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HomeMy WebLinkAbout95-5411 BUILDING PERMITJl!- i-5411, t? CITY OF ZEPHYRHILLS Permit- ,{...) (813) 788-6611 _ C Date /I-~ 7--S- e ELECTRICAL PLUMBING MECHANICAL ::::,::~e$rfZt~ !J/:i:;J7 ~ I3LvJ Parcel 1.0, # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code. r- J ~ Description of Work k. _0 A Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. -'1 -) DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price -S~d.- 0 b, ()D ./ City License Registration # ~ State Certified License# k/)-- 9~9- (,/56/ ~~H~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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. APPLICAnON FOR PERKIT CITY OF ZEPBYRBILLS BUILDING DEPAImfENT OWNER'S tu.HE /~I?"}/VGE BIDSS {)fr; I?R-NC'It fj.d~e PHONE 7ffJ'-()t)O? OWER'S ADDRESS /()SSOm i/d. ZE II /hIS )ft. J3 / JOB ADDRESS 'It 00 / iff//J02 ) ~c:;-s-t "s:s-g 8 /t)~~m .8 } lid Z F;PHY ~ If; //S - 3.3.51-1 / ~ r /J/ / 11 PARCEL LD.' LEGAL DESCRlP'1'lON: LOT(S) NIl; , BLOClL--SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction --.....Addition --..Alteration ~pair _Install _Sign --.-JIove ->>eaolish PROPOSED USE: _Single Faaily ~/F ..!:L.. of Units __JI/B _ec-ercial _Indust. _Swia. Pool _OtJ;1er Restaurant &: Bealth Departaent Approval DESCRlP'1'lOJl OF WOBK: / /0 li'e roo ~ uJr/J... ;L;.:J.er- ~/-9 ,;,,5 , JA,.>.-,;A....> ( ),/00 BUILDING SIZE: x Square Feet. Height RESIDEIITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET DERGY FORKS. COMKERCIAL: ATtACH (3) SETS OF BUILDING PLANS &: (1) SET EllERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW COJlSTRUCTION. -BUILDING ..,-M P PERMITS REOUESTED $ L) ,p (Q eQ. Valuation of Total Construction _ELEcrRICAL AHP Service Florida Power Corp. W.R.E.C. ---lIECllAlJICAL .-PLUMBING $ Valuation of Hechaaica1 Installation GAS ~ ROOFING SPECIALTY TYPE 9F COIIS'l'RucrIOJl: ---..81oc1t _Fraae _Steel Other FIIIISBED PI.OOR ELEVAnOJlS: Fl. IS PROJECI' IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BIITT.nm mHPAIIY State Cert. or Regtst. . City License Registration . .......................................... Signature R1.RCTRTCIAR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature PUllBER OOHPANY State Cert. or Regist. . City License Registration . .......................................... Signature tlECBANICAL COMPANY State Cert. or Regist. 'J- City License Registration . .......................................... Signature COMPANY Y;w-<-fl> Ifoof,,,? J'o-fJ C" ~~< II State Cert. or Regist:' KC ~S.5-/S- City License Registration' g-~ .......................................... OTRRR Signature PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this penit lilY be subject to Ideed restrictions' wbich lilY be lOre restrictive than City regulations. !he undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer bas bired a contractor or contractors to undertake lIOrt, they I8Y be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the 0IIJler and contractor 181 be cited for a lisdeJeallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJellts I8Y apply for the intended wort, they are advised to CQJltact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the OlDer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the RContractor Sections I of this application for wbich they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign as contractor that I8Y be an indication that be is not properly licensed and is not entitled to peIJitting 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, bave been provided with a copy of IPlorida's Construction Lien Law - BoIeolmer's Protection GuideR prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOIl!OIle other than the RovnerR, I certify that I bave obtained a copy of the above described c10cUIent and prcmse in good faith to deliver it to the lownerl prior to co.encel8Jlt. E. CONTRACTOR' S/OWNER 's AFFIDAVIT I certify that all the infOIlation in this application is accurate and that all work will be done in CDlpliance with all applicable laws regulating construction, zoning, and land developlleDt. Application is bereby lade to obtain a peIlit to do 1IOrk and installation as indicated. I certify that no IfOrt or installation bas CDlenced prior to issuance of a perlit and that all wort will be perfoIJed to _t stancJards of all lil1f8 regulating construction, City codes, zoning regulations, and land c1evelopleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gDVeI1II8Iltal agencies lilY apply to the intended vort, and that it is If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not luited to: I DepartJent of InvirOl1l8lltal Regulation - Cypress Baybeads, Wetland Areas and InvirODll!lltally Sensitive Lands, Water/llaste1rater 'l'reatJent I SoutlNest Florida Water ManaQeMIlt District - Wells, Cypress Baybeads, Wetland Areas, Altering watercourses I ArIy Corps of Engineers - Seawalls, Docks, lavigable Watenays I DepartJent of Health & Rehabilitative Services, BnviIODl8Dtal Health Unit - Wells, Wastewater 'l'reatlent, Septic !ants I US InviIODl8Dtal Protection Agency - Asbestos abatl!ll!llt I also certify that, if fill Hterial is to be used in Flood ZOne IAI or IA,etc. R, it is understood that a drainage plan - addressing a ICOllpeDSating volutel will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A ~it issued shall be construed to be a license to proceed with the IfOrt and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter' requiring a correction of errors in plans, construction, or violations of any coele. Ivery perlit issued shall beCCIIe invalid unless the wort authorized by such perlit is co.enced within sillOIltbs of issuance, or if wort autboriled by the perlit is suspended or abandoned for a period of sil IOIltbs after the tile the vort is co.enced. One 90 day extension of tile, I8Y be al101led for the perlit with fee charge of $15.00. 'l'be extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned. mHING '1'0 OIlIER: YOUR FAILURI !O RlCORD A IO'I'ICE OF cmatDCIIIIIC'I' MAY RlSULf III YOUR PAYlIIG !IIICE FOR lMPROVIIID'I'S !O YOUR PROPIR'I'Y. IP YOU IJ'I'BJID !O OB'l'AlJI PIJlAllCUG, CONSUL'I' WI'I'H YOUR LlllDIR OR All A'I"I'OIIDY BEFORE RBCORDIJIG YOUR ROIICE OF COMMINClHBtlt'. JOBS UllDBR' $2,500 IN VALUE 00 JIO'I' mD '1'0 RECORD AID POS'I' A 'JIO'I')CB;OP // // ~~~2'J, d.p~ IidP~~ SIGlllf : (IIJIIR OR AGItlt' S'l'Afl OF FLORIDA coum OF Pd5ClJ The foregoing instrument was acknowledged before me this ~1.//Jf!!....;7O? , 19li- by -1h&re.r~' /77. 'l}~' who is personally known to me or Mh8 has ..pradeeed aa id&Rtifi~atiQR aD~who did/did Aot ~A7~~ --~atu:l, -e/7 /On/? A"e/~ --#(JL!.Jhf?~'J (Rame Typed, Printed or S ed) ROTARY --PUBLIC S'l'AD OP FLORIDA COUN'I'Y 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 o~th. (Signature) (RaDle Typed, Printed or StilllPed) ROTARY PUBLIC NOl'.AItY I'OII.ICsrA'Dl OPI'I.OmQ\ Y\'~IDlP.DIiC 1'_ 1OMOfl)1'HlW~l"t,~,l~