HomeMy WebLinkAbout95-5076
BUILDING PERMllo-
CITY OF ZEPHYRHILLS Permit N.
(813) 788-6611
/-5076 (J
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Property Owne, {J~~~~ ~ .
JobAddress:3~3._~ _~
Parcell.D. # /1- t9-/'. c2J - (> (') /0 - LJ / YblJ
Date
7-..5-- ?~-
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GECT~'
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.LF.'s:
- /;LO
Zoning: Energy Code: ,./ ;yas:
Description of Work {J ~ (J'AA-t::L/h r
NO OCCUPANCY BEFORE C.O. ~
Complete Plans, Specifications and Fee Must Accompan~.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL - t7 (.;. )
DATE
c.o.
DATE
/)
Inspector
Valuation or
Contract Price
;) 0 n.
,
(I-"()
Permit Fee A. JU,:: '
Signature 1! ':: 5 ::: (
Company
Address
Telephone# '1'88 -5'i~
City License Registration #
State Certified License#
0"Vr /Y1..VL.-
BUILDING
~
ELECTRICAL
PLUMBING
MECHANICAL
-
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final J -2/. (., '{
Ftr.
Pre SLB
Lintel
FRM. ~ ~v
InSUI.;~ / ~ 1"1~
l r7 t'---'
Driveway Vl
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
.~L\i4,'-
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.
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APPLICATION FOR PERKIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTHENT
OWNER'S IWIE ~~~ E ~\~~
OWNER'S ADDUSS ~~~~~ ~~~ ~u..S
'?:f69iC?J ~ ~ ~
LEGAL DESCRIPl10N:: I.DT(S )_\ 2. - \3 BLOCK \1.\ \,. SUBDIVISION f!'" ~.. "'! .,.., . i' '.^.. ."
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PARCEL l.D.' \\ -2-~~\" OO~o- O'&.\~OO-- rl.o (OBTAIN FROMPRgPERTY TAX NOTICE)
liORK PROPOSED:-"ew Construction .---.Addition --Alterat~on ~~ir'.I' ~~tall
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, PHONdl,-13~-5~C3
;it
JOB ADDRESS
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--..-Sign
--Ilove
---Peaolish
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PROPOSED USE: _Single Fsaily
---l-tl F
_' of Units
...1t:Swia. Pool
__J;tfH ...~"
:t
_ec-ercia1
_Indust.
'1' 1'.
_Other" ,
" ".' ." ,~
. ,..
. ---..Restaurant &: Health Departaent Approval
. , I ...
DESClUPTION OF. WOlUt:_l\~\\ ~ ~~) l.\ 'I-.. 2.., ~lJ..).MM\~ Qc:b\..- .
\ ~, !;
,.
Height
, I ..;., ,,- "~-J
BUILDING SIZE: '
x
, ,
Square Feet.
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RESIDEITIAL: ' ArlACII.(2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) ~~T)ut~GY.~,Pp.J.UIS.,
OOtIHERCIAL: ArlACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS'" .. ':' ,
PRClPERTYSURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . . " . .
I t ~ .
RT.RC'J'lUCAL
AIIP Service
PERMI.TS REOUESTED
Valuation of Total Construction
r ,."
~ Florida Power Corp. ....
~!~
---.J)UlLD~G
$.
;'1i Ij'
, ," \
. .., W.R.E.C.
, 'I,'
--.-JIEClWlICAL
---..PLUMBING
$.
Va1uation of Kecbanica1 Installatio~. I:
I.
SPECIALTY
'4t','
GAS
ROOFING
.1
nllISBED FLOOR ELBVAnOIllS:
Fl.
-"u.e _Steel O~er ' . . '. .
, I'~~H !;'i!'1 :.~ '.r, I
IS PROJECT IR FLOOD ZO"E AREA' . '. ,,_'
...YES. .:10
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rIPE ~F:. OOBSTB:UCTION: -...Bloclt
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CONTRACTOR SECTION
It.mtJltnl
cotIPAIIY
State Cert. or Regist. ..
City License Registration f
..........................................
iiaoature
o .RCTRICIAIlI
,':> l~ ; t
;i -.nAt.ure
COHPANY
State Cert. or Regist. .
Cit.y Liceose Registration .
..........................................
'" ....
~LIJMBER
COKPARY
State Cert. or Beaist. .
City License Beaistration .f.,
..........................................
~ .
;ignature
II '....,.. ii'.
IECllAllICAL
COMPANY
State Cert. or Begist. .
City License Beaistrationf
.......................................... .
aaoature
'. '_t
. ~ r,' s i OJ t: . n,',
lDIIIl COMPANY
State Cert. or Beaist. .
U8Dature City License Reaistration ..
..........................................
~PLICATION APPBoVED BY PDHIT OFFICER.
--- ---~,.._-----.._. r--- -,. --- --~--- - --- -------...".~--.-..'~-..---..------.-.l._ W--A
regulations. Ihe undersigned asSUles responsibility for COIpliance with any applicable deed restrictioos. . ,.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OIfIler has hired a contractor or contractors to undertake work, they JaY be required to be licensed in acc:orcJance with
state and local regulations. If the contractor is not licensed as required by law, both the OIlIer and contractor laY be
cited for a .isdl!lN!allOr violation under state 1al. If the owner or intended contractor are uncertain as to what licensing
requir8l8l1ts JaY apply for the intended work, they are advised to contact the City of Zepllyrbil1a Building DepartleDt, (813)
788-6611. '
Furthenore, if the owner bas hired a contractor or contractors, he is advised to bave the contIactor(s) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign u the cootractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wi8lles you to sign
as contractor that JaY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of IFlorida's Construction Lien Law -BoIeoImer's Protection
Guidel prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant il 8OIeOD8 other than the
'owner', I certify that I bave obtained a copy of the above described docuIent and premse in good faith to deliver it to the
'ownerl prior to co.enCl!leDt.
