Loading...
HomeMy WebLinkAbout95-5415 BUILDING PERMIT --- CITY OF ZEPHYRHILLS Permit IT! (813) 788-6611 ~~5~1~ ;g Date //-~k'-9~- 0~IL~~ ELECTRICAL PLUMBING P<operty Owne" .:;:;~1" t' ~ /J../h Job Address: -5__ '- / ~ ~ ~, MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcel I. D. # Zoning: Energy Code: Description of Work~..o ;J,~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL /2- DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. Permit Signatur Company Address Telephone# Inspector ~ Valuation or Contract Price IS 36 . o-u ./ City License Registration # 02/ra. State Certified License# ~~JA//.M BUILDING ELECTRICAL PLUMBING - MECHANICAL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S N~f'\-1\~N. ~~Q4- \ b'~ ~ OWNER'S ADDRESS St-~& , PHONE ~Q~\rt~\Lll ,,'5- O~S JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION .:s~3>~ .tM"tt-* PARCEL I.D.'-'\- "Z.b... 2.\- (J()\~ - z..\~ - ~'S~ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction -.Jddition ----^lteration _Repair _Install _Sign ----1Iove _Deaolish PROPOSED USE: _Single Faaily ----111 F _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ , I S3~'~-4 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHABICAL $ _PLUMBING GAS Valuation of Mechanical Installation -*-ROOFING SPECIALTY _Fraae _Steel Other TYPE OF CONSTRUCTION: _Block FlRISBED FLOOR ELEVAnONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA., YES NO ****************************************** CONTRACTOR SECTION BUTT.nER COKPANY State Cert. or Regist. . City License Registration **************************************** / Signature ::c:~ / COMPANY State Cert. "_."-, City License Registratio ;I' *~.**~*.******************************* PLUMBER: COMPANY State Cert. or Regist. . City License Registrat ************************************** Signature OTHRR Q COMPANY State Cert. or Regist. City License Registra on' ************************************* **** MECHANICAL Signature Signature COMPANY ~u... C~~~A State Cert. or Regist.' f2.c.3lnL.4-~ City License Registration # 2~ C ************************************** 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 I wbich laY be lOre restrictive than City regulations. The undersigned assUJes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired 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 owner and contractor laY be cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtbeI'lOre, if the owner bas hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the IContractor Sections" 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 wisbes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting 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 .Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is sOlsone other than the lowner", I certify that I bave obtained a copy of the above described docUleIlt and pnmise in good faith to deliver it to the "owner" prior to cOlll!Ilcl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develo.-ent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOlleDced prior to issuance of a perlit and that all work will be perforaed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDJental agencies laY apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnvironJeDtally Sensitive Lands, Water/Wastewater Treatlent * Soutbwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnvirORlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnvirODlental Protection Agency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood ZOne IAI or "A, etc. II, it is understood that a drainage plan addressing a uc~pensating volUle" will be sublitted which 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 work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid unless the work autborized by such perlit is cOlleJlced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IODtbs after the tile the work is coaenced. One 90 day extension of tile, laY be allowed for the perlit 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 six IODth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMDCEMEIft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVBHBIft'S TO YOUR PROPERTY. IF YOU IIft'END TO OBTAIN FlMAIICING, COIfSULT WITH YOUR LlHDER OR All A BEFORE RECORDING YOUR NOTICE OF COMMBIfCEMBNT. OBS UNDER $2,500 IIf VALUE DO IfOT NEED 1'0 RECORD AND PO A "N E OF COHMDCEMBIft'". STATE OF FLORIDA coum OF The foregoing i before me this NOli. ~ 7 , 19Q.5' by -Personally Known" ~ KATHY C. MONTIETH Notary Public. State of FlorIda My Comm. Exp. Jon. 3. 