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
: ~
;!
-, ~ -- --"'-- - --_.~ --- ---.-. --- -,.-. ..-........