HomeMy WebLinkAbout96-6112
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N!
61121(
Date
9-.;20 -'/b
BUILDING
;2.0 ' ()V
0~TR~
PLUMBING
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Sewer Conn
Water Conn:
f)-A I
Property Owner: ~ C"\.7/';;J.4---
JobAddress:d f-.~~ -....:5 r
Parcel I. D. #
E
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
. Energy C1:
i}/ L. r: d/h;;~
Radon Gas:
FINAL
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee
Signature
Company
Address
Telephone#
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:J: r <:/ .~(? AAt Jlfi~
Valuation or
Contract Price ~ I c.'}-z:; . err::>
City License Registration # 7' I
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
,
., ..
APPLICATION FOR PERMIT
CITY OF ZEPIIYIUIILLS
BUILDING DEPARTMENT
OWNER'S NAKE
Linda Veqa
Zephyr Dry Cleaning
PHONE
JOB ADDRESS
38435 C.R. 54 East
38435 C.R. 54 East
OWNER'S ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL J.D.' 02-26-21-0010-06000-0020
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ..x..Jlteration _Repair _Install
_Sign --",ove _Deaolish
PROPOSED USE: _Single Faaily _M/F _, of Units _M/H
_ec:-ercial _Indust. _Swia. Pool _Other
_Restaurant lit Health Department Approval
DESCRIPTION OF WORK:
Central heat & air Changeout
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COMMERCIAL
ATTACH (2) PLOT PLANS lit (2) SETS OF BUILDING PLANS lit (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS lit (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
~ELEC'J'RICAL
AKP Service
Florida Power Corp.
W.R.E.C.
-L-,MEGHANICAL
$ 3100 .00
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF GONSTRUGI'ION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJEGI' IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRAGI'OR SECTION
BUILDER
Signature
COMPANY
State Cert. or Regist. t
City License Registration .
******************************************
:~~ .. . COMPANY ~ G-t:~tJ CKA-;vd1f-I-L FLEc7/e'/C~L CerN/'
/' /J iJ? State Cert. or Regist. .
an ure - 4--c~J L--t..r~~ City License Registration f ,-, 7;Z
I ******************************************
PLUMBER
COMPANY
State Cert. or Regist. t
City License Registration f
******************************************
Signature
Signature
COMPANY Craddock's Air Conditioninq
~/) . () n . State Cert. or Regist. . 0019937
~ity License Registration' 71
******************************************
MEGHARICAL
OTRRR
COMPANY
State Cert. or Regist. #
City License Registration #
******************************************
Signature
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" wbich lay be lOre restrictive than City
regulations. 'he undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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 OlDer and contractor laY be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (813)
188-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for whicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that laY be an indication that be 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, have been provided with a copy of "Florida's Construction Lien Law - HDIIe01IJIer's Protection
Guide" prepared by the Florida Departlent of Agriculture .and ConsUler Affairs. If the applicant is sOleone other than the
'owner", I certify that I have obtained a copy of the above described. docutent and prOlise in good faith to deliver it to the
"owner" prior to CDllenCetent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation has CDllenced prior to issuance of a perlit and that all work will be perforJed to teet 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 governtental agencies laY apply to the intended wort, and that it is
If responsihility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
· Departlent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
Nater/Nastewater Treatlent
· Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
· Departlent of Health & Rehabilitative Services, EnvirOnteDtal Health Unit - Wells, Nastewater TreatJent, Septic 'ants
· US EnviroDlental Protection Agency - Asbestos abatetent
I also certify that, if fill taterial is to be used in Flood Zone "A. or "A,etc.", it is understood that a drainage plan
addressing a "cOlpensating volute" will be subtitted wbich is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A peIlit issued sball be construed to be a license to proceed with 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 frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becote invalid
unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOlleDced. One 90 day extension of tite, tay be
allowed for the peIlit 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 six IOntb period, or the project will be considered abandoned.
NARHING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHllfT HAY RESULT IN YOUR PAYING !NICE FOR IHPROVEIIBITS TO YOUR
PROPERTY. IF YOU IlfTEND TO OBTAIN FINANCING, CONSULT NUH YOUR LENDER OR AM AnORHIY BEFORE RECORDING YOUR MoriCE OF
COMHINCEHElfT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHINCEHENT".
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"'SI : OIftIBR OR A
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SIGNATURE: COlfTRACTOR
STATE OF FLORIDA
COUlfTY OF Pasco
The foregoing instrument was acknowledged
before me this Sept. 19 , 19~ by
STATE OF FLORIDA
coum OF Pasco
The foregoing instrument
before me this Sept. 19
was acknowledged
, 19-2.2....... by
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