HomeMy WebLinkAbout96-5837
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N ·
~e };;'g7 tJ B (813) 788-6611
-;~-583?E
Date
--5- - / S""'-9h
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
,",operty Own.' -lifi ~
Job Address: <. ? /, -- ~ a.A.l'€
Parcel 1.0. #
Zoning: _Energy C~:_ Radon Gas: I :
DescriPtionofWork~~~':;"".A lAd./! ~'.AA-J {7/At..:.r j;- )
r / .
Water Meter:
T,I.F.'s:
~~ ~ Pc. (~j 1 J-I--- qto~'o~rg $SS
NO OCCUPANCY BEFO"'REC'K FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
5~ ~ ~1F ~/D-13
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
City License Registration # 1'9-3
State Certified License#
(Z~~.~ .-- /f?,p-1.4J.67
BUILDING ELECTRICAL
/..-/lAq ~/bh ./J""",~,I('
PLUMBING MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
~l. \1)(.(0 ~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter J I-J- 91c t3t!>B
Final
Ftr.
Pre SLB
Lintel
FRM. q...'fl~ '1 f, SoE
Insul. CL
WL
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.
AFFLn:Atl0N FOR rBI'HIT
<:11'Y or ZErR1JUtlLLB
ftU1LDING DEPARTMENT
0{~t qrp .'
2~ D ..
. -
.
UWNER'S NAHfL-__,L.l.-.:!K._H,frKa\)_~..__._,._,____________~~__PIIONE 'B13. Q'l3 ~ 5""56'
OWIBR'S APf)RM$ 'P o. Box LIt) 8. ,-DLEff:.W ?o.z.r R"~KY, 1=1 ~'-Jc.."5""' 0 ""::1J~
JOI ADI.lUS6 ,=sg I ~ I (. '1"1-0. A<JEr.
(),~ 'In 1 - ~
LBcw, DISCllt1'lON; LOT(S)_~
BLOCK
SUBDIVISION
PAROEL 1. D. . I .~ :.aJ...,.::..a....L:_.._._~ (OBTAIN FIlOM p.npltRTY TAX. IOTICI)
WRIt PROPOSlOs-LNmr Cotlatruet.ioQ -----Addition ~~^lteration _.Jlepair _lutell
.-.818Q.
_.._JlO\7e
-.J)Molish
PROPOSED USEt -Dioale F_lly
---1I/F ..JL.' of Units .-J.t/B
__eo-ecclAl
__lDdu8t. .__5w1.. Pool _other
~.wR..taur.nt , HeAlth Uepnrt.@nt Approv81
DBSCR,lPT10II or wou.;_.-.s~....-.J8T'~C.I"H"i'::> W~ITi::-~ ~ Pl.A1:!L ':1
BUILDING SIZI:
.A
..~_..______SfJuare Peet,.~_
Height
USJDBITUI.:
ootIlIERCIAL =
ATTACH (2) PLOT PlANS &: (2) 58T5 OF BUllJ)ING PLANS' (1) SIT BNUG! FORMS.
ATTACU (3) SRTS OF BUILDING PLANS' (1) SRT 8NBRGY FORMS.
PROPIRTV S\JRVlY RBQUlRRD FOR ALL NEW OONSTRUCTION.
fIBtW'GRBO~8.Q
hUU.D1RG
../ lU.EcnItAL
LJmawnClL
/ pttN~RG
$_..-.8 8,~~~~___Va1UAUOU of Total Collstructioll
.. ,t).~p Secvice
_._____Flor.idA Power Corp.
n W.I..E.C.
S.._._~,.l)... 0
..-......._V.lu.atlon of tlech8ni,cIll J.DAtaUation
___~GAS
~_~OOFING
_____._sPSClALTY
TYPR or OOIISTRucnOM: L..Dloclt _Fra.e _Steel
,Other
rI.UUD FLOOR BLEVAtIONS =__..FT.
IS PROJECT IN FLOOD ZONB ARIA'
TIS
-
NO
..........................................
~.R~TC1All
~Oli
/ ~ CX>KrAMI'-'lafii...u.c..J-!llm.e':i ~ 'J")~lJ. k''f L.AIt.J(;.\J'1:
0h St;Aite Cert. or ~e8l.t.. CB ~o .'3I~'5"'-Iq
'~~'___'_"_M' City Llcf!ftSIl!! ReaistraUcm . /'1.5 ..
.........................*~...............
# COM.PANY _,__R2....zl<..2, s ~:E'-1i; ,~T~ , c-
.1/ State Cert. or Reslet.' ~.R. ool..t2..';2,a"'i
.t1l1bL._____ ___,___ City LiceMe ReaietraUou . ;!}.~ q
ir...............................*****.....
;Ji1JNlture
tpDmM A'I ~ c..'OMPAHy_~..-..cl2I...~'" 7:TA"''''sS
.'/ StAte Cel't. or lleal8t.' RF- "- ltt. 3
SJpatw:e _M... ".._____ City Licel1'u! RftQiatratio;;'-"- jOZ h
.. ...................*.................
IIBCBAIIICAL 4 a OOH.PANY~....'5..oJ<i"'Jj(J't/ill ~QmE"llr EN-r.
Stat.e C~T'-. or Realst.. I<AI=l ()O()Ql:}
Sl_t"". -'7-- / -", , . ~-- City Licen.e hl18tr8UOIl . ,,-~
... ..t.~..t..............ttt.*tt.....
818D8.tUl'G
OO"PAHY_ C IA:SSI<:" _H9",~i i :DE", 8v UjIl.tl-I/'oI
State Cect. or RP.8iat.' Ceca Y~~l..
Glty L1c~J18e Registration . t 76L
.........................................
O11IRR _ /200 F
APPLICATION Al'PR0V211 BY _~.._____,...___~___ .
PERKIT OFFICER.
CONUI.'flQNS OF FEltHl'l' I\Ff'lUAVI1'
A.' ' Jm11CK OF DEED RKSTR.1C'.l'lONS _
'" -eiiIiaeiUDa,tlt.oa.Uiiriiii-Pi'rtltii;bi"iubJect to "dct'd (~RlricUon8" which liar be lOre nltrlctty. tUa elt,
reguJltlaa.. rbe UDderllgnld IIIU... reBPDDllbllit, for eOlpllftdc, with an, arpllc.bl, 4tea :oDt~let!ODI.
8. !@!L.ICBNS80 COlfTRAC'l'ORR AND CONTRI\CTOR nESl'ONSIBIL.ITIBS
If till OWII.r Jlu hind 'i.contrllctor or coni:rRdoiii-toulI\Jl!itakft,ior.I,-th~iy be reQuired tobe lICllllec1 IQ .ewr4lllc. IltII
.tlt. ana local r'9U1etioDl. If the contractor II not BUllIed .8 r~IlJrI!" by In, bot" tbe owner _ COIltnator ., be
cited for I .11d"'.DOt ,Ioletlon un60t .t8l8 18". tr the aHnet or IntenGed contractor Irl uncerlall .1 to whit IlctDIlng
requlrlllat, .., Ippl, for lb~ Intended work, the, are IdvJled tu cuntact the City of lepbrrbllll Building DlftrlleDt, (113)
788-6&11.
rurlberAor., If lb. owner h81 blr&d 8 contrfrlor or contractoro, he 1ft ~dvlged to hay. the conttector(.) 'loa portlOll of tat
'CODtr.ctor 'ectlgasl of tbll epp)lcatlon fOt .bleb tbor ~IJI bf r~~ponftlbl~. If JOtl, .. the ornlr '190 .. the cantrlctor,
JOI are 1nc1IQtlug tIMIt fOu, tetber than tbo contractor, lire ruronllibl! for the wod. If the tClntnctor II.,.. JOII to lip
II evattaetar that laY be an JudlcatlQn that he Is not prop~rly 11r.,nRp.d an~ 11 not !ntltled to peralttln9 pll'll.... 1. the
Cily of !lpbttblll..
c. TRANSrORTA'flON lIfPAC'l' FEES AND UTILITY CONNECTION FEES
-'"-....-..--.......... .. ...... -~..._....---...__.... ..... .--- . -..-'--..--.. ~-
D. COlfStnU(;'1'lQN LlkN LAW (CllAl"rER '/13, FJ,.OltID1\ STATUTES, AS AMB.NDKD)
I c~rtlfl u.en, tbe Ippllcant;bi9Riltiii pro'l"tt~ .lth a copy of "Florida'" Construction Mea Law .. ~u" Protection
GulGo' preparld by the Florida Dfpert",nt of ftgrlculturn Bnd Conn"'~r ~f'~lr~. If the IpplJcant I, lo.eone otber tbln the
lOIftlrl, I certlfr that I bar. obtained II copy of the abnv@ delr.rlb.d dor~'ft"t ana prOtlle In good faith to dallflf It to the
'owner' prlor to COIIInCARenl.
E. COtfTl'lAC'10R' SLOWlUtn' S AFFIDAVI1'
J tertir, tiiiflUliMliiloriiHOiliiiliJiR'.spplicailon 1,'lIecuutp. anIJ Lhat aJlwod ,III be dont in cowpllaace tlltll aU
epplJeabt, 1... reguJltlng construction, laning, ana ID"d developlent.
Application I. berthJ ~d9 to obtRln s perllt to do work ana In'tlltl~tlon 88 IndJcat!d. I certlCr that no IOr1 Ot
In.tall.tloa baa COIIeDceG prior to 188ullnce of I ptr.Jt Ind tbat III wor. will be perfor1e4 to "It .tandar41 of .11 JII.
regulating oon.tructJon, elt, cod!l, loning regulation., end land dtvelop.ent regalatlon. In the Jurlt41ctlun. I alto
certlf, tb.t I vndll,tand that the regulatJoRl of otber go'etnlRotll .gencl.. I., 1,,1, to lb, JDtenael IDrl, ana tbet It II
., rupoulbJUtr to Jdentlfr ,bat actions I lUst tall! to be in colpHlnr... Bucb Igenel.. Incl_ but Ifl DOt IltltllJ to:
· DIPIrtlent Of Invlrontental Regulatio~ - CyprIs. 8arbtlldl, Wetland Arlel ana In,lroftl~tllll Sen,ltl,. Laa4.,
: lI.ter Ilfaetfllater rroatJ!f!nt
10rJdI Vater Kan. 8I!D~ Di8t~!Ct - VeIl., Cypress Blyhea~8, Wetland ArBal, Altering Vatlrcourlee
· CO D. "W. J8;DOCb, K"'gable Wahrlfayt
t ~t D'" . IlblblUtathe 8~1!jc'8, J@yJl~ntal H~~JJ1LUnit - lfeUe, ""teweter IrNl:IInt, 8eptla ,....
· ~tlrpr:otectl.tm Agencl - AlIhPlIllll s"tt'lII!!nt ,
J iIlOCUiIlltJJat;-lnih Ntlrlal hi to bl! ulled In '100\1 20M 'A' 01 "II, lite.", It h undlutoo<l tlttt II tkllDl9t ,1 In
addreselng I 'CDIpIa"tlnv volute8 will bn .ublltlea .blch 18 prepared br 8 pro(eseional engineer registered In the .tate of
'lorlda prior to ptfllt Illuanee.
A pIlItt I..oed ahall be cunwtrutd to ba 8 Ilcenl' to proceed Mllh tbe Mor. and not .1 .utborltf to ,Iolet" C8dOIl Iller, or
.at ..ld, an, prOlllloal of the technJeal codes, nor shall 1.RuGnce or 8 perlit prevent thI Building Offlcl.1 'rei tberllfter
rl!CJU1rlftg I correction of error. In phne, conatrucUon, or .Jolatlons of InJ code. l'lrr ptl'llt II. IllaJI .... lanll.
111I1111 tilt lOr. lutllorbea br IlIcIt penlt I, eo_nee4 within ,11 IOnthl of b8UMee, or If IOrk latllorlatl bJ tM penlt II
IUlpendea or 1IbInl1oDe4 for I pedod of 11IIDnthe Intr the tllIe tbl worl II c~encec1. onl 10 a.r IIt.lad of tbl, ., lit
111_ for tlt ptnJt 11th f.. clJarge or '15.00. tbe ed.nalon ebell be leq\le.led In wdUng to t.M Bullll.. Offle111. AD
Ippto,14 188,.ctJan IUltbe logOtd 'urlng .aob Dil IOlt' period, or lb. PloJect will be COntlG8reG IbIDdontd.
_Ilia to OIIIR; YOOlf r IdJRI-JOJISCORD A KOJIC! 0' CUltlIICBJlBNr HAY Rl8ULY III JOUR PAJlIIQ hlCl Nt UPIIOVlIu,' to 1M
'1IOJIIIfJ. I' IW I ro O8IAII it CIIG, COll8ULf IUIH YOUR LIIIOIR OR AM IInORm II IIC YOOI .ICI 0'
CDIIIICIIIIIf. '2,500 II LVI DO IIOf 1110 10 RlCORD AIJ) POSY A "HOflCK
II.
811rl or PLOlIlM
coom or
The forego!Qg listrUient was acknowledged
before .. tbh ___~__, 19_ by
who 1. periOii'.'UYiUiownto-iito'or'.;hOliaB
produced
18 ideoullcatIonnndwiiod.tdidfdOOr-
take all oalb.
1iIiiiiiiii'i)--'.---------.--~-.,.-
(ltUle ~.Pr1iitGcr or -it8ilpedf..---~...-
ROTARY PU8L..IC
STAll OF PLORJDA /8
COIINIY OF' ( "7 ~,?
The foregoing instrument was ackQowledged
before me thla _<?<>tjl7JI'IY.tlk/19 9& by
_'M'O~_? )q~~ ..
who 19 <l!~~~f.1_~.~.:)ro or who ..
producecJ
liB iden,l,i" f {coUoD ODd ..~="o, ~
take ,.~&~~~ ,I
1ir"-~''''
8 9~-.&L ~ ~'fTM,,)j)
("ftM;~~~d, PrintRd or a.ped)
NOt~AY PU~.~j!;
\\l,II'",
"~l~' Bobble S. Swetland
~:{ i*} MY COMMISSION' CC534927 fXPlPF'
r....... ~~~ February 22, 2000
~Rr.,r..~ BONDED THRU TROY FAIN INSURANCE, INC,