HomeMy WebLinkAbout97-6472
BUILDING PERMIT N~
CITY OF ZEPHYRHILLS Permit
(813) 788-6611
6472.6
Date :l -I f - f 7
jlo, tJ7)
BUILDING
.3.S ~ l7J
ELECTRICAL
3 -..s-= do
PLUMBING
;lo. d'f)
MECHANICAL
Sewer Conn 1;Z !7 fJ, cJ-t?
Water Conn: -..5 --SV. d1)
/ {;.-.5'-. VV
r . trv
Property Owner:
Job Address:
Parcell.D. #
Zoning: . ~ Code: ~ Radon Gas:
Description of Work m a-d .~ _ ~ ./..y
),/1( EA- .3 -/..3 -9 7 .3 .r /~- n Wl
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
Permit Fe~. 0.. th..l ~7
Signature ,. /l~(L~
. 1
Company
Address
Telephone#
Valuation or
Contract Price
2 Z ~f-C1, trv
~.;-
City License Registration #
State Certified License#
It-:ffv(LP/
BUILDING
9~Lc~ /7d
ELECTRICAL
--~
r~ tI7b
PLUMBING
AerLAjc. /1
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 "/J 7f ~~c2.-IR-77
~: ~~~:~:~re~O~~~~i~~:u~~~g~~~~ :ahu~~i~~~:~~~~~i~~iled. ~~ f J ~ - Iff - 97
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.
,....,.,_.... ...-....,.
. ,
;....
!~
.~..;.I
;.f': l:~;:~'::: 1D:
r ;-1 I-~i:):
~iU73 .P81
"> APPLlCAT:rQi~ .711 1>ElWY.T
CrTY OF 22PUI"~lLL5
BUILDING DEl".,'~::-:'TM.ErJT
(,; r:.R'~ NAME (1I()f)O( f]y!J)C}{lJ<f!Jfl t IJrr-'J:l/9 lJ/l9.VIlONP. '?~~.,;)c;Q 7tr?'
'2'~; ADD~S
MD""-'lS t/;l7 1l+y.~::E.~S2 JJJt-.
,1'. DlUlcaurrrCnI: LOT(S)~\rt:io.: m:'c::;':~OBDIVI.SION 03 [()
" (-EL LD." t):~ -d. fJ? - Z)( -0310 -DOcC>O _.~
(OBTAIN FROM PROPERTY TAX. IOTI.CE)
,. :">ROPOSE.D:XNew CoD.6truction ---..AddiUc:e:.l ---"/u'tere.tion ~epair _Install
_Sisn
--.Move
~oli8h
'1 -);',RD USE: ~ingle Fa.Dily
_~crcia1
----141 F
_, of Units ~/B
_Indus!:.
~wia. Pool _Other
~eBtaur&nt << Health Deparb~~nt
Approval
~.LLp
..'t:.
~R~PTIOU O~ WCUL~:
ffi~ G (\(-ffi\Q
I ::;:J1G SUR: ~, /,~7 4> Squ.are .F€:ct..
Height:
; DF,~;71AL: ATTAcn (2) PLOT PLANS << (2) SETS OP BUILDI.NG PLANS & (1) SET :ENERGY FORMS.
:~,C::J\.L AITACll (3) SETS OF BUILDING PLAES S (l) SBT ENERGY FORMS.
PROpmTY SURVRV REQlIlRED FOn AU. ~;3W CQIf&TRUfin'ION.
PERMITS RP.OlTF.S-':Ul
.
:x
rr: Cl:I..UrrCAL
$ c3~'f()
.
j, c::; /) .....AKP Servkc
I?> (7)
Valu.at:ion of Toeal Construction
.
Florida Power corp.'
><
W.R.E.c.
x_ 3Ul!.JHNG
\,,, 7' ,-.--..n'r'" T
/\ .~...t.,.~~..l.J."-Ir..~..
$
Vmlustfon of Mechanical Installation
)(' ,"LU,LBnm
~GAS
RnOF:G1G
SPECIALTY
, OP consmucnm,: ~lock _Fraa-e _Steel
Other
YES
.k
NO
:;:Z;) V.LOOR ElEVATIONS:
F.r .