E. CONTRACTOR' SlOWER'S AFFIDAVIT
I certify that all the intonation in this application is accurate and that all work will be done in COIpliance with all
applicable lawl regulating construction, loning, and land develO(lleDt.
Application is hereby _de to obtain a perlit to do work and installation as indicated. I certify that. DO work or
installation baa CDleDced prior to ilsuance of a perlit and that all JOrk will be perfOIJed to _t standards of all laws
regulating construction, City codes, loning regulations, and land develOpll8llt regulations in the jurisdiction. .1 also
certifr that I understand that the regulations of other gOY8IDI8Dtal agencies IIr applr to the inteDl1ed work, and that It is
If responsibility to identifr what actions I lUSt take to be in COIpliance. Such agencies include butU8 . DOt lilitecl to:
t Departlent of BnviIOlllleDtal Regulation - Cypress Barbeads, Wetland Areas and BnviIOlllleDtallr SeDsiUY8~,
lIater/lfastewater Ireatlent
I Southwest Florida lIater Hanagl!leDt District - Wells, Cypress Baybea4a, lIetland Areas, Altering Watercourses
I lray Corps of Engineers - Seawalls, Docks, lavigable lIaterways
I Departlent of Health i Rehabilitative Services, BnvirOJlleDtal Health Unit - lIells, lIastewater Ireatlent, septic lanks
I US BnviIOlllll!lltal Protection Agency - I8bestos abatl!leDt :' .,
I also carUfr that, if fillllterial is to be used in Flood Zone III or II, etc. I, it is understood that a drainage plan
addressing a lCOIpeII8ating vol.1 lill be suhlitted wbich is prepared br a profeaaiODal engineer registered in the State of
Florida prior to petlit issuance. '
A perlit issued sball be construed to be a license to proceed with the work and not as authoritr to violate, cancel alter, or
Set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frCII thereafter
reguiring a correction of errors in plans, construction, or violations of any code. Bvery pemit i88ued shall hecCIIe invalid
unless the IIOrk authoriledby such perlit is co.enced within sillODths of issuance, or if work authoriJed by the perIlt is
suspended or abandoned for a period of IiI IODths after the tiIIe the work is C08eIlced. One 90 day atenaiOll of tille, IIr be
allowed for the perlit with fee charge of $15.00. Ibe atensioD shall be requested in writing to the Building Official. In
approved inspection lUSt be logged during each sillODth period, or the project lill be cODBidered abandoned.
IIA1U1ING TO ODIR: YOOR FIIWRI !O RBCORD IIOl'ICB OF aIIIIICBIlIIIlIIY RBSULI IN YOOR PIYIIG .IIIICB POI .IIIPIIJVIIIIftS TO YOUR
PROPBR'lY. IF YOU UIIJID TO OB!IIJI FIIWICIIG, COISOLI WIIB YOUR LIIIDIR OR 1I1ftOR11Y BIFORB IICORDIIG YOOI JOIIC! OF
aIIMINCBIIBII!. JOBS UlDIR. '2,500 II VALUB DO 101 RBBD TO RICORD lID POSI I'IOIICB OF ClIIIDCBIIIIfI.
SIGJlAfUBB: (IfDR OR IGIII
SIGD'fURB: COUBICfOJI
srAII OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
SIAD OF FLORIDA
coum OF
The foregoing instl'Wlent was acknowledged
before me this, , 19 by
who is personally know.n to as or who has
produced
as identifica~ion,~d;who did/did not
take an oath.
who is personally know.n to me or who, has
produced
as identification and who did/did not
take an oath.
(Signature)
(Hue, Typed, Printed or StiUDPed)
HOTARY PUBLIC
, (Signature)
(Hue Typed, Printed or Stuped). -,
HOTARY PUBLIC I
'\ .~
.~i~ Florida
.;~ P.9~~t
, :''i,''
.,
. .
NAME: C!~ An~/;./S
ADDRESS: ..J'B& 33 o-l}/ Ave::
, CITY: Ztdl.f Yat,flL.LS
THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS
DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF
FLORIDA POWER CORPORATION, PROVIDED THAT THE POOL IS INSTALLED IN
THE LOCATION 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.
V-:::RANGEMENTS HAVE BEEN MADE WITH US FOR RELOCA nON OF TH~
FACILITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE ATTACHED SITE
PLAN.
FLORIDA POWER CORPORA nON
~-7~~ .
;T~~EN F. BUNNER 7/3/9&-
DISTRIBUTION ENGINEERING
ZEPHYR HILLS OPERATION CENTER: 36453 Geiger Road . Zephyrhills . Florida 33541 . (813) 783-6944
A Rorida Proflr.$$ Company
FLORIDR PO~ER CORP
TEL:813-782-5949
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8:18 ~o.OOl D.Ol/01
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