HomeMy WebLinkAbout95-5127
BUILDING PERMII'
an OF ZEPHYRHILLS Permit N!
(813) 788-6611
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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:
~
ELECTRICAL
PLUMBING
Job Address:
Parcel I. D. #
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Acc
All work shall be performed in accordance with City
Valuation or
Contract Price
/ 'j- 3 g- -i:,-. (TO
City license Registration #
State Certified License#
BUILDING
Ftr.
Pre sLB
Lintel
FRM.
Insul. CL
WL
Tp. erv.
R ghln
eter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
a,
b.
c,
d.
e,
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
?-5127 ~
Date
7-;2 (J -7~-
MECHANICAL
Sewer Conn
Water Conn:
FINAL
C.O.
DATE
DATE
Inspector
~'~"-tf' b 'I. cv
fI~
:;~~~:;:e ~~
Company
Address
Telephone# 909'- 799- 6r8~
A-'U2-.
PLUMBING
MECHANICAL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
~~~
?~S3~r?
~~/l~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
. .
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
_'S_ ?/,!,/r'/A/.j ;;;:111< ~J ~,SO(+-
OWNER'S ADDRESS ()o..u' . J ~ e ~ -( L\ 0 (\ 0 W" -cf )
JO~ ADDRESS '- ~9 ~ sO r:A.d-/1 0/ pJd ,
LEGAL DESCRIP'llON: LOT(S) BLOCK
PHONE
SUBDIVISION
PARCEL I.D.' d~ -~fo"- JJ
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:...K.New Construction -.-.Addition -.-.Alteration ~epair _Install
_Sign
--Ifove
_Deaolish
PROPOSED~E: _S~eF_i~
-"'F _' of Units _M/H
_~ercial
_Indust. _Swia. Pool _Other
~estaurant &: Health Departaent Approval
DESCRIPTION OF WORK: /:/('~ w< ;;'0/1, 1//--'1. '1-/,. 5, a (et,~..L ^) ~ Q 0..10 ~ f'-~
BUILDING SIZE:
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~UILDING
$
Valuation of Total Construction
_ELECTRICAL
AIIP Service
Florida Power Corp.
W.R.E.C.
-.-JIEClWlICAL
$
valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF <DNSTRUcnON: _B1oclt _Frate _Steel
Other
FIlIISBED FLOOR BLEVAfiONS:
FT.
IS PROJEct IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
COtIPANY
State Cert. or Regist. .
City License Registration ,
..........................................
BIJTT.DER
Signature
Sionature
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
RT .RCTRTCIAII
COMPANY
State Cert. or Regist.. ,
City License Registration f
..........................................
PLUMBER
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
~ ' ,{ ~ roIIPA1lY-D,r g ~~ ";"1'-"<:
5::+ f" ~ State Cert, or Regist, ,'< ~.!:? rf .511 B
. <-- U I \--d:<-~ City License Registration f I '/7 t:?
. .......................................
MECHANICAL
Signature
OTRRR
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'l'he undersigned understands that this perait tay be subject to lIdeed restrictions. wbich tay be lOre restrictive than City
regulations. the undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions.
. .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has bired a contractor or contractors to undertake work, they tay 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 tay be
cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
requirl!llents lily apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
. 788-6611.
Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
.Contractor Sectionsll of this application for which 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 wisbes you to sign
as contractor that tay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
City of Zephyrbills.
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 lIFlorida's Construction Lien Law - RoIeoIner's Protection
Guidell prepared by the Florida Departlent of Agriculture and ConsUlet Affairs. If the applicant is sOleone other tban the
lIowner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"ownerll prior to COlleDCl!llellt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land develoPftJlt. '
Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has cmleDced prior to issuance of a perait and that alllfOrk will be perforaed 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 govetlllleDtal agencies laY apply to the intended work, and that it is
If responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
I Departlent of EnvirODlelltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater 'l'reatlent
I Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health' Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'l'reatlent, Septic 'l'anks
t US EnviI'ODlental Protection Agency - Asbestos abatl!llellt
I also certify that, if fill taterial is to be used in Flood Zone DAlI or DA,etc.", it is understood that a drainage plan
addressing a lIC01penSating volUJell will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A petlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official frOt thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
unless the work authoriled by such perait is COllellced within sillOnths of issuance, or if work authoriled by the perait is
suspended or abandoned for a period of sillODths after the tile the work is co.enced. One 90 day eatension of tile, tay be
allowed for the perait with fee charge of $15.00. The eatension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
WmUG '1'0 omR: YOUR FAILURE '1'0 RECORD A NO'I'ICH OF C<lNRCEHIM'I' MAY RESUL'I' IX YOUR PAYING TWICE FOR IMPROVEHmS '1'0 YOUR
PROPERTY. IF YOU lifE '1'0 OB'I'AIN FIWCIHG, COJfSUL'I' WI'I'H YOUR L8JIDBR OR 11 A'I"I'ORIBY BlFORE RECORDING YOUR HO'I'ICE OF
COMMEHCIIIEN'I'. JOBS UlfDER '2,500 IN VALUE 00 NO'I' lfIED '1'0 RECORD lID POS'I' A "NO'I'ICE OF COHMENCHMIJ'I'II.
SIGlAIORE: _III AIm ~ ~
S'I'A'I'E OF FLORIDA
COUN'I'Y OF
The foregoing instrument was acknowledged
before me this , 19_ by
S'I'A'I'E OF FLORIDA
COOlf'I'Y OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~tVlERALD +bJrvtE
RV KE~o~ ell/l/Ct!EY Rb,
~d("')oY5 l' 81'~;'7 lof ~v;/JC! -
Ja('k~1 Lot /ioc/I 5F'
~~5.. /57,000 SF_
/1/ ,f) II .5F 1 p31/1i1,/
x 185' reI" sF" :./f~3:B5,- Ia!
7o{OO
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NOV-08-95 WED 11:51 AM D.B.PAVING.INC.
. ,
91-:::14544121917
P.02
D
D&B
PAVING,
INC.
NOVEMBER 8, 1995
CITY OF ZEPHYRHILLS
BUILDING DEPT.
RE:
PERMIT NO.: 5127 8
EMERALD POINTE RV RESORT
39630 CHANCEY RD.
ZEPHYRHILLS, FL
;
~
!
DEAR SIR/HADA!'-1,
THIS IS IN REFERENCE TO THE ABOVE BUILD!NG PERMIT REGISTERED
TO 0 & 8 PAVING, INC. FOR THE CONSTRUCTION OF ROADWAY AND
PARKINGLOT PAVING AND UNDERGROUND U~ILITIES. WE ARE NO
LONGER ON THIS PROJECT DUE TO COMP_rCATIONS WITH THE OWNER.
PLEASE CANCEL THIS PERMIT REGISTERED TO US.
C/{:ER~I- 'tdwaflOv0
'Kl:~RLY J, EDWARDS.
SE~~RES.
17839 U.S. 41
Spring Hm, Florida 34610 (904) 799-6485 FAX: (904) 544-091. 7