HomeMy WebLinkAbout96-5576
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit ~
(813) 788-6611
',557615
Date
~-7-Y~
~ ELECTRICAL PLUMBING
P<operty Owne" ~
Job Address: 6:[ tJ - . ~
Parcel I. D. #
Zoning: Energy Code:
Description of Work "---d /2 .~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter;
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
2-
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Perm;' F"~
~~:::~ ~ ;::-
Address
Telephone#
Valuation or / (\., I">
Contract Price ~ / / tJ . di)
City License Registration # ~ fYbl-
State Certified License#
d1L A 4/}
.- I
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
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.
APPLICANT
APPLZCATXON FOR PERKZT
CZTY OP ~ZLLS
BUILDING DBPARTMENT
. ;iJ~'
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L
ADDRESS
.
SC-~
I I 2"$0
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~-
01
BLOCJC
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LOT S IZg X;~
~tl(
SUBDIVISION
.
PARCEL 1. D. 4t
--
V(P - V \
00 ~cC)
O\3C)
WORK PROPOSED:____New Construction ----Addition ~lteration, ~epair
____Sign/Temp.
____S ign
i:
-Hove
PROPOSED USE: ____Single Family
.-Ji/'
_t of Uni tee,
____Commercial
~lnd.u.-tl i ,...;,-o...o,Swim . Poo 1.
_Restaurant & Health'DepartaeatApproval
BUILDING SIZE:
x
Square Fee t I
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS << (1) SET ENER
'Cot-mtRcIAL : ' ATTACH (3) SETS- Of'..BUILDJ:NG !LA>>S._i_.Ul..SET. .2tllllGY,f~. *~
**COpy OF CONTRACT REQUIRED. . .' ",<
'1'1'"'- ...
PF.mfJTS RROURSTgp
(~ .
.-;- ,',
____BUILDING.
~ELECTRICAL
$
1)/70.~
r..'~ , r:" ';', + .
Valuation of .Total Construction
i . ~
... .~_... ... ... 'L'
AMP Service
Florida Power Cq~p.
GAS
. -... -.-..- -
.~~~~ tion of,~c~n~~~lL,~ ~t;L~at~(~#
~OOFING\ .'~.E~fALTy' ,. .
_~J;~e _St.e,l ! :q; .'::~Z,(::,~~. Other
.~;; ...f;
____MECHANIGAL $
.
____PLUMBING
.'*' -
TYPE OF CONSTRUCTION:
. , '
_81ock
\ ,.,' ..
FINISHED FLOOR ELEVATIONS:
FT.
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.
/
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*************************************.~.~
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, '.. ( cpN'I'RACTOR ~2QTION
. . ,,' COIDpany , (;0;
State Cert:1or'Resis' ,..F
. . . ... c:tty ~ice~c;e R~g;.~ . .w.t'.'ion .4t
**************...*.*****~********* *******
. ~:.~ .-,"'.~:::')r_~,~~F: ' ~:. .(":.~ :~.:~:L_ ~' t.~'~:' III- ..~.
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nUl~DER
Sigpature.
::::~,:: AN
': CQllpany
,. .' "",,~,,~~~..~,tt" or'~' ~: 0','
:, ~~y.'L1cAnJieRe ,tlr~
*************~~'-'"r.,!*,*'~~*~*r*~~ \~u ~ .~"
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PLllM13F.;R
Signat\1-r~
. MECHANICAL
Signature
Signature
APPLICATION APPROVED BY
. :-;l.
CONDITIONS,~f.~~RMI1 AFFIDAVIT .
A . Non ,"IE !;If O.EEO RE.llTll I ~T' ONS ;.., 1:" >" ' . "" .'
The underslgned understands that thlS plr.lt "Y bl subilct to 'dlld rl,trictiona' .bich .ay b. lor. r.st~ictiv - ity
regulatiDns. Thl und.rsigned 111QII1~1~~..~it~~~~'!PI}IftC. .itb &JY tPplic~~~.'.~~r!ctionl.
, ,'___ H~._.,-";'.
B . UNL I CENSED CONTRACTPR~ qND CQtlIljl'IJ;I~ ~~SPONS I Pl~ J T '~S
~
KATHY C. MONTIETH
"'olaV i:ltlbllc. State of FlorIda
M'( Comm. Exp. Jon. 3. 1999
No.CC431231
--"'-~'"
If the owntr has hired I contrletor or contr.,\,rs " undtrtl_' work, .thlY .ay be flquir" to bl licl...d i. Ie
,tat. and local regulations. If thl contrlctof il not 11c..... II rlquirld by 1'1, bo~ ....., ..-,tIt
cited for I Iildelunor violltion UNltr It.\.I....:.1f ", ...r or intend.d contractor .n u"'lrhin is tn.
requirtl.n" .ay apply for the int.Ddtd IfOrk, thlY .r. Idvi..... toc..'.cttbt City.,f _yrltUlt ...U4.
19S-6611. " ";i. '. ."
Further.ore, 1f the owner h.s hirld I contrlCtor or contrlCtorl, be il Idvised to havl the contr.ctor(s) siel
'Contr.ctor Sections' of this application for which they will bl responsible. If you, al thtDwne, 5igl IS
you are indicating that you, rlthtr thin the contflctor, Irt r,.,oJlibl. for the work. If the contractor wilh
as contractor that ~ay be an indicltion thlt he is not proplrly licensed Ind 15 not entitled to perlitti~.pri.
City of 2ephyrhills.
.~
~..
,of the
W,
11gn
" the
C. TRANSPORTATION IMPACT FEESA"IP UTILITY CONNECTIQtJ F~ES
.. .. ,t:',., i
~. ~STRUCTION LIEN LAW (CHAPlER 71a. fLORID~ STAT~TES, AS
I certify that I, the applicant, bave been pfOvidltlli\ll I elM " 'n.rida'. Con.ltuditJI q,n Llw - H.... .. .
6uide' prepared by the Floridl DepartHnt of Agriculture I'" Ctuu.... Affairs. If'tb. ..,unnt is 51111..~. .
'owner', I certify thlt I hlvt obt111td1,'COPY of'tbt '''V!~!1b.~<dOtu.ent Ind pro.~ l~ Qood flith to
"owner' prior to cOI.enceaent. ' .'~~'~ - .~"",
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify thlt III the infor'ltion in tbil Ipplicltion il ICc.r.t. Ind that III ~r~ ,~. _e done in c..,li
appliclble IIw5 regulating construction, lon1"9, Ulll_,.iMHN. .'
Application is hereby lade to obtain I perlit to'do work aad iftltJll~lion as indicated.. I ~ertify t~at no
instlllltion hiS cOllenced prior to issulnee of I plrlit .nd tblt all work will be perftrled to I.etstlnd
regulating construction, City codes, zoning regulltiDII, and. land developlent r~9ullt~~s in the jurisdicti,~~...
certify thlt I understand that tbe regulltionl of other gov"Menhl agencies .ay Ipply')o the intended _ork,'.
.IY responsibility to identify wbl~ IcUonsI IUlt take to be in CDIP!iance. Such agencies include but .Ie no .
._' ,_,_,-,-' ._,_ _,~... .__~._" .,._. __...._.... .......___w. _ __ .....__......._. ....~.,.~
...
I DeDlrhe~t of Envir~nltnia1 Reaulltton - Cy,r"1 B.yb..~'IIIUJDd.Ar'~li and EnvirtllftallysensHiYI L.
Ulter/lllltmter TreltHnt" ..
. Southwest Florida wlter "anlDllent Diltrict - IItll.; CypJ.' ..,'-<<Ii, Wet1lndAr~u,..in9 ~lt.r~QY.r
. Arty CorDS of EnQineers - Sea.llls, Dockl, IIiviglble UltlflliYI .' ~'C.' ....,.
I Dellartaent of Hellth L Rehabilitl~~ve StrYi~ll. ~nvir~_ ~.l.'h Unit - lItJ,.,' r if,
I US Environlental Protection ADeney .. AibeJ~ol Ib.\etI8t'C!,;. ·
. . . . '. ''''r,.."",~"..*_*..!,..... ',"
I also .certify thlt, if fi 11 lateriil 11 to be uled iftF1~!1oDt 1.A'or 'A,etc,., i f11 ullllerstood tl,at
Iddressing I 'co.pensating volwae',.ill be Jub""td wbich"i..rlplred by j pro.!,~,i~llf e,,!ineer regist
Floridl prior to penit issulnce. I ....- . ,: ." .
A perlit issued shall be construed to be I license to protttd .itnthe work and not ~?authority to violl
set Iside any provisions of the technical COd'l, nor Ih.ll illUlnc. of I perlit prevIPl the Building Off\c.
requiring. correction of erron in plian5i con5tructiDJ.Or~.lIt'Dns of inv ntllt!j.lllry penit iS5uud
unless the 1I0rk authorized by such peraitl5 CDHIIIICItI .i~"',h .."ths of inulnn,"'., if ..ork luthorU'
suspended or ablndoned for. period ofsil IOllth5,.n,r "~tPl the. work ii c~ ." Q~. 90 dlY e:ct' '
. III owed for the per.it with fee chlrge of $15.00. lhl ellQlII... 1IM1l be requm' i ijng to the
Ipproved inspection .ust be logged during each 5h 'oltb ",1", Dr the projectwU t~.,idered ~
_ ~nv~."., , " : 0 ~'~~~,~~H'%T ,
" . , .. ..*.~.
