HomeMy WebLinkAbout95-5071
BUILDa!t~!~y~!RM!!~ ~~50'7113
(813) 788-6611
Date
7-!:J~-7S-
~~~ ELECTRICAL
Property Own'" ~
Job Address: 3 f.3 .A ~
Parcell.D. #
Zoning: Energy Code:
Description of wor;- j( f2 A~
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
iJA
T,I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL2-/3.t1~
DATE
Complete Plans, Specifications and Fee Must Accompany Application. e.o.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
,:L.
Inspector
~rmit ~~;- ?i<;
Signature ~~'> ~
CompanF :'c------:,.
Address
Telephone#
Valuation or
Contract Price :2., ~ $I' tJ" 0-0
City License Registration #
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
.Pre-Meter
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.
. ,~f1.tCAT10N FORPERM1T
C1TY OF: ZEPHYRH1LLS '
'i3utUflNG DEPARTMENT ' " . .
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APPLICANT.. ~l'.qa.~~'" ".:C.,'
ADDRESS \ \'-z,E::J S, ~,~'~',.,,~~, ~>"
OWNER~'~~,\ ~'!y~~'" ',' '.:.- "
JOB LOCATION h~2\~ ~~-:b(L.\~~.'~. ,'LOT SIZE
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x ,AREA SQ.FT.
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LEGAL DESCRIPTIO~: LOT(S)
BLOC}{
SUBDIVISION' "
. .. ,. .. . - ." :.: '. . .~ " . \
PARCEL 1. D. ~t
WORK PROPOSED:_New Construction ~ddition ~lteration -Repair ~~,ns,~all
, ,
_Sign/Temp.
_Sign
____Move ----Pemo1ish
PROPOSED USE: _Single Family
---->I I P
_4~ of Uni t5 . .---K/H
_Commercial
---:-Indu5 to.
____Swim., Pool Other
----Restaurant & Health Department Approval
BUILDING SIZE:
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.
x
Square Fee t I
Height
pRRMTTS REOllESTED
_BUILDING
$' ~~4-4CJ~O~
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida power Corp.
W.R.E.C.
~ECHANICAL
$
Valuation of Mechanical Installation
" '
GAS
x ' ROOFING
SPEC(IALTY
.
_PLUMBING
..- .
TYPE OF CONSTRUCTION: _Block ____Frame _Steel
FINISHED FLOOR ELEVATIONS: FT.
Other
:~::::~,:: A: .
~ONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Regis~ratio
*************************************** *
'/
/
/
******************************************
/'
Signature
I
Signat\1.re
Company
State Cert. or R~gist. 4t
City License Registratio
*************************************** *
/
Company
State Cert. or Regist. #
City License Registratio
**************************************** *
Signature
/
/-
(
/
MECHANICAL
Company
State Cert. or Regist. #
City License Registratio
*************************************** *
Company .-~\>c.~ ~~\\.~~~
State Cert. or Regist. 4t \l...c.~ .&.
City License Registration # ~~
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CONDITIONS O~ PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understa~ds that this perlit lay bl sub~.ct to "deed restrictions" which lay be lore r'ltr,ictiv. than City
regulatlonl. Th. und.rslgn.d lIlual1 rliponlibility"for cOlplilncl with Iny Ipplicabl. d..d r.strictionl.
. ' .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contrlctor or contractorl to undertlk. work, they lay be requir.d to be licens,d in Iccordlnc. with
1~lt. i~d loc~l rlgulatio~s. ~f the contrlctor il not liclnl.d II required by llw, both thl own,r and contractor IIY b,
clte~ for I 11sdeleanor vl01ltl~n und.r Itltl llw. If the own.r Dr intended contractor Ir. unc.rtain IS to what licensing
r.qu~'I.nts lay Ipply for the antended work, th.y Irl Idvis.d to contlct the City of Zephyrhills Building D.plrt..nt 1813)
788-6611. '
Furtherlore, if the owner has hired I contrlctor or contrlctors, he is advised to have the contractorls) sign portions of the
'Contractor Sections" of this Ipplication for which they will be responsible. If you, IS th, own.r sign as the contractor
you Ire indiclting that you, rlther thin the contrlctor, are responsible for the work. If the contractor wishes you to si~n
IS contractor thlt .ay b. an indication thlt he is not properly licensed Ind is not entitled to perlitting privil.ges in t~e
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 with a copy of "Florida'l Construction Lien Law - Ho.eowner's Protection
Suid." pr.pared by the Florida Deplrtlent of Agriculture Ind Consullr Affairs. If the applicant il 101.one oth.r than the
'owner., I certify that I hav. obtained I, copy of thl aboYI dllcribed dOCUlent Ind prolis. in good faith to d.liv.r it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is Iccurlte Ind tkat all work will be done in cOlpliante with all
applicable laws regulating construction, zoning, Ind land dlVllopltnt. '
Application is hereby lade to obtain a perlit to do work Ind inltall~tion as indicated. I certify that no work or
installation has coalenied prior to issuance of I perlit Ind that all work will be perforled to leet stlndards of III l.ws
regulating construction, City codes, zoning regulations, Ind Ilnd developlent regulations in the jurisdiction. J also
certify that J understand that the regulations of other governlental igencies liY apply'to the intended work, and that it is
IY responsibility to identify what actions I lUst take to be in COlpHanee. Such agencies include bill ..e 1I0t hlited to:
. 41.;
. ~eDartlent of Environaental Reoulltion - Cyprlsl Blyhllds, Wetland Areas and EnviroRltntally Sensitive lands,
Water/Waltewater Treltlent
t Southwest Florida Water "anaoelent District - Wells; Cyprlss Bayheads, Wetland Areas, Altering Watercourses
t ArlY CorDS of Enoineers - Seawllls, Dockl, Navigable Wlt.rwlYI
t DeDartlent of Health ~ Rehabilitative Services. Environlentll Health Unit - Wells,' Wlltewlter Treitlen~, Septic Tinks
. US Environlental Protection Aoency - Asbeitos Ibltelent
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood tliit a drainage plan
addressing a 'colpinsating volu.e" will be sublitted which is prepared by a professional engineer regi5t~iQd in the State of
Florida prior to perlit issuance.
