HomeMy WebLinkAbout95-4994
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
4994/5
-...5-- 3!-Y..s,-
~~ ELECTRICAL PLUMBING MECHANICAL
~ 11 Wate, Conn
Pmpe"v owne'~~ ~ 4# ~ liZ;-wate: Mete,
Job Address: ~5 ~ T.lF. s.
Date
Sewer Conn
Parcell.D. #
Zoning: Energy Code:
Description of Wor~ f?e ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL~-l 5- -
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
Y:L
:~;~~::'~6~
Company
Address
Telephone#
Valuation or
Contract Price c2 i ~. o-i:)
~t//L f1~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Untel ~
FRM. ,.. 9\'
Insul. CL ~ ~
WL~}r
12 \ \f./
Driveway V
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
APPLICANT
ADDRESS
OWNER
JOB LOCATION
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
;;C:H~PE(L C'oN5,~~r\
,\~ 5. ~i 9~ \'j)~I)L CA"'I I~\.... PHONE
~\N\5 .~~~\-.\~ / ~i ~\\o~~ ~~
I
So 'I G~~ -:B)......u>
5<0"1 - <CS~<J
'.
AREA SQ. FT.
LOT SIZE
x
PARCEL I.D.4t
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install
~emolish
____Sign/Temp.
_Move
_Sign
----HI F
,_M/H
____4t of Uni ts
PROPOSED USE: _Single Family
BUILDING SIZE:
RESIDENTIAL:
COMMERCIAL :
_BUILDING
_ELECTRICAL
_MECHANICAL
____PLUMBING
_Commercial
~Indust:.
_Swim. Pool
Other
____Restaurant & Health Department Approval
x
Square Feet,
Height
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
t. 2)~\~
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
X ROOFING
.#- .
GAS
SPEC:IALTY
Other
TYPE OF CONSTRUCTION: _Block ____Frame ____Steel
FINISHED FLOOR ELEVATIONS: FT.
Signature
:::::~::^~
Signat~re
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
/
/
./
Company
State Cert. or R~gist. #
City License Registration #
******************************************
Company
State Cert. or Regist. #
City License Registration
******************************************
Signature
Company
State Cert. or Regist. #
City License Registration #
****************************************** .
OTHER ~~\ ~<>-
Signature ~W -=.
Company ~\P- ~~~R-"""~,:,,"\~~
State Cert. or Regist. it Rc...OO~","Co3
City License Registration # ~
******************************************
'.
PERMIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS O~ PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The undersigned understands that this penit .ay bl subject to "deed restrictions" lIhich aay be .Clre restr.ictive than City
regulations. The undersigned anu." rupDnsibilUy""for co.plianu with any applicable dltd restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If Ih. ~...r h.s hir.d . ,..tr.,I.r .r ,..lr.,I.r. I. ..derl.l. ..rl, .h.y ..y b. r.q.ir.d .. b. lic..s.d i. .".rd.... .i.h
state and local regulations. If the contractor il not licensed al required by lall, both the owner and contractor .ay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
r.q.ir....I. ..y .pply f.r Ih. i...nd.d ..rl, .h.y .r. .dvised I. ,....,. Ih. Ci.y .f Z.phyrhill' &nllding D.p.r'",', 18131
788-6611.
F.rlh.r..r., if .h. ....r h., hired' ,..lr.,I.r .r ",'r.,I.rs, h. is .d.is.d .. h... Ih. c,,'r.,'.rls) slg' p.rli.., .f .h.
"Contractor Sections" of this application for lIhich they will be responsible. If you, as the Ollner sign as the contractor,
y.. .r. i.di,.li.g .h.. "', r.'h.r Ih.. .h. ,..Ir.,..r, .r. r.sp..,ibl. f.r Ih. ..rl. If Ih. ,..Ir,,'.r .ish.s y.. I. sign
as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713. FLDRIDA STATUTES, AS AMENDED)
I ,.r'ify .h.. I, .h. .ppli,..I, h... b... pr..ided .I.h . ,.py .f 'FI.rid.'s C..st,.,'i.. li.. l.. - ........r" pr.t.,li..
Guld.' pr.p.r.d by lh. FI.rid. Dep.r',," .f Agri,.I'.r. .nd Co.....r Aff.ir,. If the .pplic.,' i, ,...,.. "h.r .h.. .h.
.....r., I cor II f Y lh.1 I h... .b..i oed . ,opy .f Ih. .b... d."r i bed doc'"'' ond pr..i so i. gnod hi th t. d.1 her it .. th.
"ollner" prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I ,.rlify .h.1 .11 the i.f.r..ti.. i. lhls .ppli,.II.. is .".r.l. ..d .h.. .11 ..rl .ill b. d... i. ,..pli.". .i.h .11
applicable lalls regulating construction, zoning, and land develop.ent.
Appli,.II.. Is h.r.by ..d. .. .bl.l. . p.r.il I. d. ..rl .nd l.sI.ll,II.. .s i.di,.l.d. I ,.r'ify .h.l .. ..rl .r
i.sl.ll.li.. h.s ,.....c.d pri.r I. iss..ne. .f . per.il .nd lh.1 .11 ..rl .ill b. p.rf.r..d I. ...t sl.nd.rds .f .11 I...
r.g.l.li.g ,..slr.,li.., Cil, ,.d.s, ,..I.g rog.l.li..s, .nd I..d d...I.p...l r.g'l.li..s i. lh. i.risdi,li... I .Is'
'.rlify lh.1 I ..d.r,...d lh.1 lh. r.g.l.li.., .f .Ih.r g...r....I.1 ....'i.' "y .pply'l. lh. i...nd.d ..rl, .nd Ih.l il i.
.y respon'ibitit, I. iden'if, ...1 acli... I .,,1 .... I. b. i. ".pIi..". Soch .gendes i .d.d. b", ... ,~I Ii.i led ...
.'*"
I .Is. ,.rlify Ih." if fill ..leri.1 is I. b. .,.d i. FI..d Zon. 'A' .r 'A,.tc.', il i' "nd.r,I..d .h.. · dr.i..g. pl..
.ddr."i.g . 'c..p..,.'i.g ..1.... .ill b. ..b.ill.d "i,h i, prep.r.d by . pr.f."i...1 ..gine.r r.,i"".d i. ,h. SI.,. .f
Florida prior to per.it issuance.
A p.r.il iss..d ,h.11 b. ",s'r..d .. b. . lic.... I. pr.,..d .ilh Ih. ..rl ..d ... ., ..Ih.ri'y I. .i.I.", c..c.1 .11.r, .r
.., .,id. .., pr..isi..s .f lh. 1.,h.i,.1 ,.d.s, ..r .h.11 I....". .f . p.r.i. pr..'" .h. 8.ildl.g Offici.1 fr" 'h.r..f'.,
r.q.iring . c.rrocli.. .f .rr.r, i. pl..,; ,...lr.,li.., .r .1.1.1i..s .f .., c.d.. ,..r, p.r.i. is."d ,h.11 b.c," i...lid
..I.ss lh. ..rl ..th.ri,.d b, s.ch p.r.il is '....ne.d .llhi. si. ...Ihs .f iss"'c', .r if ..,.1 .,Ih..".d by .h. p.r.i. i.
s.sp.nd.d .r .b..d...d for . p.ri.d .f sil ...Ihs .fler Ih. Ii.. .h. ..rl is c....nc.d. 0.. qO d., .,I"si... .f I;.., .., b.
.11,..d f.r lh. p.r.il .ilh f.. ch.rg. .f "5.00. Th. .,I..si.. sh.11 b. r.q..s..d I. .riling I' the 8..ildiog Dffi,;.I. An
.ppr...d insp.c'i'. ..sl b. I.gg.d d.r;.g ..ch sil ...Ih peri.d, .r Ih. pr.j.,1 .ill b. ,..,id.r.d .b...d.,od.
WARNING TO OWNER. VOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV
RESULT IN VOUR PAVING TWICE FOR IMPROVEMENTS TO VOUR PROPERTV. IF VOU
INTEND TO OBTAIN FINANCING. CONSULT WITH VOUR LENDER OR AN ATTORNEV
BEFORE RECORDING VOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
::G:::R:~Q~O~D AND POST A "NOTIC:G::Tu::C21~__-~---_
DWNkl&DR AGEN co~
DATE__----~J~l ~~---------__---------- DATE_____~~~~---------------~-
NOTARY AS TO NOTARY AS TO
OWNER OR AGENT_____________~_______________ CONTRACTOR_____________________________
MY COMMISSION EXPIRES__________________
"
MY COMMISSION EXPIRES______________________
. .. -. .- .. .. . .'.- .~ .. . . .. . ..
. ._.__ _._.____4_._ ..._ _.._ ___._..~,_.__".______.__._._ ___.___4
j , r'\ I) L.
:'=-,; (=- .. i A F> E: F-:.
COf..JSTRUCT ION
c~ CJ .
RESIDENTIAL & COMI1ERCIAL
!'.'-: :..' ~ .:..' ... ..:... .i t-. d
h "I. J i J (j i f, g i~' ::1 r: T ~ ~:.) "," ,~,;
F: I,:) (, Tin g C ,:.J ;--1 l. ~. ~/ '_ 1. '.-. ..
F.\:
.......
. - ,~, .- .- .-
UU.,:;.':".>_"'"T
F, .::' ,;: i :::: ! ..:::' f t.-' ,j
RC
Co 0 5 tS "7 (';:;
11.:~S(1 ::~()uth Highway 98, Dado:- Clty'. Florido.
Phone ~ (904)567-8580
Bonded and Insured
3352S
F- :-. i!
::\Ji3M iT i'E[
r,=,:
,_u__~',t!~ '-_',": _:, C4'Z,lJi:P_n:,"::~~~~2 0 ~ _1 J-
l'" ''''L?> (- /7 -I U0c. I
Cel I/~it, L~ftt c-:--
dll':) ",':::;tlmdrc~.~; YOI': F.4::RCl,Jf I
I
1", ,'.
- -- .. ----_. ----~
..;0/ Lpt0() (jh/~!A~"\
. ,- ,. . .
_._~.. ._- ...-
.._" .... . - ..- .-. -' . ,.. ...
_._. _.. -- .---.-.------ -.----.
'",I t~':' :. l~' ; ....:. L \ ~:j ~.J Iii i
..:..' ;>:0:.:' " i t i (.' v t i '.'.1 I ~l ;~
F =:.!1. . _ ::-:X j::: T II~':; Sh I !JJLE:::, DF: l~' ELIl';E, AND UAf'lAGE;':" WCJ;=i~
'/ /\
. i ::-,'-,Cd;' /JEW --.).LL,-_
-/
<{flL-'!L~~L"_(,':~~_L 5/1...: { /f/
, I. I I
L E . FELT L I L Y 1 [,
j
. Co b.,.",.-
/
:'';l-:-,~' Wi.:C;:; ALL'-JWAl'JCE.;
f-IEl..
'./ALLE')'
11ETAL MiG FLASH j N\~
; i ~ ,'. I r,! _1., r'.jt: !,.,l
-- 2-~ 'j.j ~-, ..4j-'-L~.
r ' I ' -
LJ!;. j t, EDGE
j 1~'.. '.., l., i.. l'J E. ,;10'.: \. t:: hi T t? LJ I~'I T:.~
I i ~ .. .
rJd
-7
.) 0-
.1 L".,c., l.. ii., lJ '.: F f, ':' TIIl\[, r,:
~: i, i': f: I"!JT I ELI 17 1 B F F-: ':; L A ~-. :
c;H J I J'.i
Bhr',1'H
6-~,? L______.__________
\." iJ i-l l~.l 1--.
-~kQ~ /_______
j,j'i: 1 ~.'I'i:. IhAcJH RI:".lt.jV.L..L
i '.i',' ,'I',ljIJT'l FERt-11 T j r~CLIJIJEr,
(.0
t -
'( f:.L.h 'CJIHF-;;...,'TOH' S LEAL '..I ;',F:l::.L..Nn'
Fk,r'Vi.'~!'T
,
/
.. !'
<~---r.~-
~I- .
P,~ UL"f>J
: \ \
-. r; 'j",: \;
d C,-)
TOTAL COST~ LO~
f
}~~:t~__U..tllll;..j;~~~- 8 A LA N l.' EAT Cell'I F' LE T 1 (W
SCHAPER. CONTRACTOR
P--,
:::.' 1 .~ "131. \J;' t.:.- -----.--------.---
r '.":'~ ~ r:
... ----..-=, 1 :; ll.? 7' U.. 1;:"' .--
"__.._'_U ___' ...~ ._". ______. ._.....;-:'~:.:-:...:.:.;.;..:..;....:.;:.:..;__=_.~~..;.;.....:.:_:....;~_:_.;;.~-_~_:.......:.:.;..:.:.=.;.:.::..:~..~;.:::..:.;:,.;...~~.:..:....:.;.::;.~~._..:.:...----,.".~.---