HomeMy WebLinkAbout95-5033
BUILDING PERMIT 0-
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
-~503~ {j
Date
6 - J. 8 - ~ .5-
~ ELECTRICAL PLUMBING
::::,~,:,n:~~ ~F_IJ!~
Parcell.D. #
MECHANICAL
Sewer Conn
Water Conn:
Water Meter;
T.I.F.'s:
Zoning; E:e~:y:
Description of We:;: K-l' ~
Radon Ga" .."./7"
~..?~'- A _/ "^"') I?
NO OCCUPANCY BEFORE C.O.
FINAL b - z.~ ~er S-
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#
~~
PermitFe~.
Signature~~
Company
Address
Telephone#
-
Valuation or . / f-..
Contract Price !"1 "/ C/. C7-O
"~i(h
BU LDING
ELECTRICAL
PLUMBING
-
MECHANICAL
Ftr.
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.
APPLlrANT~~~~~~ ....
ADDRESS \ \ Z-'5:J s. ~'t ~ ~~ ~~
OWNER ~ t\t\\ t-...\Q&\C~
JOB LOCATION ~~20 ~~ J~..'\~. ::zl.\. LOT SIZE
1 .
AFPLXCAT10N FOR PERH1T
CITY OP' ZEPHYRHILLS
BUILDl~G DEPARTMENT .'
~ - ,
-. ,:J
". ...., .~" .....
PJ!OI1R~} Slc;~~~
X AREA SQ. FT.
BLO.CK .
SUBDIVISION
LEGAL DESCRIPTIO~: LOT(S)
PARCEL 1. D. tt
WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install
____Sign
____Move ----Demolish
____Sign/Temp.
PROPOSED USE: ~Sing1e Family
BUILDING SIZE:
----'I I F
____# of Units .~/H
____Commercial
~Indust:.
____Swim. Pool Other
____Restaurant & Health Department Approval
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS...
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &(1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
____BUILDING
_ELECTRICAL
_MECHANICAL
_PLUMBING
PF.RMITS RF.OIIESTED
$' \,4-'"10..00
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
.#' .
~ ROOFING
SPE<<IALTY
GAS
Other
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
FINISHED FLOOR ELEVATIONS: FT.
OTHER ~\N~
Signature 0,,!c~\__
Signature
:::::~:AN.
PLtrMRF.R
Signat\,lre
MECHANICAL
Signature
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Regis~ration
******************************************
/
/
~t /r
/
/
/
//
/
./
/
/-
"
Company ~
State Cert. or R~gist. ~t ./
City License Registratio~
****************************************** .
Company
State Cert. or Regist. #
City License Registration #
******************************************
/
Company
State Cert. or Regist. #
City License Registratio
*************************************** *
Company ~('~~l.::l.~
State Cert. or Regist. 1t ~C:;:C~"{n3
City License Registration # ~~
******************************************
~
PERMIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS O~ PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The undersigned undershndi that thii penH lay bl 5ubject to "deed restrictiClns. IIhich uy be ICln nstr.ictive than City
reguhtions. The undenigntd il5UIII rtipon5ibilitffor CDlplianct Mith any applicable deed rutridion5.
- .
B. UNLICENSED CONTRACTORS AND C N RACTOR RESPONSIBI ITIES
If the ollner has hired a cClntractDr Dr contractori to undertake Mork, they lay be required tD be licensed in accordance lIith
state i~d 10cIl regulations. If the contractor is not liClnild as required by lall, both the ollner and contractor lay be
cited for a lisdeleanor violation under itate lall. If the Ollner or intended contractor are uncertain as to IIhat licensing
requ~relenti lay apply for the intended 1I0rk, they are advii.d to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the Ollner hai hired a contractor Dr contractors, he is advised tCl have the cDntrictorlsl sign portions of the
.Contractor Sections. of this application for IIhich they lIill be responsible. If you, as the ollner silJn as the contractor,
you are indicating that YClU, rather than the contractor, are responiible for the IIC1rk. If the cClntractor lIishes you to sign
as contractor that lay be an indication that he ii not prDperly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
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 "Florida's CDnst~uctiDn Lien Lall - HDleollner'5 Protection
Guidi" prepared by the Florida Departlent of Agriculture and ConiUler Affairs. If the applicant i5 50leonl other than the
"ollner" , t certify that I have obtained I copy of the .bove dl5cribed doculent and proliie in lJClod faith to dlliver it to the
"ollner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infDrlation in thii application is accurate and that all 1I0rk lIill be done in cOlpliance lIith all
applicable lalls regulating construction, loning, .nd land dev.loplent. '
Application is hereby lade to obtain a perlit to do 1I0rk and install~tion as indicated. I certify that no 1I0rk or
installation has cOlleneed prior to issuance of a perlit and that all 1I0rk lIill be perforled to leet standards of all lalls
regulating construction, City codes, zoning regulations, .nd land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies liY apply'to the intended 1I0rk, and that it is
IY responsibility to identify IIhat actions I lust take to be in cOlpliance. Such agencies include bill." 1I0t lilited t,,:
. ~.'"
