Loading...
HomeMy WebLinkAbout96-6131 &J:t / 7~.-.s() BUILDING PERMIT NO CITY OF ZEPHYRHILLS Permit. Gu j;;f (813) 788-6611 - -613111 Date 9-3 (J '-7' b BUILDING cJ.o - ,IV ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: i a..d -f' ~ ~..14~ /lj( # LJ ~ j;;; Job Address: >' L? ..5'7') . ~ ;.f" Parcell.D. # Water Meter: T.I.F.'s: Zoning: Description of Work ~y Code: elL -C~_- Radon~as: ~~'!L f'- ~ T .1L~1 n AJ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector City License Registration # State Certified License# ~r9 Permit Fee Signature Company Address Telephone# Valuation or Contract Price :li9. tJP-D. .rD ./ ~ j~~ I;y,/ O-jJ>>, 1/;).. BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. jO-J'!',.. q~ $,f.$ Insu!. CL WL Breakers Ducts Ins!. Compressor Final Tp. Serv. SLB Rough In 1.0 -jf'"- 'fJII ~15 Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter 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. APPLICATION FOR PERMIT CITY OF ZEPHYRBlLU) BUlLDIRG DEPARTKERT /J~ lJ)~vJ ~/9~ l1/1 j 1 OWIIER'S ADDRESS OWRER'S JOB ADDRESS LEGAL DESCRIPTION: LOT(S) B~SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ----Addition J..,Alteration -.Jtepair _Install _Sign -Ilove _D~lish PROPOSED USE: _Single Faaily -----1t/F _' of Units -----1t/H _~rcial _Indust. _Swia. Pool _Other -.Jtestaurant Ii: Health Departaent Approval DESClUPTIOII OP WBK. /{tJ.(! ~J) J. Ai, LI ~ ~ S1P~~r BUlLDIRG SIZE: X ,7t Square Feet, Height RESIDERTIAL: ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLARS Ii: (1) SET ENERGY FORMS. COHKERCIAL: ATtACH (3) SETS OF BUILDIRG PLARS Ii: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UILDIRG $ 2t?...60C:l4.;J. Valuation of Total Construction RT.RcrRI.CAL AIIP Service Florida Power Corp. W.R.E.C. --lIECIIAlIlCAL $ Valuation of Mechanical Installation .-PLUtlBIRG GAS ROOFIRG SPECIALTY TYPE OF CORSTIlUCTIOR: ---Block _Fraae _Steel Other FIRISHED FLOOR ELEVAnOIlS: FT. IS PROJECT IN FLOOD ZORE AREA? YES NO .......................................... R.IT' .DO SO nt'Signature mRTRA=~ ~ __' ~~ State Cert. or 1legi.~(2 .:>131t. City License Registration . ;t4~ .......................................... 0'11= _g ~ COMPANY f_ 1}) /':..~ State Cert. or Regist. t sj - m m :' } ~City Lie....... lleaistration . ~.L. ~~ " -. ..................::................. ./" State Cert. or Regist. . S' eV. .-' City License Registration . " .... .......................................... COMPANY State Cert. or Regist. . City License Registration . ...................................~...... 0TRR1l COMPANY State Cert. or Regist. t Signature City License Registration t .......................................... APPLICATIOR APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that this perlit laY be subject to "deed restrictions" wbieb laY be lOre restrictive than City regulations. fbe undersigned asSUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they uy 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirel8Dts laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbieb 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 wishes 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 Zepbyrbills. 