1999 431 1 STATE OF FLORIDA COUIft'Y OF The foregoing before me this N~II. ;;l7 ~ KATHY C, MONTlETH Notary Public. state of FlorIda My Comm, Exp, Jon. 3. 1999 1 and who did/did not , I who is produced as identification take an tol-.!!i .....,,,} -::--..~':'"...~~..--~~.- .-..---" - -.~---. -- -.-- -..-- ---. ~, E:_:::.:~.~d:_.t.:= ._...__:~:;'-';-'{;;'.H~.g..!.-=:""~:..1.~....._..!~=~.f"2:.11..3~~2.=-l:.?J:.l. (~ -1.:=-_..;[...1.~?.l'f..__...._(::::::.i2_:~~.. RES.lDEN71'Ai, & COMMERCIA!. ;.-:,~ ':~:.' ;:::~ .i~ :~, .t.,:::.:, (" fE' d E; i..". ::. ::. Ci :L ~-"; ;::;i C, Ci ]'-! .t: (' .::". c: t () !... ". L; ,I _.~ I:::, ~'" Re~ s~e~~ed F~oofj,i-t9 C;ofltt-a(:tat- '"... !.,.(! ~::~,.-', '.:. 1125() Sout~. ~~lghway 98~ Dade CIty, F'l(Jt~J.da 33525 Phone # (904)567-858() Sonden and :rnsured -.......--.....................-...--.-.-......-......... ............ ....-..-- .....-................-.-...............,...................._.._+L._r:;...:L23....~... '. ................... " .........._...___...._............... ........ 1::'::~,[ji:.,::,(=.:tli._=>..jE,'. L ."TE:I:, 'i C:: '::...... r. ... ~r"'l r IT . ,.., ... -r'''' L (--:7 q r-- .-........................ .................-.....-....-...............-..................-...... .... ... . ..:....~_...'.:~:._~.~~".: ....~...........,-~::::'."..:~.'...J ...=.... ..d...=..L J......... "14,,1., ~~~(ve~~RJr JOE "iiWiE~~:_ . ";::;.;;~,";~~t!{;j~!;;f!:;:~7:;;;::;:,:"=:::;';';;:::;:~::;=~;;;~;";,~";7"o~~"';~;;;;~"'="" SH1'NGLE ROOF SPECICATIONS I~~/ t .- CJf k.ojlJVJ(~ 1:;:.~f:,:~r'~jC!\.~E= 1~7 >< ]. ::::~ T II.'.JC.; ::~;j~1 J 1"-.!:~:::iL..E:::~:3" I)F: 1. F' :::::r)(~,E :<." Di:.;;r1t'::lt::ir:~ L") l..~J(]C:jD :i: N::n,y....:.. r,lF.. i,'.' ../.)~ I '.:" i".1:".i..:- [,..;' - ... I I'. 1 i',i::::;.r,,:;L.L_ t\iE-~'\1 ~/~'~I;_~._L':. ';.. jV;,: "'{.:.':\L II F L_t--,-~ -lIt~!-I. /:d\iJ) ~...)F~!\l'r E;(JCrr'.:::: Ihj::::_~'l'/:~i_L.. ,(.1," 11 )1. _J - "Lij , ,;. = . ... v.\;:;.L.n- .1. Tt"_- --./3.~' -'-1. -4,.... ... . I \\~::::jT(iL_L,. "Z.,o. \'E:.{-iF,.: f"'it.!h!Ljr'~f~~(': rlJFt'E.F'<'::;'.:"-'-;;,,(;F;:r:.~i';~\.1T:~ E~L) ;::- I E:;rl~l~i:C:ii.~(..1~'~~: : :c'; I' i ),i f3,... E-;; E: F: ~:" 1\,0) ~... ,..'it ;;'::::'..:: :J L C! F /" I r c.J ....f..)..L1.F.................~c:..;.."....L.i ...... ))F;: I F; E..L);3F FLA7 ROOF' SPECICAT10NS ...~ F,: F: f"j C! \:' E t:~ ~< T .:;~, .'! 1 i''! L::J r:\~ Cj CJ r' T I\i E; '! [) F:;,~ I F' E~ T) i3 G~ I. /; hi :::::.1 F:. L., {.~ :'::~ t,,;. J f'~ (~; ~::; /)' 'j ., ". ".-"1- ,"., , ,.,." '-/. ~ !" I' r" ... I ,. ['''' - ,. 'r r;uJ. ~. f" '~.:, ':'::._:'.'-,'.L_..:.. : "::::;' . LJ2"":;:;' :',' -. :~. ,: t:::'~~I~, :""~':: ....,1 .~': .. .. ;" ~sr . -.- .t!'q.:-':j1,,'i~.~.L.._ 'lLLl..1 ;=.t-'I,~ I' .l4~:.J.} l"'d;""--;)-1LZ -,_p(.I':I,~III~:- e.'. L :\':',.'1' (iL..L, ,":: \AI I L..J I ~ /;. {.), J. J I . ..... I r: E':;'C::i! . c... 1(j1" ,,""1,', ". '-':7:.;~;'..:.-;:f;;;,';:~,,:'.."" :~..:~~~..a.. " . . '.1 t," ~:-' ; ~..! ,.._ ... .: I::: "1""<. r 1 "-1. ,I ...J r. c'i '... 1 '....i !"".~:' "'. 10,) "1 h ,.., ,..; j ',!; I!:. J..) 'I..A f J i../) .1 r'\......j !''""!f_''~:".'_''~i l'i:~'''l.I:...'.'.'".'..' F':'; 'to Tj'~!'1r.::'I-,\1 r~;.'.r.!r~r.:"- ';:.-, \",:::",.".'r;::' i.e.: I;' J I; \ \ (\ ,)', ....\ ..... _. .... ... . ......., c... GENERAL SPECIFICATIONS . ., ',IE.V: iAj{j::::';': ,:c,,-.,_.Uv.i(\!\h::C f) 1.4~ n..- d /llIL" . .l~I'~"_"""_.~"{..;.:i1. .._V\....<<,... ''1--' :. '~~~~.Q~~E:~~'~A~F::~~~f,:F::~:~~~~;;~;:~TV Oh: BOTH h:fJOF t.'~:';Ec:i::;:' ,.. ~ "T' \ic~r)i !i J'T'\" ;:::'f::=F-::!V! I'" 1. r,JC:L.. ;[;E:L ~0' f, '(",:~~{;t, ~7S~J ~ O~ "I" CI r.::.: [: j.~! [\ CJ l~j J\~ I [j'(C c ?'- .l.,~:'-';'::-":ltl.t'1B~~_ [:":\1..'-" L [ h" .., I.:"" F' . f ., "y" II ~ F rj ><' ;J., L€ M 0'-'v-- J;-f U: ~ ilL , (~l :~~ C E: j.. I L ,.c' . ..., _. JIA _nf 'T;~~~ ?/~__ . ",',..' '..' '-'F~-:""'\....--I-......._. ..... .... ...... ......._-. ,.._......_..~....w.._....,.... -..........--..-. .-.... .'''... ......----...-,-......__......... ...,....... ':':,j J ':~j r' '::::'. .t t... ~'." .....-.....--...,....-......" -.-- "'_.._m_..__. .. ,.'u__.,.._". __._._...__H_..____.. ...m...._....._~... __~ _.__..._....... ,... ..~ .._ _..._......._....... _. ,.....w.__...