IS PR:lJECT IN FLOOD ZONE AREA?
*tt.t........~**.~*~~~~~~~*.*.*.....*.***.
CONTRA(;1'O~ S F.GTIQP!
,'.lCl ~ ~ CO>lPAlW ~U~+." D "ld \
r S~t~ Cart:. or Restat. .
~ .t.',l:~2 III ~ 'M ~ City License Resistration f
~ '. ~ .......... ......h...'''..................
48
COHl'Alnrill\. :~6 rJq ~
St~t~ Cert. or Resist. f
-:y I.icense Re&illltrlltion .,
*.*.*.~~~~~*u~~~*.~*****.*.****.
170
\tit ..~..
:.:!..to.4;t:J . ~ ~ OOz.!P.u;v ~o h /5 I r;'75 t 11/(1
. tlJ_. ~ '. SQlte Cert. ,c,C' Reeisc. ,
t..,.l~C ~" City LlcenseRegistratton . j I;
~..******'~*~~~.t~~~~~~~~o.*~.,~~******... ..
. , ~ ~ C~.UJV rJa/~617 ~ mq/V"
c. StEt~ Cert. or'Resist. t .
Lu:", -- City I.'icew;e Regist:rat.ion , 9l/&;
, ~**************~.*&~~~~Q*~*w***.**.*......
i.
._c;,":rIOlI APPROVF.D BY
P&'RlfiT OFFICER.
. .
;-- .! ;.=:-. . _-i,-~ . ~ J~-,' 1
. '
10: ~--~;
..
. '
; D~.
'"L ; ,~l:
'-.
..'
~
'j", ""
ipt .'
tJ0-,':',: PH~'
r
.
COJlDITIONS OF :: 'mElT AFlI'JD.AVlT .
,'~. J:tOTICE OF DEED RES'l'kICTION5,' .
i~, ,;, '. aignaO \ma<ll:llt~dB that tbls penllt Aap ~e 6,ubj!Jct 1.1 "(jiJ2d restrictioos" ....ch laY bl1 ~re tGBtrlC\ivs ,than City
nl:.uO;l~. no und~l:'ill!JIlBd assailS reaponslb.ilJty {or ciJ:jo'tance lIith any IIppHcal1e deed relt:ricUoaa.
:'. 1pJLICENS.KD CONTRACTORS AND CON5'fi;..C'l'OR RESPONSIBILITIES
:f t::. (,IWfll>f hall IIIred a contractor or COIltractor'S to un\i"rD::c: >lark, they .ay be required to 00 Ul:al186d in accordance with
:L ~ ... local regulatiolls. lf the contractor 18 not liCe.1;;,:.) aD required by lall, both the mmer And contractor laY .be
:Hw iOt it ll.ladtl&5iU10r ..iolllUon under state law. [f th~ c:n::,r or intended CDntractor are uncertain al 1:.0 what UC8llsing
'~;L1iJUollDt.B ~3Y apl)ly for the .intended work, they are illh:iC:l'l to contact the Citl of zepbyrbll18 BuIlding Departaent, (BU)
'~:-6&11.
:'urthem:>re, H the mlnQr haa hIred a contractor or contractors, he Is adviBed to ham the contractor(,) aigD portJou of the
CNtractar 8octions' of thJs applicat10n for IIbicb they dB bJ responsible, If}'OU, as the OImef sign as tta contraetor,
: :lU Are indicating that you, rather tbllll tho contractor, ilrc nd(X)nsible for the work. If till! conttaetoA wiBbe.8 you to sign
i J ccotrilctOI tbat t:lilY b~ /1JJ lndication tbat be is not p.ru)l:rh 1icl!l13cd and is not entitled to pera1ttlng pr1VUegiB 1n the
( ili of Zcpbyrl1ilIll.