I Departlent of Environlental Reaulation - Cypre5i Bayhead5, Wetland Areas and Environlentally Sensitive lands,
Water/Wastellater Treatlent
. Southwest Florida Wat~r "anaaelent District - Wells; Cypres5 B.yheads, Wetland Areas, Altering Watercourses
. ArlY CorDS of Enaineers - Seallalls, Dock5, Navigable Water.ayi
. DeDar\lent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Waste~ater Treatlen~, Septic Tanks
. US Envir"nlental Protection AQenc~ - Aibeit05 abatelent
I also certify that, if fill laterial is tD be used in Flood Zone "A" Dr .A,etc.., it ii understDCld that a drainage plan
addressing a .colpensating vDlule" lIill be iublitted IIhich i5 prepared by a professional engineer regist~i~d in the state of
Florida prior to perlit issuance.
A p.r.il issu.d sh.11 b. t.nslru.d t. b. . l;t..s. I. pr.c.ed ,ilb lb. ..rt .01 ..1 .s .uth.rity t. ,i.l.t., c..c.1 .It.r, .,
set aside any provisions Clf the technical codes, nor shall iSiuance of a perlit pr~vent the Building Official fr"l thereaftel
r.qu.r.ng . c.".tt..n .1 .rr.rs 'n pl.ns, c.n.tructl.n, .r ,i.l.li.n. .1 .n, ,.d.. E'.r, p.r.il i.s'" ,h.ll b.,... in..I,d
unless the work authDrized by such perait is cOllenced IIi thin six lonths of issuance, or if HClrk'iutholl%ed by the pertit i~
susp..d.d '" .'"don.d lor . pori.d .1 .iJ ..ntb. .lIor lb. Ii.. th. ..rk i. "....'od. Dot" d., ,,'i',i., .1 "", .., t.
allClwed for the perait with fee charge of $15.00. The extension shall be requested in IIriting to the Building Dfficial. An
approved inspection lust be logged during each six lonth period, or the project lIill be considered ~b.lIdoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN VOUR PAVING TWICE FOR IMPROVEMENTS TO VOUR PROPERTV. IF VOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING VOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
::G:::R:~- ECORD AN~_=~_~_:_~~~~TlCE OF CDM E
~~
DATE_________~ 1
NOTARY AS TO
OWNER OR AGENT__-
___.J.Ut;un.;lJ.~PeR--- -
Notay Public. Stote of FlorIda
My Comm, Exp. June 6. 1997
No, CC 292357
~~.",
...~ .,
I Ifi
it;
;:;;~:;~;:::
.1 :,
I
........ ~_.... ...._ ... ......,__.....,__. ....__... .,,' _ .... '___"m_.._~_.... ...,.....,......... ,................... ."'~.,__......__ ".... '''. ,.. ..".M....... .._.~......~....._~......,
__..___ .__._______._._.._.__.__.M___._..._.______~.__.._____~......._...._ ....._....._......,_...,..__. ___M..._.__...____._h_
...............---...--...-...
..-.----.-----...-
t.:',"!.-",,:!!::,! ,,",_,~=?_ G,LL A po E' I~_,__ .c,~ C.l I'! .:.:::: -c.[-< lJ C 7- -LQ N...~ .[.!__~_
RESIDENTIAL & COMMERCIAL
,
!
