HomeMy WebLinkAbout96-5746
BUIL~~r:!!;:HY~L~RM!,!'; 1-574'~
(813) 788-6611 Date ^/- /8- q h
BUILDING E~ ~'M~ Sewer Conn
;; Water Conn:
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Parcel I. D. #
Zoning: ~_E:~.:i
Description of Work cJSJ.- ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Valuation or J...
Contract Pric / ~ Y tJ o. C9-O
Permit Fee
Signature
Compan
Address
Telephone#
,00
-
City License Registration # /7~1
ense# C~c..(!)S'71 ~8
ELE
PL
G
Ftr.
Pre SLB
Lintel
FRM.
Insul. 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 ($15.00) 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.
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PROI)OSAL
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ANGELL ROOfING
893 NE 79tr, Str~et i,.."l,t C
~IAMI. FLORIO.&. 33.38
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10 Southpo~t Co~stru't'o~ Cc'.p
20'S Sunnlaa1. Ste. C
C~earw4t.r, FL 34e2~
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!']-A4' '813 3;'8/96
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1813-782-8780
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1) T e 8 ~ - 0 f f .. xiS t . 1"\ \) r <) n f " J \I!l :. ~ ti t' ~, :'l~ .: lS &,'f' <If _
2) Install new 2,<)" 'rS,,',i. 1;",,,,,, <;l,:..o 't' "p",,,,'.,,,, ",...(:v~"l!f'l..~'v~ ; ...,t"
I:>a.. sheet.
3) dea~ weld Or',e ply~" .:.>f.SP-4 "'':J..4...~ t..""a' :,ft\oOi/ S'H'!'
4) Insta11 I'ew pitch pa'1!', dl'l~, I~l"d d'~'r'!>,
5) Flas~ 6:" c","bs and ",~1\. ..;..., 1'.c;:r'i!1 t"n....me',
e) Ins t a . i f\ 1 1 nee (: e S ~ " ~ /: ,: ... r' t 4& ' " i ~ :- " " 81 ".-: ~ tt """, , .' !'l' \ ),
7) Clean Jeb "te ~, ." ~cr~ r.1At~; ~~~~~
8) F I.J r- n i !I ~ ow r'.' W 1 ! "l 5 J"!t r "10' ~ '"1? r ~ . .', ....'" a ~ , /
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4v. vue upon JOo s~a"
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12,400.00
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.-tw'J't Ql4' rw: aLl".. :l-.., """"""'a ~~ ~." ..... ~y $';~ 404X:~ 7' .
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APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER t S NAKE
\S
PHONE
OWNER t S ADDRESS
r
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL 1. D.'
((
2
BLOCK
SUBDIVISION
(J ~700 )'A
00
WORK PROPOSED:_New Construction ~ddition _Alteration _Repair
_Sign ---..Kove _Deaolish
PROPOSED USE: _Single Faaily _KIF _' of Units _K/H
~rCia1 ,
_Indust. _Swia. Pool _Other
_Restaurant & Health Depar~~~ Approval,' _
DESCRIPTION OF WORK: ~ Q """cvf e K;JJI{"J tOft J- ~~f~(O ~/+t J,~ /..;
BUILDING SIZE: LfO ~. Square Feet. (& Height
k..iJy,-t-(y b;/l/~Q~
RESIDENTIAL:
COMMERCIAL
~lRG
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
$ I) L(OD
I
PERMITS REOUESTED
Va1uation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_HEGIIANlCAL
$
Va1uation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
F'f .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
BUTIJlER
GOKPANY
State Cert. or Regist. .
City License Registration .
.....**..*****.*****.*****.**********..***
Signature
F.I.RGTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration t
........**.....*.*.*..........*.*.....*...
SiRnAture
PLUMBER
COMPANY
State Cert. or Regist. t
City License Registration f
..............*.*.....*.*....*........*...
Signature
HEGBAHICAL
OTRRR
COMPANY
State Cert. or Regist. .
City License Registration .
..***.......... .*.... ...... t c
COMPANY ..Q 0 '-, I L.
State Ce t. ot. Regist.' ('( (
City License Registration ,
..*....*..*....**...***.......**
Signature
Signature
APPLICATION APPROVED BY
PERMIT OFFICER,
...." CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit lay be subject to "deed restrictions. wbich lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for COIpliance 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
188-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting privileges in the
City of Zephyrbills.
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 with a copy of -Florida's Construction Lien Law - HOJeOWner's Protection
Guide' prepared by the Florida Departlent of Agriculture ,and ConsUler Affairs. If the applicant is sOleOne other tban the
-owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to couencelent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify tbat 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 developJIent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOlleDced prior to issuance of a perlit and that all work will be perforJed 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 goveIDIeDtal agencies laY apply to the intended work, and that it is
IY responsihility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not luited to:
* Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
* Soutbwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
* US Bnvironaental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "All or "A,etc. II, it is understood that a drainage plan
addressing a .cOlpensating volDle" 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 shall issuance of a perlit prevent tbe Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall beCOle invalid
unless tbe work authorized by sucb pertit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntbs after the till! the work is cOlleDced. One 90 day l!Itension of tile, lilY be
allowed for the perlit with fee cbarge of $15.00. The l!Itension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
WARNING TO OWHBR: YOUR FAILURB TO RECORD A IIOTICE OF COMMBIICBllBNT MAY RESULT III YOUR PAYING !VICE FOR 1M
PROPBR'l'Y. IF YOU INTIUm TO OBTAIII FIIfAIICIIIG, COIISULT WITH YOUR LBHDBR OR AN RECORDIIiG Y
COMMBNCBMBNT. JOBS UlfDER $2,500 Iii VALUB DO NOT IiEED fa RECORD AND POST A " NCEMBNT".
SfAfE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
It--
CO:VO~FF~?)st D
The foregoing i~~as a~ledged
before me this , 19 by
CkJb A~e)\ t J()(\GL-thlLflJ f,/Vcaa.r-
who is persbn lly known to me or who has
o
produced
as identif"cation
take h
SIGlfArURE: OWIfER OR AGENT
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
SHERRY L. MCCARTY
MY COMMISSION' CC 337043
EXPIRES: December 19, 1997
, Bonded ThIu NolaIy PublIc: IbIeIwrIbIIs