HomeMy WebLinkAbout97-6446
BUILDING PERMIT
N!
Permit
CITY OF ZEPHYRHILLS
(813) 788.6611
--6446 r- n;
Property Owner:
Job Address:
Parcell.D. #
ELEC~AL PLUMrG
~~~9~.
Date
d-rJ---97
B7G
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code: Radon Gas:
/lIe d~~
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
Permit Fee
Signature
Company
Address
Telephone#
Inspector
Valuation or d. '" IJ c:.: A
Contract Price tli r::::}- 7 S u
City License Registration # / 6 9....~
State Certified License#
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
BUIL~G
/
ELECT~L
/
PLUM.e\NG
I
.119-< ~
-'+/695
MECHAN'ICAL
Breakers
Ducts Insl.
Compressor
F:inal
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER t S NAKE fie.cJ.
OWNER t S ADDRESS 3 /3 tt Lf
JOB ADDRESS 3'7 '1 c.; '-I
5. n-,e ",/
I
to ;--h )# v e..-
(;; rlt ;:Jv c-
PHONE 7zr-3 --;23CJ y
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition -^lteration --.:Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_' of Units _M/H
_eo..ercial
_Indust.
_Swia. Pool _Other
DESCRIPTION OF WORK:
_RestaUrant Ii Health Departaent Approval
~~<- cpur
/J /ct___
,
~eu';P
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL
ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECI'RlCAL
~CllAllICAL
AKP Service Florida Power Corp.
$ :< ~/5'Qr:--~ Valuation of Mechanical Installation
f
W.R.E.C.
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FDiISHED FLOOR ELEVATIONS:
Fr.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
Signature
COMPANY
State Cert. or Regist. f
City License Registration f
******************************************
F.T .F.CI'RlCIAR
COMPANY
State Cert. or Regist. f
City License Registration f
******************************************
SignAture
PLUMBER
Signature
COMPANY
State Cert. or Regist. f
City License Registration f
******************************************
IIECBAIIlGAL ~ COIlPAlIY j~4<2.- r*/~~ ~
~ State Cert. or Regist. t oCJ <J .~I tJ
Signature City License Registration f / b <tc;-
...- ............~.............................
OTRF.R COMPANY
State Cert. or Regist. f
Signature City License Registration f
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pemit laY be subject to Bdeed restrictions" which lay be lOre restrictive than City
regulations. 'he undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
nContractor 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 pemitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOJeOIIDer's Protection
Guide. prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is so.eone other than the
.owner", I certify that I have obtained a copy of the above described docUJeDt and prOllise in good faith to deliver it to the
"owner" prior to COJJeDceaent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developllent.
\
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOlleDced prior to issuance of a pemit and that all work will be perfoIJed to Jeet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJental agencies Jay apply to the intended work, and that it is
If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not li.ited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t AllY Corps of Engineers ~ Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater 'reatJent, Septic 'anks
t US EnvirOJllental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood ZOne "AD or "A,etc.D, it is understood that a drainage plan
addressing a .cOJpeDsating VOlUleD will be sublitted which is prepared by a professional engineer registered in the State 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 autbority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official ffOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued shall beCOle invalid
unless the work authorized by such pemit is collenced within six IOnths of issuance, or if work authorized by the pemit is
suspended or abandoned for a period of six IOnths after the tiH the work is co.enced. One 90 day extension of tiH, Jay be
allowed for the pemit with fee charge of $15.00. 'he 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.
WARJIING '1'0 OIINBR: YOUR FAILURE '1'0 RECORD A N01'ICE OF COMMENCBMBIft' MAY RESULT IN YOUR PAYING DICE FOR IHPROVEIlDfS TO YOUR
PROPBRTY. IF YOU IIft'BMD TO OBTAIN FlWCING, COlfSUL' IIIfH YOUR LBMDER OR Alf AnoRRBY BEFORE RECORDIlfG YOUR lf01'ICB OF
COMMBIfCBMBIft'. JOBS UNDER $2,500 IN VALUE DO N01' NBBD TO RECORD AlfD POST A "NOTICE OF COIIMBNCBMBlft'".
SIGJlAfURB: om:R OR AGE1ft'
SIGNATURE: COJITRACTOR
S'I'ATE OF FLORIDA
COlllft'Y OF
The foregoing instrument was acknowledged
before me this , 19____ by
STAn: OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
FEE: - 6 - '3 7 T H U 1 :~-':'~'~AR~"~.OEBU~tKe~~~~~v6~::'~" NO"~i1i.it:~~~'A .
C()NTB~(:lJQ'~PY, ..' . . ...4$f.~ttr;+<:I.fiM~It(J!;
"ll'III'11 f 'I ..1, '.,". .
