The URL can be used to link to this page

Home My WebLink About97-6676 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 6676,6 ~ AD Ci~I~~~ Date // -;2/ - 9;7 Description of Work ~. P~-MECHANlr""l {~1AJ,~ OJ~ /jP//1- /7/fi ~ I~ -;1(;, - ~!- D i)/D .Od:/tlo D -i)/~TJ ,ergy Code: . ~ ~don Gas: L '-fi~<~ &A7/l (L ~ Sev:er Conn Water Conn: Property Owner: Job Address: Parcel 1.0. # Water Meter: T.I.F.'s: Zoning: - 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 c Valuation or Contract Price 'f. i) L.) ~on'- I Permit Fee~ ' 0 .!I ,..... Signature~....- e"',{j ~ Company Address Telephone# C;ty License Registret;~ ~ State Certified License# ----::: (Z2 ~-- ~ "A ......J BUILDING ELECTRI~- -- PLUM~-' . ---- MECH~L Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. OWWWWWWWWWWOOOOOOOOOOOOOOOOOOOO~~~~~~~~~~mmmmmmmmmm~~~~~~~~~~~~~~~~~~~~Wwwww~ww'ww owOO~q~~WN~qWOO~~~~w~~a~~~m~~WN~a~oo~m~~~N~qWOO~m~~~N~qW~~m~~~~~q~~~~~~~~~q ~iD! Pl3 ::i' 5' IQ!!!, "lI ~ a~~ww~w~~~~~ww~~w~wWq~WW~WWWWOOOw~ww~WWOOOOO~~ww~~oooo~q~~W~~oooo~~q~~~~~~~~~q ~~-~~q~~~~ q~~~q~~~ C)o - - - -. _ _ _ ........ _ _ _::Q ~ r- r- n: / I 0 ......::-..... I i3f ~/ i ~ ml rj I I I I I I ,..0 I I I I I I r-t ) I I I i I ,... , : U) "0_ I ~ .. I ~ M~~~---~-_~l U) -t :II C (') -t C :II m G)ram *~35. -U '"0 (1) 1J 00-'0 *~Jl~ [; "rOm q cq ....~ q ~ ~ ~ (~ q O? -~ u~ ~ q~ ~~~~~ q~~ ~~~~ ~q~~ ~~~ ~~~ ~ ~ ~~ )>.- 1)1- ~~. ~ :; <0 $! '!: 1.- -.- -- -~ - _. .._~ -- 1--.- -- --- -- -- t----. -- - 1- - 1-'- --..-- .- - - - -- '- --- -- -- r--- -- -, ~. -- - -:A, f ,.../ > - r-'- -- -- -. -.- -.- -'-- --..- -'- -~ - ----.- --~ - c--- ~ - '- -_. - .-. ----- _. - -- --.-- ---- -- ~ '- ''1 -- ._- - ~ _. .-. -. 1--- .- --.- -- ---.- - - - '= -- "-..,..-- '- ---- -~ .~- -- ~---- --..-- --.- -. .. ----- - .... --- 1-- -- n._ - - - -- -- /" ~ . tl /. fJ h .-\ '0 "\ I> ..... ,. p ... 'P . - - . - . .. ... - -- .... --- -_. "~ ,~ '" '\ ! ~ t'J1 ~ t-> -. - s- ~ ::r "< (l) 0 -{g c:: OJ ;::! 2 tl u m ~ C5 a: C!: (l) 0. c- (l) 0- ~ 3 OJ ^ (l) OJ 0. ill ::;; S <0 Q.. '< o c ~ iii ::l (') (l) 5O~:'-I9>f.11 :2~~ (ii' ~ Q. ~ (t) ('.r) !!l. III .., ::i: Q) 0 ~~ ~ ~. () ::; Cii ,.., -... ~ ~o c:: g. ::J Q) ?t() <0;>;- "" ::i: g SO 2.0 fJ ~ !:2:c:: ~ g o~ "" () l:J 0 '6' :3 Q)l:J _Ill S. ::? Q) Cll 5" en 0- "" o g o ::J en Cba-O -g ::J () -. iii ::J- Cil (Q Q) !=l-Q)Q. go Il> fJ g. ;; ::J 0 !'l?t ::J-en ~.o- ::J-"" :-+.gJ Q) Q) C) n. h~ Il> ~ 0 3 ii1 ;:;,. Q) :3~ ~"" o-~ Q)(Q ~ -... - - ..... ---en !: "tJ o ::0 ~ C!: :"i '" (3 '" '" " '< :; '" 0:Q~~ >< -i3 ii1 Q) ::0;' Q) 'tj Q) o\~~g: ::i: ~ 8 ~ Cil 0 ::J ii> ~ .::i: g. ~ Cil (I) o :- fii::J- "" 0 () '" m ~ 2 ::t ::i: q; ::J () ;::r- l:J""Q)- .., Q) en ::J- Oll>n'tlll Ci)-"""'-'" (I) 0- Cl)cn~Q) 0' ~ ::J- ::J ::J Il> Q) () Ill-Q.Q) -Q) en l:J.... c:: III C3 0 ~(Ql:J~ Q) Q) Q) -. '>;: :?d~ ~ (I) .: CJ) ::::: ~. Q. ::J en 0 Q). _::J l:J .... 