HomeMy WebLinkAbout97-6496
BUILDING PERMIT N!
Permit
- 6496)1
CITY OF ZEPHYRHILLS
(813) 788-6611
Date C2 - d- t"J -'1 ~
BUILDING
PLUMBING
~ErHA~'l
ELECTRICAL
Sewer Conn
Water Conn:
P,opertyowne, 'ff/ l!k/:5:Z~
Job Address: ~1 /01 -"'"
Parcell.D. #
Water Meter:
T,I.F.'s:
Zoning: .::tf:" _ Energy Code:. Rad~
Description of Wor~ A ~ ~A~- ~--1
NO OCCUPANCY BEFORE C.O.
FINAL :3 '- 'I - r
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
S/'-~
Permit Fee
Signature
Company
Address
Telephone#
~0--~ U1J
~KGd/f q1
Valuation or
Contract Price
,s --I Yd. u-v
)
~,f~~ ~~
BUILDING
ELECTRICAL
PLUMBING
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
~tA4 ~$ r/?S0/?/
APPLICATIOIG Fbk PERKIT
CITY OF ~IKHIIJ~
BUILDDIG J)EPARJItE'NI'
/q1
d- ~O
1~~(~'
0/04647
-J1.
(~rv1~p7<F ~.
PBOmJj%u/ I ~ 7'
OWNER'S
,... '
.~ '.' .
OWRER'S. ADDRESS
.JOB ADDBJlSS~ I~ I ur~,l....th, f1<. ~ '8-/ fJ L
LEGAL DESCRIPTION: wr(S) BLOCIC SUBDIVISIOIM
.:F
PARCEL I. D.'
~teration
_Repair
Install.
- ~'t.,:
WORK PROPOSED:_5ew Construction ~tion
S.
- 19D.
_tIove
_D8t01ish
PROPOSED USE: Single Faaily
KIF
_' of Units
~/H
~ther."
_eo-ercial
_Indust.
_Swt.. Pool
~estaurant &: Hea1th Deparblent Approval
BUILDIHG SIZE:
x
~e Feet,
Height
,
RESIDENTIAL :
cotmERCIAL :
ATl"ACH (2) PLOT PI.ABS &: (2) SEI'S OF BUIIJ)DG PLMS & (1) SET ENERGY FO~.,~*
ATrACB (3) SEI'S OF BunDDG PI.AIiS &: (1) SET EHERGY FORItS. ** .' '.
**COPr OF CONTRACIBEQIJIRED. " .
PRRKTTS REQUESTED
_BUILDING
$
Valuation of Total Construction
.'1-
F.T.F.CTRICAL
AIIP Service
Florida Power Cbrp.
W.R.E.C. .
~CAL
$.,
6140.00
Valuation of Kechanica1 Inst:a1.1ation
~IBG
GAS
ROOFDiG
SPECIALTY
TYPE OF CONSTRUC'rI05: ----..B1ock ------Yraae _Stee1
..
, :
Other
FIIIISBED FLOOR ELEVATIOl!ilS:
Fr.
IS P.BOJECI IN FLOOD ZONE AREA?
YES
NO.
II
******************************************
CO?IIJ'I'RACI'OR SECTION
ampMY
St:ate Cert. or Regist. I
City License Registration ,
******************************************
BUII.D~
S igoat:ure
ELECTRICIAN
ampMY'
S1:ate Cert. or Regist. ,
C:ity--I.,iccnseRegist:rat'iCln f
******************************************
Si Ptla:tore
Signature
ampARY
State Cert. or Regist. ,
City License Registration .
******************************************
PLUKBER
KECBAHICAL
Signature
CO!IPAHY
State Cert. or Regist. #
City License Registration ,
***********~******************************
omm ~ ampARY ~
State Cert. or Regist. ,
Signature . City License Registration ,
* **************************************
6. .
~
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit '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 ollner has hired ~ contr;~~~9I'Natfontnctor,s" t~ un~ertake 1I0rk, they lay b~, reQuirl!d to be licensed",i,n ac.W'~JJ!~~,~~th"
state and local regulahons. Iftne mtractor ,U 'nift licensed as required by law, both the ownerand'cDntrlcti?iiy;~bet.~!t
cite~ for a lisdeleanor violati~n under state law. If the.ollner Dr intended co~tractor are uncertain .s t~~'tt,lJicenJ.i.,!l~J .
requlrelents lay ~pply for the mtendedwork, they are adYlsed to contact the CI ty of Zephyrhi Ils -Buildin!J~"'Depilrh~:t~18r3)~O
7BB-bb 11.
,.~aGl,. ::-(,' >
~urtherlore, if ~he ~wner h~s hire~ a ~o.ntractor.or cDntra~toT5, he is a~vised to have the contractorls)l"~~gl1"p~rJttl\ji,of}~.~,,:
Contractor Sechons of thn apphcahon for whIch they lull be respon51ble. If you, as the ollner 'sign -as' theco'ntractot; ..."
you are indicating that you, rather than the contriCtor, are responsible for the work. If the contractor wishe,s lQUtOugn-;;"
as contractor that aay be an indication that he is not properly licensed and is not entitled to perlittingprivnege5'inth~')(A
City of Zephyrhills.
. -.F' 'i! .,'
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 lIith a copy of "Florida's Construction Lien Law - HOleowner's ~ro~ect~9~
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other'thanjthe:1~}'
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"ollner" prior to cOllencelent.
