HomeMy WebLinkAbout96-6342
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BUILDING PERMIT
Permit N!
9' t7. 01)
BUILDING
JS"'; d7)
ELECTRICAL
J.5-: pO
PLUMBING
;;;LD. p-O
MECHANICAL
- 6342J3
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Date j;l-/b --9' {, .-
Sewer Conn J 1:J.~/b -f'~
,
Water Conn: tJi /.J--/6 . 7.L
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Water Meter:
T.I.F.'s: J /:2. -16-?t,
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CITY OF ZEPHYRHILLS
(813) 788-6611
P<operty Owne, ~ii '$
Job Address: . . ~ --:;;> ~
PameII.D.' ~ - . ~. _. _ - ~/ /J 0 -
1/3
"/-.3
Zoning: _)nergy Code: Radon Gas:
Description of WO~A1t JJ1 rJ-/.t t. ..,/: F ~
)I1f 6ft / -d.-9-?? 3;/~- 11 J1.1
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
/-/4-97
DATE
Inspector
DATE
-ZiJ2
Valuation or ,. / A-
Contract Price ~ / ,
City License Registration # / '1 63
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
/30. tTD
*-,~ ~~
PLUMBING
$/f t1~/9 J
MECHANICAL
BUILDING
v3.141 afi- fP
ELECTRICAL
)f.LF'; {l~ /9'-3
;f.uA;- (J~~
Breakers
Ducts Insl.
Compressor
Final J-3 -q'1 B~B
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
:ivJ,Vf> 1~3,q1 &B
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)~ ~,r-/ /d. -/ I:, -Y-l,
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
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 ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE r J A rY7G.5 'f-
OWNER'S ADDRESS :f9 630
~7??C-
JOB ADDRESS
OIf/L-1S W ,fJrs PHONE/ ~'-. ;1--/~5
C~~4C;6"""'7 /e4 ~~T -#~3
,r
AJ-s A'8d~
LEGAL DESCRIPTION: LOT(S) --Z
BLOCK ~ SUBDIVISION
PARCEL I.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: _Single FOlily
_H/F _, of Units _M/H
_eo..ercial
_Indust. _swta. Pool ___Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE: /:t.-- X 3 ~, 37'(; Square Feet, ~ 1(, Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
/~UlLDING
/ ELEC'J"RlCAL
~CAL
_PLUMBING
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUC'l'ION: _Block _FrOle _Steel
Other
FIlU.SHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
~~d3~
State Cert. or Regist. . . P..~ CC
Signature k u r-r A IleA.. City License Registration . ~-3
******************************************
. o~R- U' #a lFI\ OOIlt.51J
Rl.RCTRIClAN l rod 2-f'2...J/?4 COMPANY Li /le.t A.: t' ( ~~ ~ ~~
LI'(/~,/ Ain:.l'Ifd. <,wl1-lr State Cert. or R gist. . r. 0 . ~(Jl.lf1
SionAture t=rlli/6I yJ D# ~ # l'l!.a.-J f> .)?,,/{ City License Registration t . ~(
************* ****************************
,
COMPANY
PLUHBER ~~ ~~ COMPANY
-7/ .j... A State Cert. or Regist. .
Signature r[ U r{ J I t'_ A' City License Registration' 1'1 k..3
****,*************************************
I f"O () 2 ~-wI1"'I . ~6 c.o. c:, 0
MECHANICAL I-i'lf~y^,.yc"t(d, COMPANY L.'II t"'Y~lrr ~t7l1d .~~c
EJi ~ J i. --"'~ State Cert. or Regist. t r ~VCJ rl1' 7
Signature l~-:r 15 k OWVZ'c..]"" City License Registration' /? r
***********~******************************
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that tbis peClit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles 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 lilY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections II 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 tbe work. If the contractor wishes you to sign
as contractor that lilY be an indication that he is not properly licensed and is not entitled to peClitting 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 -Plorida's Construction Lien Law - HDIeOw.Der's Protection
Guidell prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sDleOne other than the
"owner II , I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
lIowner" prior to couencelent.
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 deveIopllent.
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
installation bas cOlleDced prior to issuance of a peClit and that all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also
certify that I understand that the regulations of other goveCDIeDtal agencies lilY apply to the intended work, and that it is
IY responSibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Plorida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tants
t US EnviroDlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Plood Zone IIA" or IIA,etc.", it is understood that a drainage plan
addressing a "cOlpeDsating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued shall 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 peClit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall beCOle invalid
unless the work authorized by such perlit is cOllBnced within six IOnths of issuance, or if work authorized by the peClit is
suspended or abandoned for a period of six IOnths after the tile the work is cOlleDced. One 90 day extension of tile, laY be
allowed for the peClit 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 IOnth period, or the project will be considered abandoned.
WAIUlHlG '1'0 MER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEtn' HAY RESULT IN YOUR PAYING TIIICE FOR IHPROVEMEtn'S TO YOUR
PROPERTY. IF YOU Itn'EIm TO OBTAIM FINAXCING, CONSULT WITH YOUR LEImER OR AM A'I''fOIUlEY BEFORE RECORDING YOUR Il'OTICE OF
COHHENCEMEtn'. JOBS UMDER $2,500 IN VALUE 00 NOT NEED '1'0 RECORD Arm POST A "NOTICE OF COMMEMCEMEtn'".
SIGNATURE: OWIfER OR AGEtn'
7-A~ d~
SIGNATURS: COtn'RAC'fOR
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUM'I'Y OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
ALeNT
1.14
TO rnL. fWIUUI'lT:
C()I'1P'NY t~CCOUI'.Jr C:ENTEn
8450 - 363000 - 2
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C:otHH(')CTOn #:
NAME: JAMES COPPS
ADDR: 39b30 CHANCEY RD
C:/~;31': 7.EF'~yIYf:;:I'.iIL.I.u~~':: r"t.
C E N T R ALP E R M I r TIN G DATE: 12/16/96
PA&:O COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00306019
LUl 42 OFFICE: DADE CITY
F'()R:
CHECY. t~ CW::;H
r;:E:30unCE'~ FEE IJN Pf.:rmn FOR C1 TY OF Z "'HIL
AMOUNT DESCRIPTION/PERMT DATA DRIeR
2.13 ****** SOLID WASTE FEE 60
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RECE;IVE . ~~~~_..___.______