HomeMy WebLinkAbout97-6382
BUILl?!~~Hy~!RM!! N~ -638~B
(813) 788-6611 Date /- /0 - 9:/
~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
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Parcel 1.0. #
Zoning: Energy Code: Radon Gas:
Description of Work ~ t ~ ......A.--L~ ..,1 ..e../\./ ,t:?/Vt
Water Meter:
T.I.F.'s:
-P--r~d 'AlAf~
.J.f-9-Q
FINAL
NO OCCUPANCY BEFORE C.O.
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 ~
Valuation or
Contract Price
:2.1/ 7-
./
c:::)"L)
Permit Fee 3~
Signatur~ ~ 5z:C;t./CJ
Company
Address
Telephone#
City license Registration #
State Certified license#
J77tJ
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BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SlB
Tub Set
Water
Sewer
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Bl/B3/1997 08:47
FA~ 813 i82 2283
813-782-El624
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Plant City, FL 33565
(81.) 717-1117
Tamp. (813) te7-7821
ulC.lInd (141) 284-0111
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SCREEN: GLASS
AND VINYL ROOMS
WHITE ALUMINUM PRODUCTS, INC. 0 ~
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Aluminum aJlldlng Systems lil :ot
1107 NOR Ttt THOI.IAS RD. ,:!'i ~
lEESBURG. rlORIO... ,H748 ~I
PHONE: (904\ 787-.'7766 1-600--342-9077 . " . iii
r...x: (904) 167-0669 , .J':' i , .
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WHITE ALUMINUM PRODUCTS, INC.
D.aA.
Aluminum illUdIng Systems
1107 NORTH lHOtolAS RD.
LEESIlURC. FLORIDA 34746
PHONE: (904\ 767-7766
FAX: (904) 167~0669
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1-600-342-9077
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APPLIOATIOR FOR PBlUIIT
GIn or IIPIIYIUIII.1S
IU1LDINO DIPAR'l'tII1T
ltr/S) 'l11r9t'17' /3.fl\j
Pl-,AtfV' r' ~ r ~ '
OWRIR'S _AIm G-t..OJ'(,G-~ C!';;5E-
OWlIn' 8 ADWI88 '19 L/ 7 LIl- t< ~ S I'D F
JOB ADDI- ~/V1I D~ q'C} ~ 7 LA-x>:,s j b ~
PRORI 7g0'-?? I 7'1
J ~
LBGAL DI8CJlln'IOl; LOT(S)
PARGlL 1.0.'
BLOCIL-SUBDlnSIOR hJ /A.JKIt' s ;VI f/"tJ
UIU~. noli PBOPmrrY TAx BOTICIl)
WOIUt PROI'OSBDI--"ew Coastru.ctioo --.-AdditiOD --^lteration ---RePair _l.D8tall
-8ip
---..JIOV'e
---.JJ.-o~i.h
PROl'OSBD USI: ~a.ale F_ilT
--Jt/F _' of units ~/B
_ec-erc1a1
_Indust. -5w:la. Pool _Other
".taurant . Health Departaeot Approval
DISCRIPTIOI OP WOIUtt -$)(UI./)4~Af ~ /./A1~A L~~ ~r.
BUlLDIRG SUI: q I .&0. . Square Peet ~ it Belpt
RBSIDBITIAL: ATTACH (2) PLOT PLUS a (2) SITS or BUlLDIRG 'LARS a (1) SIT IHIlGY POMS.
comtD.ClAL; ArrAQI (3) SItS OP BUILDIRG PLAttS , (1) 8ft EROGY PORMS.
ftlOPBIlTY SUIIV'B1' RBQUIRED POR ALL BSW CONSTRUCTION.
--'!J1LDIlIG
$.
.BlUlI.TS ImOUBSTED
r-21/ L9.~c;t Val...tlOll of Tottil Con.struetlon
RI.RCl'RI.CAL
MP Sel'Yiee
Florida Power Corp.
1I.1t..I.C.
~CAL
-1'WMItlO
$.