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 cOlpliancewi~h _~ll, .'
applicable laws regulating construction, zo"ing, 'and land developlent. ..'\le u~l,"^: i:i:
~pplicati~n is hereby lade to. obt!)in. a perlit to do lIo~k and installation as. indicated. I certify th~t ~lt,~ork 'O(i:~::~:~~:~;
lnstallatlon has cOlnnced pnor to Issuance of a peTllt and that all work WIll be perforled to aeet s~an~ards of 'al1 1aw~"~
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdictIon. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify IIhat actions I lust take to be in cOlplianc!. Such agencies include but are not lilited to:
f Departlent of Environlental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
""'Uater/Wastewat'er Treatlent'.J;~ :;~~i','
f Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlvCorps of Enaineers - Seawalls,'Docks,' Navigable Waterways '" ;.1';,',..
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - lIells, Wastewater Treatlent, Septic Tanks
f US Environaental Protection Aaencv - Asbestos abatelent ' .'''11,; ~~,~K;~:m
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 volule" will be sublitted which is prepared by a professional engineer registered irftli~listltii;of--.
Florida prior to perlit issuance.
..
tr::~~ 'v~ ',-~r'f;;; ":i
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, ~~~c~) al\,1,) .~r
set aside any provisions of the' technical codes, nor shall issuance of a perlit prevent the Building Official (fro. , thereaffer,
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole inva~id
unless the work authorized by such perlit is'collenced within six lonths of issuance, Dr if lIork authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tile the work is COllenced. One 90 day extension of tile, lay be
allowed .for the perlit with fee charge of tlS.QO.The extension shall be requested in wri ting to the Building Official. An
approved inspection lust be logged during each six lonth periCl~' or the project wi 11 be considered abandoned. ., I .J .'
II$RNINS'YOOIINER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEltENT KAY RESULT IN YOUR PAYING TIlICE FOR IKPROYEKENTS TO~YOUR
PROPERTY. IF YOU INTEND TO OBTAIN'FIHANCING,CO"SULT WITH YOURLEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF..
CIllt/IEIlCEllENT. JOBS _R 12 ,500 'IN VRl.\IE.DO NOT ~lIEED TO REtORO' RIlD POST A 'WneE OF ~"ENT" ,. ,4-.' ,
~~ . . IGNATURE, CONTRACTOR '
. ~..~~;:, ,!...~: .. -:-'~,.
STATE O~ FLORIDA
COUNTY OF '
The foregoing instrum was a~OWledged
before me this ,19 by
~fUn/f!ff{:~:{{ ~ho has
produced
as'iden 'fication and who
take a 0 tho
~~~~y O~/LORIDAd/e.~ /0 oL";-"'c;' '::
The foregc.ing instrum ~ was acknowledged
before me this , 19eL.- b'y' ",.,.,
bI ,7
(Name Typed, Printed or
NOTARY PUBLI C
Mr."" P,. """It" .',. '.'\', ." :. ,: ,.",,:
~lJ'.' .vf-....Jc." ~..t.'.C,.^C.A.\l.~'," c., .....'.'..e!',
, ~ COMMISSIOt-l II CC ' . S
~., f.XP'RES fEa 3.~:88n
Of ~TLNfT~U~,
--- oo...wc
_ J.
9"~ l.:
(Name Typed, Printed or Stamped)
NOT ARY PUBLI C
.....,.~.:v PV<t JEWEL C. CAVAS
~&'f; COMMISSION fCC34Ml1
~t' l! t~PIRtSF.E8 3,lM
"?j ~ !lOHlJU) ~I
Of f\l ATLANTIC 8ONOING CO..INC
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f1iYl\I tH ilMQ.KlTl lOIHOTU QI'T~' fROM
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lYPI!SPA1NKLEAS 185' ata' 211'
UPAIQl1T ~.
P!NOlNn~' Gloi?€ ':r" (0'2..
'lUSH
SIOIWA'..L H ~ _____ ~ ..,;",;-
DAY PlkOENT
'lUSH 'ENOINT
Lo. UPA:GHT 11132
LO. PENOENT '7/32
TOTAL Sl)AINKLlA THIS $HElT
TOTAl. SPRINKLER fOR JOt I
',I
-+-
--
DATI RIVISlOH8
,/OB NAYI
EYe. eW^-lIC- @ FL.-A. 1"1~OICAl CUM I(
36F3E> MAR..J<.e:r :sT.
ZEPHYR.NILLS I FL.
J: 0' ~
SPECIAL OWNERS APPROVAL
~ INSURANCE AOCEPTANCe
RriClI:.S). BUILDING CODE APPROVAl.
HIGHEST SPRINKLER ABO\II GRADE
clUrfYiY BY 11{c.. P!,.ANS BY I CHlCKID BY I {6" ~ll I'
CONTRACT NUMSlR I {~le r ..-,..., $HrllT NUMllA
!{. ()'i e . . q;i I 2. 2 I I.}/,p f-'" '.
RODAN FIRE SPRINKLERS. INC.
2501 N. 70th ST. TAMPA. PL 33619
(813) 621,1357
-,....~ ~I
ZEPHYRHILLS n j .-
FIRE DEPARTMEN~ l
,~
SPRINKLER. lEGI:"^ID
REVIEWED ~y) I'
, [; r;.Ja~
t \,t..V1 I'\^.c.... ·
r. - AFfROVEO
02.....Z,~<-7l )
-""'-"
\1 - E'iIST1NG Pf~DtWT SPR'W<.l!ZR
~(jf ~ E~lSTli\.lG Pf.NDMIT NI2AD TO Rl~L()(ftrf1J
AND RIt.PtM.\{.1) ,v; Nit.) SPRJ N~Ll2.R
# - }.JEW PO..lOMIT 5(iRIW~lE.R
(i) - f-,(15TIAJ(, Plt...llDMIT 5PR.IA'KL~R 10
BE R.k:PLA~€D uJ/ J./lW ~f'f<1A1kLf.i(
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