HomeMy WebLinkAbout96-5835
. BUILDING PERMIT 0
'7?e. ~-gJ [) -13 OTY OF ZEPHYRHILLS Pa,m" N. "7 - 5835,8
(813) 788-6611 ,L - -I's'- - 9 b
Date 0
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
::::,~.:~3f~ oJ ~ a~-e
Parcel I. D. #
Zoning: Energ~~:_ Radon Gas:
DescriPtionOfWO;;:Y?/)~~ t(JOA J~ !lL.-:..rdJ
I r ~ -'
'd,l .P~'\. ~A1or..e~1. /J1~VHl /0 -11-Y1- .2~'-O H hf
Water Meter:
T,I.F:s:
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.
V~f?~c1 ~~.5--f-/ZJ tJ
DATE
/93
Permit Fee
Signature
Company
Address
Telephone#
Inspector
Valuation or
Contract Price
City License Registration #
State Certified License#
iJ1~/ ~
--9( d~A-4 .u, 7
ELECTRICAL
~ a~/~~
U
PLUMBING
~$~ ~6h
MECHANICAL
BUILDING
-
Tp. Servo SLB
Rough In Tub Set
Meter Can Water
Const. Pole Sewer
Pool I ~ Final
Pre-Meter /01 t I b ,&u.-
Final
Breakers
Ducts Insl.
Compressor
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.
APFl.lGA'rl0N rOR rBIUtIT
CITY or ZErH1RHILLS
8UILDING DEPARTMBNT
~ uJL,-
0~ n_ q(p"
,d~ 0 ..
, "
OWNER I S NAKIL-__L.J;j.J;:....H,EH:;,aQ..\~.,__,_,._____ _____,____.____~_.~_PIlONE 'I? 13 . q'l.J .. ~~-6 ,
OWIID'S A.....UB8 'p (}.&,.,( _..!::J..d~.J::1iE:..lrLi3,L:r _R,,(~f;.Y, 1=1 ~Yf...'i"" O&.l-:.JA
JOB ADDU88 ,3<1 I ..., I (. 1" hAvE-
(),~ ',n ) - ~. _
LB<W. PISCIllrTION; wr(s)_~
BLOCK
SU8DIVISION
PARCRL I.D..... {,;L.....~...::..A-L..:'_.,_..__. COBT~I. PROM PJWPItRTY TAX. .OTICR)
WORlt PROPOSEth-LNftW eoo.otruetiol1 ----Addition ~^ltetati()n _Jepalr _lotall
____.8184
_.._Jfove
_.J)eIIO! ish
PROPUSRD USE* -L'.....sioa1e F_Uy
--1I/F ..J:::L,f ot Units ~--Jl/B
__eo..ccclAl
__lndu8t. ___S"'... Pool _other
_Reataul'a.nt , Umllt..h beportAent Approve1
DBSCRIPTIOI or troJU(;_~..-.f!T'.lQ,C ..\.1;:0 LOF;IT'E.-~ ~ PLAN ~
BUlLDIRO SIZII
J..
_._____..__~(Juare Peet,__.. ~)Ieiaht
RBSJDPJlTIALI ATTACH (2) PLOT PlANS & (2) SBTS OF BUlLI)lNG PLANS' (1) SBT BNBRGI" FORMS.
ootIHDOlAL: ATTACII (3) SETS OF BUILDING PLANS,. (1) SRT BNBRGY' FORMS.
PROPERTY SURVEY R.BQUlRBD FOR ALL NEW OONSnUCTION.
/OUl.WIRC
/' RI.EC1'RlCAL
-LJmawncn
/~"'~.G
lIBtlU'~ QOURGIRD
$_..-~_'i~....:,H,~___~Va1UAUon of Total Construction
,.... ~~~p Service
____P loridA Power Corp.
_W.R.B.C.
S.'__'_~f.OQ _ ____Valuation of H~("h~n1,c.l IOAtaUation
____GAS
__,~OOFING
______srsclALTY
Tn! OP OOltSTllUcnoM * -L.Dloclt _Fl'a.e _Steel
Other
nWlSBID FLOOR ELBVATIONS:_..FT.
IS PROJECT IN FLOOD ZONE ARIA'
YIS
-
NO
.........*................................
~.RCQI.cUl
CQJlWJaCJ1l...S.tL'.tI.illi
V / (~AMr_Claf?J...LC. ,J-illmE~ q 'D~u. R'f LAIt.~'J',:
0~ S_t;.ale C~r.t, or Resl.t. t. CB (!o ~~.,'-Iq
.~<yf!.l!!!___,___~, Ultr l_lc~n8~ Registn,ttcm . /1'.5
...........**..*...**....*~.....~.........
//:1 CC'H.PANY_,__go GE$L...:E:'-F,~TRI c..
.1/ State Cert. or Itegbt.' ~.1!.. OO'.rl.2.~q
.t1I1Ll1_.,.__.._ '_'_'0___ City J.ic~n'u! R~8istr.ttou . ~(.. q
tr..............................********...
,i.-nature
.,.,. '1 ~/ COf1PAtlY_~_-.C~~,,/'l. S
.~ /L I State Cel't. or Re8ifJt. '_!SF-c;,~~ ltl, 3
SJanatw:e .....1.1t::-. ...,_____ City Ltcetuu! Rf!QlaUation . - h
~ .. .....................................
Signature _ . -,.'
OOHPANY~...5alJTtt(~N (r;mEUf- T EN'-.
StAt.e Cr.rL or Realst.' RA~ noon q
. "~-...~.....~,_ City Llcense Registration' ~-3
*;2.. *..~,...............t.*t****t......
~/ ----OOPlPANY_ C 1A.'"R.l..c, tl9mes f .I.:>E..., By L~Il.pt..~
------- State Cect. or RP.8fat..' Ceca 04:;). a" l..
a ~__ Vlty Llc~o~~ Reaistratioll . !'1OJ-
.........................................
KEmAIIl~
O'l1IlUI _ i2 0 (J F
Siaoature
APPLICATION A.nOVEb IY _"'"-.,____~.....___~_..__
P2RM1T OFFICER.
. . CONJJI.'J'lQNS Of' PERMIT nfFIUAVI1' .
A. mrrlCK OF DEED RKSTRIC'J'lO.tfS
1b11IDl1eUllHiict,tll.Da,Uiirtiti.PiriItiiibiluhJect to "derd rnlrictlon," which lilt! bl tore nitric.". tltu Cltr
regulatlonl. Ibe uadlIllgned IIIU.'. reBponIlbllity for eOIpJI~dc, with any 8ppJJc.~lt 41,4 :ult~lct!DnI.
B. UNLICBN8BD CONTRAC'l'ORS AftJJ CONTRACTOR JtF.Sl'ONSIBILlTIBS
If tilt ow,r .u fIIred'i-oollhaciior or cont.riidoiii-io bJlI'l!rtakft1ioik,-ih~;, be reQUlrec1 to be IICldlec1 IQ tccoE4uCI ,llII
.tatt and local r!9UI.tiOl1l. If the contractor I, not HCllJllI!d lIR reqnJrl!lt fir In, boUt tbe owner _ COIltnator .J be
clttcl for I .lld....oot tlolatlon undol' f!blle Ie". If thl! Ulmer: or InteRl1etJ contractor IJfe unctrtal. .. to wbat lIc_lllf
IequlrlllOt. 111 IPPll for lb~ Intended vor., th~V are advl.td tu contact the elt, of Il!pbfrbJll1 lu11dlft, DlplrlleDt, ('13)
788-6611.
ru[lhe~r., If tb. owner hel blr~ , contrfclor or contractore, he 18 8dvlled lo ha" the contflctor(.) 'Ion portlOD1 of t&t
.Cootrector 8tctlooe" of thll ePPUclltlon rOt .bltb tile, ifill bt rI'IIPMIlibll!. If }Oll, II tile OInllr .190 .. till contrlctor,
'01 art laII1Clting tNt you, rethwr than tb. contractor, an t4!sro0ll1blt for the ""d. If the contractor II.. fOIl to lip
II contractor that laY be an IndlclllQo thaL be Is not prop.rly llc~oRp.d ~n~ II not entitled to petllttln9 'rl'Sl.... la the
City of Z!pbftblllt.
c.
TRANSPORTATION IMPACT FEES AND UTILITY C()NNBCTION FEES
..-""--....__._~.... a .. ....._..~_..._.__o-.__....... .~___. _..___...____...._
o. ~OH81'RUC'1'lON LU!:N LAW (CJlAP'rEIt '/13, F"J..OltIDI\ BTI\'l'UTES, ASAMBNDBD)
1 c!lrti r tMti;Tbt lIppilcant;-bnlll1Aiii pru'l"tt" with a copy of "florIda'" COIIstluCUon LlM Lall . ~ar" Prot.eUOII
GulGell prepared by the Florida Dt!part",nl of lIgrlculture and COnfllJIt&lr ~HltlrlJ. If the Il'pUClII\t I, lOIttme otller thn UIe
wOIDerl, I eertlf, that 1 bt,q obtained a copp or the above d@lcrlb~a docv'~nt ana prOlII! in gooa f,lth to dallllf It to tbt
lowner' prior to COIIInc~enl.
E. gL,IqM~-t~l,~lU.P.w~'~~ ~ }\FF:J.~V 11~
I certlrr that III tDl nlOllatlon In tbift applicatIon il aCCUrRlp. ana Lhat all worl will be Gone in cowpliaaCl ,lib all
applleabl, I... regulating construction, lOlling, ~na land developlBnt.
Appllc.tlon I. hertbr ~d9 to obtftln a rerlit to do work ana tnetBI18l1on eB IndJcat@d. I certlfr that no IOrl Ot
Inlt,ll.lloa baa COIIenced prior to issuance of a peflll Ind that III lor. will be perf Oiled to ..et .tanO.rll of .11 I...
regulating con.truction, eltf code., lonin9 regulation., and land dQ'el~pl!nt regulation. In tbe Jurl141ctloa. I alto
certlf, that I undll.tand tbat the regulations of otbp.r go'etnlftnt81 agenel.. la, .p,lr to the IDtenled lOr., IP4 tilt It il
If EUpmllbiUtr to IGeotlfr vbat ICtlonl I lUst tail! to be in colplianr.., Such .gene1.. lnel. but UI lOt 111ft. to:
t ~rtlent 91 InvlcORIIfttal Regulatio~ - Cypreas BlIrbeldl, Wetland Artel and In,lroftlentallr 8en.ltl,. taD4.,
" lfater/lfaell!1fater frftat.lf!nt
· ioridl Vattr lIan. t DiBtdct - "ell1, CJPresl BayheadB, Wetland Arllill, Altering VatHeou..
· CO 1In. "'I. J,;DOCb; K"'gable Wahrwaye
· · Itbabllltlti,e Slt'!CI.. la,llOD1ental Health Unit - "elle, Waltew.tlr rrlltlint, 8tptla Ian"
· ~tI ,rotectl!!!.AtftcI. ~1i9RlolI IIl.i_f--.-------- I
I 1110 certIfilMt;Inih INItlrtal hi to be ueeet in '100<1 10M -A. 01 "II,etc.", It It undtutOOl1 tJaet a IItll.Dl9t plan
,aareaelng I 'COIptDI.tln, YOlu". will be .ublltl,d wbich II prepared by 8 professional engineer r"tatlled In tbI 'tetl of
'lorla. prior to ptrtlt i.luanct.
A pIlItt I..uta lball be construed to bo a licen.e to proceed -llh the _orl and not al .utborJtr to 'lolet" CIdCIl Iltlr, or
let ..Id, enl prowl.loal of the technical codlR, nor shall ilsuance or 8 perlit prevent the Building Offlci.1 frGI tilrllft.(
r!CJUlriftg I correction of error. in planl, conatructlon, or dolltlons of IIn, COl1t. IVlrr ptrllt 1..,111 *11 .... Imua
anle.. tilt .. lutllorhta br lOch pertlt II co.need within ,1IlOntbl of hSllMce, or If IOrk latIaorlllO bJ tM putlt Ie
IUlpeDde4 or lbIDl10uee for I pedoll of elllOntb8 ,ntr the tlle lbl work h c~ctl1. Ofte 90 aer IItenel. of tuB, .J ba
IUowec1 for tilt ~t ,Ith fie Marg, of '15.00. !be e.tenllon _bell be requuled In wdUng to tllllullllDt Offlel.l. AD
apprOfll lD1pectJan 1U8t 'be 1000.4 4urlng .aob gil IOlt~ period, or lb. project will be CORI1GSEtO 1baadOntd.
_1118 to ClIO; YOIII(' r IIICORD A mIll 0' aJIIIlClIII1T "AY RlSULY II lOUR PAII1I8 "lIa POIIItPIIOQII.,. to 1M
'1IOPUIf. I' D I 10 0111111 , CIIG, mI8D" 1I11B lOUR LOR 011 U IInORm I III fOOl JOJICI 01
CDllllCRII. '2,500 I VI DO 1O'f IBID 10 RICORD DO POST A "1O'fleR
IIQM
8rAIIO, '1.OI1IM
coom 0'
The foregoing instrUient was acknowledged
before .. tbi. _ __~, 19_ by
wbo i. pliiOii"ii'U, Julown -to-iilo'or'''hOhas
:~O::::1tlc8tioDiindWbO dldiilidiiOf-
taka llQ oalb.
TiIOiiiiiii..,--- .--. --------q.-
("ue TiPid;-iiiliiiecr or -Stanpp.;.ij"'---"-
ROTARY PUBLle
StAll OF FLORJDA /::::)
COIIMn OF ( '7 flt'::d .;;t,,?
The foregoing instrument wee 8ckQowledg~
before me thi8 _f?t~.Y.f.!1ty 19 9& . br
-; ~~ .
/J ~ J~.,,__ ,,,,., "
WhO~<P~~ Mown ~.ho be.
produced _____ . '
~:k~den,\,i:i".tiOO ODd .~,'
7n1-_L~_~
'99~.) ~
fJ2il? IE.. c:::.(. -- wE"r, V')
(N8Me T "ed, Pdnt.. or 9t~f
HOYt..!' PUJ}."..I.s;
~'W'~_
..~'1i:~~ Bobble S. Swetland
~*:' :*\ MY COMMISSION' CC534927 EXPlPF'
~'" . ~~"i February 22.2000
'~iIf.:r..~., BONDED TIIRU TIlOY FAIN INSlIWlCe. INC.