HomeMy WebLinkAbout96-5838
'Ke ,jT/o
BUILDING PERMIT 0 ~- .
CITY OF ZEPHYRHILlS Pe,m" N · '. 5838 E
;3 (813) 788-6611
Date '-~-- -( ~ --7 c::.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pm.erty Owne' ~ ~
Job Address: <...1 ~ -~ b a~
Parcel I. D. #
Zoning: Energy ~de~_ Radon Ga~'
DescriPtionOfworkR~~ I~^ ([lP~ ?~~ t )
II ---
Water Meter:
T,LF.'s:
f~ pre J; II-J,..t:t(.. m~ t~:S'~A'fY) tJ.sS
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
\'!ftJLrU pd ~ zz:- ~--;Y/ 0 L5
FINAL
C.O.
DATE
b
DATE
Inspector
City License Registration #
State Certified License#
/ 9'-3
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
CU",'1 ~ jf,1YJuM
'~7/~ ~ Ir?
ELECTRICAL
~ Jr/bb ,,ILhtM,. ~3b
PLUMBING MECHANICAL
-
BUILDING
Ftr.
Pre SLB
Lintel
FRM. '1 J / q.~ ~ It1 g,;t.. L
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set 1-1'1-' 'iiLJ .KILL
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter 1/.../- 9/eJ &~
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
AFFl,H:A'UOM FOR I'BJ\HIT
CI1"Y OF ZErU1IUULLS
bU1LOING DEPARTMBNT
0;~t q(p ..
2~ D '.
. ~
- ,. '
OWNIR I S NAHIL.-___L..l::!.~--H,frKat\.$.."--,.------------~-~-PIlONR 'B 13 . qt/ 3 .~ ~S6 ,
OWIBR'8 Apt)RM$ 'P 0,&7< 1../,")8 ,~~~,::r {2"CI-lF:'It 1=1 ~'-lr..."i"" - Oc.}:.:lA
JOB ADDRESB f~q 1';/ I i. 1" J... I~"'g;.,
lJ,-4 ',.) J - ~ ,
LB<W. DISCRlt'T10N; J.,Or(S)_~
BLOCK
SU8DIVISION
PARORL I.D.'~ /,~ :.ak.,:..a._L:_.,_~,_ (OBTAIN PRDK PROPItRTY TAX. IOTICR)
WRIt PROPOSK1h-LNft'W CoIlatruetioQ -.-..Addition ~^lteration _......._pair _latall
_.Si8Q.
_h---",O\Te
---.J)MOlt.sh
PROPOSED USE: -LJaoale r_lly
--1I/F .,JL.' of Units ...--It/8
__co..ecclAl
__loduet. ___5wi.. Pool _other
~R8staurant , HeAlth Veportaeot Approvel
DISCR,lVrlOI or WURl;_~.:S.e;;:....-J8'f"~u,q;:T.:> 1;)~ITE.-~ ~ PI..A"'-,
BUILDING SIZI:
,A
,.____..___S.,uare Feet,_ .
Height
RBSJDBRTUI.: AnA-CD (2) PLOT PlANS&: (2) 58T5 OF BUILDING PLANS' (1) SBT BlfBRGY FORMS.
ootIltRRClAL: ATTACII (3) SBTS OF BUILDING PLANS&: (1) SRT BHBRGY FOItHS.
PROPlRn SURVEY REQUlRBD POR ALL NEW OOMSTRUCTION.
.ElBtIl1'~ UOUJ5Tf.,Q
hUlWIMG
/' JU.EcnlCAL
$___S.8,::1.E.i'-....:..c?~.. __.ValuaUon of Total ConsU'uction
.. ~~~p Service
____Florida Power Corp.
W.R.B.C.
..LJmalAlfl.~ S...._._~QQl._OO _ ___Valuation of "~('hl,lln1,cal1ruataU8tion
/~"""~.G ___~GM __~OOPING ___._SfBCw,n
TYPE or OOISTRUcn.OM, ~Jl~k _Fra8e _Steel Other
nllSBID FLOOR BLEVAtIONS =_,~. ._J1T.
IS PROJECT IN FLOOD ZOBB ARIA'
YIS
-
NO
..........................................
CQRTRAfaUl $~CTlWi
WKl'AMI_C..la.fii~.J..C. ,l-!ol'1"l.e'O ,~]')ii'lJ. R'f LA~j(;"IN
S~te Cler.t. or Reel.t. , CB co ~ft.,'-Iq
City Lie~ns~ Reglstr.tton . /~~
....................**...*~...............
fL4// COH.PANy_,__R_I?...s:F.1H...FL-;::,~TRI c..
, State Cert. or Regl8t.' ~.R. oOI~~aq
, dlfhf___._._______ City LiceMe Re8istraUoll . ;}.{., q
, ~~............................*........
=-
,l.1lmo. A ~ CotlI'AtlY___.-C ~1...f3" JA" N. S .
,1/ State Cert. or Resiat. .......BF- t;JQ~~ 4l:. ~
Slpatw:e .....M... " .._____ City Ltcenlu! Rf!Qi8t:ration' ~ ~ b
.. .....................................
O'nUlR _ Kot> F
oottPANY_..5.o~Td.(I'lt~ COfTlEU{l. 'r 'Ewr.
St.at.e C~TL or Realst.. RA~ ()on9~
..s-3
HECBAIIIaAL
SiaoatU1'9
~/ ' ----OOPlPANY. C 1A.~l.."i.....tl...mt;s IDE.J, By ~1Z.t't,.N
/ ------- State Cert. or RP.8ist.' CeCQ t4 ~ B {, (.,
____ Gity Llce.u8e Reaistration t f'1OJ-
.........................................
APPLICATION A,raOVEV BY _~.,____ _"...___~~__
PDM1T OPFIOER.
CONUI.TIQNS OF FERMIT nFf'lUAVI1'
A. IRlIICK OF DEED RKSTRIC'l'IU.NS
Ibe und.iiliaia-una't.E'Gdiiiiit~tbji-PirtItiti~iiubJect to 'derd [PRlricllons" whJeb ~r be tor. (@ltrlcl'y. than Cltr
regulltlao.. !be UI~er.lgued a..u'l. reBponllbllit, for CowpJJ"dC' wllb Bny applic.hle 4Iea :clt.lctiODl.
B. UNL.lCBNSBD CONTRAC',l'ORS AftD CONTRACTOR nES1'ONSIBILITIB8
If till OW." liD blt.a'i~CQntraCtor or contriidoiii-t,o b111'''rtakRtior.k,-th~iy bt! reQiiiiidiobe ctltlec11Q lCcorauc. ,1tJI
.tlt. and local rf.9UI.t1OD1. If the contractor I, not He'flnd 18 r~IlJrI!" hJ IllW, bot" tbl owner _ COIltnator ., be
cited for I 111d",.nor ,Iolatlon unaoe ~tlle law. If the owner or JntenGe4 contractor Br, ufteertalD II to wblt IlclIIlng
regulrlltDt. II' IppJ, for lbft JQtenaed wor~, they 8re IdvJ..d lo cuntact the City of lepbfrbllll lull4ift, DlplrtleDt, ('13)
788-8611.
rurlbe~r., If thl owner '181 blr&d e contrfr.lor or contractor., he 1ft 8dvlBed to ha,e tb, contrector(.) .ioa portlOll of tat
'Cootr.ctor ..cth.... of thi. application for .blc~ tbey IIHI bt rl'llponllibll!. If Inu, a. Oe OIII!r '1911 .. till cantr.ctor,
rou H' IlIl1leetlng tNt you, nther than the r,nntrector, au rl!8t'f)nllibJ!! for the ""d. If tbe tontnctor .1..... JUII to 11911
.. COfttractor that JaY be an JodlcatlQn that be 18 nol prop~(ly Ilr.'nR~d an~ I, not ,ntltled to PtrIlttlng ',1'11.... 18 the
City of Zepbtthll1..
C.
TRANsrURTA'flON lt~PAC'l' FRES AND UTILITY CONN8CTION FEES
..---....,._....__..__...~.... --.. ..".. _...._....._.~._-_.. ...... .~----_. -.._--..,. ....-
D. CQH.u~!lUC'ltlON-"lKN ~!.'W (ClllW'1ER '/13, FJ..Onlnn STATUTES, ASAMB.NDKD)
1 c~rtjf, tkftt:J, t,he appllcInt, b"B b~~n pro,14e4 .Itb a cory of .'Jorlda'~ ConllructJon Lien Law . ~trl, Protection
GuIGe' preparld br lb, Florida Depert~'nt of ftgrlcultu[p. ana COnh".~r ~(f~lr~. If the applicant J, '0It0n1 otatr ~ lhe
'OIlIIr', I eutu, that I be" obtained II cop, 01 the abov@ d'Br.rlb~d d!lr.\l'~llt and pr01llae Ie goocJ f.llII to dl1ber It to the
'owner' prior to QOII8fte~ent.
E. COHTRAc'rOR' S L!>WI'Bn · S AFF I J)A V I'!'
· certicr tblf'ili1iMliilofuHOiIiiitiJlR'eppI1caUonf,'lIccuutp. i1na that BIt wod "Ill be dOflI in eowpUIDClt ttlQ .11
appllcabl. I... regulating construction, loning, ~na land d~veloplent.
Application 11 ber.hr ~dB t.o obtftln 8 perllt to do work and in.t.alletlo~ BR Jn4Jcllt!d. I clrtlfr tbet no IOr1 Ot
Inetell.tloa ... COIIIDced prior to Issuance of I pef.lt and that all lor. will be perfOfleG to leet .landJrll of III 111I
regulating oonltruction, eltr codel, loning regulatlont, end 1904 dQvel~p.ent regulation. In the Jarllllctloa. I alto
certif, tbat I undllltlnd that the regulatiuRI of otber gOY@tnlBDteJ Igenet.. III 1,,1, to tb, lntlDlel IOrl, ana tilt It II
If r"(ICIlIlbllltr to laenUfr .,bat action. 11U8t leb to be In colplianr... Such .gencJe.e Ind_ but art DOt IlIltll1 to:
· ~rtlent Of InvltORlental RtGUlatio~ - Cyp[eS8 Be,beed., Wetland Aresl Ind In,lroRledtalll 'GRlltl,. taa41,
" V.ter/lfaetl!lettf 'rollt~nt
I iorldl ,.tlr "'" -.ot Dillt1'1ct - "eUe, Cyptt!811 BIIJhead., Wetlan4 At"", Altering lIatuc:our..
I CO em - taw. Jii;ooas;-llarJgable Walerway.
· · Rehabllltatl,. Ber,iela, In,Jronaontal HeGllh Unit - Ifelle, Wastp.wltlr Irtltltnt, Itptla Ian"
· ~tI rrotectIon ~nc, - ~ii88loB I"ttoot----u--...- I
I illOeUiIli'tbat;-iniiliitt,ifal III to bit ulJelJ in flood 10M 'A- Ot "II,!ltc.", It II undlutcm tJI,t a l1tllDlgt plan
Ildrlltlng I 'COIpIDI.tlnw YOlu,,' will bft .ublltlea which II prepared by 8 prole88ional engIneer r"l.tlled lD tal 'tete of
')orI4. prior to ptrtlt i.luanee.
A panU IIlut4 .11 be c:unlltrued to b9 II IIce"18 to proctl!d !lith thl! !fort and not III .utborltr to 'Iolet., caw! liter, or
let Illd, an, prOllaloal of the technical codlR, nor Bhall Iasuanee of 8 ptllit prevent the Building Orflcl.l ffOl ~..fter
rlCJUlrlng I correction of error. in plene, construction, or Ylolatlona of InJ co4t. l'lr, ,emit 111114 IItIJl .... 1..11.
unletl tilt lOr. lutllorbed b, IlIcIt ,e!'llt 11 co_need Ilthln '''lOnth. of IS8uance, or If IOrt latllorlllO bJ tM penit 'I
IUlpeDde4 Dr lIbInl10aea for I petl04 of 11IIOnths Ifter thl UIe lbl lork 18 c_enctd. ODe to te, IItal. of till, II' III
111_ for tlt ~t ,Ith flI, cbarg, or '15.00. Ihe ~d!n"on .bell be r!qUelled In "rlUng to tIIlIlullllDl Offle1al. AD
IpptOYIMl JlllltCtlCIJ l"lltbe log0.~ during .aob DlIlOlltII period, or lb. project 1111 be contlGBrlG abIIIII1ontd.
_111I to CIIIII; YOmf r LuRl-IQ.JlECORD A WOllll 0' mIIIIfCBJIIM! MAY MHUL' II TOUR rAIIIG !WIll POIIRPIIORRIII' 10 lOUR
PIIOPUIJ. I' IOU I 10 oarAII 11 CIIG, C0180t! lfllH lOUR LIIIDIR OR AI AnORQJ II I. YOOIIOrICl 01
tUIfI~. '2,500 II UI DO IOf IBID ro R8CORD UI) POST A "NotICE
8t111 or noallM
coom 01
The forego!Q9 iiitrUient wae acknowledged
before .. tbi. _____~, 19_ by
who 1. perlona'ny JulOWillo-iilo"or'whOliiiJ
:~O:~:::111cation-nnd-Who-dldidra:not----
take lUI oalb.
1iIiDiiu":.,--- ---. -------.-
(MUle TiPid;- pilntecr"or--iiiupftd j' ..---' .-
KOTARY PUBLIC
SIAII OF 'LORJDA ~O
COliN" OF ~ ( 7 ~'2
The foregoing in8trument wae acknowledged
before me thI8 _q't~...r..!lkI19 90 by
iiiioL{.~~ifM~~WM be,
pl'oducecJ ___"_
flB iden"l,l' f,'it;ati,OD ODd "~,o~'
lake ~~ 1/(/' 0 ..
r-I'- _L~~~~~
8 g~, . ) <' ;:;;.
()8.lI1.t:.. ~ " wE"'rl-A. [)
(NomiT p~d, Printnd or St~~~
NO'-m.hY PUll~jj;
"~l:~~~~ Bobble S. Swetland
f..{ :.~ MY COMMISSION' CC534927 EXPtPf'"'
'",' ,~. FIb
ri-.....l,4o'f~ lllary 22. 2000
' "Rf"r,,'l-' BONDED THRU TROY FAIN 1NSUIIAIIce, IHe,