HomeMy WebLinkAbout96-5827
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
'.
- 5827Jj
- -
Date
~--/3 - 7b
~5) ELECTRICAL PLUMBING MECHANICAL
:::'"Ad~::~~r~-d::::!:L
Parcel J.D. # -3 - ~b - d- I ~ CJ/~O - (J DO CJ 0- C') L ,:}- 0
Sewer Conn
Water Conn:
Water Meter:
T,I.F:s:
Zoning: :z Energy Code:
Description of Work !A..R.R~ AA'hi"yx--
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
\.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
p~'m;t Fee 4: g
Signature _L.<._
Company
Address
Telephone#
~~~
Valuation or
Contract Price
/ 3 7--S -. c-0
,
City License Registration # I /-S~-
State Certified License#
4Q/~;Ao-"~~ T ~
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE Kns~ S A-r-Jcf-(EC
OWNER'S ADDRESS 0 &3 is' ~O)(fJ1CX?rL
Co0~ & tDXMCOr2-.
LEGAL DESCRIPTION: I.OT(S) ~2.. BLOCK - SUBDIVISION $k--( I10k PI! /
PARCEL 1.D.' () 3-20-2-/ - 0(20 -tJDCco --O(pZO (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: ~ew Construction _Addition _Alteration _Repair _Install
PHONE
JOB ADDRESS
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_, of Units
_M/H
v-6~her ~
-~'eo~
_eo..ercial
_Indust.
_Swbl. Pool
_Restaurant & Health Departaent APpro:a,; /J /}
DESCRIPTION OF WIlK, ~~ uJl ~AOO~~
BUILDING SIZE: 8 X 2Cf. 2.00 Square Feet. C(Zlf Height
RESIDENTIAL:
COMMERCIAL :
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.
PERMITS REOUESTED
_BUILDING
$ (3 C;~-. cri)
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUctION: _Block _Fralle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJEct IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRActOR SEctION
BUILDER
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
RT .RCTRICIAR
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Siaru-ture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration t
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
0TRI<Il COIIPARY /);scou-JI /J1vmt!f}f;df7:,~y' 7AJ,----
~~,. J J/_;1) /! '" State Cert. or Regist. # _--9 ~ ~
Signaturel"'"t ~ fl..:ktj/l~~ City License Registration t '7 ~c;;;
****************************************** '
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this pertit lay be subject to "deed restrictions" wbieb lay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired 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 lay be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherJOre, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes 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 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 Departlent of Agriculture and ConsUler Affairs. If tbe applicant is so.eone other than the
"owner", I certify that I bave obtained a copy of the above described docUlent and prOllise in good faith to deliver it to the
"owner" prior to COlleDCeleDt.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify tbat all the inforlation in this application is accurate and that all work will be done in cOllpliance with all
applicable laws regulating construction, zoning, and land developleDt.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas cOlleDced prior to issuance of a pertit and that all work will be perfoIJed to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agenCies laY apply to the intended wort, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater Treablent
t Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnvirODlBDtal Health Unit - Wells, Wastewater Treablent, Septic fanks
t US EnviroDleDtal Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan
addressing a "cOIIpensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A pertit 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 sball issuance of a peIlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
unless the work authorized by sucb peIlit is COIIenced within six IOnths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six IOntbs after the till! the work is cOBenced. One 90 day extension of tile, laY be
allowed for the pe~t with fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during eaeb sixlODth period, or the project will be considered abandoned.
WARNING fO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHDCEMEB'l MAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIEMt'S TO YOUR
PROPERTY. IF YOU INTEND fO OBTAIN FIMAHCING, COMSULT WITH YOUR LENDER OR All AnORDY BEFORE RECORDIMG YOUR MorICE OF
COMHIMCEHRN'l'. JOBS UNDER $2,500 IN VALUE DO Nor NEED '1'0 RECORD AND POST A "NorlCE OF COMHDCEHENf".
~oo#AGm ZkA'IU~ SIGNATURE: CIIIIBACIOH
STATE OF FLORIDA
COUNTY 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)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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~VAUD "llESS ~OSSED SEAL
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RONALD H, PACE ~'660
REV, DA IT BY
I
1
FI.OOO ZCtlE INFORl.IA TlCtl:
SIJ8..( C1 PI1a'(.R TY ~o AN HEJ>Lc>>i u:: S fi nlll/ ZOi( .x...
~e 1ll TH[ >lA tc><A1. /UlQ) IN:suP.J.NCl: ~A n: lUI',
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'oUlllCAL DAllAl (N<Ml) 11/29. NCJ IS ro D<<l CIIOCR ACCl.IV.C'r Al
DOlWlll BY f)f: ~ A OC><, ~ ClC:UHC An) A ~ ~ 1'0(
I rdG1iliAY & ASSOCIA'i'ES, INC
I lAND SUr:,'v'E~1NG
~ H902-8 N, Florldo .~ye, "
Tompa, fl JJ81J
(BIJ) 960-4000
(81J) 26-4-7783
S / FAX: 960-1141J
DATI: 1l...1t.e g4- JOe NO, 1t.'14-IS<<,
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--
Discount Aluminum of Tampa, Inc.
105 WHITAKER ROAD, LUTZ, FLORIDA 33549-5686
(813) 948-2087 (813) 996-2087 FAX (813) 948-3237
Oat. Ar;>r i I 1(" ;.G
Sold To j<-o::E --..S ~f/~Z---
S"..t ~ t=Ox. mC75K'3
City ~ I . ~a Zip _::S =3!!:}1/
Home Work
PE €J AR OTHER
':oR SCREEN:
Char~oaJ) Gray
/'
~
COLOR FRAMEC,--.
Bronze L/
Job Address ~-?'nL
03U:, 2/ 01 20 {)CC:r:::i:)Ob2{
Subdivision c;;Lre/l rJc,*~
Legal: Lot (0 ?_- Blk,
{Z,_
-
CD
TYPE ROOF:
Flat Hip Gable
Mansard Slanted
SUPER GUTTER: If.
DOORS: /
~L/8'1
COLOR
x ;27
LJJ,~
/
If.
../J>~
ALUM. ROOF:
G
t
16" Kickplate
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TOTAL
ORDER
DOWN
PAYMENT
BALANCE
DUE
$ /39SQ
Chair-rail
,-----
SPECIAL INSTRUCTIONS:
$
$ )'-.::se;-::;-q)
Accepted by\
Submitted by
#0-
,19
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" :5. p 210-~",qJ
Owner
Approved by
~
Discount Aluminum of Tampa, Inc.
04-17-1996 CoprRighl1994 AL-1, Inc, Venice FL U,SA
2158
Job Number:
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