:DAtiiio." SS:lii~ ,'fa i-I ~~foFi~'Afio-~ifas.' . ., ....-- ciTY.... .... .---.-.............sUfe.-. ...--~ii;. c;oi5r--f~HaNs""'"-~''''''''' ~,.. ,-.....
'iiiUl~.m~~.m .aJiU!5...B>c~yt:h....E;.ef., w/~...~_1"qr~~~oi.;.t!~JlL , , " ,. t.lL
'AO""'(' ~1:~~rf'''' . ... ..,.,........ .... 'ciTY-"" ... . ........ ,7~:i..::.~~:e,fI~~:.......- ......."....:zi~coij<<!....T""".
'I. ~-b.. .
..,.l,.~.s,9.Jt. .~. ..~..I!.:.H.'I..~. .~~ 'A~~.~..,. .... ...._.~~L?b..yJ!':.!:ujl.".c;, ......__.". ........ .....f~l.~...,......_..._.......
IN"fAI.L.A'PioN ~r~O~,:I'J~,9 ~ OIMdfNf' r.c1w, i:lTATiE' . .. "':.'
i
j "Ii.,
siji{~~BMi~ig]ifiji"--"""" ...-......'....;. '~.~..........., . .., ....-...... . .. ........ ,... .. .--."..__.........I.__...--~_...."."*._._'~~.......- .
l OOOL;ING ~.st.~~1:'??L__ SElf.A. . I. .... ...,..._._. . H EA TING _...........,.,......__.._.... Ar-ue "._.,.~.................,,-<_.............. "
=~~.~~~:;;?~~~~,~~:~..:~~.:;~~IN~ ~':::~~~~~~f".~~E~.ft.~~.. ~.;~.r.~~.~..:~.~.;.1;.'~..~.~:.~...:.:~:.;C. '..:) I
~NI>aNSSFlllNIl: 4' d.BIfIi.s.r:r.:..L, COOLER It ....___.._u"... =! It~STAL.t. Nf;W CHj~N~~ ~.~r~f:l'l. . q &l\te:%~~"-'-r~j
PAeK"~F.1JNH 111 ...,.................;........ BOIl.eR ~.._~9._.9_....... '''fr"''1 P C VENT PIPE FOR k'..EF~nNAcE .~~fI:ltl_.l "e:~J I
! l!!VAflOAATOACOlj, It ".OTHERII .f5..t<w.~:t:.:J..tL:'P COMBU!HtONAIFl U E!)(ISnNOU MODIFvLJ
i ... . 9" ..__ 1 PIPE INSTALLATION [] 2PIPfi. IN$'rALLATION L.I
~~:q~rXllltlNll t1 'N'W IIct DRAIN UN' l R.!~;~;I':G~,.~~\~(:{'!nl~'~~~!ttr:~~= .
CONDENSGR UNITI &::ll.I$TINll [J NEW (i1:' CONDENSATe PUMP EXISTING (J Ne:.VII n
EVAPOAAT-ORt::OU; EXISTING ~:~ New ~ SL.AB EXISrlNQ ~ NEW L 1"...,$/2:1:.....:.:.........:.,.............
LINE SF.t '! !XISTlNO 1M NEW n .ptHeA~<I~;c: EXISTINQ 0 NEW ~~J '
REMOVE!' QLD~Qt~t!r.'Ml:;Nr F~OM SITe 1::1 L.EAVIE ON SITE \ff F'~
. gy:9.J.ij~~'.ii~M L" j . .. .. .../ ~LEC!a!9.~~!.
tJijlft!j(I'$TIt-4I~ "Y~~rISMn Ac:io TO 'E!XISTlNG IJh CONNECT TO EXISTING PANF:l !. I INsr~Ll. N,'V'! DlSGO!\lNf::o,r r: J . I
IWITAll.lNoQ N~W HiYSn:M rl ~;ee Spe(;l!>l. INSTRUCTIONS I fN$TALLN~W ." ...J] I~Mf) SEAl/ICe. U SJ..Mb l.(.)(:All.oN rJ NliW !' !
II~e. G'RH~l~, llSt11t.XISTI.NGl. .1:. .:1 · NEW.. IV I' ADDITIONAL WORK............................. ..' ....:..... ......... "_'. ....'..'....:._. ............._
r'~:ci~i~~rJ'~Nt7'~::~~ II '-"S'hJ't?t'r";''''' '~';/"'J1' +(Ph L tea..;- ~~~;;:'.:;:~.~.....;;:;;:.:.:.:~~.;::::~;;::::;;;.;;,..
j 1......,d'r1". ....n..... 'H.Hl 'J'!_...Y... ~ ~ w'.:.;;;Jt7'Tif' r-.' ..... ...:::;, ";';;, '7 ,.. " ,
ret:."J1If1.$(Jtf-/I;':~q Tf:;I eXI.sJ'w:":;J dV~fN(;)Y'k I rvb/~ J dreu;'" II;"'~ iJ'rlc;( elet:i-t'r/ctJ I
[4>#'/';'" 4~1Il7...~he. '$tI,Jf>r"Y y~"..,.. rc S)I$'kw-. 4lnd enle,""J'e l""e{.vrlt~ q.,i-
j bax .,.:td 9!;'" II..,.. Pe~ i i- II?c-J",d-ed. .
I .
I
. , . ," I I "'" I .;.., , I , , , , , . . ~ '4 .. '. ~ ..
wA-R.A:ANT Y :
.G' YS4~ PtEP4/1:t PLAN
a I45R S .....L t.. P4~ 1"'$
AN b L4.&?c>~
II....
,
. ,.
,..~..': ,; ..~Jt..~.... .;i.,
'f RAliTOA..... .....I""""..;.~:".I. ... .. ..........."... PHONri II .."..,. l.I11UNSE,..,.:;,..........:.....;,....."" ""......'
I' IIII!I' <I" ': I I
A omass "'. . I. ... ......,...... ........,. . "". ...."......................,........ '..
. !~~~~~tLtMste!~l~iJ.Ma.i}..O.Ei ''':'''~''.., ASaS$TOS A~~~~~E;~l' .: ,..... ........ ..~~: ,..~~:.~~
('''.I.;.i.~.. 1~~:M~\~~Gj 1.I~NdE~sj:jiSM~Nr r;:~_... ......._................__...
. !tr~R~ RIi~~lfl :PL.iN . . : rM".-.. d'" _,.......... ..,'....._.. 1'10<1$ UTIMAll. AND "'I';)I'.or;1\l Al~~'\J~.t;j\ NO ...!;I,r,.~;tOI'l "'l~\ ~lIQ~ru~lflo'Q IN
a flo<N PUII'OI'lM/l.NCIi o~ wr)ril< III 1111'011I ~u~'r...ll~ IN$PIl(~~ION tf~ ClONm...cH1"
W1~C90r""" 1...' I......\_.-_.,...,.....~._... Oil! OT"I!"U,. J\f,I)nll()~ ".. \ 11) III 1~'!"IJ~HlI'C 1't) IltHF<.1~M WOHI\, (l1J!H<)I\ollil~
I g"urr.9.~~m,~~'U1tii it ~~A"S 1$ Nor A&$,"ON$.8\ H(J'U~h (' y,I'Hlllln (~OOIl y,QV. MUST MII~A,N',fi .,.jIH'l\ ,( ". A 111\ I i Mr:~JI r)I AH~~;flir~ P~Wff1'r,~~ fHI!: ~1+'1~r, ~.. I
... fl~tlOI~ "A~II!,lftflttQ' ~JNOt~tON' ()il ANv ClU(:1W()RK, PIPIN~. fit ~ClI'1ICAL l'lUl'flILIES OONTINUATI(:lN <)1 W\l'IM " (;Ile.H}MIt~ ~""l.$ ro' '''~1lI1111!1~1!l11~A I'N*~$ 'VIII i; I
111 ~l~.lwIdl!lI*.Ill"'NCl'!.lit~$tPl.~Atlen 1A'I1'''HliI>1tMItHlt''''~DlII'ln''l~1 >NOAA I" HRlOUIRIiD, jI,(ltlI!S'rQ/j ,l\jJ,l\IIiMt:NI ....'II.."IIN ~/Oj,flll \" l;~Uj ~V'I\o. /ll>I\I4U !olAV (lI\N~;trl. 1I1'~ fJ ~. ~
tl'f WIl.L 'II lll~ C\ 1l1(JII':fI'1I l\(ie"ONlllL~lt.IIV ANV 'nOITlONAL l;tiAROP.l, WIl.1. PI POIlAI II~ON WHITTEN ~:,~, Il:!l Hl CII'.}IOMtll
~~..!:m~~ ~~l~" TO TH~ S'fAFlT O"Jll 4I.'lOI'JONAI. WOrtK ...___...__......_........___..._.._......:.........__
1i~l!W\"JHK ~lll MA ~T. j',:\OXIMAllll'( ANOWI\l. 8EtlUO$TANTIALI.'l'tOMPI.IiT'ED IS" 'UNIII fl:,HN~ "'A:"f"'/~, Ii 0"'1,'" \~l /.!STIMA'TI t~l '" I\IIIOI\W.\
.l"~.^"tllM""'*'" \ '.,.7;;"-==;';:'.A-~:-::-;B":;""'.^ "'UA "ll'!t. ... .",J. "u,. 'PI.. ........................ ,... eli CUNT"~UiO PA'OH TO TW/. n~"', fa S01-ff.'f:'Ut.E T'.... .A.CTtjAl
. . , ,., ...... ,., ,...,,~...................... ~.~,...................-....",....,..,.