HomeMy WebLinkAbout95-4860
"BUILDING PERMIT
Permit N~
'. .
CITY OF ZEPHYRHILLS
(813) 788-6611
486013
~-/~~7S-
Date
~ ELECTRICAL PLUMBING MECHANICAL
Pmpe"yOwnee ~~:J?t ~~~
Job Address: ,6. 20 ----..::.. ~_ _
Parcel 1.0. # d -::l..b.-:J-/ - 0 8 a 0'- 06 bZJ 0- CJ 0/ U
Sewer Conn
Water Conn:
Water MeJer:
T.I.F.'s:
Zoning:
Description of Work"
R~don Gas:
NO OCCUPANCY BEFORE C.O. ~ ~
Complete Plans, Specifications and Fee t cco any Application.
All work shall be performed in accordanc i . y des and Ordinances.
~'\~
'~
FINAL
DATE
c.o.
DATE
City License Registration #
State Certified License#
!>/~
,
Permit Fee
Valuation or
Contract Price
/ ,7-- Uf.J. o-D
./
Signature
Company
Address
Telephone#
0'7t o~J'" -.I ~~~
BUILDING . ELEC ICAL
PLUMBING
MECHANICAL
Ftr. ~-{,,\, 9 S E~r
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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.
APPLICATION FOR PERHIT
CITY OF ZE~IYRlIl.LLS
BUILDING DEPARTKENT
OWN~R' S lWtE_(Y\ l C H A 8 L-
OWNER' S .ADDRESS '3 75 Z g
JOB ADDRESS " 2 Z 0 Fe) f2:-T
P- COl2J2.EIA PHONE 798-7'~08
5..f2-..54-W~ 2~PH/~-f/LL~ F-L- '335+1
)
jLLrJ& (ZOAD
LEGAL DESClUPI'ION: LOT(S)
BLOCK
SUBDIVISION
PARCEL LD.' 03 2& 2( C)ooo 00,",00 001 C>
WORK PROPOSEO:_New Construction _Addition _Alteration ----..Repair _Install
~gn _Hove _De.ol.ish
PROl)OSED USE: Single Fa.i.ly
Leo..ercial
_H/F _' o.f Units
_Hill
_Indust. . _Swia. Pool
Other
_Restaurant. &. Health Departaent Approval
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL: AITACH (2) PLOT PI.A.NS &. (2) SlITS OF BUILDING PLANS &. (1) SET ENERGY FORMS.
GOtVIERCIAL: ATrACII (3) SETS OF BUILDING PLANS &. (1) SET ENERGY Fo.RKS.
PROPERTY SURVEY REQU.lRED FOR ALL NEW CONSTRUCIION.
PERMITS REOUESTED
----..BUILDING
$_\ '200.. 00
Val.uation o.f Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_HECHARlCAL
$
Valuation of Mechanical Installation'
_PLUHBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUcnON: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FI' .
IS PROJECI IN FLOOD ZONE AREA?
YES NO
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CONTRACTOR SECTION
BUILDER
COftPABI'
State Cert. or Regist. ,
City License Registration ,
tttttttttttttttttt_tttttttttt__ttttttttttt
Signature
F.I.F.GTR1CI.AN
COKPAliY
State Cert. or Regist. ,
City License Registration ,
tttttttttttttttttttttttttttttttttttttttttt
Sill'nature
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration ,
tttttttttttttttttttttttttttttttttttttttttt
Signature
KECIIANlCAL
COMPANY
State Cert. or Regist. ,
City License Registration ,
tttttt.tt.t.t..tt.tt*ttt**ttttttt..**tt.__
Signature
'.
('\ ,'(L"~' /-~/r~, ~ COUPAlii' Af'Pt.E- 5lbtJ ~ AWN'ING-.ll\}CI
Cl~,J J/j /j Stat.e Cert:. :or Regist. , '
T: ~2 . e; City License Registration , 7 17
tt****-******************.**t*t**t********
OTIlY.R.
Signat.ure
APPLICATION APPROVED BY
PERKlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'fbe undersigned understands that this peEWit 8ilY be subject to wdeed restrictionsw wbich 8ilY be lOre restrictive than City
regulations. 'fbe undersigned assUlt!s responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bu' bired a contractor or contractors to undertake lIOrt, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as reguired by law, both the O1mer and contractor laY be
cited for a lisdl!ll!anor violation under state IaN. If the mmer or intended contractor are uncertain as to wbat licensing
reguirl!llents 8Y apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
wContractor Sectionsw of this application for "bich they lIill be responsible. If you, as the owner 8ign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the IIOrt. If the contractor wishes JOII to sign
as contractor that JaY be an indication that he 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 lIith a copy of wFlorida's Construction Lien Law - HOIl!OIIDer'8 Protection
Guidew prepared by the Florida Departlent of Agriculture and ConsUIH!I Affairs. If the applicant is sOIeOIle other than the
wOIIIIerw, I certify that I have obtained a copy of the above described dOCUlent and prOlise in good faith to deliver it to the
wownerw prior to COIIBDCl!llent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all lIOrt lIill be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlent.
