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HomeMy WebLinkAbout97-6628 BUILDING PERMIT N! Permit 6628~6 CITY OF ZEPHYRHILLS (813) 788-6611 Date 04/08/97 $25.00 BUILDING $20.00 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: William E. Wright 39044 Park Drive Water Meter: Property Owner: Job Address: Parcel I. D, # T.I.F.'s: 12-26-21-0030-00000-0090 Zoning: Energy Code: Description of Work Above ground pool Radon Gas: 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 Inspector City License Registration # State Certified License# N/A Permit Fee ~4( ~ Signaturev1 ~ ~. Company Address Telephone# Valuation or Contract Price $1699,00 OWNER Ou,vt;.ft. BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway pool De(.~ -fIJ'J./n '/hE 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 PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE W. \ \- \. A~ OWNER'S ADDRESS 3 9 a ~ ~ -SArhe f}. ~ l M PHONE tl J ~? ~ c:2-.5... ~c; J flAy" I~ gV' ~ v e JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' 1;)- d- to -;;;- J -0030 -LJD ~(l 0 - 00 c; 0 (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~lteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single FOIily _H/F _' of Units _H/H _C~ercial _Indust. bWia, Pool _Other _Restaurant & Health Departllent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING /ELECTRICAL -"ECBAlUGAL $/~9CY Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FIRISRED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUII.DER Signature (]auI {l. COMPANY ~ . Lv- State Cert. or Regist. . AL;t City License Registration . .... ..................................*. F.T.R.CTRICIAR COMPANY /1_ // a ,,\ ,/.,+- State Cert. or Regist. # SionAture ~ . ~~ City License Registration , ...... ................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ...................................**.**.. MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . ............~............................. OTRRR COMPANY State Cert. or Regist. # Signature City License Registration # ....*.........**..................*....... APPLICATION APPROVED BY PERKlT 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 assWles 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 laY be cited for a aisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (BIl) 788-6611, Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for wbich 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 peraitting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES t'~ D. CONSTRUC'l'ION LIEN Lf\W (CHAPTER '113, FLORIDA STA'l'UTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ Hoaeowoer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs, If tbe applicant is SOIeOne other tban the "owner", I certify that I have obtained a copy of the above described daculent and prolise in good faith to deliver it to the "owner" prior to COll8nceaent, E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the inforlatlon in tbis application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, laning, and land developlent, 1\ Application is hereby lade to obtain a perlit to do work and instaliation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to aeet standards of all IBl8 regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveCDIental agencies lay apply to the intended .arl, 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: * Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways * Departlent of Health , Rehabilitative Services, BnviroDlental Healtb Unit - Wells, Wastewater Trealtent, Septic !anls * US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued sball 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 perait prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or vloiations of any code. Bvery peIlit issued shall beCOle invalid unless the work authorized by such perait is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOnths after the tiae the work is cOIIenced. One 90 day eltension of tile, I8J be allowed for the perait 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 IOntb period, or the project will be considered abandoned. WARNING TO OWIER: YOUR FAILURE TO RECORD A HOTICE OF COHHENCEHEIT HAY RESULT IN YOUR PAYIIG TWICE FOR IHPROVBllDTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAII FIIAICIHG, COISULT WITH YOUR LEHDER OR AN AnORIISY BEFORE RECORDING YOUR HarICE OF COHHENCEHEIT. JOBS UNDER $2,500 IH VALUE DO lOT HRRD TO RRCORD AHD POST A "HOTICE OF COHHBNCEHENT". SIGIATURE: ONHER OR AGEHT , I SIGNATURE: COHTRACTOR STATE OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATK OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 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 ....~~../~~...~~.., .' . Wt' i~.~i. ~~~~~ '". :'.', .,~.. oO"'O"""!)" " '~"I': ')'~I,., ,. . .'. .....,.. . , ", -ii'~"<:" ,..fl'':..;':' .......-:~ ." '~~~t!.~l" ..... .:....~.~. ," ,'. . . I t. '. ',' )i~~;~(. . ;'\;":"r.!,,~,,'...NAMBt W fLU A-n1 t(j{{.J~/'f1 ":::::{~;~:V?~~' :-: .,;./~:: .... /;;~ AD~R!:~S: 39ol./-c.;. ~,I}I?I( f)/l.. '. :. '," CITY' '.' :. .... , ?f:Ef'J/ Y RJ.// ~ '. ." .. ....... .:.. :.\W ,~:(~~t~: /THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF FLORIDA POWER CORPORATION, PROVIDED THAT THE POOL IS INSTALLED IN THE LOCATION SHOWN ON THE ATTACHED SITE PLAN PROVIDED TO US OY THE POOL CONTRACTOR. ... l' THE POOL PROPOSED FOR CONSTRUCTION AT THE ADOVE ADDRESS DOES CONFLICT W1TH OfH UfG FACILITIES OF FLORIDA POWER CORPORA TION. .. .:~\;~:;:;V?(:' " ..", . .............. ARRANGEMENTS HAVE BEEN MADE WITH US FOR RELOCATION OF THE FACILITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE AITACHED SITE PLAN. '. ," . '.. ,,' FLORIDA POWER CORPORA nON . ..t:" ".: '.:i.; . ..~~ ~...:-. .~t:~ ?'ft/P7 sl,tPHEN F. DUNNER DISTRlDUTION ENGINEER1NG .:. ~.;~::~.~ . ZEPHYRHILLS OPERATION CENTER: 36453 0019" ROlli. Zophyrhill, t FIQllllo 33S4\ t (813) 783,l)9H A ROfid' ProgffU Comp.ny ~ cr~ ~~ '- ~ <""'" ~~~ ~ -G- /./.~ /Jcc;~' -4IPJ y.7- j5f/Y ~ ~ .- ~ ~a- , ~~t ~ ( \ ""\. ':f..~:" ~ ~ ~ "1> t I I Lf/ I ) - J-~ ~. "'""j ~~