HomeMy WebLinkAbout96-5945
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
_ 594~ !5
Date
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~~ ELECTRICAL PLUMBING MECHANICAL
P"'perty Owne" ~ .
Job Address:39 . -/~
Parcel 1.0. # /..3 -di,-.;;J.J- a/Yo - lJ DOG D - 0 J-6 0
Sewer Conn
Water Conn:
Water Meter:
T.1. F.'s:
Zoning: ;-) // Energy Code: / Radon Gas: "- _ . ./. _ _
Description of Work ~ r~~~t' ~ - P.-/'k~~(J ~ 1Z_
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
4'J-2fi-1
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
5)
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Company
Address
Telephone#
Valuation or
Contract Price
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City License Registration #
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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.
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Florida
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vi' THE POOL PROPOSED FOR CONSTRUCTION AT THE A DOVE ADDRESS
DOSS NOT CONFLlCT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF
FLORIDA POWER CORPORATION, PROVJOJ:D THA1' THE POOL IS INSTALL!:.!.) IN
THE LOCATJON SHOWN ON THE ^TTACHED SITE PLAN PROVIDED TO US BY
THB POOL CONTRACTOR, ;..
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THE POOL PROPOSED FOR CONSTnUCTION AT THE ABOVE ADDRESS
DOBS. CONFLICT WITH OfH UfO FACILITIES OF FLORlDA POWER
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C01U>ORA TION.
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ARRANGEMENTS HA VE BEEN MADE. WITH US FOR RELOCA nON OF THE
}:ACILITIES SO ^S TO CLliAR THE POOL AREA SHOWN ON THE AITACHED SITE
PLAN.
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FLORIDA POWER CORPORA nON
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STEPHEN p, DUNNER
D1STRJBUTION ENGlNEERlNG
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ZEPHYRHI\.lS OPERATION CfNTlA: ;;91453 a"v.' Rotd . Z."hytMII. Flo,rdt 335Cl . (813} 783-"..
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APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S N~~"\=r p.. - ~ ~
OWNER'S ADDmiS 3'7 (0 % Y M b )+ UCHA) 00 C ( \j=>
JOB ADDRESS .S4vru yCf '::> yJ 10 0 Ve
PHONE ; -:t &.;). Of 3 ~
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.t--' 3,-- 'd-(],-
BLOCK SUBDIVISION
0;> to 0
;) I - b J L/- <0 - CJO V riJ- (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition -----Alteration ~epair _Install
_Sign ____Move ____Deaolish
PROPOSED USE: _Single F8IIily _M/F _, of Units _H/H
_eo..ercial ____Indust. ~S~ia. Pool ___Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF wORK:_fte/O\J<2- 0 Q..'b U 'l\J) ~D{) t ,
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL :
COMMERCIAL
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
____MECHANICAl.
AMP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
_PLtJHBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ____Fralle _Steel
Other
FINISHED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
~T~ER ~ ~ ~ARY
. State Cert. or Regist. t
Sigoatuie- -.:~ City License Registration ,
** ************************************
RT.RCTRICIAN COMPANY
State Cert. or Regist. t
SiRnAture City License Registration ,
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration .
******************************************
MECHANICAL COMPANY
State Cert. or Regist. .
Signature City License Registration ,
***********~******************************
OTIIRR COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
"A;' NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit lay be subject to 'deed restrictions" which JaY be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they 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 JaY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections' of this application for wbicb 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 he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
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 - BOJeOIDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consl1ler Affairs. If the applicant is semeone other tban the
"owner", I certify that I bave obtained a copy of the above described docUJeDt and premise in good faith to deliver it to the
"owner" prior to co_ncelent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developllent.
Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation bas cOllenced prior to issuance of a peIlit and that all work will be perf OIled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1llelltal agencies JaY apply to the intended work, and that it is
IY responsibility to identify what 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 EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnviroDJeDtal 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 .cOJP9Dsating volUJe" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit_ issuance.
A perlit issued shall be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
unless the work authorized by such perlit is co.enced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is c.enced. One 90 day l!Itension of tile, JaY be
allowed for tbe perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMDCEIlBNT MAY RESULT IN YOUR PAYING !VICE FOR IMPROYBMDIS TO YOUR
PROPERTY. IF YOU IIITEMD TO OBTAIN FINANCING, CONSULT WITH YOUR LElfDER OR AM AftORm BEFORE RECORDIIiG YOUR NOTICE OF
COMMENCEMENt'. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMEHCEMm".
SIGJlA'l'URI: OIOOlR OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUII!Y OF
The foregoing instrument was acknowledged
before me this , 19--4- by
STATE OF FLORIDA
COUII!Y 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)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
FLO~IDA POWER CO~p
TEL:S13-7S2-5949
]:.In 18'96
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