Application is hereby lade to obtain a perlit to do "ork and installation as indicated. I certify that no lIOIt or
installation has ~ced prior to issuance of a peEWit and that allllOrt "ill be perfoIJed to lleet standards of all laws
regulating construction, City codes, loning regulations, and land deve10plent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govl!IDleDtal agencies JaY apply to the intendeclllOrk, and that it is
IY responsibility to identify wbat actions I lust tate to be in coapliance. Such agencies include but are not luited to:
I Departlent of EnviroDJeDtal Regulation - Cypress B8ybeads, Vetland Areas and BnviroDlentally Sensitive Lands,
Vater/Vast8later Treatlent
I Southwest Florida Vater Hanageaent District - Wells, Cypress Baybeads, Vetland Areas, Altering Watercourses
I ArlY Corps of Engineers - Seawalls, Docks, Navigable Vatenays
I Departlent of Health i Rebabilitative Services, EnvirODJeDtal Health Unit - VeIls, Vastewater Treatlent, Septic Tanks
I US EnvirODlental Protection Igency - Asbestos abatl!lleDt
I also certify that, if fill laterial is to be used in 'Flood Zone WAW or wl,etc.w, it is understood that a drainage plan
addressing a wCOIpensating vol.w will be sublitted "hich is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A per.it issued shall be construed to be a license to proceed with the lIOrt and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall hecme invalid
unless the wort authoriled by such peIlit is COIIBDced within sil IOnths of issuance, or if wort authoriled by the peIlit is
. suspended or abandoned for a period of sil IOnths after the tiIIe the wort is coaenced. One 90 day eztension of tiE, laY be
allowed for the peEWit "ith fee charge of $15.00. the eztension shall be requested in "riting to the Building Official. An
approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
WARMING 'fa 0IRf1R: YOUR FIILURB to RlCORD I HO'fICH OF COtMDCBIIm lilY RESULT IN YOUR PlYING DICE FOR IHPROVIIIDtS 'fa YOUR
PROPIRfY. IF YOU IJlJBID 'fa OD'llIN FIIWICING, CONSUL'f Ium YOUR LllfDIR OR 1M InORIfIY BEFORE RECORDING YOUR NOTICH OF
~. :S,7 12,500 II YlLUlIlO lInED 1'0 RJmID IIIl ~ ~ 0'. ..'
'-m~Kd.d;rl:NU/(A- ~,-! pAL
SIGlAtURB: OVRER OR AGBMI SIGIII'IURB: COJlJRACfOR
StATE OF FLOR~
count OF . <20
The foregoing instrument was acknowledged
before me this 1-,::J- , 1995- by .
MlcJtdeLY.CDrrelQ .
who is'---p~rsQ!!i!P.Y ~Qwn_1:~_~~_ or who has
produced
as identification who did/did not
ta an ath ./'
t- /'~
(S gnat r). '
, \. JJC>~ LIN~
(Name 'fyped, rinted or Stamped)
NOTARY PUBLIC
STIR OF FLOR~
coum OF rlJS (!Q
The foregoing instrument was aCknowledged
before me this 1-1:J- , 19 9...5...... by
K - frVfH?l(, L{)' ~ Lue-ff
who is {)~r~~~l~~ to~~_ or who has
produced
as identification and did/did not
take an
~'J';'::!h" JUDY LINER
iij).*:' .:~ Vi COMMISSION (I CC353358 EXPIRES
i . . i MardI 6, 1998
.. IONllEO 1HIlU TROY FAIN INSURANCE, INC.
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SilCOX ENG\NEER\NG, \NC.
5409 Nebraska Avenue
TAMPA. FLORIDA 33604
Phone (813) 238-9755
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Apple Sign & Awning, Inc.
April 12,1995
City of Zephyrhills
Building Department
5335 8th. st.
Zephyrhills, Fl.
RE: Sunstate Aluminum
6220 Fort King Rd.
Zephyrhills, Fl.
To Whom It May Concern,
Please accept this letter as authorization for Paul Lima to act
as my agent in pulling all necessary permits for the above
referenced location.
~;;jjt;;/};;?
R. Mark Willett
President
NOTARY
to me.
Whom
~ ./UDY LINER
- : ~~ aM COMMISSION , CC353358 EXPIRES
. . : MIIn:h 8. 1998 .
. Rl:~,'" IONIlED'lHRUTllOYMIt~."
1640 Land 0' Lakes Blvd., Lutz, Florida 33549 813-948-2220 Fax 813-948-2403