HomeMy WebLinkAbout96-5982
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BUILDING
'. .
BUILDING PERMllo ~- . .
CITY OF ZEPHYRHILLS permit-. '- 5982--6'
(813) 788-6611 Date f7 - ~ :7 L.
t,s f. 0-0
Sewer Conn ~ ~.
Water Conn: t.L- L'''O, J ~""fkJ
Water Meter:~~ PY{ ~1..-
T.I.F.'s: .y ~.~ L:.<!l-vk. h4.-
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ELECTRICAL
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PLUMBING
MECHANICAL
-r~JZ;~~;/J2'A~
Parcel J.D. ~.. - -.... 00/0 - /" ;7t5o--
O//D
Zoning: ~ Code:
Description of Work Ad ~~
~onGas:
0..--. - ~A.c~
/
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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.
Inspector
&SE
City License Registration # }? I'
State Certified License#
Permit Fe
Signature
Company
Address
Telephone#
Valuation or
Contract Price
/tJJ ~C'J~O-V
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BUILDING
7?o1J~ :267
ELECTRICAL
IJ~ 17
PLUMBING
MECHANICAL
-
Tp. Servo
Rough In ~'I ~ -'i"f3e,(f
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM. 't(,q ~ 'f4 (~ B
Insul. CL
WL
SLB
Tub Set ~Lj-Cj~ 1243
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 ($15.001 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.
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395/RESOLUTlONS 312/372 WATER $1.75 GAL. SEWER S6.39/GAL
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $ 1,278,00
Travel Trailer Park $ 131.25 $ 479,25
COMERC'AL (Per fixtire)
Sinks $ 87,50 $ 319,50
Water Closet $ 131,25 $ 479.25
Urinal $ 87,50 $ 319.50
Lavatory $ 43,75 $ 159.75
Tub/Shower $ 87.50 $ 319.50
Washina Machine-Commercial Size $ 350,00 $ 1 278,00
Washing Machine-Domestic Size $ 87,50 $ 319,50
Dishwasher-Limited Use $ 87.50 $ 319,50
Food Service-Dishwasher $ 700.00 $ 3,556.00
Sinks (3-Compartment) $ 175,00 $ 639.00
Car Wash (Per Stall) $ 1 000.00 $ 6.390.00
SINKS 50 $ - $ - $ -
WATER CLOSETS 75 1 $131.25 $ 479,2:5 $ 610,50
URINALS 50 $ - $ - $ -
LA V A TORIES 25 1 $ 43,75 $ 159.7:5 $ 203.50
TUB/SHOWERS 50 $ - $ - $ -
WASH, MACH. COMM. 200 $ - $ - $ -
WASH. MACH DOM. 560 $ - $ - $ -
DISHWASHER COMM, 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
SINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PER/STALL 1000 $ - $ - $ -
SUB-TOTAL $175.00 $ 639,00 $ 814,,00
WATER METER
-
GRAND TOTAL $ 814.00
FIXTURE
G.P.D.
#
WATER SEWER TOTAL PER FIXTURE
7/11/96
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~.0 81R=ri OLT SWING WITH LEVER HANDLE PRIVACY LOCKSET
MIRROR, TOWE~ AN0 SOAP DISPENSERS. BUILT IN TRASH
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TOTPiL COST:
$ 7,310.00
I
ELECTFICAL UPGRADE
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TOTAL COST:
$ 3,494.00
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APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWIlER'S _ cKeJlif ~f-'\Nl W~
OWNER'S ADDRESS CO 5 ~ \ g~ ~t..d- \
JOB ADDRESS ~
?-IO-7~
PHONE
7 g J. - / S3.5 --
LEGAL DESCRIPTION: I.OT(S) BI.OGK...--SUBDIVISION
PARCEL I.D.' \\ -doll ~~ ''''0010 - l(g"10o- 0 II U (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ddition ~teration -3epair _Install
_Sign
~ove
_Deaolish
PROPOSED USE: _Single Faaily
V- ec-ercial
_KIF _' of Units -.-KIB
_Indust. _Swia. Pool _Other
_Restaurant & Bealth Departaent Approval
DESCRIPTION OF WORK: ~A.-~ ~ilie:.. / L~bAl U.6')<g\~
BUILDING SIZE:
x
Square Feet,
Beight
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKlTS REOUESTED
_BUILDING
$ J 0 J 8 Oc.{. Db
Valuation of Total Construction
_ELECTRICAL
AtIP Service
Florida Power Gorp.
W.R.E.C,
---.JIECBANIGAL
$
Valuation of Kechanical Installation
_PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FIIUSBED FLOOR ELEVATIONS:
yr,..
IS PROJECT IN FLOOD ZONE AREA?
~ I
YES
NO
..............................****.*******
BIJTI.DER
CONTRACTOR SECTION
COHPAHY 7/'MA/S..A~
State Cert. or Regis t.' f!.iS ()I) >tS~ tI
City License Registration' 77
**************:::::::~:;~*~~
State Cert. or Regist. . J!llbO/(,Zl-f
City License Registration' Z C. 9
****************************************** I
Signature
::~:IAB:(J/l:
PLUKBER GOKPANY 811kE/Z- 's r>/I#-t9r ~
-UA~/J/I '.A j JI2 J State Cert. or Regist. ,
Signature -Jqa/Y-u'l q f ~ City License Registration .. f!1.
****************************************** '
MECHANICAL
COKPANY
State Cert. or Regist. .
City License Registration .
*********.***************.**********.*****
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
**.***************************************
OTHF.R
Signature
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peClit laY be subject to 'deed restrictions' which lay be lOre restrictive than City
regulations. the undersigned assUJeS responsibility for CCIIpliance with any applicable deed restrictiOll8.
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 laY be
cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirl!llents 8aY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Depart8ent, (813)
788-6611.
Further80re, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portioua of the
'Contractor Sections' of this application for which they will be responsible. If. you, as the OIfDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for tile work, If the contractOr 11sbes you to sign
as contractor that lay be an indication that be is not P!operly licensed and is not entitled to pertitting privileges in tile
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, have been provided with a copy of 'Florida's Construction Lien Law - BoIeowner'. Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuser Affairs. If the applicant is 8OIeOD8 other than the
'owner", I certify that I have obtained a copy of the above described docU8l!Dt and pralise In good faith to deliver It to the
"owner' prior to C08leDcesent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all wort will be done in COIpliance with all
applicable laws regulating construction, loning, and land developleDt.
Application is hereby 8ade to obtain a per.it to do work and installation as indicated. I certify that no lfOrk or
installation bas cOMenced prior to issuance of a pertit and that all wort will be perfocted to .et standards of all 1_
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDIeDtal agencies laY apply to the intended wort, and that it is
.y responsibility to identify wbat actions I .ust take to be in C08pliance. Such agencies include but are not lilited to:
t Departlent of Ilnvirollllental Regulation - Cypress Bayheads, Wetland Areas and Ilnvirollllelltally Sensitive Lands,
Mater/Mastewater Treatlent .
t Southwest Florida Mater Hanagesent District - Mells, Cypress Baybeads, Metland Areas, Altering Matercoucses
t Ar.y Corps of Ilngineers - Seawalls, Docks, lavigable Materways
t Departlent of Health' Rebabilitative Services, Ilnvirouental Health Unit - Mells, llastewater Treablent, Septic Tants
t US Ilnvir0D8ental Protection Agency - Asbestos abat8leOt
I also certify that, if fill aaterial is to be used in Flood ZOne lA' or 'A,etc.', it is understood that a drainage plan
addressing a 'COlpensating VOIU88" will be sub8itted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a peClit prevent the Building Official fCOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued slla11 becme iDYalid
unless the lfOrt authorized by such peClit is COIIeIlCed within sillOnths of issuance, or if lfOrt authorized by the pertit is
suspended or abandoned for a period of siz IOnths after the tille the wort is COIIeIlCed. One 90 day utension of ti8e, laY be
allowed for the perlit with fee charge of $15.00. Tbe utension shall be requested in writing to the Building Official. An
approved inspection .U8t be logged during each sillODth period, or the project will be considered abandoned.
WARlIIG TO OIIIIlR: YOUR FAILURE TO RECORD A laTICE OF COHMIICIlHBJII' HAY RESUL'I' II YOUR PAYIIG nICE FOR DIPROVBHIlI!S TO YOUR
PROPIlRTY. IF YOU InEMD TO OB'lAIlf PI_IIG, COlfSULT WITH YOUR LlllDIR OR AI AnoRJ/EY BEFORE RBCORDIMG YOUR lIaTICE OF
COHHElfCIlHIlHT. JOBSUlfDllR $2,500 II VALOIl DO IIO'r IIlED TO RIlCORD AHD POST A 'laTICH OF CCllllDCBIIBIII"
'f~~A;tL"
STATE OF FLORID~
COUny OF ~ C/) .
The foregoing inst~pn.en. t was acknowledged
before me this __a~=._, 19-1/L by
?c;~J rVl. ~rl€hi~
who is personally known to me or who has
produced {)l..Jt~3~D' 7S JA.{I./A/';)-7~1J
as identification and h did/did Dot
take th.'
S'I'ATIl OF FLORIDA.....-:-:J
coum OF r,48clJ
The foregoing instrum~ was acknowledged
before me this acf , 19~ by
who is p~~y ~~ or who haa
pl'ed&eed
as identification and who did/did Dot
take an oath.
r
r l? APER
Notary Public. State of FIorIcla
My Comm, Exp. June 6. 1997
No. CC 292357
~~~
: jjII'Ulfi
KATHY C. MONTIETH
Notc!V Public. State of FIoI1do
My Comm. Exp. JQn, 3. 1999
No. CC 431231
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