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HomeMy WebLinkAbout95-4991 BUILDING PERMIT ... CITY OF ZEPHYRHILLS (813) 788-6611 Permit r4-~ .4991/1 BUILDING 020 - tJv C ELECTRICAY PLUMBING ~I) .tHJ €HA~I~sewer Conn Water Conn: Date '-.S -..30 --7 ~-- pm"rtyowne,. ~ ~ Job Address: 5/_ _ ___~ Parcell.D. # Water Meter: TI.F.'s: Zoning: Description of Work Energy ~ A;LC - A.Mfa., Radon Gas: FINAl_1~ 19- qS 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 I~'f / Pe'mit Fee ~ Signature / ~ ~ 4i1 ,. Company Address ~~ Valuation or Contract Price ;2.'79...J-- o-D -- City License Registration # State Certified License# 1--.?~f.O- ~o/C - <?~?'1 Telephone# 6J ~ ~~ BUILDING ELECTRICAL d~.J.. _ L/(?~il1dvW PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo 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. Ln (Y) c.o a .-4 t; :li ~ 8 o ~~:.:....o ~iuC S;::IIui ~ !!i~w ___ucnza: 000000 v z - , ...: ~ ~ ~~ oz iij2:::::i YolO A.O :::)\.1 '" oil ~ z ~ YoI = ~ 8E08....ES (so~) VWVSY1V NI olf1 w ---- --- ---- ~-- ---- --- ---- --. ---. --- --- w !!:~ >< ~~ ~ u ~ 8 ~ .... o Ii:' iij u w a: w Cl o w ~ >< u 0( o Z 0( W 0 a: w i ~ iij ~ o 0 !!if z i ! .. ~ >< a: i o w a: ~ a: o w > i >< ~; {~, i:f-'tiel!lU: iliz ...2 8~;:)!Il~BlIli o fill:!2~~ ~ iljitia::E l<:lllz:Ewa:-, a:wa:~~c~ i~i~ :1:0 w~-'fII~~m >~~!!::I::l:a: o~o ww ~51iC~:fID~ Wll!:I -~:f . ~~l!l~fIIig . !!Il1i:lIlja:/f a:t:WlQ:jj 0> Iii Illllli ~~ww5 c '!t~.~~ o~ ciOll! 1lI~f11 a:ww c:l~~!~ rtl:.8tw~ a:z" >0 !l:!w-::;!wo iCOe:i!O:E> =~a:IL;~~ I ... o ~. % z o i= ~ u:: i= IX w U o w 'Z :J ~ ~ ~ r~ I r 11. ~ " ~ ~ ~ ~ ~5 0 0 q. 0 02DGG2 02 []mDOGm Om ; I , I 0'" ....'. - '13 . F-j! 0' W.ClJi ~ '~"~f.'"' ;,j,..i~ ~ () a i:?g?1 '" "-II!. II! II!~ is I ~ o ~ ~ a: ~ ~ * N W <=J ig 10llSf: VWWY1V '3111i1SJ.NnH AYM>I.tJVd 1YIlIOrI3l'I HlWON VI" 096Z-ee9 (008).. ,. ., ,~ ) _."'--,.,,..,.......:~~~,~....,..".._.. .,...,.....".'l::..1"~.:.,~,:~..,..'''''~.....,W''.'~.~~':\Oi'~..'.r~-......;.r:t...., APPLICAnON FOR PERIIIT CITY OF ZEPBYRBlLLS BUILDING DEPARTHBIIT OWRER'S IlAHE PHONE OWNER'S ADDDSS JOB ADDRESS '- LEGAL DESCRIP'lIOII: lDT(S) PARCEL LD.' B~SUBDIVlSION (OBTAUI FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ----..Addition ---J\,1teration ---.Jtepair _Install _Sign --.-JIove _DeIIolish PROPOSED WE: _S~e F_ily --.Jt/F _' of Units --.Jt/H _ec-ercial _Indust. _Swia. Pool _Other Restaurant & Health Departaent Approval DESCRIPTIOII OF WOIUt: BUILDING SIZE: x . Square Feet. Height RlmIDEI1TIAL: COHMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ERERGY FORMS. ATtAaI (3) SETS OF BUILDING PLANS & (1) SET ERERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. PERMITS REOUE.c;TED ---.JjUILDING $ Valuation of Total Construction RT.RCTRICAL AIIP Service Florida Power Corp. W.R.E.C. ___CBAIIICAL $ Valuation of llechanica1 Installation -PLUMBING GAS ROOfiNG SPECIALTY TYPE QF COIISTRUcnOIl: -Bloclt _F~ _Steel Other PIIIISBED P1OOR. ELEVAnollS: Fr. IS PROJECT IN FLOOD ZOO AREA? ...................................*...... YES NO CONTRACTOR SECTION BIITI.DD aJHPANY State Cert. or Regist. , City License Registration . ..................................*....... Signature RI.RCTRTCIAR COKPARY <; ~ State Cert. or IIegiat. f SiMUature 't...'. ... City License Registration . ~.....*.............................. J/J..:t PLDMBRR COMPANY State Cert. or Regist. . City License Registration . .....................*................**.. Signature IIBCIIAnCA~ COIIPAIIY . ~ State Cert. or Regist. . Signature /t.. '/ h. .f?.../~ City License Registration . ~ .