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HomeMy WebLinkAbout95-5141 BUILDING PERMIT~ OTY OF ZEPHYRHILLS (813) 788-6611 c2 I-.S--' lJD BUILDING d.-O.i7D ELECTRICAL .:2-() . crv PLUMBING c2{J - en) MECHANICAL Property Owner: Job Address: -3 <f-t3 Parcell.D. # Zoning: Energy Code: Description of Worr /'20 A.. "'" 1--A .l.:A.~ L Ra~n 9E: Z ~..I'~~ Permit -;-5141/3 . -- Date 7-~V-7~- Sewer Conn Water Conn: Water Meter: T.LF.'s: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector ;0-11- ::; DATE -$I U.I (j7T7) . tT7J ;2 ~ tft.J ~Ju,-- \.Jt.- /~ Valuation or Contract Price Permit Fee Signature Company Address Telephone# City License Registration # State Certified License# / '8"1 BUILDING ~~% ELECTRICAL ~ PLUMBING S,/ Tp. Servo ~ SLB ~ Rough In ~-(() -~ . Tub se~/O~ Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final 4 ~..//;~~.CJ- (L BdLt Ftr. Pre SLB Lintel /~ FRM. 310-Y.5 Insul. CL WL Driveway JJ~7t.r~~* MECHANICAL /' r 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 ($15.001 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. . . APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT G.L. STEVE CONSTRUCTION 37746 GLADES LANE ZEPHYRHILLS FL. PHONE (81 3) 7 R 2 - 9 4 4 2 ADDRESS OWNER F;rc;!.... TTni....on Mot-nnn;c+ f'"'nllrr"'"h JOB LOCATION ':lAQ':l'5 7th .Au~ LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) 1 n ~ 17 BLOCK 1 c:; 1 SUBDIVISION PARCEL I. D . /~ WORK PROPOSED:____New Construction ----Addition ~lteration ____Repair ____Install ____Sign/Temp. ____S ign _Move ---Del101ish PROPOSED USE: ____Single Family --H/F ____/~ of Uni ts .-JI/R Ch urcb--Commerc ial ____Indust. ____Swim. Pool Other ----Restaurant & Health Department Approval BQILDING SIZE: t:)o X 1 ?O , Square Feet, aGOG Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS... ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED -L-BUILDING $ $50.000.00 Valuation of Total Construction ..L..ELECTRICAL ~ECHANICAL AMP Service X Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation ~PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block 1L--Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION ,/ /1 _._ Company (;"L..::::.~v-E.. ~/O^, State Cert. or Regist. /~ L!..B- ~13=f City License Registration #.. '8' .*****~l't*t.j;ll-****. ***~. *.********~ * ~..~ 'b~r~~~~~ ~. . ./'-/0-- Company -1-1-4 .... ~(?-- _ (:;.,f\...e State Cert. or Regist, # City License Registration # ***************************** ~'i PLUMRER Company Cl . ~~ ~ ~ State Cert. or Regist. # C . City License Registration *********************~******************** Signature MECHANICAL Company gAHJ( ~ ,r?.6:>~;If<4.1 t.. 6'~$ l~~ jAJt:. 'J/ J ~ ../ State Cert. or Regisrt. /~ ("AI'D".79 VI Signature~'" .~~.."r,--- CityLicenseRegistrationf~ 751 ~ ****************************************** OTHF.R Company Stat~ Cert. or Regist. # City License Registration # Signature ********************6********************* APrLlCATION lll{QVED BY PERMIT OFFICER. L.WhllJ.l.I.i.Ur,,::. WI'" 1'"".::.KI'1). I Hrr.lJ.n..;'y.i. I B. .NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit I.Y be subject tll 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpli,ince with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with s~ate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be clte~ for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requlreaents lay 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 Dr contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections. 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 wishes you to sign as contractor that lay be an indication that he is not properly 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 with a copy of .Florida's Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to coalencelent. E. CONTRACTOR'S/DWNER'S AFFIDAVIT J 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, zoning, and land developaent. Application is hereby aade to obtain a perait to do work and installation as indicated. 1 certify that no work Dr installation has cOllenced prior to issuance of a perait and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental Requlation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent t Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY CorDS of Enqineers - Seawalls, Docks, Navigable Waterways . t Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent J also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" .ill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereaftlr requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall bee ole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six aonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with.fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An approved inspectionaust be logged during each~ix lonth period, or the project will be considered abandoned. YARNING TO OU~ERl 'YOUR FAILURE TO RECORD A NOtICE OF CoKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPRoYEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN.ATTORNEY BEFOR~:RECORDIN6 ,YOUR NOTICE OF CDMIENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT"; . ( STATE OF FLORIDA COlIITY OF The foregoing ins before me this SIGNATURE: CONTRACTOR ~ was a~I)OWledged ,19 1 by STATE OF FLORIDA COUHTY OF . The foregoing instrument befc,re me th i s was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. (SignatUl-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLI C DOROTHY B. SHAMBURGER MY COMMISSION' CC 301076 EXPIRES: July 12. 1997 Bonded nllU NolIry Public IJndeIwIlleIS G.L. STEVE CONSTROCTION 37746 GLADES LN. ZEPHYRHILLS, FL. 33541 (813) 782-9442 July 27, 1995 TO: CITY OF ZEPHYRHILLS BUILDING DEPARTMENT RE: CHANGE OF SUB-CONTRACTORS Dear Sirs: ~d aJ~ Please be advised that we have changed electrical sub- contractors on Permits #5141 at 38635 5th Ave. (Methodist Church- Kitchen) and #5128 at 38642 Evelyn Lane in Oakcrest Estates. We are changing from Zephyrhills Electric Service to Morton Electric. Enclosed is a fee of $15.00 per permit. Thank You, ~ Debbie Steve G.L. Steve Construction City License #181