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 - HOIeOlOler's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is sOJeOne other than the "owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the "owner" prior to COll8llCel8Dt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable lad regulating construction, zoning, and land developlellt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~ed prior to issuance of a perlit and that all work will he perfoIJed to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agenCies lilY apply to the intended work, and that it is If responsibility to identify wbat actions I lUSt take to be in cDlpliance. Sueb agencies include but are not lilited to: * DepartJent of BnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and BnviroDJeDtally Sensitive Lands, Water/Wastewater freatlent I Southwest Florida Water Managel8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways I DepartJent of Health i Rehabilitative Services, BnvirODJeDtal Health Unit - Wells, Wastewater freatJent, Septic lanks I US BnvirODleDtal Protection Agency - Asbestos abatl!ll!llt I also certify that, if fill laterial is to be used in Flood ZOne "A" or nA,etc.", it is understood that a drainage plan addressing a .cDlP8DSating VOIUlen will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 sball issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOJe invalid unless the work authorized by sueb perlit is COIJeIlced within slllOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of, six IOntbs after the tile the work is co.enced. One 90 day extension of tile, laY be allowed for the perlit with fee ebarge of $15.00. Ibe extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb six IODth period, or the project will be considered abandoned. WARNING fa (MINER: YOUR FAILURE 10 RICORD A NOIICE OF C<llMDCEMElI'I MAY RESULI IN YOUR PAYIKG !VICE FOR IMPROVIJIEKIS 10 YOUR PROPERlY. IF YOU IHUD !O OB'l'IDf FIIWfCIKG, COKSULI WlfH YOUR LBKDIR OR II AnomY BEFORE RECORDING YOUR KOliCH OF d~;:2'~O IIVM OOD_ro~~si~-" SfAfB OF FLORIDA P COUM!Y OF 0... oS C. 0 The foregoing instrument was acknowledged before me this Se.vJ' 1..3 , 19q & by . 60b A. \ ocl~ who IS persona y own m r who has pro uc as identification and who did~id no~ tak'XitoaIllJ () I . ~- ~Afll . 7<f hva (Si~ture) LJ \ ~..... ~. r 1 ,'^ "'r.cJ,..s (Name Typed, Printed or Stamped) NOTARY PUBLIC SIAR OF FLORIDA C'. coum OF t- o....S c. 0 The foregoing instrument was acknowledged before me this SfZ..pt. 1 3> , 19 ~ by c...~o e.- who i ersonally known to me or who has produced as identification take an oath.. (S~ature) -l,J ~t'\"'t..~. H"J\I""c./'5' (Name Typed, Printed or Stamped) NOTARY PUBLIC ""Ill "II _ ." ,6"'<'t> UENEE J HINRICHS *W* My ool11ll1inion 00449109 Expir-Mw.28.1999 , ~.. Bonded by HAl ~ IIF f~fI>"" 800-422-1555 ,"" ~,,~ DENee J HfNRICH8 *ji" My Com..........., CC4481C>> * Expiree Mw. 28, 1~ ~ , II" Bonded by HAl .,~., nO. 800-422-155& J~ODUCTIO'l Date / Ini tal ISSUE DATA I i , I I I I I I I I I I ! S~f~et ~o. Ja te ,Job ~.o . ~ p. t>P. .~e c::'f ~~~~. ~!Ii". eL..e.b. 0'\) ft, eo r ~I$ U~14 ".. ~ ~~JT": . ~,,.1 K.Le-j1- A ~ve. ~)4~f' <$Ur'~"(. ~~~r eL.ec., 1 rJe.,,,-, r2~fJp..,J N &fL1 t...-Le . ~~ tJ ~ I" e~~r. ~. w~~. fZ-oI~re. ~~.b{e. ~~ 1-<'-1' f I )l..rU ~ ~r !:fC1-4!oJ V-U.fl, ~M ~. A.f,f. ~ N~~ l-~r ~JJ r(c.- t1 ---- ~~ , " ~. .;.d"~ 1"C>>t 1.7-4- W~~. ~'H. ~~. ~m: ~ ----'- -@J 0e:w ~t.1F'~,j ~\"'Le..J r-, r.. ~.J~r 10 JI"" ~ I~p ~!;;'\"". [9 , , ~. : E:~TE:ND TO'-- t-Je::y.; ~f-ll,J .. =DE:CK~S . ~~~0 ~~c.-e.. ~~ l ~ew u~............. /"" ~Wlr~ /J~w 8"",,1101. -.... ~ -t"~"~!~.. .. y./C'a D W~.4. 8, ~. ~~ rIJ VJ...~~ ~~ I'f~~ ~ "-"" ~~,r~ ~\:1. -; -out'fVf ~l":"...-r. ,A.b. 'rl~'~ *10. ........ fJe'll ~ &(f'. to E:A:, -51" I!. e'r.. M n,;. ~J~ wI '2.."~UrJP :@ ~erJu.<.~ ~lAN~ . ~~ t'A!fJ. L fl-fLl 1:'0 ~, ~ ~ ~ ~ H ~ I!/~ ! L. ~ll . ! II ~~I~~ , II I . II It ~ I -c .. ~~~r' . t::4f'.-P I~,,",,) / I~ ~ WOft~) ,~~i. W~ ~Ir~-r EEUXA1~~-~I~=--==-:--- sf ~~ew N...UW' ~~~ =--..............1 ~~~~IV~~ ~ ~ ~L..I {bt:-+,..~. .. ~ .~~ ~t...(.,I')t 1 '...(}. ---=:1- .- A -~ Al- I I \ \ / \ " -.t ~SM"",e; ~t~'I. ~+- ~Dy-lN-e.. ~~, ~'A.~ ~~ 10 ~w...ltJ, . -I' ,1~tJ H C .~~1) .~tJ l e~W t:'rPI~ ~~ IL~lt MEiAL. PA~ELS -,&J30Vt=: C CG-'7-- ~ _LA:LEJ=EV~LO~J -~11_11_0 . f F'J ruRr" STAIR r- , LEO ..a.-" ~2f3 G e VAl10N HM'O PAAK'C CONf'tRENC( I.ttCHANlC& WAl'nNG s e J~CX)FO~CK tXTE"-lD TO-- RmLO~K---__d- . r-CG.ILIIJG-~ CCR~lOO~- - C Ll=A~ Cd.A~S GI:A'5S,--- - 100'-0' !JA()<( COOP'T 29-2 * 2HR nRE ~~ ffiJ .. o. :J o It... 0) (1) 0) "0 Q) <3> .c ...., (/) (/) r.n en --........ () c: tl) 0 tl) C'i:I _ ~ C'- .- :J c: ... .c (/) .... Q) OC\\J~ ~ 0 - c: ro 0 a.._ . ro . 0. I'" UC <td u; ,..,..,IJ': ~a: ~c: -l'" ~~ f- (/) W ~ -( *10 t')} .......: HEVIEWED BY: . /-e-~r J~ . j<PPHOVED o :t-~.s--9(, ~ ~ lWHCf: e * '* Jev-./ l?ff tc::.e. ~11~ 9-/3-Y-b L..ouAI~N H~ \11 , 1\ ~ 11.0"0 o~ .et: C"; 0' o:~ a:;:!; We') ~<l' :JS" roO: ",0 "'~ "'u; ~ ..J 5l ~ u I i ) 'i2 .~ l ~ . i j '-l 0 ~ '" :'l <.0 0) li) 0) ,... yo- .. I (0 to I <>> . g Cl.. t; ,. ill '" ~ z: ~(/) ~ .. ~ ~ J =>> - %' . I/) I/) W o - - --u.'. u. o :t UJ - -Z f- g ~ a: UJ I- Z W o -I <( o - Q UJ :=E o () (/) <( 0- I- (j) <( W '- n ::i) I ':~ ~C}- S T Af'f' &W< Nf Urn urn) ~ I \ ( ...... ~""-~-"--"""""'~""~ -,'""~ lr.._~ . ~-,~ l ZEPHYRHILLS I FIRE DEPARTMENT / . /// " t/ _\. Ie " -A-1 ; ~ ~ c