~.................................... ~ . / l/V OTRRR COMPANY State Cert. or Regist. , Signature City License Registration . .......................................... APPLICAnON APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS De undersigned understands that this penit IlaY be subject to 'deed restrictions' wbich IlaY be lOre restrictive tIIan City regulations. the undersigned assUIeB responsibility for COIpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner lias lIired a contractor or contractors~to undertake IOrk, tIIey laY be required to be liceD8ed in accordance lith state and local regulations. If tile contractor is not licensed as required by law, botll tile owner and contractor IlaY be cited for a lisdeJeallOr violation under state lal. If the owner or intended contractor are uncertain as to "bat licensing requirell!llu IlaY apply for tile intended IOrk, they are advised to CODtact the City of Zepbyrhills Building Departlent, (813) 788-6611. Furtheraore, if the owner bas lIired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the 'Contractor SectiOll8' of this application for IlIicll they lill be responsible. If you, as the owner sign as the contractor, you are indicating that fOU, rather than the contractor, are responsible for the work. If the contractor lliahes you to sign as contractor that IlaY be an Indication that he is not properly licensed and is not entitled to penitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN. LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided lith a copy of 'Florida's construction Lien Lal - IIaIeoIIner'S Protection Guide' prepared by the Florida DepartJent of Agriculture and CoI18UleI Affairs. If the applicant is 8CIIl!OIla other tIIan the 'OIDeru, I certify that I have obtained a copy of the above described docuJent and pIOlise in good faith to deliver it to the uOII1er" prior to co.enCell!llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infonation in this application is accurate and that all work li11. be done in COIPliance lith all applicable lilll regulating construction, IOI1ing, and land developElt. Application is llereby lIilde to obtain a penit to do work and installation as indicated. I certify that no IOrk or installation baa CDlenced prior to i88uance of a penit and that all work lill be perfonecl to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govel1lleDtal agencies IlaY apply to the intenc1ed IIOIk, and that it is If responsibility to identify what actions I lUSt take to be in COIPliance. Such agencies include but are not lilited to: I Departlent of BnviI'Olllelltal Regulation - Cypress Baybeads, Wetland Areas and BnvirolllenWly Sensitive Lands, Water/Wastewater !reatElt I Southwest Florida Water JlanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses I AIIY Corps of Engineers - Seawalls, Docks, lIavigable Watenays I Depar1:lent of Health i Rehabilitative Senites, BnviIODMlltal Health Unit - Wells, Wastewater Ireatlent, Septic !anks I US BnviIOlllll!lltal Protection Agency - Asbestos abatelellt I also certify that, if fillllaterial is to be used in Flood Zone 'A' or 'A, etc. " it is understood that a drainage plan addressing a 'COIpeD8iting vol_' lill be saitted which is prepared by a professional engineer registered In the State of Florida prior to penit issuance. A ~it issued shall be construed to be a license to proceed lith the IOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall i88uance of a penit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall becoIe Invalid unless the work authorized by such penit is co.enced lithin sillODths of i88uance, or if IOrk authorized by the penlt is suspended or abanc10ned for a period of siJ IODths after the tUe the IIOIk is ~ced. One 90 day atension of tUe, IlaY be allowed for the penit lith fee charge of $15.00. 'fbe atension shall be requested In lriting to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project lill be considered abanc1oned. twUfIIIG 1'0 lMfIR: YOOR FAILURE 1'0 RECORD A IOI'ICE OF aJIIIPCIIIIII! lilY RESUL! III YOUR PAYIIfG !IIICE FOR. IIIPROVIIIII'lS 1'0 YOUR PROPDIY. IF YOU IJI'DIID 1'0 OBIAIII FIIIAIICIIIG, COHSUL! WIn YOUR LBIDIR OR 1II1ftOBDY BB10RI RICORDIIG YOUR DICE OF C(JUIIIfCBMBll!. JOBS urmlR $2,500 III VALUE DO 101' IIDD 1'0 RECORD 1IID POSI' A 'IOI'IC! OF ClIIIIIICBMIII'. / X SIGII!URI: (IIIIIR OR IGIlI! ,A SIGIII!URI: COIII'BACfOR SUII OF FLORIDA coum OF Y The foregoing instrument was acknowledged before me this , 19____ by SUR OF FLORIDA coom OF'/. The foregoing instl'UlleDt was acknowledged before me this , 19_ by who is personally known to me or who has produced as identification and who did/did not take an o~tb. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Nue Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC