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HomeMy WebLinkAbout95-4843 BUILDING PERMIT Permit ~ CITY OF ZEPHYRHILLS (813) 788-6611 48438 Date J.( - / /-7 .s,- ~~~} ELECTRICAL PLUMBING Pcop."v Own.c. c mCLJ 'J~ ~ ~ Job Address: .3"7 Y if / ~ ,-A_ _ Ge",~ Parcel 1.0. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zon;n9' ,---7:> E~ Description of Work 1') ,tl Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL ..L./-20- C;S DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Permit Fe~ Signature' ~ <... ~=- Company Address Telephone# Valuation or Contract Price ~ b 07) - crv City License Registration # 9';2.., State Certified License# /c)d~i?A ~ / BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. 'If APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS ~~~L ~~.s~~~l~~ \\2S~ s. ~'\~)~U, ,~ OWNER _~\~ \\k. ~ 'L~ ';Z..l~ JOB LOCATION ~44 \ KENN~9\f ~~ '2,,\ PHONE ~J ..5~'1- ~~ ( APPLICANT LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F \'2..-2'0-'2-\- ~- <X:J~-~ WORK PROPOSED:_New Construction _Addition _Alteration ~Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~F of Uni ts ._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS."* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ 2,toa::J. ~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _PLUMBING GAS Valuation of Mechanical Installation X ROOFING SPECIALTY __MECHANICAL $ .0#- . TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** c~ Company ~~(>V-.. -CC~s~~<.~\~1'l State Cert. or Regist. 1F Rcc::x):::l. "'b'"1h7) City License Registration iF 4.2.. Company State Cert. or Regist. # City License Registration ****************************************** Company State Cert. or Regist. # City License Registration # ****************************************** Signature Signature Company State Cert. or Regist. # City License Registration ****************************************** OTHER ~ ~' Signature ~ ~ " _~. \.: ~ ****************************************** . . APPL~RAf.f.BQ~D .J3OY'h__ ". i tt~~~;~.,.)? ,J H'n(H..lL : .,'!l 4_ ','~ J ':__j.,':,(~"'."dt. ::-,;,,-,:,'.~,~. ,'f:l:-1'1......"I, ~~ '" ... " " ~ ~ f.-or ".: :_-'.~:i._...,.,./'nc, '-/I' ,,' r"-"'-"""'~ ._-" f " )q,,~.';,:> , I ~f!'lO!Jl . . t",,~_\.h'-A.:' l-. 'f":: ..)\",,~~,,'r;;~~j~.\ : t,~~ 7 ~ .; t-.~~ .frlf1'r", PERMIT '1--'-'.' - "'l f f~'.~.~'~;" ~ " \",\~,; ;'?..t~ ~ .'~ , OFFICER. '{f.-1 .' . . . . - "'. .~. ';".-" ','. "....'.,. ~''''''''''''-'''''' . ..,., ."~ ..~....._f CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to "deed restrictions" which may be lore restr.ictive than City regulations. The undersigned asSUIeS responsibility".for coapliance with any applicable deed restrictions. . , B. ~NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they aay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed is required by law, both the owner and contractor lay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-bbll. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) 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 the 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 pertitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION L1EN LAW <CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Consttuction Lien LaK - HOleowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is sOle6ne other than the .owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner. prior to cOlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Kill be done in compliance Kith all applicable laKs regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perait to do work and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a perait and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply' to the intended work, and that it is ay responsibility to identify what actions I lust take to be in compliance. Such agencies include bIll ~le not lilited to: . <II""'" I Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~e~t. Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Fl~od Zone "A" or "A,etc.', it is understood tl.at a drainage plan addressing a 'colpensating volute" will be subaitted which is prepared by a professional engineer fegist~ied in the state of Florida prior tD permit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frot thereafter requiring a correction of errors in plans; consiruction, Dr violations of any code. Every permit issued ;hall becole invalid unless the work authorized by such pertit is cO.lenced within six months of issuance, or if work authorIzed by the perlit is suspended or abandoned for a period of six tonths after the tiJe the work is commenced. One 90 day e~tensioli of tite, lay be allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth period, or the project will be considered dbalidoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE ::G:::R~E~ ~CORD AND POST A. "NOTlCS:G:~Tu::~M TOO . '2i~ ~-:liw~------=-:;---- ~'-o'W~--~- -~:=;----- ~:-';;;::;Jr,-~:?-------------,------- ~------~ NOTA~1h .' . NOTARY AS TO OWNER OR AGENT CONTRACTOR ~ JUDftH... SCHAPER MY COMMISS ~ NW~~~ ------ . tJItl" No. CC 292357 MY \.~- Noby P\lblIc. Stat. dflollda ~ Comm. &p. June,. 1907 No. CC 292357 ...--:-~, .... .---.--... I 'I ;i . - ~ I , i I I II I . "--', .. - ,. . ."-'-.--,--.." . ..... ... ..'.. .-, ........... h.. ___'.'..... ........ ._~.._ _ ___._, ......_._ __n. _"_~''''_''__'_'~'''' __. ,.....-.. -_._~_._--_._--_~..~__~__...__.H. --...-----....-...-___H___.__R__.._H__.._____..__._._...____..__~______... __.. N _,'1 .' F.P~ij...Jt..... ~:3C.-...AF.E~W~ C:::C)h.lSTRUCT I ON CO_ RESIDENTIAL & COMMERCIAL I:;:e(~istel"ed Building Contt'ac:t:ot' REi ()032524 Registered Roofing Contractor RC 0056763 .- I N~3TPILL NEW VENT BOOTS ii II z;o 'I II\I~3TALL -- y~~~ lA~FACTURERS WARRANTIED FIBERG II BRAND ~ ~_ COLOR = . ~/ ~- [' P ~T"~ ... . .SH REMOVAL 'i III .. CIT F===- F.:::RMIT INCLUDED !I .. ~3-" YEAr;: /CONTRACTOR' S LEAK WARRANTY 'I ' .., Ii ~ 1t II II' .~ I bDO ~ r.'-""'+(-O'T +l.Uo~cl\. .' 7/~/lr"\ ~. - i.' II f. TO~~:... C~'{~S = ~LA....J 4t 11 I' ...... r"J". ., II II t:.~1 II ........wL/'Lm ,..... BALANCE AT COMPl.ET I. " II f).v.de ~~<e- 1<-(-/0 ~y I Ii II P Leo, '~PER , ~-;:;'AC;;;-~ '16 1<^C2.l<\ ~ - ~ · J e.. < "" l~ So -ii ,I ~ l1. 7Y11(//I L.. , · II i /'. -'C'FPTFD" c' .. ,.. .~-a./( 04.t2. -f-f)~~ I [~:;~~~=:==~~~~:~;~ ~f.~~-f ~:=] .....",.\'1 , I I i I i I iL-- --. ~~.~-_.= ---_._----~ -~- --' r;;:;;;:;;'8b ~- 5Jr;;;;;1 51' eo 1 f1 co. t lons and es t 1 m," t ~s 1 or: REROOF -' - 'I li'l - NU,"BER OF SQUARES --12 Y. -r (e (2...,+ 1,-... r " :1 ... j;:l-:;=r-I(J',jF= r:.XISTING SH_I~LE~ EDGE, AND DAMAGED WOOD) :/ II :I [I '"I'''' WODD ALLOWANC~: :-I-r ~ .~ I z (;;> =1..,- .' :i II ... INST"LL NEW ~ LB. FRY-IN !I II ii I' I , I i I I 11250 South Highway 98, Dade City, Florida Phone # (904)567-8580 Bonded and Insured ., Ii 33;525 - INSTALL NEW VALLEY METAL AND FLASHING ._- INSTALL NEW -U~-ie ~ <r ii II ALUMINUM DRIP EDGE : ~ ;! -, ~ -- --"'-- - --_.~ --- ---.-. --- -,.-. ..-........