Valuation of lIecbaoical Insta11.atioo.
GAS
ROOrlllG
SPlCIALTY
/:J .L..-./ /Y?1 _ Other
TlPI OF cm5l'1lucr1OR: ___Block _FPIIIf! _steel
FUISBID PUJOR BLBVAnOllS:
PT.
18 .PRO.JBC'l' 18 FLOOD ZONB ADA' .2s:..
US 110
..........................................
Slpatun
coriTllACTOIt UQf~QliI'
cotIPAIIt IJJ.. H )Tf:.. 'f}-L.V)/J/v 1/ loA /t"'__ L.~i.. L. Co ~ MA-ftJIIL
,J? . . C'_____ State Cert.. or ReBut. . rf~ ~~tt
('\I-//vu/A.J ~/~ City Lie.Me lleaiatratlon . tJ
..........................................
J&Ul1.D1R
RI.IU!'I'DTCL\II cottPAIfY
state tert. or a.,iet. .
Si..,..tur. . , Gity License Re.ietration .
..........................................
11.1.... COKPAIIY
State Cert. or teat.t. .
B1BD8ture city License R..ietration .
..........................................
JlIU!IIA8ICAL cotIPAlfY
state Cert. or Reatet. .
Sianature City License Re.ietration .
..........................................
nTIIRIl COMPARY
State Oert. or Ileat.t. .
Slsne.ture City Lleenae Re.ietration .
..........................................
APPLlCAttow APPROVID BY PBlMIT OPPlCa.
A.
the ....
rlfUl.U..
CONDITIONS OF PBRMIT AFFIDAVIT
F CTI
t . perl I., labJect to ~d.ed r,.trlctlonl' Ibleb II' be IOte re.trlctl,. than elt,
lilt ....,11I1.1 ...... rhpUIIIlblUt, tor cotpUIIlCI 11th aDf .ppUClbh c1lea rntrlcUOftI.
FurlhlrlDrl, If tbt owner baa hired a contr.ctor or contractor., he II advised to have the contractor(l) Ilgn portion. of lb,
'Contr.cloe lectlaal' of tbll .,pllcetlon for .bleb the, 1111 be rllpoDllble. If JOU, II tb, owner sign II the contractor,
rau Ir. l"'leatlllf tblt JOU, rlthlr than the contractor, Ire rllponllble for tb. wor.. If tile coatrlctor .lthu rou to tip
I' .tr.etor tIIIt II, III ... Inc1lcIUon tblt be Ie not proplrl, lIcenled Ind II not entitled to perlJttlng pr..11.... In tile
tit, of I~III..
c. TIU\tfSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. TR T 0 L (CHAPTER 713, FLORIDA STATUTBSr AS AMBNDBD)
I cert, , ." cant, f' prodded .lth I copy of 'rlorldl'l Conltruction Lltn Ln . lDealmer'l Protecllon
Guide' "replr" br till 'lodet Dtpartllnt of Agriculture Ind Cona.r Aff,ln. If the Ippllcant I' .0R0ftI ot"r thin the
'owner', I certl', tblt I be" obtained a cop, of the lbo,. ae'crlbe~ docuItnt and prOlI.1 In gooa f.ith to 4ell'l[ It to tbe
'own.r' prior to ~t. '
E. CO~'S AFFIDAVIT
I cutU, tilt i1f1&IIiilOiii8un "tbll .ppUeetlon II accurate an4 thlt III lork 11111 be 40ne In cDlpUance wltb IU
Ippllcabll 1... nguJltlng c:onatructlon, IlIIIln" an4 1anc1 d.,eloplent.
