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HomeMy WebLinkAbout95-5009 BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit N! (813) 788.6611 :2b -' cJV :LIJ. Of) -=- ~ ~~~ ~ECTRICD C:;IIIMBIN0 MECHANICAL P<opertyOwne, jff5/'~ - ~"IA~r./> . Job Address: L5__ _ /3__ Parcel LD. # //-:26 - ;;t/. CJ CJ/ tJ - ()tF-y,",o ,- 0 C) {, 0 "7-500Q 13 J7c; - ov Date b -/a-9~- Sewer Conn Water Conn: Water Meter: T,LF.'s: Zoning: ~ Energy Code: Radon qas: _ Description of Work ~~~ /~ ~~~([ r4\...AO NO OCCUPANCY BEFORE C.O. FINAL C.O. ) DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # 2 () State Certified License# Inspector Permit Fee .L.4..t2 ~ ?7'c..J Sign'ature ~ rYl~ Company Address Telephone# Valuation or Contract Price / tJ J ,;)../..3. cr-v Jk}uo~ ~ d~A\d~/ BUILDING ELECTRICAL 6 Ftr. ~ t:r13,t,j~ ~l\.L Tp. Servo Pre SLB frr 1'1 - f) LL Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Metpr Final ~..lJ:1, qc( ftb Driveway ~ '6c.Ai) to-(Ii' t} J 6lU- ,vt~7t~" ~ O1-D MECHANICAL PLUMBING SLB M- b-/3..Lt' 6lLL Tub Set Water Sewer Final 1,"1'147 ttL0 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 ($15.00) 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. ~. ~,"",v '" "~' '<.~".-:m..'~ "''''''''J' """"I1lJ'!'(,', "",,-~~.,,~,-,,'(.. APPLICATION FOR PDKIT CITY OF ZEPIIYRIIILLS BUILDING DEPAR'l'KENT OWNER'S IWm fllM teVI:U:'i (JKJ./20IyN Krr.r /i~~S ~J.-C PHONE ') f3 - I r'J 3 S- OWlIER'S ADDRESS .s '7 () 9 /3,..J, Sf JOB ADDRESS C" II '1-1 'f- , LEGAL DESClUPlION: LOT(S) BLOCL-SUBDIVISION PARCEL I.D.' I,.). L .~ I 00/ (J of\yoc) 0 (j & () (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ----...Addition ----...Alteration --.Jlepair _Install _Sign ---..Nove --Peaolish PROPOSED USE: ~ingle Faaily _ec-ercial ----KIF _' of Units ----"'/H _Indust. -X,Swia. Pool _Other -----Restaurant & Health Departaent Approval DESCRIPTIOII OP WORK: ~ 7J/l(J (J if ; 1 f,<:r.c J- BUILDING SIZE: X Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOIJESTED ~UILDING c-~ $ /O;;U3 Valuation of Total Construction ---..ELECrRICAL ----lIECIIAIIICAL AMP Service Florida Power Corp. N.R.E.C. $ Valuation of Hechanica1 Installation .-PLUHBIIIG GAS ROOFING SPECIALTY TYPE 9F COIISTB.ucnOIl: _Block _Praae _Steel Other FIIIIISIIED FLOOll ELEVATIOIIS: Fl. IS PROJECT III FLOOD ZONE AREA? YES NO .......................................... BlffT.DD CO~crORSEcrroN , COtIPAIIY 1I(yt1.\J~P~ ~~ State Cert. or Regist.' CI-'C..~~1"''''''~ City License Registration' ...L.O .......................................... Signature COMPANY 'I) CN ,....~.,. ),22,;,-" f'> .1..., I € l- ..,- <2 c .......+. * /J State Cert. or Regist.' (,,/1 \ J/LH....ff,.P City License Registration , . ...................................... COtIPANY ~1ti'7{~ (]u.~~L-, ) State Cert. or Regist.' Cfl,--(),).~j-v ~ LL <:> City License Registration , r:f)-o .......................................... PLUHBER COMPANY State Cert. or Regist. I City License Registration f .......................................... Signature OTRRR COMPANY State Cert. or Regist. , City License Registration , ......*.***.*...**.******.***.**......*... }f ~ !J1 ~ d PBBHIT OFFICER. Signature APPLICATION APPllOVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this pemit laY be subject to 'deed restrictions' wbich lily be lOre restrictive than City regulations. !be undersigned asSUle& responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they laY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a .isdeJeanor violation under state law. If the olflU!r or intended contractor are uncertain as to wbat licensing requiruents lily apply for the intended work, they are advised to CGI1.tact the City of Zepbyrbills Building DepartJent, (813) 788-6611. Furthenore, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich 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 be is not properly licensed and is not entitled to pemitting 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, have been provided ,ith a copy of 'Plorida's Construction Lien Law - BoIeoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and CoIl8Ull!l' Affairs. If the applicant is 8OIl!OIle other than the 'owner', I certify that I have obtained a copy of the above described docUIent and pI'Olise in good faith to deliver it to the Immer' prior to COIIeDcuent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infomtion in this application is accurate and that all work ,ill be done in co.pliance ,ith all applicable laws regulating construction, loning, and land develo(IIeDt. Application is hereby Jade to obtain a perlit to do IOrk and installation as indicated. I certify that no work or installation bas CDleDCed prior to issuance of a pemit and that all work ,ill be perfoIJecl to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1lll!lltal agencies laY apply to the intended work, and that it is If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to: . DepartJent of EnvirOllll!Jltal Regulation - Cypress Baybeads, IIetland Areas and EnvirollleDWly Sensitive Lands, IIater/llastewater !reablent . . Southwest Florida IIater Managuent District - IIells, Cypress Baybeads, IIetland Areas, Altering IIatercourses . ArIy Corps of Enqineers - Seawalls, Docks, Navigable IIatenays . Departlent of Health i Rehabilitative Services, InvirOllleDtal Health Unit - IIe11s, IIastewater !reablent, Septic !ants . US EnviIOJllelltal Protection Agency - Asbestos abatuent I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan - addressing a 'COIpeDSating volUle' ,ill be sw.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A I*Iit issued shall be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a pemit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery penit issued shall becme invalid unless the IIOrk authoriled by such pemit is ~ced within sillODtbs of issuance, or if IIOrk authoriled by the peIlit is suspended or abandoned for a period of sillODtbs after the tiIIe the work is coaenced. One 90 day 81tension of tile, laY be allowed for the pemit with fee charge of $15.00. !be 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be -logged during each sillODtb period, or the project will be considered abandoned. VARKIIG 'fO (MID: YOUR FAILURE !O RECORD A NO!ICE OF CCIIIIBKCBMm' MAY RESUL! IN YOUR PAYIKG !IIICE FOR IIIPROVBIID!S 'fO YOUR PROPBR'rY. IP YOU IIft'BIiD 'fO OBt'IIK PIWCIIG, COISUL! III!H YOUR LBlDIR OR III A'l"fORRIY BEFORE RlCORDIIG YOUR DICE OP ClIOIDCEMIK!. JOBS UlmER"2, 500 IN VALUE DO NO! lIED 'fO RECORD IIID POS! A ',NO!ICE OF C(lfllDCBIIEK!'