HomeMy WebLinkAbout96-5809
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
.....
I O.~ . tJt) ...2 0 . iTD c:2 tJ, crt)
(BU'ILDI~ CELECTRICAi;:) cPLUMBIN~ ~;~
",operty Owne. ,~ ~ .
Job Address: c3 <J / / - ~
Parcel 1.0. # .I d. - ;;l6 ..~ (
Zoning: Ene~g Code: ~adon Gas: :2 ~~
DescriPtionofWor~~ -f _r Jrt7.L"--L ~~ -'?~c.;
C
:r~. fJrJ,ft~ ~..~.,:t(.,(?~ j 1- , -?~ 10.' OJ I J1 m
NO OCCUPANCY BEFORE C.O.
Date
~--58d~ d
1-76
.
-5 -
Sewer Conn
667. lltJ
/'?~" CJV
Water Conn:
Water Meter: /6.5;-' tJ?J
T.I.F.'s:
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
~ - -)
t~ ~~^~
Valuation or
Contract Price
3) 17JCJ. lJ7)
/13
/f/a~- Jt~
,-- K?/~ ~7 r;J.Io~A
ELECTRICAL ;26'1 ,PLUMBING /6b
Tp Serv SLB '7,..J- ,q~if:~
RO~9h In' ,I /J-f8 Lt ? fit/] Tub Set /()'-/J' ..{f g
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter II,. ') - ~~ ~45
(1 Final
Driveway to\"~ \l~ ~ '1....,;;)3;q(, BoB
f~I-J$/~ "~2I-lJv ~;J
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
BUILDING
MECHANICAL
Ftr, 1-10''/'" &8
Pre SLB '}- 10,9" J\.:lR
Lintel ~~~3-~~~
FRM. I -(~ ~
Insul. CL
WL
Breakers
Ducts Insl../P'- JJ-~ /;?;:U'-ll'
Compressor
Final
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
^PFl,H:A'UON r(IR rRJUtIT
can' Of' ZI':tlIYIUULL8
bUILDING DEPARTMENT
~-~) ~ uJL .
0ji gJt1 qrp. ,
OWNER t S NNUL____.lj~~....H.Et_~,ar,.\$..___..._ ___._. -__________._._..~~.~__,_PIlQNR '813, Q'l.3.- S-~-6' ,
ownER' 8 AUf)P.M$
P ~__..::Li.~ fL,_.L'-L1i-_kLi..kL_JG~l:J:t.K.Y , F' '3'-/ (" ~L-O_ o.i:.2 ,q
JOB ADDR.B88_.13~ I ';/ I ~ 1'" h -B.Y..~ {},o,(' '''>' 1 - ~ . __._
LlOAL PISCRlJ'TION; LOT (S L._ __BLOCIL._SU8Dl VISION
PARCEL I. D. '-~_:,",~.._...2...L:._._.__ (OB1AIN "ROM PaDPUTY Tn IOTICR)
WRIt PROPOsltth_L, NftW CotllOtl."UetioQ _..Jddltlou
/ Alt@ration
-....."'..
_..Jtepair _latall
,._.8188
_.._Jto'Ve
_".J>~oH.sh
PROI'08F:D USI: -L_.5io81e F..Uy
__.Jt/F ...h_..' of Units ~--1t/B
__c.o..cccJ,al
___lndul!lt. __._5M1.. Pool _other
_......_~Resteul'ant I. Ur.A1Ul Ucport..~nt Approv81 ~<-V">\.~~ $~ tlu..tX- 4
DBSCRIP'flOH 0' 1roU;__~.S..a.t;;~T'(4C.l-\ff.> Wg., IE- J~ ~ PLA~ => , --p~
BUILDING SIZE: u^'-_.__...._.__...__....8lIUtlre Peet,.__-Hetght
RBSIDPJlTIAL: ATTAL1I (2) pwr rUNS & (2) 5Bi5 OF BU.LJ...I)ING PLANS' (1) 88T BNBRGY FORMS.
COttHF.RCJAJ~: ATTACII (3) SETS OF BUILDING PLANS" (1) SRT INSRGY FORKS.
PROrIRTY SURVEY Il8QUlR.E.D FOR ALL NEW CONSTRUCTION.
-6U1.W1NG
ilBtLUi J.W.l.~
$_~....8~...:1~~.~___.ValUALlou of Total COnstruction
/
v" ItI.EctRlc:AL
LJmawn~
Ln...iRG
~ (). L-Mr SelVJce
____.....f lorida Power Corp.
W.R.B.C.
S.._.~,_~QQ~_.__~ _._V8luation of tI~r..hAnt,cAl J.oAt.allation
,____GI\S
__,~_JtOOPING
_____._sPSClAl.,TY
TYP8 OF OOIISTRucnOM: L.lHoclt _Fa:o.e _Steel
. ,Other
".lSUB FWOR BLEVAtIONS :_.. ___...FT .
IS ~ROJRCr IN FLOOD ZONI ARIA?
..........................................
TIS
-
NO
CQIilIWaU.R...JmL'llOli
V / CX>K.r^"L_(;.lafii~..LC.Jj am.e<:r ~ .J:>~lJ. k''f LAIt/'-I N
'i',/ 'A th- ___~t;.aLe C~..t. or Rest.t..' CPl t:C .~."i'"'-Iq
.!.{z:J(!_______"_N. Uity Uc~nl!J~ RealstraUC)'ft . /9'..!I,
...~.....................*~...............
/!I4pJ COHPANY__._..R.!?~Ji'~~..E:....k:"~TR., c.. .
,1/ Stat:e Cert. or 1t.8bt.. ~.f!. OOl..:V.},;;).'9
'. .tlilbd_..__.._._._..,.__ Oity I.ic~n'u!! R~8i8tratiou . ;).~ 9
fr.........................................
:::::w _
tpIIAg ., ~/ COMI'A,.Y_~__.c~~
;?/~J! . , 11 State Gert. or R.eai8t. .~... RF- ~OI..~ 41. 3
SJpatw'e -.f...af:4:;...../K l, , . __ ',.'_.___ City LtcellJlllf! Rftglatt"ation' /C:,6
.. .....................................
KECDAIIIC4L. ~/ d. OOltPANY_s.:a~-rJj~~~ q9mEU~.r Ewr.
Stat.e Cr...-'-- or Realst.' I<AI=! Oon() q
Slgoature _..:..,. ,'~ '. ~~~d'_~'_'_ City Llcf!Jlsl! Registration' 6-3
~..~... ..................................
0'nI1l~ - i20"F~~~ ~r.of'tP^Hy__..clfbQ.\.<;~2 f VEil [Ii 01l.~'N
y; . State Cf!Ct. or Restat:.' Ceca '-I~~.i&l.
S......t".. . ___, __ "y .~ _ City Llc"....e Ileaiotratlon . /:1"'-
~........*.......*........................
-
APPLICATION A'FaOVEh AY --..--____...._._.._.~M__.
___ PERHlT OFPlCER.
COtJUl.rlQNS OF FEIlMIT I\Ff"lUAVI1"
A. l8lIICS OF DBED RKSTRIC'l'lONS
IIIe UDI1mIiaeiVDa,rtt.aa,UiiE-ibii-p-.rtIi liljbi"iubJect to 'derd rUlricUon," "hh:h II!I' bl! tort rtltdc.... tbu CIt,
regulltlaal. rbe un4!Illgned IIIU". r88pon11bllity for eotpllftncp with anr appllc.hl. 4eeG :cltfletions.
B. UNLICBHSBD CONTRAC~ORS AND CONTRACTOR RESrONSI8ILITIBS
If till on.r tiu hhti"i- oontractor or cont.rild"Oiii-i"o uIl41!rtak8 woi:k,-ihl'Y .i, be reQuited to iii1Ic.nlec1 II Icc:or4ucI IlllI
.tlte and loeal rP.gUhtlolll. If !:be contractor II not HCllIIB!a aR r~IlJrf!it fly In, bot" the owner u4 COIltnc:tor ., be
cited for I Illd",anor ,Iolatlon un~ot ~t~le lew. tf th! owner or Inten~ea contractor are unc@rtalD a. to whit llclDllnw
requlrlllOt, III appl, for lbft Int!nded work, ther are advI.ed to cuntact the City of a!pb,rbllll lull41ftg Dlplrtlent, (113)
788-1611.
