HomeMy WebLinkAbout95-5370
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Description of Work 6~L /~ ~ A1;;Z'A./~ /--
BUILDING PERMIT-
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
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J~537g 11
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Date 1/ -R--9~
..:L ~ AS
MECHANICAL
Sewer Conn /"djl ~ o-v
,
Water Conn: J~t:J. a-i>
Water Meter:
T.I.F.'s:
Permit Fee
Signature --111-a IlfAli ~
Company
Address
Telephone# (813) q'f'l- 6tnJ
FINAL
C.O.
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.
Valuation or
Contract Price
:2~ ~ -3 7.s" tJ7)
.
City License Registration /I /-..5-[?;J...,.
State Certified License#
BUILDING
ELECTRICAL
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PLUMBING / MECHANICAL
-
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V
A'f.-~ 1-J'-9r
SLB J J, I'~ 9S (3, <- L Breakers
Tub Set Ducts Insl.
Water Compressor
Sewer iJJ. Final i 2--- 7-1)" I~&,~
Final / z-- S.)3 ~ lA
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Tp. Serv.
Rough In vtJ-/j"QS.&Jj
Meter Can
Const. Pole
Pool
Pre-Meter ~
final /2::-~'-'n .
Ftr.
Pre SLB
Lintel
FRM. vf}...-/I:,,/f,rj?ILL
Insul. CL
WL
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Driveway
F
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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11 CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395/RESOLUTIONS 312/372 WATER $1.75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131. 25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131.25 479.25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 319.50
Dishwasher - Limited Use 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE
Sinks 50 Z. j 1 ,- ;:-(. fJJb1. t r.> <f> 1 '-f _ ..") r..
:J~
Water Closets 75
Urinals 50
Lavatories. 25
Tubs/Showers 50
Wash. Mach.Com. 200
Wash. Mach.Dom. 50
Dishwasher-Comm 400
Di shw.Limt .Use 60
Sinks-3 Comprt 100 1 i,5. c (, b':3~.l>C '$/~. ~<'.>
Car Wash-p/st. 1 ,000
3''''-0 00 \:2.1~~c~ / ~.)2~v'b"C>
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.
.
WATER nETER
GRAND TOTAL
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APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
?1<r'3tJ:znJ
. .
OWNER'S NAKE PICCIIDIt..LY FISH & c.H/~ /f(c. PHONE 81.3- QQI-s863
OWNER'S ADDRESS 6930 J h'JIICrNOLIIl ~HIISE CIRCLE. 7I1MPII. F'-. 336'1-7
r '
'Z'ephtLhUk, FL. .
JOB ADDRESS 725""', H wy 3D I ,
LEGAL DESCRIPTION: LOT(S) 8
BWCR
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
PARCEL I. D.' 3.-..5,- - 4~:2 )
,,(,;f ??-
WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install
____Sign
____Move
____Deaolish
PROPOSED USE: ____Single Family
~c~ercial
____M/F
____' of Units ~/H
____Indus t.
____Swim. Pool ___Other
____Restaurant &: Health Department Approval
DESCRIPTION OF WORK: ,NrERldR PA12,/71lWS
I" , t:J~
BUILDING SIZE: 'L/-6 X 68 , 7C16
-r'b BUlL./:) II 1<. TcHEN ItNb EATIIller- ,"If'>I!A
16 '
Height
Square Feet,
RESIDENTIAL: ATTACH (2) PWT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH Ud'f SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
v"'BUILDING
~~"RICAL
'~~E~
V PLUMBING
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frlme ____Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
............********.****.***.************
CONTRACTOR SECTION'
BUILDER . COMPANY DYNAMIC. J:NtrIN$GRIAlO; INr.t~If/I1TIOHIU_
rrL-ttAQ..vf ~ State Cert. or Regist.' R81 O_"$.~ 77 V
~gnature ~ City License Registration' ~ __
*..****..*****************.*..************
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I *....***..*..***********..**...***********
PLUMBER . COMPANY 1i."I~ /I ri:L ~,~,../
~ / r' / State Cert. or Regist.' 6 Cj'q"
Signature ,:::;.Il?~~ (-I~/2.#-,>-------- City License Registration 4# /(0.3
I ..*..**.********************.************* '
MECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration t
**********.*******w****...***.***......*.*
'-
COMPANY
State Cert. or Regist. .
City License Registration .
.*.*******..***********.*******.******.***
;fn~ Yl1 s-,.,.L PERIlIT OFFICER.
~...
DIIIBR
Signature
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit laY be subject to -deed restrictions- whicb lay be lOre restrictive tban City
regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONT~CTOR RESPONSIBILITIES
If the owner has bired a contractor or contractors to undertake work, 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 cnmer and contractor laY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for tbe intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
188-6611.
FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe
"Contractor Sections" of this application for which tbey will be responsible. If you, as the cnmer sign as the contractor,
you are indicating tbat you, ratber than the contractor, are responsible for tbe wort. If the contractor wisbes you to sign
as contractor that lay be an indication that be 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 tbat I, the applicant, have been provided with a copy of -Florida's Construction Lien Law - HOIeOWDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and CODSUler Affairs. If the applicant is sOleone otber tban the
"owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to couencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlent.
Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
installation bas CDIIeDced prior to issuance of a perlit and that all work will be perfofled to .eet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand tbat the regulations of other goveIDIeDtal agencies laY apply to the intended wort, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
* Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater TreatleDt
* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatleDt, Septic Tanks
* US HnviroDlental Protection Agency - Asbestos abatelent
I 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" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe tecbnical codes, nor sball issuance of a perlit prevent the Building Official frCl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOJe invalid
unless the wort authorized by such perlit is couenced "ithin sillOnths of issuance, or if "ort authorized by the perlit is
suspended or abandoned for a period of sillOntbs after the tile the wort is c.enced. One 90 day l!Itension of tile, lay be
allowed for tbe perlit with fee cbarge of $15.00. Tbe extension shall be requested in "riting to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
NARNING TO OIlIER: YOUR FAILURE TO RECORD A 10TICK OF COHHENCKHIUfT HAY RESULT II YOUR PAYIIIG 'lWICI FOR IHPROVEJIHNTS TO YOUR
PROPERTY. IF YOU IIfTEW TO OB'l'AII FIIIAIICIlfG, CONSULT WITH YOUR LBNDER OR All AnORlIY BEFORE RECORDIIIG YOUR 1I00ICK OF
COHHENCEHKIfT. JOBS UIDBR $2,500 IN VALUB DO NOT IKED fa RBCORD AIfD POST A "NOTICI OF COHHBNCIHBIf'f".
ttL~
SIGNATURE: COIf1'RACTOR
SIGNATURB: OWIIER OR AGBIfT
STATB OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Barne Typed, Printed or Stamped)
BOTARY PUBLIC
(Bame Typed, Printed or Stamped)
BOTARY PUBLIC
DATE:
CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT
RIGHT-OF-WAY USE PERMIT
PERMIT II
No construction under ground or above ground of any facility shall be accomplished on any
City Rights of Way without written approval from the City Building Department. Any application
for approval of construction operations on any City owned Rights of Way shall furnish a detailed
.drawing showing the complete scope of the proposed work in triplicate to the office of the Build-
ing Official for approval prior to the commencement of any work. A copy of this permit is to be
kept readily available at the site of the work at all times.
Sec No.
3$
City Road H wy . 3() I
n,WN VI.J:w St!1UARE SHI/PfltI/? en? (J>EmlJ.~ A Tr11CN;/J )
Date 10 - 2 $'". 9s-
LOCATION (Legal Description):
permission is hereby granted to
of
for the construction and maintenance of
subject to the fOllowing conditions:
1. The construction and maintenance of such utility shall not interfere with be property
and rights of a prior occ~pant.
2. All work shall be done in keeping with the standards of the City Streets Department and
under the supervision of the City Building Official, who will be notified at least one day prior
to commencement of construction.
3.. All materials and equipment shall be subject to inspection by the City Building Official.
4. During construction all safety regulations of the State Road Department shall be observed
and tqe City shall be relieved of all responsibility from damage of any nature arising from this
permit: Subject to the same terms and conditions, the permit holder may take such safety measures,
including placing and display of caution signa, as it may deem necessary in conduct of construction
and maintenance work hereunder.
5. All private and all City property shall be restored to its original condition as far as
practical in the opinion of the City Building Official.
6~ All underground CDessing installations shall be laid at such depth as may be specified
by the City Building Official.
7. The sketch covering the details of this installation shall be made a part of this permit.
This permit is granted with the understanding that the applicant has notified all other utility
users in the area covered by the permit and takes full responsibility for any damage incurred by
prior installations as a result of his operations in order that they may safe guard their interests.
8. It is expressly stipulated that this permit is a license for permissive use only and
that the placing of facilities upon public property pursuant to this permit shall not operate to
. create or to vest any property right in said holder.
9. Whenever the City decides to further exploit the City Rights of Way, any or all of said
poles, wires, pipes, cables, or other facilities and appurtenances authorized hereunder, shall be
immediately removed from said Rights of Way, or reset or relocated thereon as required by the City
Building Official at the expense of the holder of this permit.
10. The holder shall save and keep the City harmless from any and all damages, claims, or
injuries that may occur by..reason of the construction, maintenance, and operation of said facility.
11. . The holder shall complete the requested work within days or this permit shall
become null and void. In the event the work requested is not completed upon the expiration date
of this permit, the City shall have the right to complete such work and to charge the holder of
the permit for all costs incurred in completi~g said work.
12. The holder shall post a cash or surety bond with the City Manager in the sum of $
dollars to guarantee performance of the obligations herein~ and to guarantee maintenance of the
right-of-way described herein for a period of one (1) year following completion of the requested
installation. In the event a surety bond is posted, the said surety bond shall be made payable to
the City and shall obligate the surety to hold the City harmless in the event the holder of this
permit should fail to meet any of its obligations hereunder. The bond shall also indemnify the
City for all court costs and reasonabl~ attorneys fees in the event legal action is required to
collect on said bond.
Date
SUBMITTED BY: tyL~.btt.t.r fltvi
(P mittee)
trL-t;t...~~ I t:.o,..-f,.uu.td!-
SigrlaEure & T1tle
APPROVED BY:
21{3 1'1.
,
tkl/t; J.AKe. D/?
Address "
L .D.l... FL.. 3'1~J'I
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ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
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Address
Owner/Manager
Business Phone
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Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
(]) FINAL 0 ANNUAL
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe 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 t,he city of Zephyrhills Fire Prevention Code.
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Re-Inspect. Date
Owner/Manager Signature
Inspect. Time
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Inspectors Name
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This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy - File Yellow Copy . Bid. Dept. Pink Copy - Business