. ~ AMd-/~/ ~ ~~ I // (, /Z,Olr () . -, CY\.. 0. .l ^ SI~"': 111III1111 AGm . rr-. - - -. I!:II_i: ClIIIIIC!III (Name Typed, Printed or Stamped) NOTARY PUBLIC ",~-:;"~Ir;:--'_, SHARON L. BARBER rrX~~ ~ COMMISSION' CC443613 EXPIRES ~.~:~.. March i, 1999 '~iif.:r..~" BONDED lNRU TROY FAIN INSIJRANCC,INC, S!AR OF FLORJDJ ' ccum OF itQ seD The foregoing inst~t was ac)p~ledged before me this 0L ' 19~ by ..ho i~~~ll~f1~~ Dr who bas produced __~ as identification and who did/did not takyr~~~ (Sf'gnature) (Name Typed, Printed or Stamped) NOTARY PUBLIC $~-:;"~r~ SHARON L, !iAR8fh E*{~~ MY COM\fISSION # CC443~13 E:fi~ ~~~ M8/tll!ii, lS'b': -1II:.l:i" BONDED THRU mo'! rA!N '!<,.:"AlK .';1,: / .,~~ ~ ~ 1:). ~ ~ . ~.i~ / Sfll I- / ,.1 . !SP ,/ .pe~ / ,/" ~~ llr a...... 11)-fI/"T1 ~ Vla.nc.n11) c.nc.n OC'1'......OC'1'r-c.nC 5't:"A~~ .1';' ., t:J ' >-0-.::0...... 0 -.C 0 ::c ~ OC::Z::/"T1 CC-<M'OM'M'< :E::c/"T1~::Z:: no ~-flVI~/"T1 _c.n ::v f'\"I 000 11)-< ~ :ZC3:/"T1::V C,....".....M'O\ ~1 VI , ->-c.nf'\"l ~ " ~ :zo ~ c.n :z :z /"T1 ,CD C'1'..... NN 11) a. 0.." "0 ~ -.-.-:z-< <.cc./"T1 ~-os.. ~ ~ "<. 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" " NAME: M'IRot.J )(.oPP5(.8~~ ADDRESS: S7 of) /3 THS ,CITY: ~HYIt/-IJUS .;::l;, , , ' ~HE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF FLORIDA POVlER CORPORATION, PROVIDED THAT THE POOL IS INSTALLED IN THE LOCATro~ SHOWN ON THE ATTACHED SITE PLAN PROVIDED TO US BY THE POOL CONTRACTOR. -- THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES CONFLICT WITH OIH UIG FACILITIES OF FLORIDA POWER CORPORA TION. ARRANGEMENTS HA VE BEEN MADE WITH US FOR RELOCATION OF THE FACILITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE ATTACHED SITE PLAN. FLOFJDA POWER CORPORA nON ~ 7 ~ o/'s-h's- STEPHEN F. BUNNER DISTRIBUTION ENGINEERING ZEPHYRHILLS OPERATION CENTER: 36453 Geiger Road. Zephyrhills. Florida 33541. (813) 783-6944 A Roriela ProQress Company '" . .. ,,. --"~ ~' , . ,1. - ~;~~Ji;-~~~".~~) '" ",,'j 'i. '-; .. 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AND REINSPECTJON ~' I t \ REVIEWtD FOR. eOMPLlANCE WITH SOUTHERN ,BUILDING CODE CONGRESS The permitted Qr'awinp,s shall be' , ~l'1't at tilt site ,of wor.k and , \. 1 ,h.:ill be Qpen to l(\Spectlon by \i, \,1 \,ne 8uildin& Offfd,a I or tl'- "\~\\ \ ,\l; ,-uthorizw rtpreuatativf. :t, \ \ ~ ! f: ' I J aCVtS1QtII1 I' , . 2 :.; ~:.J" ....,$ :...: ......, ~<~ . ~ L 1 ~ ,,-: ~ ... i i ~ .. I - II! ..... :: ~ : ;':i ~s.et "'t~ ~-'~:: :~;- :-; -: - 7. .... ,- ~ ~ .' ." : w () :> cr UJ en ..J o o 0. ~ i~ \!.' ',.. ..J 00( .... Z UJ a (/) UJ a: o a: 00( o .z 00( ,I- '(/) -:.J o o a.. (!) z ~ ~ :: en ..tI ICo'<I ,': \ -!!: ....,.-... -' ",.