,
j:.'€:'\:.l 1 ::~ .~. E: I"' ~;:..j F:::I_t:i 1 d J. rt9 C;cin t t-.:';U:: t (~,.' F(E: (H):~::::~,:.;~:'~
F.:::.:~ .L ",' t e ..'-.;~(j F:c,.:'} t 1119 C:OIl t ('d.C t (J I' f:;:C 00567,:,'5
11250 South HIghway 98, Dade City~ Florida
Phone # (904)567-8580
Bonded and Insured
-:r-:-'C"'1C'
..,j...:....J..::.....)
~,,_.._..,_.,_..__..,,'" ."'.." ,,-... -"""-"'-"-""'-' ..."'-- -'--..---..."'..-..'''..-''...-.....'''---.---'......-..''-,----------..--.--..""'....-.."..----.".."..-'''--..:. ._-----_.,-----"'... . ..-
.. , 0 ~
i-.~:::;-~~t~R~,fe=/;i;:~If~~;~~I~l:~ sf)~
':.~~:""';~~~;~Z:__:t,;~:t~-~~:-,-;;;,-;,-;~~~~-;~:~-T;;;-,==~~~~----
i
.,
r-t~I..IC",.~ i~\ :.:;rUH:, FLr...T {'';F''r:~A, DFn~:::'[ (iND DAfYli.';::3E,") WjDC,
. I W W..'.H "....O"{;rJCE-~~~~ZC?~r~-~
; I J'~ r ,',~_._ l,d::J'. 75 LE:. I L E:EF\'I.;.:d__A~:,.;;,) BH::-,!::- ::iHLE: DI-\)"-,[ r.t ...
W,cc;;u ---.LQ--------.-- LINE'''_ FEET MET{;L F,j\SH"'cG.-Ie,o)
11 L" T ~-1L ~-_..."Wlj_~-- ALLUM I r.IUt1, DFi I F' EDGE
: 1';::'-:-i:-'tL,,~_...J~.____ \....ENT [:OI]T~~,; ,c;NlJ
LJ,/~ VEriTe
.~._._ ..~.(...T.~-..-~..~~- -' ._1
.,
I
~S~HALT PRIME ALL MET~L SURFACES
- INSTALL GAF RUBBEROID 12 YEAR MANUFACTURERS WARRANTIED
ONE PLY TORCH DOWN ROOF SYSTEM
;'.E:-- I Nt, T AL.~_
EXISTING ROOF TIE-INS
(5slel
8/0 V ""-
II
,
ii
./
:l
II
il
,I
'i
i'
"
.- r-, ,_.. LrFU~~ ~:-~ f' , P E M ,]tv' E D
-- ~outn y PEI':M I; OBTA lNED
... F 1,1[: \EAF C'OI'"TFU::,CTTJ','~:; L_E.:w
::::::"'~':ST l //1 7 0
C/O
--
-'1. ex. do~~ -/1 -Lj S-
~eQ~or) c
t"'!f~lJ'-.E.' ~~, B,"_,;NCE {;T COMF'LeTION,.
. I~::-;'~=-"'~"'~-"'-~~-~~F' CO~'~'~~~C T~'~
, .;-.(:'1.:-_1.. -r" r '" ( 7 ---- " r - 1- 1'- I
- - - c _ __ .... ..' -, 'c' I,' "L r ..='----mT",J-----.----..--...- "'C--- ~.----f)"_.--- ._- ;"
.': .~_ ,'.. ._: P:_T _:-~:::::::::::::-:: __' , 9 c,,, t u r c~-4it--j 1'l~1t,.J (t_.b~ -'-~ ""- ~
- -. -.._-...-..- ~.-- ~ .. '--'''''--. _.. --... --. -.----- '" ---- -- ..-. ~...-_::.:::._=_-..":"_:..:_=__..:..;.;;::..:;:::.._-::.;:;::;;:::_.:::.::._ :,,-~...::.:.;...::..::.::::c;.;..--=::=.:::== -.::.=::==-_-::=..:;.. -::.:'_'::: _~:..._* :. -___- _
'I
I
,',
i
7"l) VL