HomeMy WebLinkAbout96-6275
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N.
(813) 788-6611
6275'
Date
1/-2-0-96
ElECTR"""r----. PlUM-'~MEC S'w" Conn
7"- 7lJ ~ Water Conn:
Pmp'rtyOwn". ~~ Wa'"M""
Job Address: (fct d:. S' 0 jd~ R.I/ P~.::IL. C S"lfiJ),.F.'S:
Parcell.D. # d 2...- ~ <0 - 2../_ 1- $0 - 3 - .L aT *-1 .
Zoning: Energy Code: Radon <;::: l .
Description of Work ~..-- ~ WaMA - ~
-'
NO OCCUPANCY BEFORE C.O.
FINAL
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
Pe,m;t Fee Md~
Signature""/ ':1L__
Company
Address
Telephone#
Valuation or Jf ~ n c:>
Contract Price ..J ..bd....
City License Registration # 2 ?7
State Certified License#
~~
ELECT~
/
PLU.
r
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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 PERKlT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
.'
OWBER'S ADDRESS
GLOl{'j~
.5 k-M'I-
w- -#- ,
~
lliill O~
PHONE ;g/] -793 >- '1D!5~
R-t' Pa~k- IT-
OWNER'S NAKE
JOB ADDRESS
LEGAL DESCIUPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.' , (OBTAIN FROM PROPERTY TAX NOTICE)
IIllRK PROPOSED: v;;'ew CoostructiOll --....Addition ---..Alteration ______ir ~ta11
PROPOSED USE:
_Sign
~e
-'love
_Deaolish
Faaily
-'l/F
_, of Units
---1I/H
_ec-ercial
_Indust.
_Swia. Pool _Other
_staurant ,. Rea1th Depar-.,t APPro/V~~ _ I ,
DESCRIPTION OF WORK: 0C y- e.e., YJ F<.oo fY\ ~ :)
BUILDING SIZE: /Lx n I . 9 (p Square Feet. 1 I Height
- Dh)Y
RESIDERTIAL:
COMMERCIAL
ATTACH (2) PLOT PLANS 61 (2) SETS OF BUILDING PLANS 61 (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS 61 (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UILDING
$
5'J~~
PERH.ITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power CorP.
W.R.E.C.
-lIEClWiICAL
$
Valuation of Mechanical Installation
_PLJJKBIRG GAS ROOFING
SPECIALTY
TYPE OF COIISmUCTION: _Block _Fralle _Steel
Other
F1IIISI1EJ) n.ooR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA!
YES NO
*********************************...******
IUILDRR
L.' '\
COHPANY r..J
State Cert. or Regist. ,
City License Registration ,
*.***.......***..****.***************.****
Signature
m.RCTRICIAR
COMPANY
State Cert. or Regist. ,
City License Registration .
****************.*************************
SignAture
-...
PLUKBER
COMPANY
State Cert. or Regist. .
City License Registration .
***************************************...
Signature
HECllABICAL
COMPANY
State Cert. or Regist. .
City License Registration .
***.********~***.***********.************.
Signature
p1'RRR
COMPANY
State Cert. or Regist. ,
City License Registration .
***********.*.*****....****.*.***.***.****
Signature
APPLICATION APPROVED BY -.: . . .
PBRHIT OFFICER.
.. CONDITIONS Of
A. NOTICE OF DEED RESTRICTIONS
fbe undersigned understands that this peIlit laY be subjec
regulations. lhe undersigned assllleS responsibility for L
t
iT AFFIDAVIT
Jeed restrictions I which MY be lOre restrictive than City
llce with any applicable deed restricti0D8.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertt' '1rk, they laY be required to be licensed in accordance with
state and local regulations. If the contractor is not licens. required by law, both the owner and contractor .Y be
cited for a lisdeteanor violation under state law. If the o~ JC intended contractor are uncertain as to wbat licensing
requiretenu laY apply for the intended work, they are advi contact the City of ZephyrWls Building Departlent, (813)
788-6611. >
FurtherlOre, if the owner has hired a contractor or contrac
lContractor Sections" of this application for which they wi
you are indicating that you, rather than the contractor, al
as contractor that laY be an indication that he is not prOi
City of Zephyrbills;
c. TRANSPORTATION IMPACT FEES AND
is advised to have the contractor(s) sign portions of the
BSponsible. If you, as the OIIJler sign as the contractor,
JIlSible for the wort. If the contractor wishes fOIl to sign
licensed and is not entitled to perlitting privileges in tbe
(LITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a Cl of "Florida's Construction Lien Law - 8CIII!OIIJler'a Protection
Guide" prepared by the Florida Departlent of Agriculture and CO,,3111er Affairs. If the applicant is 8OIeOIle other than the
lowner", I certify that I have obtained a copy of the above descri~_~ docuteDt and prOlise in good faith to deliver it to the
"owner I prior to COIIeDCetent.
t
," ~
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is c' rate and that all wort will be done in COIpliance with all
applicable laws regulating construction, zoning, and land d~, 10pteDt.
Application is berehy tade to obtain a perlit to do work and installation as indicated. I certify that no wort or
installation bas ~enced prior to issuance of a perlit and that all wort will be perfonid to leet standards of alII.
regulating construction, City codes, loning regulations, and land developtellt regulations in the juriadictiOll. I also
certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended IIOrl, and that it is
If responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not li8ited to:
I Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and BnvirODleDtally Sensitive Lands,
Water/Wastewater 'J'reatlent
I sputhwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
.....;.~ M'IY Corps of Engineers - Seawalls, Docks, Navigable Waterways
'.t'Departtent of Health & Rehabilitative Services, EnvirODlelltal Health Unit - Wells, Wastewater TreatJent, Septic lants
I US BnvirODleJltal Protection Agency - Asbestos abatetent
I also certify that, if filllaterial is to be used in Flood ZOne IA" or II, etc. " it is understood that a drainage plan
addressing a lCOIpensating volUte" will be subtitted wbich is prepared by a professional engineer registered in the State of
Florida prior to peIlit. issuance.
I perlit issued shall 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 peIlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid
unless the work authorized by such perlit is COllellced within sillOnths of issuance, or if wort autboriled by the perlit is
suspended or abandoned for. a period of sil IOnths after the tite the wort is m.enced. One gO day utension of tile, .y be
allowed for the peIlit with fee charge of $15.00. The utension sball be requested in writing to the Building Official. An
approved inspection lUSt be lbgged during each sil IODth period, or the project will be considered abandooed.
WAlUfIIG 10 (liNER: YOUR FAILURE 10 RECORD A NOTICE OF COMMBICEIIBH'l' MAY RESULt IN YOUR PAYIIG flUCK FOR DIPROVIIIDIS 10 YOUB
PROPERlY. IF YOU II'J'END TO OBTAIN FINANCING, COJlSUL'J' WITH YOUR WDIR OR All AnoRIEY BEFORE RECORDIIG YOUR DICK 01
Cl>>IHEJICEHm'. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AJID POST I "NOTICE OF ClIIMBHCEIIBI'J'I.
>'It!lij&~ ~~
. SIGMAT: R AGENT SIGMAT: RACfOR
STITH OF FLOR~
coum OP ~{'o
The foregoing instrument was acknowledged
before me this No i/ . /9 , 19 ~ by
. ffllJ/Z~ rJ10AlhR~.tee;J___
who is per nally known to me or who has
produced
as identification and who
take an th.
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
JAMES A. STONE
Notary Public, State of Florida
My comm. expires May 16, 1999
CC 446560
STATE OF FLO~
coum OF !Sac
The foregoing i~rument was acknowledged
before me this 1/. /9 ~ 19~ by
;J1~~ ~A.i~"LA~,A/
who IS ~ers ally known to me or who has
produce
as identification and who did/did not
t.ke~~ tI- ~~
(Sig u
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
JAMES A. STONE
Notary Public, State of Florida
My comm, expires May 16, 1999
CC 446560
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I L ENGINEER - OEV[tOPt.A[NT CQUSUUAtH
P.O. BOX .068 .
PORl ORAHCE. FlORIOA 32119
TEl[PttOH[: (904) 767-HH
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SCREEN ENCLOSURES
SCREEN / VINYL WALLS
SOLID COVER
TIlE DESIGNS AND SPANS SHOv.w. ON UtES(
ORA~NGS ARE BASEO ON lH[ LOAD REOUIREMEN rs
or !HE fOllOWING COOES,
1. STANDARD BUilDING CODE 1994 EO. CHAPT[R 16
114ClUOINC APPLICABLE WNO lOADS AND PROVISIONS
Of saCCI ssm '0-93
2. BOCA NA llONAl BUILDING CODE 1993
J. TEXAS O(PARTJ.l[NT Of INSUHAWC( WINOS rolUA
RESISTANCE GUIOE 6-89
t->;-'
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IHE OESlGNS ANa SPANS SHOWN OH THEs(
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BAHR'S ALUMINUM & HARDWARE, INC.
37827 EILAND BLVD.
ZEPHYRHILLS, FL 33541
(813) 782-3513
Custome"s
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PRlNT!.O" USA.
15.
Received
By
In case of claims or re med
goods, please present this bill.
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