HomeMy WebLinkAbout95-5141
BUILDING PERMIT~
OTY OF ZEPHYRHILLS
(813) 788-6611
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BUILDING
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ELECTRICAL
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PLUMBING
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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
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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'
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'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