0 at::...... -~Q) o Cll >< "" 4 () III Q) () s. Q) O. Q. ~~CD c:: iii' (Q :::;:..,~ IllO~ ~~!'v:-'-o ~ l2 s. C/) ~ Ci "" g. c:: III :!S ;;;: l"- S' I"- Q) ::n ~ ~ Q. ~ ~ iti r:l 5" ::= Iliiji Ol:J !!l. Q) ::r :3 ~ Q) Q) III t:l.. en <Q' c:: (Q q; Q) . ,.., Il> ::J Q. ::J- o Q) 0- :3 )(' III ::J Q. "Z ( ill i!l ~ .... iiI lD ~ ~ ~ ~~ ~! iiI a l~ =1: ll~ ~ 0 ~ " Z :D ~ Z z iAi >< 0 ~ UI 0 ,.. a .... ~ m :z: i5 m m Iii UI ~ Q:D I~ '1: 0 ~ S :z: i? Iii i5 i~ m S ::f Z Z z i z .... l~ m Cl 0 ~ z ,.. ~ i? 0 Cl ~ .... 0 :D :z: m m :D ! UI '" ~~ g :D Z 0 ~ ~ ~ 1 :D <:0 0 C m g ! m lD 0. i en 0 m 0 !:j l!l ~ ~ -g :D !:j ~ \ ! ~ ~ ~ ~ ~ 0 J r ~ z i ~ (i) ~ aD ~ iD~ ~~ "N "'" l? "".. ." "'-~ "'~~ z- :i~ Rf[ ~ ~.~ ~ ~~ c: CD ~Q " " ~ ~ <OUI -<~ ~~ ~ ~~~ ~ ~ 0. 0. ~~~ act B 0", ff9-QIl: <' s: ,,~ Z ! N! '" 0. en 0. en '" "''''''' '" ~ a: 0. "''''''' jl'" '" i a~~<o '" 0'" "Ill ll> g S. ~~ gct.~9- 9- ~g.g III c: ~ 9-9-9- c: "8= ~::I' 9- ff~ l!!. ~~ S' ..... cne!. " '-< ll>~~'" ::I' ::I' '" =~C:ll>i [ 3.1 ~ o.CT aN ~ 0.:E ",'" .Q '" " ~ Beg ! S' iD ~ El' B<O '" l!!. J~ i~ i ~ ~ s:~ '" :l.l!!. i~ ~ .' 0. '" 3iDo. '" 3 " ~. 3~& ~~ i N 'fil[ '" "'0 ~'" ~~:~ !!l'8~ '~ <0 l~ !!l~8!Ll ~ '8::- <0 " S' en en !!l'8~ ~ ::I' g- el <0 <0 0. I!!. ~Jl S' <Oll> <Oll> '" {ll. ll> fl: <0 9 or ~ ;~ <0 " ~.g '" el- l*~ ~~~~ '8S!1- ~ en '8S!1- '" '" c.", '" .0. ",50 S!1 S' ~ !Il <0'2. fl: !!l ~ 0.- {ll a ~ 0. ~~. _~'8 ~~ll> ::I' S"a 8<0 ~ Co> i ~. !f i~S!1i~i ~f ~ ~ ~au:!ct 1& <0 c "- ~i ~;;, ~ ~ .! en lC . ~!~ii'" m !l ~ (I) __M Q' CT .9.9 1<l' ;:l,.. APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTHENT OWNER'S NAME C ~ Yl , .~ OWNER'S ADDRESS c.;~ ~I'I JOB ADDRESS S fJ-.-,1 e J)QM1t- / 7 ; ~ ~1- PHONE 2 1" 'J 1-5 ,3. i ~)'-IO LEGAL DESCRIPTION: LOT(S) BLOCK. SUBDIVISION ,~~ Iq-,;l,G. ~.2I-CO/:!J -Q,;JJoo -QNO (OI\:l'AIII FlIOlI ~PERTY TAX IIOTICIl) WllRIi PROPOSm :--Jew Coostruction -...Addition -...N-teration _....ir 4Install _Sign _Hove _Deaolish PROPOSED USE: _Single FUlily _HIF -' of Units _HIH _ec-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Depar~ent Approval DESCRIPTION OP WORK: r?A,q.1"'I t-,...,A 1~€YJc< BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~BUlLDING <::v >it~ PERMITS REOUESTEl2 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. -HECHAlUCAL $. Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Frale _Steel Other FDUSHED FLOoR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? ****************************************** YES NO BUlLDRR Signature)< () / CONTRAC'l'OR SECTIO~ } COMPANY/\: & W1 of" Pl c..ul/l e y U~ State Cert. or Regist. , (Jt City License Registration' ****************************************** ELECTRTCIAN COMPANY State Cert. or Regist. , City License Registration , ****************************************** SiRIIAture PLIJMB~ Signature COMPANY State Cert. or Regist. , City License Registration . ****************************************** tlECHAl(ICAL Signature COMPANY State Cert. or Regist. I City License Registration , ****************************************** 01"llQ Signature COMPANY State Cert. or Regist. I City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject Lo "deed restrictions" which .ay 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 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguirelents .ay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the DContractor SectionsD 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 tbe contractor wisbes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES .' l . D. CONSTRUCTION LIEN Lnw (ClmPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HoIeoIner'. Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleDne other than the "ownerD, I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the Downer" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and tbat all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land develop.ent. I Application is hereby .ade to obtain a per.it to do work and instailation as indicated. 1 certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, loning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Healtb & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tants t US BnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone DA" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A perlit issued shall 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 tecbnical codes, nor shall is~u~nce of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery petlit issued shall heCOlB invalid unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by tbe perlit is suspended or abandoned for a periOd of sil IOnth8 after the tile the work is cOlleDced. One 90 day eJtension of tile, laY be allowed for the perlit 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 Sil IOnth period, or the project will be considered abandoned. WARNIRG TO OWNBR: YOUR FAILURB TO RBCORD A NOTICB OF COHHENCBMBNT HAY RBSULT IN YOUR PAYING !WICK FOR IMPROVIKBIIS TO YOUR PROPBRTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDBR OR AN AnOBlBY BEFORE RBCORDlMG YOUR MorICE OF COIUIBNCBHENT. JOBS UNDBR $2,500 IN VALUB DO NOT NBBD TO RBCORD AND POST A "NOTICB OF COHMBHCBMBNT". SIGNATURE: OWNBR OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 by STATB 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 oClth. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC