HomeMy WebLinkAbout96-5678
BUILDING PERMIT.~
CITY OF ZEPHYRHILLS Permit IV!
(813) 788-6611
'-567~
Date
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Property Owner:
Job Address:
Parcel I. D. #
Zoning: Energy Code: Radon Gas:
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NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
'f c,
\.\1 i~ -
Permit Fee
Signature
Company
Address
Telephone#
Valuation or ~ / . o'V
Contract Price J /,5l 0
, ,
City License Registration # /7610
State Certified License#
C?i~~~ ~..4:i=ti?.<'.B71) 0J1A<~ ·
BUILDING ELECTRIC~
~/
PLU~
/'
ME~ICAL
/'
Ftr.
Pre SLB
Lintel
Breakers
Ducts Insl.
Compressor
Final
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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.
GULF COAST SIGN SERVICE
25224 S.R. 54
LUTZ, FLORIDA 33549
Phone (813)972-3685
Date 2. G'B qS"
Bill To Fl 01"''' ~ W\-.rt-~~ 0 u..-tbt
Address
Job Location
City
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, WESLEY S. McDADE, P.E.
1203 CEDAR TREE LANE
SEFFNER, FLORIDA 33584 '
SUBJECT:
CLIENT: GUL'F CoA.5-r 'S\GNS
COMPUTED BY:~ ~ ~ CHKD. BY:.
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WESLEY B. McDADE, P.E.
1203 CEDAR TREE LANE
SEFFNER, FLORIDA 33584 .
SUBJECT:
CLIENT: GUl.r CoA,S, 'S\GNS
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WESLEY B. McDADE, P.E.
1203' CEDAR TREE LANE
SEFFNER. FLORIDA 33584 .
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ENGINEERING; COMPUTATION SHEEI
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APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAME \0 W ~ Cen t fii?r C2.o YY'I fR" 1
OWNER'S ADDRESS 7zf-S-2- J~8~ eolA_+
C~ tf bfv~
PHONE
5)3 - 2~Z 27cXJ
CJ/Jf'o 4523.
c.. J'n r "1"171 e;.+ "
JOB ADDRESS
<;CJ z,~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
---1f.-Sign
---1Iove
_Deaolish
PROPOSED USE: _Single Faaily
_KIF
_' of Units _K/H
_ec:-ercial
_Indust.
_Swia. Pool ___Other
_Restaurant & Health Depar~ent Approval
DESCRIPTION OF WORK:
\ n ~+o. d
-+cJO
~ X \2-- b....-\&,~ <<S'g..s?
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQQIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
,$
~/M'Oo
.
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_KECHARlCAL
$
Valuation of Kechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FDUSBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
.....~
YES
NO
******************************************
CONTRACTOR SECTION
BIJII.DER
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
F.I.RCTRICIAN
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
\
Siana.ture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration t
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
OTHER ill
Signature ~ l, .
COMPANY \---k YI ~t.> ..... <3 1~ ~ j
State Cert. or Regist.
City License Registration #
******************************************
~ec.--
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this petlit lay be subject to "deed restrictions" wbich JaY be lOre restrictive than City
regulations. rbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, tbey 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 JaY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for tbe intended work, they are advised to contact tbe City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, ratber than tbe contractor, are responsible for the work. If tbe 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 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 _ HOIeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber tban the
"owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
"ownern prior to coaenceJIent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas COJJenced prior to issuance of a petlit and that all work will be perfotled 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 goveflllental agencies JaY 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:
t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida W~ter HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Natercourses
t Atly Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater rreatJent, Septic ranks
t US EnvirODlental Protection Agency - Asbestos abateJIent
I also certify that, if fill laterial is to be used in Flood Zone "A" or nA,etc.n, it is understood that a drainage plan
addressing a "cOlpensating 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 tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a petlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball becOJe invalid
unless the work authorized by such petlit is COlleDced within six IOnths of issuance, or if work 'authorized by the petlit is
suspended or abandoned for a period of six IOntha after the tile the work is coaenced. One 90 day extension of tile, JaY be
allowed for the petlit with fee cbarge of $15.00. rbe extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING !WICE FOR IHPROVElfEMTS TO YOUR
PROPERTY. IF YOU INTEND TO OB'JAIN FINAHCIHG, CONSUL'J WUH YOUR LENDER OR AN Anomy BEFORE RECORDING YOUR HO'JICE OF
COMMEHCEMENT. JOBS UHDER $2,500 IH VALUE 00 NOt' HEED TO RECORD AND POST A "HOt'ICE OF COHHEHCEMENT".
SIGHA'JURli: OIOOlR OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
coum 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)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC