HomeMy WebLinkAbout96-6317
BUILDING PERMIT
N!
-
63171
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date I:;) ~ c; - 9h
:/1Sd#J .sO
BUlyiNG ELECrAL PLU~NG MECHANICAL
Pmperty Owne' <? [) ~~Q 'N\ aA I ~~ e..2..l~
Job Address: 3'K I CD__~~~.
Parcel I. D. #
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code: Radon GaG '
.~~:.-~QAA_'~'~X-~-, ~~)
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
Permit Fee .if .::2d.. -5'0
~~:~~i~
Address
Telephone#
Valuation or
Contract Price
Jj 3r; q(J~ Q)(J
City License Registration # 37 "3
State Certified License# (!)(j)'g~~t:>OI1)7
BUILDING
ELECTRICAL
PLUMBING
~d'73
~
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 ($15.001 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.
f?l,-DC4: f( ~I{ '* &/1./&1
APPLICArIOIII FOR PERltIT
CITY OF :l.II:I."J:IIKH. ..Le;;
BUII.DI.IIG J)EPAll'IIIEln'
fUt'DA M{vlfAf/ Wft
7~ 1~ 1~q(P
OWNER'S HAHEfiortlP)( M{DI~ WNl6
OWNER'S ADDRESS~ M~1 ~1. terl1f9J1,UbJ
I '
JOB ADDRESS ,0'oq ~~.
PBO~?//,Z,I/I?~l
kk.
LEGAL D~CRIPl'ION: wr(s)
B.LOClC
SUBDIVISIOJ!J
PARCEL 1. D. t
WORK PROPOSED:_lIev Construction ~tion / A1teration _Repair
Install,
- ",,^
_Sign
-----.JIove
_DeIIolish
_~rcia1
_Indust.
_S.o.. Pool
, ---3f./H.
~ther.'
PROPOSED USE: Single Faail.y
---1J/F
_' of Units
_Rest:aurant &: Bea1t:h Depart:llent Approva1
Square Feet,
Height
BUILDIHG SIZE:
x
RESIDEHTIAL :
cott!IERCIAL :
A'l'TAGH (2) PLOI' PIARS &: (2) SETS OF B1JIIJ)IJiG PLAKS &: (1) SET EllERGY FORKS..**
ATIACH (3) SETS OF B1JIIJ)DG PLUS &: (1) SET ENERGY FORKS.**
**COPr OF CONTRAcr REQIJIRED.
PRRKT"I"S REQUESTED
_BUTI.DING
$
Va1uatiOll of Tota1 Construction
_ELECTRICAL
~CAL
AKP Service
Florida Power Cbrp.
W.R.E.C.
$,.
31QOiOO
Va1uatiOll of Hechanica1 Installation
---..PLUKBIHG
GAS
KOOFIHG
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Pralle _Steel
..
Other
FDIISBED FLOOR KLEVAnOHS:
FI'.
IS P.RO.JECT IIi FLOOD WIlE AREA?
YES NO
******************************************
COJI'I'RACIOR SECTION
BUU.DEIl
Signature
COItPAIUY
State Cert. or Regist. #
City License Registration I
******************************************
ELEGTRICIAH
CO!IPABY
St:at:e Cert. or Regist. ,
. City.I..i.cense RegiSf:T.at"i.<<m t
******************************************
Sil!'O::t:hrre
PLUttBER
Signature
CO!IPAIiY
St:at:e Cert. or Regist. ,
City License Registration I
******************************************
KECUAliICAL
Signature
CO!IPABY
State Cert. or Regist. I
City License Registration t
***********~******************************
0'I'1IRR
OY~~ 0U 0ff4N/L~~, (NG,
S~te ~rt:. or R~gist..' mgCfJO~~t17
C1t:y L1cense Reg1strat1on ,
**************************************
~
Signature
APPLICAnON APPROVED BY
PERKIT OFFICER.
. CONDITIONS OF PERMIT AFFIDAVIT
~. NOTICE OF DEED RESTRICTIONS
'The undersigned understands that this per.it lay be subject to 'deed restrictions. which .ay be .ore restrictive than City
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictiOnS.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired ~ contr~~}9I.~&ontractors, t~ un~ertake work, they .ay be. requir~d to be licensed,in ilc~sU'i~.nce w.it~
state and local regulatIons. If tie contractor ,1* ~~t lIcensed as required by law, both the owner ilnd contractor'.ay be"
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing .'
require.ents .ay i1Pply for the intended work, they are advised to contact the City of Zephyrhi1lsBuilding Departlent,"YB13''"
7B8-6611.
.,.i J}fI.,.:; ,,'.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s).s~gn portions of the
"Contrilctor Sections" of this ilpplication for which they lIill be responsible. If you, as the owner sign as the contractor, '
you are indicating that you, rather than the contrilCtor, are responsible for the work. If the contractor wishes you to sign-
as contractor that .ay be an indication thilt he is not properly licensed and is not entitled to per.itting 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 - Ho.eowner's Protecti~n
Guide' prepared by the Florida Depart.ent of Agriculture and Consuaer Affairs. If the appl icant is so.eone oth'er th~lr,:th'~~I""
"owner., I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
.owner' prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, 'and land develop.ent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that n~ work or
installation has cO.lenced prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. [also
certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
'Y responsibility to identify what actions I .ust take to be in co.plianc!. Such agencies include but are not lilited to:
f Depart.ent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlyCorps of Engineers - Seawalls, 'Docks, Navigable' WaterNays .'
t Departlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environlental Protection Agency' - Asbestos abate.ent'" .
I also certify that, if fill laterial is to be used in Flood Zone .A' Dr 'A,etc.., it is understood that a drainage plan
addressing a 'colpensating volu.e" 'will be sublitted which is prepared by a professional engineer registered in' the1State of
Florida prior to perlit issuance.
.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
set aside any provisions of the'technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e inva~id
unless the work authorized by such per.it is cOI.enced Nithin six .onths of issuance, Dr if Nork authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the Nork is co..enced. One 90 day extension of ti.e, .ay be
allowed.for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six .onth period, or the project Nill be considered abandoned. I
W$RHIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
C1lltIIENCEIlEHT. JOBS UMDEIlI2,500rJ VALIlE IlO MDT IEED TO REr:DR~~~
GHATURE: CONTRACTOR
STATE OJ:. FLORIDA~ //- ~ t'
COUNTY OF" r .'#?VO~ . .. .
The foregoing instrumen~ was a~~wledged
before me this 11-/8 , 19..z:!! by
{/.b Wu;d.
n to me or who has
who i ersonally
produced
as identification and
who did@~
~~~.~
~~~ Co _
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~v PII JEWEL C. CAVAS
~At COMMISelON 11 CC 348667
g EXPIRES FEB 3,1998
~'r f;;? 8ONOEDTHRU
~OF t\.~ ATLANTIC 8ONOtNG W..ING
STATE OF FLORIDA 1/,'//5 j /
COUHTY OF ,. t!)/)/,~~~^-- "
The foregc'in~' instrument 'as ack'lo)lle.~ged "'j
before me thIS II-/H, 19~ by' ....,
and who did/~ not~
/(' ~
ture~.d- ~..
Name Typed, Printed
NOTARY PUBLIC
'i Pl/ JEWEL C. CAVAS
~~f::: co. .MM.IS!ION * CC 348667
~ 1'> li~fltIRES FEB 3.1998
~t" BoNOEDfHFlU
~OF '\I AtLA~TIC 8QHoIHG CO.. INe
RODAN FIRE SPRINKLERS, INC.
2-501 N. 70th Street
TAMPA, FLORIDA 33619
(813) 621-1357
FAX (813) 628-0143
BRANCH OFFICE
938 Clint Moore Road
BOCA RATON, FLORIDA 33487
(407) 241-9411
FAX (407) 241-2972
ro'b~~
WE ARE SENDING YOU ~Attached 0 Under separate cover via
COPIES
[L~U[j~~ @[P U~~~[fYA].~U[j~[L
Dil/i, to
Ap'~~~1 per(
RE:
the fol/owing items:
o Specifications
o Shop drawings
o Copy of letter
o Prints
o Plans
o Samples
o Change order
o
DATE
NO.
DESCRIPTION
THESE ARE TRANSMITTED as checked below:
~or approval
o For your use
o As requested
REMARKS
o Approved as submitted
o Approved as noted
o Returned for corrections
o Resubmit __copies for approval
o Submit__copies for distribution
o Return__corrected prints
o For review and comment 0
o FOR BIDS DUE
o PRINTS RETURNED AFTER LOAN TO US
19
COPY TO
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GENERAL NOTES
1. MODIFICATIONS MADE TO THIS EXISTING WET PIPE .
SYSTEM ARE IN ACCORDANCE WITH NFPA PAMPHLET '13,
19'~ EDITION. .
2. All HANGERSTO'BE'ASPERNFPASTANDAROS.
3. ACTUAL PIPE ROUTING MAY VAAV DUE T~ fiELD
COORDINATION WITH 0THEh TRADES.
4. THE ADDITIONAL SPRINKlERS ADDED'TO THE SYSTEM
WILL HvDRAULlCAlL V HAVE ADEQUATE PRESSURE
AND FLOW WITHOUT AFFEC11NG EXISTING SPRINKLERS.
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SPRINKLER LEGEND
EXfij,tHeJ H!AdLOCA110;.'
AEtOCA~Q ttiO UJ .'
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EXrsT1HG HEAd PlUOGm
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HANGER NOTES
".. ". ~ I. :, .,
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DROP NOTES
ALL HANGERS TO BE 3/8" A. T.R. .
WITH TOP BEAM CLAMP AND ADJ. AI'NG.'
All OAOPSrOBt l' piPI! .
WITH l' )( 1n- RtOUCINQ t'&JPUNQ
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-~
ZEPHYRHILLS
FIRE DEPARTMENT
REVIEWED BY:
\,.,,~~Jt/h--
PPROVED
If) --:J9~'l'
---- -----
TYPE OF OCCUPANCY & NAME OF OCCUPANT
TYPE SPRINKLERS 166. 212. 28&. FINISH SPECIAL
UF'RIGHT Va"
PENDENT Va"
flUSH
SlOE WALL H
DRY PENDENT
FLUSH PENDENT
LO. UPRIGHT 17/32
LO. PENDENT 17/32
tOTAL $PRINKlEA THIS SHEET
TOTAL SPRINKlEA f'OA JOB
Goe.
FIGURE IN BRACKETt )DENOTES OISTANCE FROM
CENnA OF LIN! OF PIP! to
DAle
REVISIONS
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OF DATE
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