Application I. hlrebr l14e to obteln I plr.lt to do wor. .nd Inltallation .8 Indicated. I certlf, that no IOrk or
Inltlllltlon ... CDIIIftcaa prior to 1"Dance of . perllt ana thlt all work will be perfotIBd to "It ttanG.r4. of .11 la..
regulating CDnItructlon, eltr code., lonlng regal,tlonl, Ind land ae'elopaent regalltlon. In the ,urI141ctlon. I 11.0
tertlf, tblt I unc1tr.tana tbet the regulations of otber go'trDIent.l Igenclee la, Ippl, to the Intendec1 worl, ana tbet It I,
., rllponllbllltr to 14lfttlfr whit Ictlon. I IUlt takl to be In coepJllnce. Bueb egencl., Includ, bat Irl not lllltea tor
. DePtrtllnt of In'l~l Reaulatlon - C,pres8 Barbead., Wetland Are.e and In.lrORllntall, 8en1lti" Lanai,
IIter/la.tewet.t Ir.etient
I - - l 1 II DI 1 - IleUe, CypruI IIJb1l148, letlllnd Arlllll, IIlt.rlng W.tercour...
. ........ I, Doc , Iltiglble laterve,.
. , 8mlc:u IDdr tll R ltb Unit - W,UI, WI.ttuter 'r..tleDt, 8epUc !an'.
t WIlY lOt ,t_t
I I .0 ctI r, . er tl II to be _ In rlood lone tlAW or IfA,lte.., It II underetoad tlllt . drelMge ,lID
.d'fIIIl., . 'oalllllltlDf tOl.... 1111 be .IbIJtttd .bleb II prepared b, I prof...JooIJ tntlnltr regllterec1 In tbe ,tit. of
Floria. prior to pmlt IlftIIIct.
A petitt II"ed ebtlJ be con.trued to be I llcen.. to proceed 11th tbe IOrl and not I' luthorltr to ,Iolete, clDCII lIter, or
aet ,.Ide anI protlllODl of the technical codel, not ehlJI f..uancI of I per.lt "r'fent the BuildIng Official fral thereafter
requiring I correction of trrort In pllnl, COftltructlon, or ,lol.tlone of Inl code, I,.r, ,.rllt I,"ed ,ball becaIe In,al14
unl... tbe IIOr. latborllec1 br lueh petllt II COll8llced Ilthln III IOOtbl of IlluMce, or if IOri authoriled bl the perllt II
.uepended or IbIlll1aDd for I perJCK1 of ,b aonUtI Iltlr tbe tin the worl 11 ~cec1. OIle to <<If tltenslon of U_, II, be
,11011" for th plnlt with tea charge of t15.00. !hl e.tenlloR ,han be requ8Itec1 In wrlUng to the IuUdln, Offlclll. An
.ppro'" In.pectlon IUIt be 1000ta during each .Ix IOntb period, or the proJlct "III be eonald.rld Iblnc1oned.
IIARJlI"G TO 0lfIIR: YOUR rllLURI 10 RlCORO " IOIICI 01' CCIlMIltlllllr MAY RRSUn IN YOUR PAIlIfG nllCI I'OR IHPROVlIlIn. fa YOUR
PROPIRTY. JI' YOU 111110 10 011111 rIIDtlllG, COlfSDL! IIrK YOUR "IIDIR OR All A'IORIfIf BltoRI RICORDllfG YOUR JOIICI or
CCJIIIICIIIICI. _ UIDIR 12,500 III VAtul DO ROI RIID 10 RBCORD AJfD POST A "MOIICI OF COMHIICIHIJIT!I.
UGIA!URI: OIIIlIR 01 .'"
~
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who i. perlODlll, known to lie or who has
produced
18 identilTclt!on and who did/dId not
take an oath.
(SIgnature)
(H..e Typed, Printed or 8t~8d)
NOTAIIY ppLIC
nAn or FLORIDA p
coum or A'5Q.D
The foregofn; inltrument waa acknowledged
before me thb 3 (<.0. ~AN. , 1'~ hI'
L,NDA STILES,
who 18 personally known to lie or who HS
produced
as iden cat on and who d Dot
t Jl 0 th
SIAn or Mill
coom or
The forego!nv Inlt~8dt wa. acknowledged
before .. this , 19_ by
~1"Cf,
C) -=
z n
K IE LV WOLfF
Notary Public, State of Florida
My comm. expires Jan. 31, 1998
Comm. No. CC338778