WARN I NG TO OWNER s VOUR FA I L~RE'" TO~$lt;CORD A NOT I c~:1bF;' CO/,
RESULT IN YOUR PAVING TWICE-FOR ~EMiNTS TO ~~:.fROP~~
INTEND TO OBTAIN FINANCING, CONSLll:..\iITfr VOUR t.,e "'" ..OR A"f'7A
BEFORE RECORDING YOUR NOTICE OF ~OMMiNCEMENT. JOII UNDER $2,
DO NOT NEED TO RECORD AND POST Ah~CE OF C~ T".
r [,DO '1 ~~m~ g~ 0
SIGNATURE_ ~I A~. ~,,_~G)~-------~2~ SIGNATURE__
~!.~_ OR. AGENlItI
DATE__l_..::._~Q-.::.-B-0_--~-~---_...-~., DATE_________~~......~ -----....-
__C~. ~~c~(~ ~_C:
MY COMMISSION EXPIRES_ __________-_________ KV CDMMIS$1 ~~~-----
NOTARY AS TO
OWNER OR AGENT_
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C:;Jr\jTFi~C1 Dr;; ; S LE?-tl'. I.JAF,:F,AI'HY ----.-.--- I
U<?V\+CI~Id,~ (l~A~,(1. (wbl~1
l t--1 J V () e-<R--- 00 II
TOTAL COST,. I 7 1 0 I
I :
h ~~t:tttF:b!;;F1'i::'.bfr-, ~~::.&-. J'T COl"1F'LET I ON !
':;f I DOO;;-- :1
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, _ . 4LV- D. ';'L...>>E..,. (...(]NT8AL,TOR ~ II
I \ ',!s /-. I
". . E' .. ,. [ - I ~:* 11; ( . I - ! .r.. L ),~~~. j
"H'~"_-!- :..:-..:, __ _I' ... ~.~,~n.::..tLIt.",.__..~~.L)r .I_~~-/- <.." :
... .;..- .... ", G '-',-- -,-,'--' ( ..-..... '''1
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li _~,,:'-j:_:=--::=~~::::.~~~~..~.~. _. ._=:~====--=--==..~_:..~~:~:.=> c~~.~_ :~=::.::.i=-= _ .-:.-:~:::- __..... ·
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RESIDENTIAL & COMMERCIAL
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RooflnG Contt~aC~Ot~
r,'{. 0050 ~7 0:;
11:':5': :3oL,trl Hl,~hwa.y 98, Daae Clty, Flot'l.;ja. f,:::.525 I
Phone # (904i5b7-8580 Ii .c L ~/'1~\O
Bonded :;.nd I niiOLlt'ed ()J qe..-v, 0 re.\D.
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r=~~~~.~_:.'~~~\~~.~~I~.~~~~~~I~:I~='~LL T~~-"-'-r~~-;~~~_1_B..z2 ))~~.~~~~e:' / ~ 3D- 76
r~f"E' ~~~ I ~tt+ .. JOB NAME, IlQ ),CL~u~~
':.~~.~,..~~~=-=~~~E_~,k~~~. .1'1. -LLLJ
! ~'>i ,2 (, ,2 t" eb :~::s ub ire llc
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- -::::=..=....--=..-::'_;:-..._-::;:--=.::;::..-_....._P.....---:..-='O'"::.;.:".;.-..-. ----.--------====..;;;:;.-:.-.;;:::..;::;~...-. - .--- ~
~pecltlcatlons and estImates tor:
REROOF
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- F'El'ID').::: E;( 131 11.1:;) Sh II~GLE5, DF.~ I F' E.U(3E. AND DAI'1AGED wOOD
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LB. FEL T [.F'\- 11\1
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NEW VALLEY METAL A~D FLASHING
NDJ __~\ f.e- 1-lJL~- DRIF' EDGE
.. 11'.I~:T ,:4L.L.
- JN5TAl.L
NEl>J l,,iEI\!T BOOTS
l1L
YEAR MANUFACTURERS WARRANT lED FIBERG~ASS SHINGLES
..' : NS'T ~.;LL.
BF'HfJD
rs -
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_ COLOR , ~tijl'-d..,~-
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-- C I T T' / CJJUNT'{ FERI'1 I T INCLUDED
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r......... ;-'::'1", ::"._!-;t: DULE :
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