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HomeMy WebLinkAbout96-6024 ,/ BUILDING PERMIT Permit NC? ./ .,; CITY OF ZEPHYRHILLS (813) 788-6611 ..-' ~O ~~ - 602~ ?-.:2..- 9~ -e/ Property Owner: o -----~ ....fLECTR~ Date ~o G~I~~I~~ Sewer Conn Water Conn: Water Meter: Zoning: Energ~e: De.c,;pt;on o'lO<k p2., ~Q?JaA;;t;.L fl/L ~ ~ '2. 9.JI , 1/-:;< ~- :2./- oO/tJ- O~A 00- O/7S Radon Gas' --;;;d; ~ ~~= ~ ~~,/. T,I.F.'s: Job Address: Parcell.D, # FINAL NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Inspector Valuation or Contract Price 1f ~J cS9-6' I' S'f ~ 7 BUILDING ELECTRICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway tS~9- "2Zr9~ gaP ~~&~~o..q ft~5 Fu ~-z!...Q~M.: Pre SLB <X...d \ ... . Lintel Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL SLB Tub Set Water Sewer Final 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. APPLICATION FOR PRRKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S ADDRESS , Keith & Ruth Re,d PHONE 523-1871 38642 10th Ave. & 13th St.,Z'hills, Fl. 33540 OWNER'S NAHB JOB ADDRESS Same as above LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL LD.t 21-26-11-0010-08300-0175 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction -"ddition ---^lteration ~epair _Install _Sign --",ove _De-.olish pouring (2) slabs,one of these for an inground Spa PROPOSED USE: -X-Single Fsaily --.Jt/F _' of Units --.Jt/H _ec--ercial _Indust. _Swia. Pool ~Other _____estaurant & Health Departaent Approval . (2) concrete slabs,one of these for an inground Spa DESCRIPTION OF WORK: Pour 1 ng BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERHITS REOUESTED ~UlLDING $ 2,395.00 Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. _tlEGIIAlIICAL $ Valuation of Mechanical Installation _PLutlBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frsae _Steel Other FDISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION COMPANY Delafield Construction/Coral Isle Pools State Cert. or Regist. . R B 0010990 City License Registration . 88 . ........................................ -- COMPANY /-.2;'/"" V JS(U/C- ::: :~ 2{) ~ ? ,SZ State Cert.' or Regist.' P R t CA/ City License Registration . ....t6.................................... (JodJ 9' J?; 9'0 //J~ PLutlBER COMPANYDelafield Construction/Coral Isle Pools State Cert. or Regist. 'R F 0038257 City License Registration' 89 ................................*****. KECllABIGAL COMPANY State Cert. or Regist. . Signature City License Registration . .*.............................*.......... OTRRR 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 perllt lay be subject to 'deed restrictions' which lay be lOre restrictive than City regulations. !he undersigned asSU188 responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESfONSIBILITIES If the owner bas 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 lilY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguirel8Dts lilY apply for tbe intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813) . 788-6611. FurtheClOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the 'Contractor Sections' of tbis application for which they will be responsible. If you,. as the owner sign as tbe contractor, you are indicating that you, ratber than tbe contractor, are responsible for the work. If tbe contractor wisbes you to sign as contractor tbat laY be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in tbe City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, tbe applicant, have been provided witb a copy of 'Florida's Construction Lien Law - HOIeOKDer's Protection Guide' prepared by tbe Florida Deparblent of Agriculture and Conslller Affairs. If tbe applicant is sOlt!ODe otber than tbe 'owner", I certify tbat I have obtained a copy of tbe above described docUleDt and prOlise in good faitb to deliver it to tbe "owner" prior to cOlleDcl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforaation in this application is accurate and tbat all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or installation has COIIeDced prior to issuance of a perlit and that all work will be perfoCJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies lay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lialted to: · Deparblent of EnviroDleDtal Regulation - Cypress Bayheads, Vetland Areas and EnviroDleDtally Sensitive Lands, Vater/Vastewater Treablent I Southwest Florida Vater Manageaent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses I ArlY Corps of Engineers - Seawalls, Docks, lavigable Vatenays I Departleot of Health i Rebabilitative Services, EnvirODleOtal Healtb Unit - VeIls, Vastewater !reatleDt, Septic Yanks · US EnvirODleOtal Protection Agency - Asbestos abatl!leDt I also certify tbat, if fill laterial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan addressing a 'cOlpeDsating volllle' 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 with the work and not as authority to ,iolate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent tbe Building Official frOl thereafter requiring a correction of errors in plans, construction, or ,iolations of any code. Ivery perlit issued shall beCOle in,alid unless the work authoriled by such perlit is couenced within sillODths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sillOntbs after the tile the work is co.enced. One 90 day utension of tiae, lilY be allowed for the Perlit with fee charge of $15.00. !he utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillOnth period, or tbe project will be considered abandoned. WARNING TO OIlIER: YOUR ILURB TO RECORD A NOTICK OF COIIMIICIllENT MAY RESULT IN YOUR PAYING !lUCK FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I~ OBI F" IIG, COlfSULT VITH YOUR LBIIDIR OR AJI AmmDY BEFORE RECORDIlfG YOUR IIOrICE OF COIIMIIICKMENT. JOBS IR '2, I A DO IIor NEED TO RECORD AND POST A 'NOTICE OF C(JUIDCEMIlNT-. ! ~tJ~ OR AGENT SIGNATURE: CONIIIACTO STATE OF FLORIDA /7 COUmOF r~ The foregoing in$trument was acknowledged before .. tbie/~. 19~ by who is personally known to me or who has produced as identification and who did/did not take an oa~r/f ~~~/ (Signatu~), J )'/ ~ L rei ~rd 4., a..<<!'LLQ _.son (Name Typed, Printed or Stamped) NOTARY PUBLIC CLAlAL~ My CcmnBxp. 8/11/99 90IldeclByServicelas ~ No. ~ "/,,,,' U'r .4- 'UiI.U 1- ~ l>, We.. ~ 300 14>~ ~ 1/ Ie / STATE OF FLORIDA ,{2 _ ~ _ .-J coom OF V~ The foregoing i~strument was acknowledged before me this I~~. 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