HomeMy WebLinkAbout95-5288
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit lI!
(813) 788-6611
-;-S28SL3
Date 10 --9-<;.s-
~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
PmpertyOwne, ~~J3i:. ,~A4/ It;t;L-~
Job Address: }ZS A
Water Meter:
T.I.F.'s:
Parcel I. D. #
Zoning:
Description of Work
E;?Y C2~
Va.~ _ ,A,
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
'0 -/3 -<1'S-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
P~rmit Fee~~.
Signature ( _
Company
Address
Telephone#
Valuation or
Contract Price c:2.. o-z:"7) - cr-v
City License Registration # / .s ~ 6 ;/
State Certified License#
,,~/rA ~~ ~
BUILDING
Ft<. 10 ' I ~ ,.1 '>
Pre SLB --- V
r- (><
Lintel r1j'U
FRM. ~ l:7"
Insul. CL \
Wl
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
APPLlCAT1011 POR "PUMlT
CITY or ZIPHDJIIUS
BUILDING DEPAfl11lDT
i
I
I
I
I
OWNER'S IIAII& (5~~ ~ -' ..:j;"nC-
OWIID'S ADDII8S __ 7 5sS- (;..f1L~ t/ ~/ 1:1 z~
? f?_. (
JOB AoDRBSS 2 ~ CJ b fJ'TV LL b/JN~
8'/> - 7y-> - f?'//~
PHON&: ~ /, ~
/'t'/}JJ'f~;/I.J, rL. 3~s 9/
v \l ,/
LBcAL DISCUPlIOX, LOT(S) IlLOCIC, SUBDIVISION
PARCEL I.D.' (OBTAD FROII PlIO"'" JjllU)TICRl
wmut PltOPOSID :..0- Coaatructtou ~ltloo ..--.Alteration . -.Jlepair ~ll8tall
.;,6ilPl --Jfove ~l18h
ftmmSU_I: ---ft~ler_i~ _"/F _' of Units --lI/B
~co.erCl.J. _ladust. -5wia. Pool _Other
---Reataurant . Health Departllent Approval
DBSCUPTIOl or WOK: Ch;<lr}/Jd. L~7~f ~ @d).
IUlLDIJO SUI:
x
Square Feet,
Betsht
,
, . RBSlDBIT1AL: ATTACR (2) not PLARS Ii (2) saTS or BUILDINC PLANS , (1)SBT B"BRGY FORKS.
cotItDCL\L: AftACB (3) SITS or BUll.DlIiG PLANS Ii (1) SIT BNBRCY FORIIS.
PROlan stJavn UQUUID FOa ALL NEW CONSTRUCTION.
PP..RMlt~ J~~~1RD
, I
" ,
, .
,
~BUlLDUG
, --..J~GAL
,~CAL
, '
~IIC
s (1 () lJ D (1)
Valuation of Total conatruction
AIIP Servtce
Plorida Power COrp~
W.R.B.C.
.
Valuation of lledwutcal l~tai1atioD
I I I
GAS
ROOPtIC
SPBcw.n
II,
" ,
TuB or cmsuucTIOI: ',____lock
I
_Fraae ~teel
Other
,
, 'I',
. ,
nus... n.oOa a.lVAUOIISt
"' . IS PROJECT 1. FLOOD ZOIlE ADAt
TIS NO
..........................................
poRTUCTOR SECTIOII
..."...nll
Slpatue
OOKPAIY
State Cert. or Ile,tlt. .
City Lieeose Re,istration .
..........................................
n.RC'l'aIf!'IA.
StllllUltu~.
COMPAIY
State Cert. or &ealst. .
City License leatatration .
..........................................
Sipature
COKPAllY
State Cert. or Ileaist. .
City Ltceaae ReSiatration . H
..........................................
PLlllBER
T1U
IIInIAIII ,....,.
8taDature
COMPANY
State Cert. or Ileal't. .
Oity Lieeoae aeatstration .
..........................................
~ - (
, COMPAIfY ~~ ~~
;?.A~ -1 ~ State Clert. or KeSlat. .' ,t;J on Of'> /18
7f City License Reatstration'
.. . ....................................
OTIIKII
Sl....ture
APPLICATION APPROVBD BY
PBRKlT OFrICD.
OCT-05-'95 cRI 13:33 IC:
TEl. HO:
1*217 P02
CONDITIONS OF PBRMIT aFFIDAVIT
A. !liICB~ RBB~IONS
lilt .... .... tbat ~.. .., IlllUbteet to "1IIId rettdctiou. "I~ ., be IlIEe IUtrlcth. tMa Clll
"....tt_. n. ~ ...... r.....l.W1tJ far CllIl1ll11D rUb aa, _Uabla dII4 rlltrlcUoM.
hrUmort, if tile - 1Iu lind a ClIItrlctor or CllIItractDn, be illdwia4 to .,. UI ClIItrIctor(.) .ip portIGU of UI
.CGltrctGr 8Il:t.1aaI" III W. ."UCltIGI for 1lb1c11 tlIIr 11111 be l'IIPIDIiJIll. If fllU, II Ue .. .lp .. UlIlIItrICtOr,
JlIlI .. IIlticIt1Il1 tat p, ratau ~ tile CllIIt."ICtllr, arl rllpoulbll for eM c. [f tba ClIItrICtw IIWaI J8I to .Sp
.. ClllIltrICtllr tIIIt .., III .. billCltilll tlIIt III illlDt pnperl, licwa u4 lJ lOt uUU" to JUIlttbt prlwi..... II Ut
Citr f1f ......Zla.
C. 'l'1WISPORTATIOJf IMPACT FIBS AJC1) U'l'ILI'lY COltNBC'llOJf 1'188
D. COII8'l'~ION LID ~ CCllAPTBR 713, FLORIDA STATUTBS, AS AIIBIIDED)
I ..tIf, un, lIIP1ielllt, 11Ift proai... willi. CGpy of "florida'. CatracU. u. ... . ......'. PratIcticIG
IilIldI" pnfIIIl1 br tile nod" hpartMIt of Agriculture IJld ec.-r Affai". I[ ~ 1IP1lC11t II _ ok tMI tile
.llIIIIf", [ certify tIIIt I 11Ift .ai_. copy of tile ... dlleribe4 m-t ... prom., s, IOlll1 fait) to Wi.. It to tile
'oIIv" prior to --to
B. ~'8/~'8 "prIDAVIT
1 CIrtUf all JafOnllt In tIda lflllil:lti. Sa lCCI1'atllJld tbat IU m 111111I_ iD _iallltIl all
wlleIbll 1_ npJIUIt ClIIItrIICUllll, 1IlIl11l1, IIIl1 Iud .......t.
_liCltI. I. ..., ..,. to abtaill I pmlt to " 1ICI1'~ .. i..ta111tJllll .. illUeW4. I cutlfr tMt . 1llIrk Dr
illltllJltllll ... ~ ll'1ar to Ianace Of . pmlt ., tIlet III *' _ill III pwfDrllll to lilt ItI*rU of all 1_
regglltlag QlIlItrIIcU86, Clt, ...., IOIIlag ragulaUClllI, _ llIIl1 .IIGplDt r.....U.. b tK jurWlcUal. I al.
arttf, lilt 1 1IIIIntIad tbat tba rlplltlaq of otIIIr peI...uJ ...cllI II, tppl, to tK iIt.W _k, ... tUt It iI
If r.....illlUtr to fdlltif, ..t IeUGIII I IIIIt WI to lit ill ClIIpUIICI. W..... 1Dc1_ lllIt In aot lJaitld to:
· lIeJett.t ollllriro.atll ..latillll - ~ ..,....., IItlaI6 Jr.. 1IIl111w1~, laiU.. LIaII,
lItIr/Vlltlntll tna_t
t t n.r trict . lilli, Cypma ...., IIItllDd AntI, I1tarllt ~
t I, bu, 'ul_1e 1latmIJI
· 'ardcu .... t . IeUI, _mIler fnItMl, IlpUc IIDb
· . Wutoa t
I . , I r 11.1.1 II ta be _ iD Flood IoIe ".. or "1,lte.", It lIl11ldautaDd UIt a dr._ ,lu
Idd,.ug . .........U.. __" _ill III aablitted -.tcb il ptepI1'llI b, . profeaafOllI lIgilllr nglatutd 11 tM .tItI of
floti41 (ldDr ta ,arJlit ianacI.
I penJt i.... ..U be CXlIIItruIII to be . Ifceue to prOCtld litll tbllllllt IlId llOt u HtIlor1tr to riolata, caell1ter, or
lit IIi. .., PMlIIaaa f1f tbI tlclajca1 cod., IIOf "'11 1--. of I PIl'Iit prtftIt tM laUdllt Dfflc1eJ 'rei ~tIr
nwalr'" I etrnctiaII of arron II plllll, CllllItruCU., or v1011tiCllll of ., _. ..., palt J..... ....1 __ fDftlld
1111... tM lIllrl IUtlllIdalll ., .udi puIlt la __ rlt1l1o UI aU. of I....., or If IOtl auuor.... ... UI flalt i.
...,..... or ..... 'Ot I JIId04 of Ib atIIIlftlr till U. tile _~ II~. au II .., ..... of u.. II, III
111_ far tlIt pemlt .l~ r.. .. of tlS.GO. IIle eatwlaa ",UIlI ~ ill.lt1ng to tJlall1Wag Offldll. All
IpUftlJ 1aIpacU. at III loggea 8iDg _ iii atll peri04, or tK ptOjllCt rW lit ClIIIIIdIna ........
_118 10 MIl: .. 'lu.III III .all) I IDrICl Of ,,_lit... lllIY ...., 1111III PlYJIC IIfJCI .. ~-dI III YIUl
IIIIIIJ. U" UIIII to lIrm rman, lmIULI UII .. mill ~ U .,.. ... --.. ftI8 IIJCI ,.
--.. -_.....,,_........_.._~.
'IGIIIIII: ... 01 - IlliIIllIII:
111ft tf MIDI
lDIft or
ft, foregro1n9 iD.t~t INI. acbcetledged
before _ tbl. , 19_ by
1tbo ia pencaal1r __ to lie or vbo bu
proda9d
.. ldentlfloatloa aDd wbo did/did Dot
~Il. _ ..tb.
(ligature)
(... TJped, PriDted or Su.ped)
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