TRANsponTATION IMPAC~ FEES AND rfTILITY CONNECTION FEES
--.._-------,.-
CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS ANSNDED)
] c2rtlfy that I, l:lJe ilpplicant, have been provJded with tl copy of "P'lorIda's construction Lien Law _ HoIeoIaIer'8 Protection
: Ji~~" prep.l[ed by the Florida ~partnnt of Agriculture and CQilSu:'ISr Affaire. H ths applicant is 8~ ot.bor than the
'(;I':er~, I certify tbat I hllve obtained a copy of the alXlV{! LJe,;,l:ribl!d docu.ent and prOlliBe in good faitb to daUver it to t1Ie
'::mer" prior to couencelPent. '. .
-. CONTRACTOR'S/OWNER'S AFFIDAVIT ,
I cDrtify that all the rnfor.atlon in this application 15 accurate and that 311 wort viII bo done in COIpliance wIth all
';)2icablB lClW8 regulating construction, zoning, and lalld c1p.;'alcp.i:l!JIL
:;J1.icat!on 1a hereby Eado to obtain 11 per'it to do Ifork ant'! inutaUlItion as indicated. I certify t.IIat no !tOri: or
i~talJatjon has ~encQd prior to issuance of B ~it Ilat all work will be perfOrJed to lest 8~ of all lavs
'!\.:lating construction, City codll9, loning reguIat"Mns, . ana developtent re.gulations in tbe judacUetlon. I also
'. ii fy t.bat I understand that tbe regulations of otller gov... "mtal agencies l8y apply to tbe intenc1ed 110ft, ana tbat it fa
. ranDOnaiblljty Lo identify ~hat actions I Dust take to b~ in co~plillnce. Such agencies include but ate not ll1ited to:
;;i'PJrLtlent of Ellvironr.r.otlll Requlation - Cypress Bilybe.adBf Watland Jlrei,tlS and Bnfirollllelltally BenlitivlI ttlnd:s,
Watar/Wastevater fr~,tEent
?G:Jtht'eSt Florida !.later Hanagllllsnt District ~ WeUs, Cyprr:S(l Bayl1eadil, Iletland Areal, Altering Watercours81S
. ~rJy Corps of EnqinenrB - Seaw4lla, Docks, Kavlgable Wateruaye
u-:~rb:ll!Dt of Health & Rehabilitative Services, EnvirOIlZ.lent;1} .Health Unit ~ Vells, Vaatevatet TreatJlent, Septic Tanks
~i-K~virGnl9ntal Protection Agency - Jsbestu8 abateceat
:1'>0 c:;rtify that, if fill PaterJal is to be used in Flood LOlL1 "ij- or "A, etc. ", it in understood that a drainage plll11
]T2r:,!ng J ~cOEpellslltlng volllllsM will ba 8ulmitted whiCh ill pnpaz:e(l by a professional engineer registered in the State of
:: .:'::1 prior to r.en'iU, iauu/!Ilce.
)tc~it iasuod shall be cotllltrued to be a lice~e to proceed with the work and not as authority to violate, cancel alter, or
: "sids any provisions of tba technical codes, nor shall l!l&u!llICe of a PQrait prevent the Bullding Offici.l fr~ tberaafter
. ;u.iring a correction of errors in plans, cOllJltruction, or violations of lID}' code. Bv81'J pera1t 1B1uect lhall beCOI8 InvalI(j
,;<'S the titJrk author:bcd by such PeI1lit ia oouenced within &1:.: fionths of issuance, or if work euthorbed by the pQrlit 18
',p:nc~ or abandoned for a period of sil *,nthB after tha tine the work is couenced. One 90 day utenafcm of tille, .lay be
: .J.oo for tho permit llith fee cli!ll'l]e of $15.00. The extenilll)n shilll bEl reque.9ted in Iftitlnq to the BulJding Official. An
,fcveJ ins;(lectic);l Zlust he logged during each 81x IiQntb period, or the project will be COJIIide:rec1 abandoned.
