HomeMy WebLinkAbout95-5208
BUILDING PERMII:
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
1~-520~ iJ
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BUILDING
Date
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ELECTRICAL
02~--s'v
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
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Parcell.D. #
Zoning: Energy Code: Radon Gas:
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Water Meter:
T.I.F.'s:
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
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City License Registration #
State Certified License#
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BUILDING
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Pre SLB
Lintel
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FRM.
Insul. CL
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ELECTRICAL,u,tz5'" . PLUMBING J..!::>v.3 MECHANICAL
SLB 1-f:.9) b/t'- Breakers
Tub Set ' l' <f;') VILL Ducts Insl.
.
Water Compressor
Sewer Final
Final
~L'"
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Mae J"fL,. cJqLiASc.-
1'-7-~i) Oe;3
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.
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TABLE A - WORKSHEET
CITY OF ZEPHYRHII.Lc; CONNECTION FEES
ORD. #395 & RESOLUTION #312 WATER $1.75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit) "-
Residence $ 350.00 $1,278.00
Travel Trailer Park 131. 25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131. 25 479.25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. f~ WATER SEWER TOTAL PER FIXTURE
Sinks 50 .
Water Closets 75 I /31. 2..5 '-I7Cf. 25 .(0/0.6D
Urinals 50
Lavatories 25 I .3' t) I?q. 1~ 203,5D
'7,
TubS/Showers 50 , S7. 6""6 3Jq, -50 Qo7, DO
Washing Machine 200 .
Washing Machine 50
Dishwasher 400
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
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WATER METER
APPLICAnON FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
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<to 4- - iJ..1i -:5 r:. (/ I
OWNER I S HAKE
5u A.J /3 rhJ1L.
I E. -.1 t:? nr EtLS / y.J
$'435 C:ALL 8L tJ.f)
PHONE
OWNER I S ADDRESS
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JQB ADDRESS
LEGAL DESCRIP'l'ION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D. f (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:-Hew Construction ---..Addition ~eration _Repair _Install
_Sign
-.JIove
_D~lish
PROPOSED USE: _Single Faaily
~erCial
_H/F _' of Units _H/H
_Indust. _Swia. Pool _Other
--...Restaurant & Health Departaent Approval
DESCRlP1'ION OF WORK: I AI ~ p' fL !2..- [?N(/v ~ d ~
BUILDING SIZE: 1/-0 X 80 I
Square Feet,j7d?~o Height
RESIDEIITIAL :
cOMMERCIAL :
ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ArrACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~
~UlLDING
/' ELECTRICAL
~CllAlfICAL
~~~G
PERHITS REOUESTED
$ .3 0. 0 to C) Valuation of Total Construction
hi ~ f'7 ,..,"(. .
AKP Serv1ce
Florida Power Corp.
W.R.E.C.
$
Valuation of Hechanical Installation
GAS
~loclt
ROOFING
SPECIALTY
TYPE OF CORSTRUCTION:
_Fraae _Steel
Other
FIllISBED FLOOR ELEVAnONS:
FT.
IS PROJEct IN FLOOD ZONE AREA 'I
******************************************
YES NO
BurTnER
CONTRACTOR SECTION
L ClIIIPAIIY <>f ~ ~f ;' cJ ~ L
~ P If-- State Cert. or Regist. C (5, C 042...17 (.
- ~ City License Registration , 1'1' ((
******************************************
Signature
F.T.RCTRICIAIl
COMPANY yVI cic c~ E~ c-G~,
~ State Cert'. or Regist.' E f'L~c(" ;- '/ Y ~
~ City License Registration' / ~ 0 ~
******************************************
PLUHBER
COMPANY
State Cert. or Regist. f
City License Registration .
* ***************************************
Signature
IlECRAlfiCAL
A/H-
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration t
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'l'be undersigned understands that tbis perlit JaY be subject to 'deed restrictions I wbieb JaY be lOre restrictive tban City
regulations. !be undersigned assUIeB responsibility for COIPliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has bired a contractor or contractors to undertake work, tbey .ay be required to be licensed in accordance witb
state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor IlaY be
cited for a .isdl!lleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirl!lleRts IlaY apply for tbe intended work, they are advised to contact tbe City of Zepbyrhills Building Deparblent, (813)
. 788-6611.
FurtheIlOre, if tbe owner bas hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
.Contractor Sectionsl of tbis application for wbieb tbey will be responsible. If you, as tbe owner sign as tbe contractor,
you are indicating that you, ratber than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
as contractor tbat IlaY be an indication that he is not properly licensed and is not entitled to pmitting privileges in tbe
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tbat I, tbe applicant, bave been provided witb a copy of 'Florida's Construction Lien Law - BOIeOWDer's Protection
Guide" prepared by tbe Florida Deparblent of Agriculture and ConsURI Affairs. If tbe applicant is SOIeOIle other than tbe
'owner', I certify tbat I bave obtained a copy of tbe above described docuent and prOllise in good faitb to deliver it to tbe
Downer' prior to COIEllceRllt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tbe infoIlition in tbis application is accurate and tbat all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developElt.
Application is hereby Ede to obtain a perlit to do work and installation as indicated. I certify tbat no work or
installation bas ~ced prior to issuance of a perlit and that all work will be perfoIlled to lIeet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in tbe jurisdiction. I also
certify that I understand tbat tbe regulations of otber goverDlleRtal agencies IlaY apply to tbe intended work, and that it is
~ responsibility to identify wbat actions I mISt take to be in cOllpliance. Sueb agencies include but are not li.ited to:
t Deparblent of EnvirOlllleDtal Regulation - Cypress Baybeads, Wetland Areas and Envirouentally Sensitive Lands,
Water/Wastewater 'l'reablent
t Southwest Florida Water Kanagl!llellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t Anly Corps of Engineers - Seawalls, Docks, Havigable Watenays
t DeparUent of Healtb i Rehabilitative Services, Envirouental Healtb Unit - Wells, Wastewater !reablent, Septic Yanks
t US EnviIOllleDtal Protection Agency - Asbestos abatl!lleJ1t
I also certify that, if fill aaterial is to be used in Flood Zone lA' or 'I,etc.", it is understood tbat a drainage plan
addressing a lCOQenSating volUlle' will be subJlitted wbieb is prepared by a professional engineer registered in tbe State of
Florida prior to perlit issuance.
A perIIit issued shall be construed to be a license to proceed witb tbe work and not as authOrity to violate, cancel alter, or
set aside any provisiOns of the technical codes, nor shall issuance of a perlit prevent tbe Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beCOle invalid
unless tbe IIOrt authorized by sueb per.it is couenced witbin sillOntbs of issuance, or if work authorized by tbe perlit is
suspended or abandoned for a period of sillODtbs after tbe tile tbe work is CQ8eDced. One 90 day eltension of tille, IlaY be
allowed for tbe pmit with fee ebarge of $15.00. 'l'be eltension sball be requested in writing to the Building Official. An
approved inspection ESt be logged during eaeb sillOntb period, or tbe project will be considered abandoned.
WARJUJlG '1'0 OIlIER: YOUR FAILURE '1'0 RECORD A HO'l'lCE OF COMMDCEIlBH'l' KAY RESUL'I' IH YOUR PIYIHG filCH FOR IKPROVEKD'l'S '1'0 YOUR
PROPER'lY. IF YOU IJI!BIID '1'0 OB'l'AIH FIHDCIIG, COHSUL'I' WI'l'H YOUR LBIIDER OR All AnOmY BEFORE RBCORDIHG YOUR 1I0000ICH OF
COKKEIICBKIJI!. JOBS UNDER $2,500 III VALUE 00 110'1' REED 'l'O RECORD AIID POS'I' A "IIO'1'ICE OF COKMDCBKIII".
_~OLOg'Q /LtL ~iI~
SIGlAtuRE: OIftIIR OR AGEII1 ~;m:'. tOJl!RAC'l'OR
~l1~~.
t
S'I'I'I'E OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
S'I'A'I'E OF FLORIDA
coum 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)
. .
A DRIVER
'~, FLORI~ LICENSE
- .,.,~i) - TIle SIIIlS/lIlle State
ROBERT FRANKLIN KLARE.
2561 ~t1ft", ~~.3460'6-~.O 0
Ii BROOKsVtU.-&,-,,-,,, \
11-28-'42 M 5-11 A} 11--15-92
i 11 }(j-96
K460-766-42-428-0 \ I
CLASS: D "oOO<l-OO
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ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
. ~,. "
Business Name
Address _
~.... ,/'
"-i:. ClaSSification_
Owner/Manager
Business Phone
OCCupancy load
- Alarm Monitoring Co.
Emergency Contact Phone_
o QUARTERLY
ORE-INSPECTION
o APPROVED
TYPE OF INSPECTION CONDUCTED
Phone # _
o COMMERCIAL CHECK
G FINAL 0 ANNUAL
o OTHER_
<}) NOT APPROVED
OBI-ANNUAL
listed bolIow are ftems which must be COmplied Wilh before this OCCupancy can be approVed by the Fire
Department.
o CODE VIOLATIONS
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TIlis inspection report 8pecir..., COde violation(s) Which ft not COlTected could cause a fire, contribute to the
spread of fire, or prevent sate egress dUring a fire. Your immediate attention to the COrrection of these
violations shall be required, as failure to do so is a violation of the cfty of Zephyrhi/ls Fire PreVention Code,
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bUilding has been checked by the ZePhyrhills Fire Depl. Under Ihe COdes & regulations of the NFPA minimum
elards, the State Fire MalShalJ's Uniform Fire Safety rules and olher local fire Safely COdes,
While Copy - File Yellow Copy - Bid. Depl. PInk Copy _ Business
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ZEPHYRHILLS
F=IRE DEPARTMENT
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