_111_- :~: -"fIQ,..I,,", _ _~
YOU, 'TliE BUVl!M. MAY CANCEL ~18 TAAN8AC:1lON AT ANY TIM. PAIOFt TO MID~IQHT 0' TN&: TMIAO
BUSINESS DAY AFTER THE DATe OF tHI TRANSACT10N. S.. THE ATTACHEb NOTICE OF CANCl!LLATION
!"ORM FOR AN EXPLANATION Of THIS fUGHT.
Copy,1gN Il~ Oo.mc>nd 11.'~Io... lite.. lI'oItI(ld.rook.1I. tlOOII8
CON'mACT COpy
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PAGE 01
8132897787 ~~tf I
813~81371e?
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8Y Diamond E:=~~~ )
SQld, Fvrnl$l1ed .nd In.'."~ bV 8iamond
ElClcrlQrs. 11'1C" a SliAFtS AuthorIzed Contr.ctor /
'20 E. C.lhoun Street /
WoOd!~c:.~ ~'-_!~'~/
,.~
PAGE
el7
Date: _ "fZ/d1'Z~ (} ~+,y
p C~ I.ink r:'l'\Ce '
G(rmadilloO with Cha n link Fabric
CJ Armadillo with Vinyl oated Chain Link r:atlrlc
- -
I YPE FENCE
SPECI llNSTRUcnONS
t<<J,~au1Y~{i
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SPECU\L WORK TO BE
RFOR"IEO BV CUSTOMER
~ . . . . . , , .
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FENCE 'TO FOLLOW
SLOI'E 01" GROUND
FENC~ T'O ~OLWW 0
COUN'P"Jll~ OF GHOUNU
F~NC~ TO BE LEIII'.' 0
Wlnl UIO~jli~T ~iIlAOC
FENCE 10 !IE LEVEL 0
Wint LOWE ST G/MDE
FEM;;1i TO t,IE LEII~t. 0
^NO SPLIT HiE" GRAOe
~~nR1}ett~N'{ D
~McID'~~SSe" 0
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CUSlomer Cln buy It
thl$ lev until
-.,...-:- ..'~
Method of P"yrn.nt (Thflr;rfJdif fo(mS 3rld conditions we orovi(jlJ(j on a $EI~al3te cJocuJ'nent.)
l'" coor
:39fo
8TM( lit' CClllt
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OOUt4.t GAl~
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Diamond Exterior.tnc" a Sear:; AuthQri&ed Controctor, oilers to lurnifh eto,
o \\Wd F~.
tJ Armawood™ Pr.$6U~ Treated Wood Fenc8
o ArmaWOOd~ We.,r R4Ipell8nt Pressvre Treated Soard WQod Fence
FENCING ~EI4CE J(
DIAGRAM ~~~ 0
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. . . . .. ......... .......,.,.. ......... . ~ . . . . . .
. . . . . .. ......... ......... ......... ........
.. . . . . . . .. ......... ......... ......... ........
fUS& WSI,ni ~TOMjJ · · · · · · · .. ......... ......... ......... ........
~R~'~ Q4 ......... ......... ......... ......... ........
WI "Al9 w: ......... ......... ......... ......... ........
AT ,If ~~w ROU ......... ......... ......... ......... ........
R9$I:IQn,iWli!fo~ S'fc4Jr. logree to 1~>Cil'e 1'IIld identify the property line, f:JijSElment5 and all u'1d9l'ground cablell and pipes. I agree that I em solely
resp(,)t1S1bli or Fie ocalion of the tence d~$t;)ril)'d in this prOP09al. I will al90 ~fend :,ears and Diamond Exteriors, lne and reimburse Ih~m lor
"n costs in connection with any claims made by enYOn4!l about the location of the tence I am responsible for any sp,clal work described in thi~
pro~\o'al,
Um.IJUII~ Cq()d(tiQ~ ~'i(i~1'la1 Ch8,~es. I agree that Diamol'ld Exteriors. Inc. has the right to ma~e additIOnal charges II unusual ground l;;ondltlon$
niiiOer .1'8 11'15 alia on, u~ unus,ua ,grOt1nd conditions may ~ rock. formations, hidd~n foundatiOns, tree roots, and ott1er similar ob&tocif:!~ Any
<;;horgel!J !lecc~sary to satlsfactonly complete the i"~1..f1aIiCln will be based on actual additional labor, eQuipment and material costs,
Aopro)(imate ApPrQllirnate I v~I'&l;l"'<l \hle Ie 0'11.,. (In "\lmQI,,d <SolI", 1)11(I1 will be eonl(lcl~l"
S'IVIi!'19 Olllte I I Completion Date / orior 10 Ihi, ~ 10 .......~ lhe .elu.' i".'.ll8lioll d.l.
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For Infor",.tlQn rtgamlng ~, eSllmatv or Irwtlll\1lion CIU 1-800.224-31361
APPLICATION FOR PERKIT
CITY OF ZEPHYRIIILLS
BUILDIRG DEPAR'l'KENT
OWNER'S
'00J
$<1-
v\.
7fJ2 <let 0
'3 ~S" to
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) 0 Ito B~UBDIVISION
PARCEL LD.'/!- ?f::,-2l- d \110 -0 Sz~ () -01 (0
~. 1'::)
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Coostruction --Addition ------Alteration ---.Jl,epair ~Atall
_Sign
--.JIove
_Deaolish
PROPOSED USE: ~iog1e Faaily
------"'F _' of Units --1I/H
_ec-ercial
_Indust. _Swia. Pool _Other
--.Jestaurant Ii: Health Departaent Approval
DESCRIPTIOR OF WORK: ill1skt 1/ Z2'K' uJ;:' f:, I (" ~ (,VI L,\At'~ <:-(
BUILDIRG SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDIRG PLANS Ii: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDIRG PLANS Ii: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
-BUILDIRG
$
1(0. a u
Valuation of Total Construction
_ELECTRI.CAL
AKP Service
Florida Power Corp.
W.R.E.C.
--'lECllAllICAL
$
Valuation of Mechanical Installation
_PLUKBDiG
GAS
ROOFING
SPECIALTY
TYPE OF CORSTRUC'l'IOR: _Bloclt _Fraae _Steel
Other
FDI:ISIIED FLOOR ELEVATIORS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
*********************************..***....
BIIlIDER t~&It ~~"1011J E-vkn~N
State Cert. or Regist. .
Signature 0 City License Registration . 7 ~C
*..*.***...*................***...........
RI.RCTRICIAR COMPANY
State Cert. or Regist. .
Sianature City License Registration .
*........*..*.............................
PLDKBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
.*..*.*.....................*.............
IfECHARICAL COMPANY
State Cert. or Regist. .
Signature City License Registration .
*....**..*...................*.........*..
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration .
*.*.*..**.*..*...*.....**...**.*..........
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'fbe undersigned understands that this pemit JaY be subject to 'deed restrictions' wbieb JaY be lOre restrictive than City
regulations. 'fbe undersigned assUleS responsibility for CDpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas 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 liar be
cited for a lisdl!lH!allOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
requir8l8Jlts IlaY apply for the intended work, they are advised to contact the City of Zepbyrbills BuilcUng Departlent, (813)
788-6611.
FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for wbieb 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 IlaY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrbills.
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 - lkIIemmer's Protection
Guidell prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOEHle other than the
'owner', I certify that I have obtained a copy of the above described dOCUlellt and prcaise in good faith to deliver it to the
'owner" prior to COII8DCl!lH!Jlt.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
applicable laws regulating construction, loning, and land developaent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas CDlenced prior to issuance of a perlit and that all IOrk will be perf OIled to I18et standards of all laws
regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies IIilJ apply to the intended wort, and that it is
If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not laited to:
t Departlent of BnviIOlllelltal Regulation - Cypress Baybeads, Wetland Areas and Bnvirolll8lltally Sensitive Lands,
Water/Vastewater 'freatlent
t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
t Departlent of Health & Rehabilitative Services, BnvirODl8lltal Health Unit - Wells, Wastewater treatJent, Septic tws
t US BnviIOJllelltal Protection Agency - Asbestos abat8l8Jlt
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 'COIpeD8ating VOlUie' will be sublitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to pemit issuance.
A penlit 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 sball issuance of a petlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becme invalid
unless the work authoriled by sueb pemit is COII8Dced within sil IOIlthS of issuance, or if work authoriled by tile perlit is
suspended or abandoned for a period of sil IOIltbs after the tile the work is co.enced. One 90 day 81tension of tile, IlaY be
all.owed for the perlit with fee charge of $15.00. the 81tension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned.
WARRING to omR: YOUR FAILURlIO RECORD A KOlICH OF CCJIIIBICIIIm MAY RESULt II YOUR PAYING !IIICH FOR DIPROVIIIII!S 'f0 YOUR
PROPIRtY. IF YOU IJlDlDtO OBIAllf FlIfAICIIG, COISULt wlm YOUR LBIIDD OR A11lnORDY BEFORE RECORDllfG YOUR If OtIC! OF
COMMIICIHBIfI. JOBS UNDER '2,500 II VALUI 00 lOt IIBD to RECORD AND POSt A "IOtlCE OF C(JIIIIfCBMBIII'.
SIGlAtuRI: amR OR AGm'
SIGlIA'fURB: COIftIllC'fOR
StAD OF FLORIDA
COUNtY OF
The foregoing instrument was acknowledged
before me this , 19____ by
S'fAD OF FLORIDA
COOllY OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to 118 or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC