HomeMy WebLinkAbout95-5347
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit IV!
(813) 788-6611
:-53f?A
Date
/J-J-9S-
~ILDI~ ELECTRICAL PLUMBING
Pmperty Own., ./11 Cl...,~.d flI ~ A I
Job Address: J~ 'i~ ~:o ~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Energy Code:
I ~;X &)... 0
Zoning:
Description of Work
FINAL
C.O.
DATE
DATE
Inspector
Valuation or
Contract Price
1/d.-{,tJ~t/D
,
''''0
City License Registration # L_
State Certified License#
_.j~:4
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
.Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
,
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S ADDRESS
S-r va /515 PI/s elf U /!...G!1 PHONE
:??r6f() 6 ~ N6
0'lft'-tL .
/0:<'- - ~ I~
OWNER'S NAME
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition -^lteration _Repair _Install
_Sign
--1Iove
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_' of Units _M/H
_eo..ercial
_Indust.
_Swta. Pool ___Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:
<fO 14J~
rfi;,fC.~
?RL- tHft3 ~
BUILDING SIZE: !JV X :>0 ,
~CJl? Square Feet,
Height
RESIDENTIAL :
COMMERCIAL :
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
$
PERMITS REOUESTED
.cJ1)
4 .:2 ~ C> Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHAlfI.CAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BIJT'.DER~ COMPANY Iq()J)Snt-7~
State Cert. or Regist. .
Signatur City License Registration .
.~..:.~...................................
L--
F.T.RCTRICIAN COMPANY
State Cert. or Regist. f
Signature City License Registration t
******************************************
rtc. tJlfr~ d'1
7fl.
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration t
******************************************
MECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration .
******************************************
OTRRR COMPANY
State Cert. or Regist. t
Signature City License Registration t
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS , .
Tbe undersigned understands that this perlit lay be subject to Ideed restrictions. wbich lay be lOre restrictive than City
regulations. the undersigned asSUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner bas bired a contractor or contractors to undertake wort, they lay 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 lay be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to .bat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
.Contractor Sections I of this application for wbich 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 Zepbyrbills.
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 IFlorida's Construction Lien Law - HOIIeOIDer's Protection
Guide. prepared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is SOIeODe other than the
"owner", I certify tbat I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to cOllenCelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
appliCable laws regulating construction, Joning, and land develo~ent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or
installation bas CDllenced prior to issuance of a peIlit and that all wort will be perforJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develo~ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govl!IDllental agenCies lilY apply to the intended work, and that it is
Iy responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
t Departlent of EnvirOflleJltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands,
Vater/Vastewater Treatlent
t Soutbwest Florida Water Managuent District - VeIls, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Deparblent of Health & Rebabilitative Services, EnvironleDtal Health Unit - VeIls, Vastewater treablent, Septic Tants
t US EnvironleDtal Protection Agency - Asbestos abatuent
I also certify that, if fill IiIterial is to be used in Flood ZOne "AI or "A, etc. I, it is understood that a drainage plan
addressing a .cQlPeDSating volUle. will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
unless the work authorized by sucb perlit is COllenced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of sillOntbs after the tile the work is CDllenced. One 90 day extension of tile, laY be
allowed for the peIlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each sixlODth period, or the project will be considered abandoned.
WAIUfING TO OIDIBR: YOUR FAILURE TO RECORD A NO'l'ICE OF C<IDIBNCBIlBIft MAY RESULT IN YOUR PAYING !IIICE FOR IMPROVEMD'lS TO YOUR
PROPERfY. IF YOU IIft'BHD TO OBtAIN FIIWCING, CONSULT VITH YOUR LBNDIR OR AN AftORDY BEFORE RlCORDIJlG YOUR JlO'l'ICI OF
COMMHJICBMBR~r" _ UWG :~':INO:~DD ~r A ~~~
SIGllArm" - R 0-'- ~ _::;:--2-" - .. ~:.:::.
i ~~___-~.---
STAfE OF FLORIDA f) STATE OF FLORIDA 0
coum OF f 1-S Co COUJft'Y OF T /!5 CO
The foregoing instrument was ~~Wledged The foregoing inst@pt was ac~edged
before me this tt> / 30, 19 by before me this -,---0, 19~ by
f
who is personally known to me or who has
produced
as identification an, d w, ho a:::::
take an oat~~ ~
(Signature)
who is personally known to me or who has
produced
as identification and who did/did not
take an o~t~k ~
(Signature)
(Name Typed, P
NOTARY PUBLI
(Name Typed, Printed or Stamped)
NOTARY PUB .,.
""'~~~'~"'" KBTH CORREIA
~"f"~~:~ MY COMMISSION # cc 451416
\~'~~{f EXPIRES: May 13. 1999
"'~.w.,i!It.. Bonded 11Iru NolIIy PublIc Undelwltl8rs
, ~" ' KEITH CORREIA
~,,~ MY COMMISSION II Cc 451416
~j EXPIRES: May 13. 1999
;;r,;<t'. Bonded 11Iru Notary PubHc UndelwItt8rs
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PAOOUCT 111
- ~ . -z..."2...~
'ro,,,,'l
SUN STATE ALUIIINUM, INC.
37528 State Road 54 West
ZEPHYRHlllS, Fl 33541
(813) 7..7308
J -....) 0.,_\ .) G ..-J
.... __*01471 TO___......~.,.._
".
Page No.
of
PagIe
PHONe
2. - 2-8
JOB lOCATION
JOB PHONE
We hereby submit specifications and estimates for:
"~......~A...~~..............~................~~....
................................... ...........................................n>.............~.....2);?............................................................. ...................................
""'''''''''''''r' .
.......2..~............
'"
...........~......$.~~. ...................................................................
::=::~=::~??~!i~~=-~~-==~-~
................4...l-.~-._~.._....-=.._--_.__..........................
~f prOpOJf hereby to furnish material and I
dance with above specifications, for th~ of:
rs($ ~~l) "'Q ).
Arrrptanrr of proposal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. 'ltlu are authorized Slgnatur
to do the work as specified. Payment will be made as outlined above.
Authorized
Signature
All materialla guaranlMd to be as specified. All work to be completed In a workmanlike
manner according to standard practices. Any alteration or deviation from above specffic:aliona
involving elllla coalB wUl be executed only upon Written orders. and will become an extra
charge _r and Ilbove the ..umalli. All IlIIWII"IB CCIlIIinllenl upon 1Iriket, aooIdenlB
or delay. beyond our control. Owner to carry fft;.~ and other I1lIC888aIy insurance.
Our workers are fully covered by Workman's Compeneatlon nu,.,ca.
days.
(..1 -m........,)
NJCIL. I. D"
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... ...... IXIITIIIG AND PROPOSiti) ITIUC1'UUI GnJIMI 1mtII.1GIII AND....... ..... ~..".'. '.'
MI't IaDIIS 0' WATU AND Ro.wwAYS '(INCWDIMG MAI_) WAOIIrr 10 '11II ".tan.' .......
1U III'. YMa. AHD NAMa 0' HOaZLI. luca Alia' . .... 1111. ~.
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WI I."...... MID ...... 01 ...1..... ... u".~ .' iI .
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1ft ., 1fIWA.,.., ,.".,. . .... ......., ..,..... ... .,. . :..
~
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An Equal Opponunity Employer
Joe L Davis, Jr.
Chairman. Wauchula
Roy G. Harrell, Jr.
Vice Chairman. St. Petersburg
sally Thompson
Secretary . Tampa
James E. Martin
Treasurer. St. Petersburg
James L. Allen
Bushnell
Ramon F. Campo
Brandon
James L Cox
Lakeland
Rebecca M. Eger
Sarasota
John T. Hamner
BradFlnton
Curtis L. Law
Land 0' Lakes
Virginia S. Roo
Tampa
Peter G. Hubbell
Executive Director
Mark D. Farrell
Assistant Executive Director
Edward B. Helvenston
General Counsel
Excellence
Through
Quality
Service
Southwest Florida
Water Management District
2379 Broad Street. Brooksville. Florida 34609-6899 · 1-800-423-1476 (Florida Only) or
(904) 796-7211 . SUNCOM 628-4150 . ToOD. Number Only (Florida Only): 1-800-231-6103
7601 Highway 30 1 North
Tampa. Florida 33637-6759
1-800-83&0797 or (813) 985-7481
SUNCOM 578-2070
170 Century Boulevard
Bartow. Flonda 33830-7700
HlOO-492-7862 or (941) 534-1448
SUNCOM 572-6200
115 Corporation Way
Venice, Rorida 34292-3524
1-800-320-3503 or (941) 483-5970
SUNCOM 549-5970
2303 Highway 44 West
Invemess, Florida 34453-3809
(904) 637-1360
October 26, 1995
St. Joseph Catholic Church
Ray Haberle
38802 5th Avenue
Zephyrhills, FL 33540
Subj ect:
Project
Project
Evaluation/Exemption Inquiry
Name: St. Joseph Catholic Church
Foot Storage Shed Addition
CN: 24241
Pasco
11/26S(21E
28014'16"; 82011'8"
- 20 x 24
Inquiry Number:
County:
Sec(Twp(Rge:
Latitude/Longitude:
Reference: Chapter 40D-4.041, Florida Administrative Code
Dear Mr. Haberle:
District staff have reviewed information submitted for the project
referenced above and have determined that an Environmental Resource Permit
will not be required. This determination is based on the information
provided and the statutes and rules in effect at the time the information
was submitted. Project consist of storage shed addition.
Plans and information received by the District on October 19, 1995 will be
kept on file in the Brooksville Service Office in support of this
determination. The District should be notified of any modification, since
changes may result in a permit being required. The District's
determination should not be taken as a waiver of another agency's
permitting requirements.
Please reference Project Inquiry No. CN: 24241 in future correspondence
concerning the project. If you have questions regarding this
determination or the District's procedures, please contact me at the
Brooksville Service Office, extension 4329.
Department
WMM:kmb067
cc: Evaluation No. CN: 24241
S. Sebaali, P.E., Senior Professional Engineer