rurlhe~r., It tbl ovntf 1188 blr~ 8 tontr3r.lor or contractor., he I~ BdvlBP.d lo hay. tb, conttactor(.) .lgn portlODl of t&,
'Cootr.ctor 'ectlgo,' of thll .ppllcatlon rOt .bleb tbey will be r~~poo~iblp.. If you, a. the ownlr .lga as the contrlclor,
rou arl 11II11eetlug tblt you, rethwr than the r.ontnctor, An rn(lOnllibl!! for t.he ""d. If the contractor ,111lt. fOIl to Ilvn
.. COItraetor that JaY be an indlcltlon thal be Ie not prop~(ly llr.~nRp.d ana II not entitled to petllttln, ,rl,JII9II la lbe
City of Ztpbltblllt.
c. "~.m~rQ.l:t1'A':t;r;ON lt~rAC'~'. ...F.~~.A.N.Il_!!'J;'I~_!.!r.~:_Q!'l~~C!:!.IDL.F~~
D. CO"~'J.'nUC'l'lON LIJf;N LAW (CIll\l"fEIt '113, FJ_.OltIDA BTA"UTE8, ASAMBHDRD)
1 t~rtlf, ihnt:i~be 8ppilcant;-biV8-hA~D provl~n~ .Itb a copy of .Plorlda'~ COOBlluctlon Lleo Law · ~Ir'. rrot.etlon
G~14e. preparta by tb. Florida Dfpart_,nl of ftgrlculturp. an~ Conn~~~r ~ff~lr~. If the arpllcant I, to.eone otber tban the
.ownlr', I certlf, that I h.,. obtained a copy or tb! above described dor.~'~"t ana prOlls! In good f.lth to d111'1[ It to the
'owner' prior to COIIenc~nl.
E. ~()lQ'M~-4t~.~~.lPJr!~'S:.~!l. J\F.fJ~VI].~
I t!rtlfr that III tUl IntOflfttlon In tbiR applicatIon II accuratp. ano lhat all work will be dont in eowpliaace _lib ,II
appllcabll I... regulating construction, lonIng, ~na l~~d dp,velopl8nt,
Appllc.tlon 11 bereby ~dft to obtain a par.it to do work ana Inetal1~tloo BR IndJcat@d, I certlf, that no worl Ot
InataU.Un bat COIIeI1ce4 prior to lllRuanee of I ptJf.1t Ind that IU lork will be pel'fol-.ea to .et .tlllJC1atb of aU In.
regulating con.truction, Clt, code., loning regulatlont, Ind land dQvel~plent regulation. In the Jurl.4Ictloa. I alto
certlfr that I vndllltand that the rlgulatlons nf otbwr go'etnlftnt81 ag~ncl.1 .a, .pplr to the IntlDled lOr., In4 tblt It i.
IY rUpcIlIlblUtr to laentU, wbat actlonB I lUet tal! to be in co,pUlnr.lJ. Such 8gencle.e Incl. but art DOt 11I1t1l1 to:
· ~rtlent ,f Invlr~tal Requl.tlo~ - Cypress Barb.ads, Vetlsnd Areel and In,lroRlentallr lenlltl,. Laa41,
, "llter Ilfeelewater frllllt.-p.nt
rioridl latlf Mana lIeD! Di8t~!~ - Welle, Cypress Bftrbea~8, Wetland Ar8s8, Altering IlterCOurl1l
· 00 Oteri - tl.aJJ8;i60CK8, Ka,Jgable WalBrway_
t D . leblblUtatlYe 8en~t181 8ndlouontal HeelUl Unit - Welle, Walltewater It....nt, 8eptia I...la
· ~ta 'rottc:tl~ ;Ag'9cr . l\~li9Rtog 1",iNiftt'------. h____ I
I illO certIlj'tbat;.l'-;iil I8terfll Iw to be U8QG in 'l~ lon~ -A. Ot "A,e~c.", It II underfttoo4 th.t R 4rllDtgt plan
.aareaelftg I 'CQIpIDI.lln, volute' wll) bft ,ublllled which il prepared by 8 professional engineer regllterld 10 the .tat. of
'lorI4. prior to perllt I.Buanc@.
I ptrItt 1..ut4 lball be construed to ba a license to proceed wllh tbp. ~o(k and not IR .utborltr to ,tolete, CIdCIl Iltlr, or
let ..Ide an, pro,tlloal of the technical codBB, nur shall Issuance of 8 per.lt prevent th. Building Offici. I froa ~..ft.r
requlrint . correction of errorl in plan., construction, or ,10latlon8 of InJ Coal. Ivtrr ptlllt 1...14 Iball btDoIt Itr.lla
111I11111 till .. lut.llorlltc1 bl tach pe1'8lt II co..nce4 Ilthln ,11 IORth. of Issuance, or If IOrk latJaorlll4 bJ tile putlt It
IUlpenc1e4 or IIb1ndooeG for a per:loa of III IDntbt Ifttr the tilt lb. lorl 18 c.encttl. Ole 10 01, ..tllllICII of U., -, 1lI
11lowta for tbt ~t 11th f.. ebarge or '15.00. lb. ~lt.nRlon .bell be [!qUe.lld In writIng to tbI lullllll Offlelal. AD
Ipproyll lDlPlctlon 1U8t be 1000-4 4urlng eaob Dl. IOlt' period, or lb. plO)uct will be conlllBr!f Ibandontd.
_IR to.....; YOd'R' LDII-!Q.JlSCORD A Mill 0' mtMIlfCBJlBM! MAY RESUL' 1M lOUR rAlllfG "'ICI ... lIIPIIOftIIll1, to lOUR
,IIOPIRIJ. I' 100 I IV DBJAIII" CIIfG, COIISULI IIIB YOUR LIIIDIR OR lJf AnORQJ II 18 YOOIlOfIa 01
CDIMIICIIIII. f2,500 II va DO Ifor WIlD 10 RECORD lJfI) posr A "KotleR
BUM
Stll. 0' 'LOlIDl
coom or
The foregoing 1istrU.ent was acknowledged
before .. tbiB _______, 19_ by
who il pliiiOii'ally Julownto-iite-or--..iu:itias
produced
a. ideauHCitloDftndwiiodldirJld nof-
take an oalb.
TiIOiiiiiiii.,--- .-..,.----- --...-.-
T NUN! Tipea-;- piliiied'-or'"StUiped; .._."....L ,,-
ROTARY PUBL}C
StAn OF PLORJDA /~
~,/
CO"NTY OF ( ./ ~.:2
The foregoing instrument wal acknowledg.d
before me th18 _f?t~'f..tllu 19 9(P . by
/; .,' ,. - '., ", '
_... -.U;!-..~ ,-, -'" ,
who 18 <t!~J:Bonl!l l~o,!n to, Of who ..
produced --. u_____ ,
fiB IdenU,r, i"aUou aDd .~~~ ~
take i)t.-uJitll). (/()' ~ ~ ~ '7
r-I- _L.__,~~~
9 g~,J1?a:: c$, $~r~')
(lfami~p@a-;--PdntRd or tape
H01.:~Y PU~,J,rjj;
\IJ..UII,
~'~I' ~. Bobble S. Swetland
~~{ .d MY COMMISSION' CC534927 EXPlPF'
ri',..,.~~~ February 22.2000
, "P.f,,!l\'" BONDED THRU TROY FAIN INSIJRANCE.INC,
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, LAvAS uIL f
ORD. #395/RESOLUTIONS 312/372 WATER $1.75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trai ler Park 131.25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131.25 479.2~
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,27B.OO
Washing Machines-Domestic Size 87.50 319.50
Dishwasher - Limited Use 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
CITY 'OF ,ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
.. . 11 '1li
FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE
Sinks 50
Water Closets 75
Urinals 50
Lavatories 25
Tubs/Showers 50
Wash. Mach.Com. 200
'~ ,
Wash. Mach.Dom. 50 2- 175e cD o 3tJ.. r:d) {)/;../, (.)0
Dishwasher-Comm 400
Dishw.Limt.Use 60
Sinks-3 Comprt 100
Car Wash-p/st. 1 , 000
31.t-{
,
WATER I'tETER
II ,- ~ ~
/f?J~-::>' u
GRAND TOTAL
1-71 ~ DO
OCT 18 '96 16:37 TO 7883293
FF:Cif'1 CLF6S I C HCif1E~;
T--335 P."01
............... .....lO)!\.~S~ \~C.'
~ C \): ~\...p.
t\.SS~ 'N\ \1<{ '-'
C~p.: ]VJv~.Kr)
8L \)~o".J~
P. O. BOX 1474
11825 OLD LAKELAND HWY.
DADE CITY, FLORIDA 33526
PHONE NUMBER~ 352-567-5143
FAX NUl<1BER: 352-567 -2716
FA
x
COVER
SHEET
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TOTAL PAGES INCLUDING COVER SHEET
~
DATE:
/IJ. /,5'. f(
FAX * 1
7&11, 5';<9 ~
ATTENTION:
/Z&
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FROM!
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