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
~~