The URL can be used to link to this page

Home My WebLink About95-4769 BUILDING PERMIT P . NO ermlt '. CITY OF ZEPHYRHILLS (813) 788-6611 4769)'1 Date .J -/'I-9~- BUILDING ELECTRICAL PLUMBING GECHA~ Sewer Conn Water Conn: P,o",tyOwn" ~t'11J~A~/ lJ7:;.- Job Address: 1/Y..s V ,.::LO - Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Worr-P.J).,.,}(f;A1-4., r- ~~ (f Radon Gas: ~.A1;.(~Z-~.." 1\ /Cj-f }D/ FINAl_- DATE NO OCCUPANCY BEFORE C.O. 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 Signat'tJre Company Address Telephone# Valuation or Contract Price /~'A: City License Registration # jt) g--- State Certified License# BUILDING ELECTRICAL PLUMBING .~.w-, J}.u<-r MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv. 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. 4' ... . APPLICATION FOR PEIUIlT CITY OF ZEPIIYIUIlLLS BUlLDIRG DEPARTHENT OWMER t S ADDIISS ZEPflY~H/LLS 8DTTtlftJ W'AIWR G. 2-0 It j' 7'1U'tf"T As A/~olJ.€ PHONE 7<13- own's NAMI JOB ADDRESS </3'30 ~J~ K. LEGAL DESCRIPTION: LDT(S) BLOCL--SUBDIVISION (OBTAIN FROM. PROPERTY TAX NOTICE) PARCEL 1.D.' WORK P~OPOSED:~ew Construction ~ddition ~teration ---Repair -=::::-Install _Sign --'love ->>eaolish nOPOSW~E: _S~eF_i4 ~/F _' of Units ~/H _ec-ercial ~1ndust. _Swia. Pool _Other ____estaurant &: Health Departaent Approval DESCRIPTION OF WORK: f R..J) C € oS j PI fJ I^,," .J;v S 'fA L LA 710/\/ BUlLDIRG SIZE: x Square Feet. Height USIDEIITIAL: COMMERCIAL : ArrACK (2) PLOT PLANS & (2) SETS OF BUILDIRG PLANS & (1) SET ENERGY FORMS. ArrACII (3) SETS OF BUlLDIRG PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UlLDIRG $ Valuation of Total Construction RI.RCTlUCAL AIIP Service Florida Power Corp. W.R.E.C. .L.JtEClWll.CAL $ I ~ O. 0.0.0 . iJ 0 Valuation of tlecbanica1 Installation , --PLutlBING GAS ROOPlNG SPECIALTY TYPE O.fl CORSTB.UCTION: ---Block _Fr~ _Steel Other PIlUSBED FLOOR ELEVAnORS: PT. I.S PROJECl IN FLOOD ZONE AREA., .YES NO .......................................... . ,. CONTRACTOR SECT~ON BlJll.DER COKPABY State Cert. or Regist. . Signature City License Registration . .......................................... RT.R.CTRTCTAII COtIPANY State Cert. or Regist. . SianAture City License Registration . .......................................... PLUMBER COftPAHY State Cert. or Regist. . Signature City License Registration . .......................................... HEC8AHI.CAL COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... OTIIP.R COMPANY J '/S7ILrJ1's bE.S/~d A.'\JO J;.fS-rALLA1IO/\l State Cert. or Regist.' Rm L1l. 7S I '} S Signature City License Registration .# lOR ............................... APPLICATION APPROVED BY PEIUIlT OFFICER. _ .-- ....-- ,. ----- --. -- --.J--- -- -- -------- --- -I -- -'- -------- - ---.. regulations. l'be u'.1dersigned assUJe8 responsibility for COIpliance litb any applicable deed restrictions. .B." 'UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ower bas hired a contractor or contractors to undertake IOIk, tbey lilY be required to be licensed in accordaDce litb state and local regulations. If the contractor is not licensed as required by lal, both the 0ItneI and contractor lilY be cited for a Dsdaeanor violation under state lal. If the 01llleI or intended contractor are uncertain as to wbat licensing ~equiruents lilY apply for tbe intended IOrt, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the OIII1er bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of tbe -Contractor SectiOO8- of tbis application for Ibieb they will be respoosible. If you, as the 011I18I' sign as tile contractor, you are indicating that you, rather than tbe contractor, are responsible for tbe IOrk. If the contractor wishes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to pemitting privileges in tbe 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 -Plorida's construction Lien Lal - BoIeoImer'a Protection Guide- prepared by the Florida Departlent of Agriculture and consUlll!l' Affairs. If the applicant is 8OIeODI other than the -OIII1er-, I certify that I have obtained a copy of the above described docuIent and prom88 in good faith to deliver it to tbe -DIller- prior to co.encuent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe infomation in Ws application is accurate and that all IOrt lill be done in cmpliance lith all applicable Ian regulating construction, loning, and land developll!llt. Application is hereby Jade to obtain a penit to do IOrt and InsWlation as indicated. I certify that DO IOrk or insWlation baa CDlenced prior to issuance of a perIIit and that all IOrk lill be perfoIJed to Met atandarda of all Ins regu1ating construction, City codes, loning regulations, and land de,elo(lMllt regulations in the jurisdictilll., I also certify that I understand that the regulations of other gDYerJlllenW agencies lilY apply to the intended IIOIk, and that it is II responsibility to identify lbat actions I lUSt take to be in COIpliance. Such agencies include bat are DOt lUited to: t Departlent of BnviIOlllelltal Regulation - Cypress Baybeads, Vetland Areas and Bn,iIODlellWly Sensitive Landa, Vater,Vastelater !reablent t Soutlnlest Florida Vater Managl!ll!llt District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercoursea t AnI, Corps of Engineers - Sealalls, Docks, Navigable Vaterlays t DepartJent of Health i Rehabilitative Senices, BnvirODlental Health Unit - Vells, Vastewater !reablent, Septie !anb t US BnvirODlelltal Protection Agency - Asbestos abatl!ll8llt , I also certify that, if fill_terial is to be used in Flood ZOne -I- or -I,ete. -, it is understood that a draiDage plan adcJresaing a -CCJIpID8ating vol.- will be sublitted lhich is preparecl bl a professional engineer registerecl in the State of Florida prior to petlit issuance. A p~it issued shall be construed to be a license to proceed lith the IOrt and DOt as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent tbe Building Official f~ thereafter requirinq a correction of errors in plans, construction, or violations of any code. Bvery pemit issued shall becme invalid unless the IIOrk authoriled by such penit is COII8IlCed within sil IODtbs of issuance, or if ,lOrk authodled by the penit is suspended or abandoned for a period of sil IODtbs after the tile the IOIk is COII8Ilced. One 90 day atensim of tile, lilY be allOled for the pmit litb fee charge of $15.00. !be atension shall be requested in lriting to the Building Official. An approved inspection nst be logged during eaeb sil moth period, or the project will be considered ablndoDed. VARNIIIG to ODD: YOUR FAILURB !O RlCORD A NOnCE OF aJIMDCBIIBIft' MAY RBSULr III YOUR PAYIIIG niCE FOR DIPROVBIIBI!S !O YOUR PROPBRtY. IF YOU InBllD !O OB!AIII FIIWICING, COIISOLr Ium YOUR LBlIDBR OR II AnomY IIBFOIIB RBCOIDIIIG YOOI DICE OF aJOIBIICEMIIII. JOBS UlmER '2,500 IN VALUE DO NOI HBID !O RBCOJID POS! I -ROIICE OF CCJIIIIII -. (\2.' (~ . c 1~62>- D fuO~L1 SIGIIA!URB: OIOIBR OR IGm \ SrAfE OF FLORIDA P coum OF A.s C G The foregoing instrum~t was acknowledged before me this cDJ 110 , 19..1..:.L. by f3()f3 f\.J" 11 A/./.JE Y who is personally known to me or who has produced ' as identification and who did id not take an oath (Signature) (Name. Typed, Printed or Stamped) NOTARY PUBLIC STAR OF FLORIDA coum OF P~SC0 The foregoing instrument was acknowledged before me this oJ /;0 , 19 9...\/ by tAU I h L. /!c-leL,fY who is personally known to me or who has produced as identificat"on and who d. take an oath . .,~H L. ~I <?,-V ...... ~;/ I ....~OTAI1j;.~ it" .. , My Comm. EllpIree \ :-; Apr113. 1998 : ~ ". No. CC 222m: Ii: '~'t' ; I 15\....!'l.I8L\C.... ~ s "-1}-,.......... ,&.<:) ., . t::: OF f\...U:A~ '''11I011,,"''''''- , (Signature) (Name Typed, Printed or Stuped) NOTARY PUBLIC . <,~:j~0,~.~.G// I ;:, i~' '/~OTAI1j;.:< ~/ , "'. .- ~.~y Comm. &piree'" :: '. Apr113, 1998 : ~ ~ No. CC 222722 J i .~... ... j, O'.>.....?l.I8L\C.... .^~~~/ ~-1}-,... ...... ~:!$' ':'.rI'; t:::OF f\...O~~~oS' "JIIIitIuaa!",I\\\\~\'