HomeMy WebLinkAbout96-6140
BUILDING PERMIT NO - .
CITY OF ZEPHYRHILLS Permit- 614013
(813) 788-6611
Date
/0-3 '--9--6
~ ELECTRICAL PLUMBING MECHANICAL
:::::,~.:~:i~~e3~~~~-<tr~ ~
Parcell.D. # / odJ.. 6 -~ - l'/;;20 u ZJOl){) -- (.000
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
Energy Code:
~~-4 ~
AL#-.
Radon Gas:
~~A;L;;.
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
J7?
Permit Fee ~;, cJt.)
Signature
Company
Address
Telephone#
Valuation or
Contract Price
-$I () 6 o. iYv
/'
-J!/~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
., \
OWNER'S ADDRESS
u\L
JOB ADDRESS ~.
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~~~ 0
- c::fJc.. 0
PARCEL I. D.' \ () - do.. \.,0 - -:L \ - a\ '2J::> - ~ (OBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install
_Sign -"ove _Deaolish
PROPOSED USE: _Single Faaily _H/F _' of Units _H/H
_ec-ercial _Indust. _Swim. Pool _Other
_Restaurant & Health Departllent Approval
DESCRIPTION OF WORK:~\\~ ~YY'\ CsJV.].(S ~~ ~~~ Gh.A~
BUILDING SIZE: ~X 4e. '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.
_BUILDING
~ PERMITS REOUESTED
$ 4\:) ~ ~ Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
---1IECBANlCAL
$
Valuation of Hechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FDlISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
/.
CONTRACTOR SECTION
BUTlnER ~._.. .' . ..-- COHP~~ ~ ~
6/ . State Cert. or Regist. t
Signa, re City License Registration f "92t
******************************************
?o
F.1.F.CTRIClAN
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
SiimAture
PLUMBER
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
MECHANICAL
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
OTHF.R
COMPANY
State Cert. or Regist. ,
City License Registration #
******************************************
Signature
APPLICATION APPROVED
BY~tY::..e -
PERMIT OFFICER.
. CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE Of .DEED RESTRICTIONS
The undersigned understands that this pertit lay be subject to .deed restrictions. which lay be lOre restrictive than City
regulations. The undersigned assutes 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 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 Zephyrhills Building Departlent, (813)
788-6611.
FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
.Contractor Sections" of this application for which 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 he is not properly licensed and is not entitled to peraitting 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. HOIeOWner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is scmeone other tban the
.owner", I certify that I bave obtained a copy of the above described doc\llent and pr<mise in good faith to deliver it to the
"owner" prior to cOIlellCetent.
E. CONTRACTOR'S/OWNER'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 perlit to do work and installation as indicated. I certify that no work or
installation bas COIIenced prior to issuance of a perlit and that all work will be perfoIJed 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 goveIDIeDtal agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in coapliance. 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 Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treablent, Septic Tanks
t US EnvirODlental Protection Agency - Asbestos abatetent
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 .c<mpensating volute" will be sublitted which 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 shall issuance of a pertit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
unless the work authorized by such pertit is COlIBnced within six IOnths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six IOnths after the tile the work is c~ced. One 90 day eltension of tOe, laY be
allowed for the peI'l).t with fee charge of $15.00. The eltension sball be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
IIARlfING TO OWlfER: YOUR FAILURE TO RECORD A HOTICE OF COMMEHCEHEIft' HAY RESULT IN YOUR PAYlHG DICE FOR IHPROVIMItft'S TO YOUR
PROPERTY. IF YOU IIft'EIfD TO OBTAIH FIHAHCIHG, COHSULT WITH YOUR LBIfDER OR AM ATroRHEY BEFORE RECORDIHG YOUR HO'J'ICE OF
COMMEHC J BS UNDER $2,500 IH VALUE DO HO'J' HEED TO RECORD AIfD POST A "NO'J'ICE OF C~IMItft'H.
/~ L~ ~
E: OWIfER OR AGE1ft' -----z.--.----- S. --- - OR
STATE OF FLORIDA /)
COUDY OF ~ C-b
The foregoing instrument was acknowledged
before me this J)lf / , 19 ~ by
~~ tU~~
who is <personally known to me or who has
produced
as identification and who did/did not
take an oat
STATE OF FLORIDA ~
coum OF A.A/ GQ
The foregoing i~trument was aCknowledged
befor-e me this ~ / , 19 ~ by
7~~~
who is personally known to me or who has
produced ~
as identification and who did/did not
take an ?t4~~~o
(Signatur ~ '~ /
~ 1 ~~O
(Name Typed, Printe or Stamped)
NOTARY PUBLIC
(Name Typed,
NOTARY
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! !$.~~~~"~'o;. Mar~ A. B~-;;;- ,
r/'~to! N""" P\Jbl., State pi _
~:~. .~~l My camm. expires AprU 3, 1999
'~~~.,~ Comm. I CC091752
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PORT ORANG[, FLORIDA 32119
TELEPIION(: (90") 767-"77"
SF.~\ fAX. (90') 767-6556
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3. !~~~.~ .~~~.ARn",~~T OF INSURAN(T 'MNnc;TMu
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_~'IIIL ENG'NEER - DEVELOPMENT CONSULT ANT
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PORT ORANGE, FLORIDA 32119
TELEPHONE: (904) 767-417'
FAX, (904) 767-6556
FREESTANDING COVERS
THE DESIGNS AND SPANS SHO",,", ON THESE
DRA....,NGS ARE BASED ON THE LOAD REQUIREMENTS
Of" TflE FOLlOVllNG COOES:
I. STANDARD BUILOINC CooE 1994 ED. CHAPTER 16
INCLUDING APPLICABLE VlIND LOADS AND PRDIIISlON~
0>' SBCO. SSTO 1D-g.}
2. BOCA NATIONAl BU'LD'NG CODE 1993
3. TEXAS DEPARThlENT Of" INSURANCE ....,NDSTORM
RESISTANCE GU'DE 6-8g
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FREESTANDING COVERS
THE DESIGNS AND SPANS SHD"",,, ON THESE
DRA\\1NGS ARE BASED 01/ THE LOAD REOUIREIolENTS
Of' TAE rOUOIMNG CODES:
'- STANDARD Bvll.OlNG COOE 1994 EO, CHAPTER .4
INCLUD'NG APPLICABLE YoIND LOADS AND PRO\llSlOtI~
Of' saCCI. SSTO 10-9.3
2, BOCA NA nONAL BU'LDING COOE .99.3
J. TEXAS DEPARNENT Of' INSURANCE \MNDSTORIol
RESISTANCE GUIDE 4-89
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