A perait issued shall be construed to be a license to proceed with the work and not as authority to violite, cancel alter, or
let aside Iny provisions of the technical codes, nor shill issuance of a p~rlit prevent the Building Official frol thereafter
requiring a correction of errors in plansi construction, or violations of anv code. Every perlit iSlu~d ihall becOle invalid
unless the NDrk authorized by such perlit is cOI.enced within six lonths of issuance, or if Nork authol Iled by th. perlit is
suspended or abandoned for a period of sil lonths after the tiae the work is co..enced. One 90 day c=tinsioll of tile, lay b~
allowed for the perlit with fee charge of 515.00. The eltension shall be requested in .riting to the Building Official. An
approved inspection lust be logged during each six lonth period, or the pro~ect will be considered jb.udoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 30BS UNDER $2,500 IN VALUE
DO NOT Nn RECORD AND POST A "NOTICE OF COMMENCEME
L ~ SIGNATURE-
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MY COMMISS
JiJ1:iiiii1. SCHAPER
Noby Pub/lc. SlaI8dlblda
Mv Comm, Exp. .kI'Wl6.1997
No. CC 292S57
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MY COMMISS
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l\I.to~ P\oOllc. State of florida
MI, Comm. ElIp. June 6. 1997
1'4~, CC 292351
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SCHAPE'"
CONSTRUCTIO/'o'
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RESIDENTIAL & COHHERCIAL
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!~AME~-V0;~--S '" ~ fz- i JOB NAME,
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IWe het~eby su.bmit::ipecifications and estlmates fOt~:
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RegIstered BuildIng Contractor RB 0032524
Registered RooflnQ Contractor RC 0056763
11250 South
Highway 98, Dade City.
Phone ~ (904)567-8580
Bonded and Insured
Flot"ida
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Phone~ 7rda~~Dibl D~t~,: h -/ ~~i)~
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COMBINATION
REROOF
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SHINGLE ROOF SPECICATIONS
n REt1,OVr,':' EX I ST I N(~H J NGLES, DFU F' EDGE" ~~ DAMAGED WI::Ji=i['
lI"SH\:-L NEW 1:) LB. FEU' DRV--IN '
l,NS,TALL I\IEW ~""rxJiEY rl~TAL^ FLASHING. Ar~D VEin _BOOT':
... 1 N STALL NE~<J, ~l.:t~:.....J::t1.!A-~-_. DF, I F' EDbE
II'.STALL .J.D YEAR rIA!>lUFkC:':lJRERS WARRAfl~~~:t',.'. E~ "'.;.;-,j::, ' ,
5H I I\iC:';L.EE:; BF,,~I\IDl.;:f-"LT_~_..__COLOF'. .. --llcL/"
FL.AT iWOF SPECICATIONS ~ IpU\4e.\1 cL-
.. F--Ef10VE EX I ST I N0 ROOF I NG. DF: I F'EDGE, A"~D FLASH I hlGS
lfJSTALL /'JEW 7 s::.- LE;. B{~SE SHEET DF:'r'-IN
INSTHLL hlEW GtLV.u'-iIZE;D ME1AL, FL{~SHINI..:J~
- ll\iS TALL NEW -/)..~ I l:e. -A:--lI...A IV'- ~ DR I P EDGE
.. INSTALL 12 YEAR MANUFACTURE!;: WAF,RANTIED II TORCHDOWI,'
1 PLY MODIFIED BITUMEN ROOF SYSTEM
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GENEf;:AL
SPECIFICATIONS
.. t\jEW WOOD riL.LOWANCE "1-:=- ~.tA cl Q d _
- COMPLETE TRASH REMOVAL
- ~ YEAR LEAK WARRANTY ON BOTH ROOF AS'EAS
-(:!'yi COUNTY F'ERI1 I T \.~ NCUJDED
.. TOTAL COSTfz ~1 ~ 0 09-
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