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HomeMy WebLinkAbout95-5460 BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit N! (813) 788.6611 '~546013' Date /~ -/3-7~- ~ ELECTRICAL _PLUMBING MECHANICAL ::~::;::~.'J-o'hL~.L~1lh~ Parcell.D. # /::L -;J.b -;U - 0/00 - LJ t'5J BCJ 0' tJ / / 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work---rA.t' ~ ~ t;lf,:JA1..Rf Q Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL DATE Valuation or Contract Price ~:r- ~ 7. tJ'v City License Registration # / 9 D State Certified License# Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Co~ and Ordinances. ~~' . \ Inspector ~~~ ""~}nm~t Fee i?di'. ~ " ~Ignature .tffla.... ;i::!;.;. ~ '\J Company A C- ,IV) E J:e. ,",c e.. ~ Address 31//~ Elo,'o.... bJ(. I.J~_s/~7 dc~.: / .33S<;y Telephone# r; 3 97.3 04";1 b C.o. DATE ~\'7(~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. InsuJ. CL WL 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 ($15.001 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 DEPARTHENT OWNER'S NAHB ~'ill~ CA r_hL: S+OP~ t:-t1..... PRONE 7Jr~- o/5~ , OWNER'S ADDBESS 50 :L \ $: v "",,~ e,d, I:L:...U bt.. 21 ~/'I( S JOB ADDRESS 50 :J . 5v "'",", VV\. t:/v(.. #+('(1 OIL 21 ,,-, ,( .5 . LEGAL DESCRIPrlON: LOT(S)// B~SUBDIVISION PARCEL I.D.' J:L - ;(1:0-.;2(- 0100 - 00000 - 0110 (OBTAUI FROK PROPERTY TAX NOTICE) WORK PROPOSED:-.Jiew Construction -..Addition --..Alteration ----..Repair / Install _Sign --.-JIove --Peaolish PROPOSED USE: hin&1e F_ily ----.Jt/F _' of Units ----.Jt/H _ec-ercial _Indust. _Swill. Pool _OtJ,ler ---Restaurant Ii Health Departaent Approval DESCRIPTIO. OP WORK: i \1\ ')+..e:...l ~ Pi ~ v a.. c., t:e-ncc.. <.0 I H; j k BUILDING SIZE: x Square Feet, Height RESIDEIITIAL: cotIMERCIAL : ATTACH (2) PLOT PLANS Ii (2) SETS OP BUILDING PLANS Ii (1) SET ENERGY PORMS. ATTACH (3) SETS OP BUILDING PLANS Ii (1) SET ENERGY PORMS. PROPERTY SURVEY REQUIRED POR ALL NEW CONSTRUCTION. PERKITS REOUESTED --BUILDING $ If &9.00 Valuation of Total Construction RT.RcrRJ.CAL AIIP Service Florida Power Corp. W.R.E.C. -"EawlICAL s Valuation of lIecbanica1 Installation ---PLUHBDiG GAS ROOFING SPECIALTY TYPE OP CORSTB.UcnON: --..Block _Fame _Steel +CV\. Cot...- Other FIIIISBBD FLOOll ELBVAfiOBS: Fr. IS PBOJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BMI.DRR COHPAHY State Cert. or Regist. . City License Registration . .......................................... Signature RT.RC'l'RTCIAII COHPABY State Cert. or Regist. . City License Registration' .......................................... Si-ture PLUHBER COKPAHY State Cert. or Regist. . City License Registration . .......................................... Signature IlECllARICAL COHPABY State Cert. or Regist. . City License Registration f .......................................... Signature OTRRR Fe r1C c. COKPANY--....d ~ me l::;rlCL- 4 ~. State Cert. or Regist. . (7 -ALdv]-7A ~ ~ City License Registration . .......................................... Signature ,</I. / 90 APPLICAnON APPROVED BY PERKIT OFPICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understanc1s that this peIllit JaY be subject to 'deed restrictions' Ihich JaY be .re restrictive than City regulations. !be undersigned asSUle& responsibility for cmpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIIH!r bas hired a contractor or contractors to undertake wort, they lay be required to be licensed in accordance lith . state and local regulations. If the contractor is not licensed as regu.iIed by lal, both the 0IfD8[ and contractor.y be cited for a lisdel8allOr violation under state law. If the owner or intended contractor are uncertain as to lbat licensing reguiretents JaY apply for the intended IIOrt, they are advised to contact the City of Zepbyrhills BuildiDg Departlent, (813) 188-6611. . FurtherlOre, if the orner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the IContractor Sectionsl of this application for ldIich they lill be responsible. If JOU, as the orner sign as the contractor, you are indicating that JOU, rather than the contractor, are responsible for the IIOrt. If the contractor lisbes you to sign as contractor that Jay be an indication that he is not properly licensed and is not entitled to peIIIitting 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 lith a copy of 'Plorida's Construction Lien Lal - lDeoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant i8 8OI8OD8 other than the lowner', I certify that I bave obtained a copy of the above described docUIent and prOlise in good faith to deliver it to the lownerl prior to co.enCllleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work lill be done in cOJpliance lith all applicable lals regulating construction, loning, and land developleDt. Application is hereby Jade to obtain a perlit to do IOrt and installation as indicated. I certify that DO IOIt or installation baa ~cea prior to issuance of a perlit and that alllOrk lill be perfcned to _t standarc1a of all Ius regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdictiOll. I also certify ~t I understand that the regulations of other goveIDll!lltal agencies JaY apply to the. intenc1edlOrl, and that it is If responsibility to identify what actions I lUst take to be in cmpliance. Such agencies include but are not lUlted to: t Depart:Jent of BnviIOlll8l1tal Regulation - Cypress Baybeads, letland Areas and InvirODll!Dtally Sensitive Lands, . .Iater/Vastewater !reatlent I Southwest Florida Water Managuent District-Wells, ~ypress Bayhead8, Wetland Areas, Altering Watercourses I Anly Corps of Ingineers - Seawalls, Doc", lIavigable laterways I Departlent of Health & Rehabilitative Senices, InvltonleDtal Health Unit - Wells, lastewater !reatleDt, Septic ranks I US InvirOlilental Protection. Aqancy -. Asbestos ibatllleDt .. ..., I also certify that, if fllLlaterialis to be used in Flood Zone 'A"or 'A,etc.', it is understood that a drainage plan addressing a lCOJpeDBating volute' lIill be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to per.it issuance., " A perlit issued shall be cOnstrued to be a license to proceed with the Work and not as authority to violate, cancel lIter, or set aside any provisions of the ~cbnical.cod~, nor shall issuance of a perlit prevent the Building' 9fficiill. frOl, ~er~fter requiring a correction of errors in plans, construction, or violations of any code. ' Ivery perlit issued sball becoIe invalid unless the wortautbodle.I by such peIlit is. ~ced lithin, sUlODths. of issllaDce, or ,if IIOrt authorued by. the peIIIit is suspended or abandoned, for a period of. sillODths after the tile the IOrk is ~ced. One 90, day: &ltension of tile, JaY be allowed for the pmit lith fee charge of $15.00. !be eltension sball.be requested in writing .to.~ Building Official. An approved inspection lUSt ;be logged during eBcb sUlODth period~ oIthe project lill be considerld abandoned. '. WARIIIIIG 'fO MIl: YOUR FAILURI !O RECORD A IIO!ICI OF CCRlUCBIIBII! MAY RBSUL! III YOOR PIYIIIG NICI FOR lJIPROVBIIBI!S 'fO YOUR PROPBm. IF YOU IJI'DIID 'fO 0Bf1I1I FlIlAllCIIIG, COISUL! WI!" YOOR.LBIDBR OB D InOBDY BBFOU IICORDIIIG YOUR IIOrICI OP COMMBIICIIIBII!. ' JOBS UlDIR. $2,500 III VALUE DO KO!IIOD fO. RBCOBD DO POS! A -IIO!ICI OF ClJIIBICBIIBIII. SIGJIA!URB: 0IfIIBR OB AGBIlI . r/1. el/A L/Y~ / ,,:___ l~'~ SIGJIA!URB: COIIIRACfOR S!A!B OF FLORIDA coum OF The foregoing. instrument was acknowledged before me this ' , 19_ by S'fA'I'B OF FLORIDA coum OF The foregoing.1nstrument 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) (Name. Typed, Printed or Stamped) NOTARY PUBLIC (Nue Typed, Printed or Stuped) NOTARY PUBLIC 1 "vl?~'1c; /' /" L " . ~~~~IFENCE -iP 1 31116 Eloian Drive Wesley Chapel, FL 33544 , (813) 973-0826 .J I,. c-~~~RO~~S~~ ,AND CONTRACT [;. fZ \..1 C ~__ h.l, ~ I, I I" ''t I 7 :.J '-II Fi. k .. t. j f.. ,,~ "2 · C' II ,r ").')) I S".., ........l~.r Jf. \I D Il "Z.' '~,' 'I ~ CUSTOMER ADDRESS JOB SITE . ,. c Top Rail SPECIFICATIONS , L-O.D. Total Height ~ Line Post 4>Lo.D. Post Spaced .~ t1 End Post ~ (~O.D. Style Fence ,.,~ ., II .~. Comer Post l t..:2..-0.D. Fabric:"w' Walk. Gate Posts ' Jl!LO.D. Residential / Drive Gate Posts L-O.D. Industrial ~ Wood Privacy~ Gate Frames /~) 0 D -.. Walk. Gate ' t, ~w.' Double Drive Gate r;) f!..e tH,,]Vol;/( - Pc.,.: I f 'LV' J~ ;,7 CONSTRUCI10N NOTES' f\ It. .."" ~ -f. I '" j \,. (\ t' ,\ 11'\ !) Ie. , (' e I . " DATE 10 t>e c ~ONE BUSINESS PHONE f5 7?~. -OI'5(..,_..-J ._e."_ _ '''' 2 2_ (.,"2 (;, 7 LOG. NO. ZIP ~ ~ '5 'I , $') -f~ ~ c.. ., 5J 7S~ ~~ ,,>\ ~ IS' ,. Po-... \ . ~Ie , llc _~f). ",10 THIS PROPOSAl. MAY BE WITHDRAWN BY US IF NOT ACCePTED THIS l'ROPOSAL SHAll BECOME A BINDING CONTRACT UPON SEE REVERSe SlOE FOR TERMS OF CONTRACT,