,~ ],!iG '0 mtltRR: YQiJR l'AIWRll YO RBCOfU} A MorICH OF COIDlf11CR:lli!P:r MY RESULT IK YOUR PJlYIIG !tIICB FOlllKPROVEHEllTS !O YOUR
?~ f:Ti'. IF YOU lllTEJCD YO OBTAIN FIfWfCING, CONSl/Lf wun YOUn LENCiRR OR All' AnOmI BBFORE RiCORDIHG YOIm JiarIClI OF
"'C/IllHT, ,oas lJlIlJ2R 12 "VALllx 00 HOT IiED'O ",emiD rum~~.,
..AI 'fllH1l: C CfOR
~ ,'LE OF FLOOlOA
';'f ...., 0') /)/1 ('-fi"
\.-....;/.... '-'.7.QLcL./.
"'1:. foregoing instrument was acknowledged
Cr-c ,r,s this rB3f?u~,,! 1.2., 19-2.Z. by
... )./ELSoJJ RVUAJ,)
:'j ::.~ personally known to lIIe .or whg b:ag
-. :,u;ea
:,:"ulU.f.ic6l.f.c&-and who did/did 8et:
:.,~ ~th. 8s
;:.';!i)ntu~lj~ !)_'\.! ,_ 07:"'-'~
-I< AT1--I~t21\.1 ~,~T~ ~vJ0
i ,) 'l'ype<t, Pr1ntsd or Stamped)
- ~,;y PUBLIC
STArE OF FLORl~_
CGillifY OF IRS r" n
The foregoing inatrument W8S aCknowledged
hufore Il!.e this I'=t;;~~y I .?- ~ 19~ by
, NEL~t)N K~'AtJ'
tlho '1 ~ !,~!'~~!!!!ll}"!r.n . t~ mo -;:;:;- -;';~Q &$
-i;U'6duced
as 1deBtif~GatigR and who ~/d1d not
taJt o. an: o~tb. ~,______/1 /1 '~' /],
~~'e,---" .J. :2i eLf-. r-
( S :1gIlature) '.
kATHLeE,,-J ~T BRDWN
(NiJIlle 1'.'i"ped, Printed or Stamped)
,!!O'l'AH'l PUBLIC
:\..,,~ PII,(
~n/"
;J1I;
/'t 0' t\.lil~
KATHLEEN J BROWN
My Commission CC449029
Explr.. Apr, 02, 1999
~I\Y p,.
~'\ ~J"'(
*lWr~
II}~-~~
~" ~
tll'nlil~
KATHLEEN J BROWN
My Convninion CC441lO29
ElCp/ree Apr. 02.1999
S lTE PLA.N
(RP.SIDEHTlAL USE ONLY)
rARCEL 1.0.
SEe
.dJf!.
T\oIl'
~
RNG
CJ~.tJ
:....;1
SUl\U
~d
13LOCK
060
Lor
03
l'ROl'EHTY HE.!\SUHl'J1ENT Ip 5' X J DC)
CUluu-xr O\olNE.HS mS 2.o1!hlLlJ)) ~ ~ ~ ;lMmw
DHE ~-//-97
lP5(
5CqI~ /-/0
-. n.J
{I~j(}
LI~
.:::.,----- .~-
y-\
c)C6
.1\.
t
JVD '
I
dCf
I
B
s~
I
5ls,
dg'
I
)'V
'/F \=>hU R ~do, e b\ U
CONTn~iC:T elF: tl::
NAME: H 7 R INTERSTATE
ADDR: 35267 S R 54
C/ST: Z-HILLS FL 33541
C E N T R ALP E R M I
PASCO COUNTY, FLORIDA
T TIN G DATE: 02/18/97
Pr4GE: 1 OF 1
I ::;;;:::;UE OFF' ICE: D
RECEIPT NUMBR: 00312117
OFFICE: DADE CITY
F ()F~ :
CHECI< :It 153(j 1
SOLID WASTE FEE FOR PERMIT 6472 B
C 1. TY OF Z -H I L.L.::::;
(:iCCNT
114
TOTAL r:)t-l0UNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
4.4. :~::=:
AMOUNT DESCRIPTION/PERMT DATA DRICR
44.88 ****** SOLID WASTE FEE 60
'-
~ ~/
.__~_~t~_