HomeMy WebLinkAbout97-6688
BUILDING PERMIT NO
CITY OF ZEPHYRHILLS Permit.
(813) 788-6611
668B~
~ (9 , c.Jt)
~
PmpertyOwne, ~J7 ~:k:l
Job Address: t. f3 -
Parcell.D. # r":J b -;).-1- t:J () Yo - {<J 0 t:9 0 0- C5>c:;S 0
.,90
Date
~-~--7?
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code: ~ Radon Gas:
Description of Work c J..,.A #t7Ar-1 .PA'\Al ~ -<../\...R
-
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
City License Registration #
State Certified License#
570
Inspector ,
P",mi. Fee ;;J!:.' . 90
Signature I H ~.A }-
Company
Address
Telephone#
Valuation or
Contract Price
fr'zrz:;. v-v
_~~A/I~j~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
,1 if
tf'//~ .
OWNER'S NAME
It L-I Ct 0 G:S c f/R.YJ/EI2-
t ~I ~ 13& /I rfu J~'ro /)
,
<.~7C VL~ ()l-t~S'.
PHONE
i7/~
(
606~
OWNER'S ADDRESS
~
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL LD.# O:f ,;) c,.,.l. / IJJC/-o tJ()()uO {)050 (OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall
____Sign
____Kove
____Demolish
PROPOSED USE: \.../'S ingle Faaily
_KIF
_* of Units _K/H
_CoaDercial
____Indust.
____Swim. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: fi::. /1'v'5'/?H... '-- ,r '// D cSC R.E~--^/
bJUC-'-OSJ~ '
BUILDING SIZE:
c; X lu,
C;" 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
____BUILDING
$
~(J{)
c:'U
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHAHICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block _Fraae ____Steel
Other
FDlISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
BUILDER
CONTRACTOR SECTION
..,',.'.". ,.:::,:~~.,;:::~~ COMPANY c5'();JSTn-?-p:"
(.,,<<~ .' State Cert. or Regist. I
,L..:;-;;~~:-= City License Registration I
******************************************
dCVlll'Uu'Y
Signature
7(!
ELECTRICIAN COMPANY
State Cert. or Regist. #
Sianature City License Registration #
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration I
******************************************
MECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration #
***********~******************************
OTHER COMPANY
State Cert. or Regist. #
Signature _ City License Registration #
******************************************
APPLICATION APPROVED BYPERK1T OFPICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit 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 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 lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
Furtherlore, 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 which 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 !s not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection
Guide" prepared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
.owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to couencl!lent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I must take to be in compliance. Such agencies include but are not lilited to:
t Department of Envirorumental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Manage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understoOC that 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 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 technical codes, nor shall issuance of a per.it prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or VIolations of any code. Every perlit issued shall hecOJe invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, JaY 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 six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCKKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NorICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEMENT".
_:i;";;~C"~=Y-"u_---:/ ~
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SIGNAfURE: O1fffEROR AGENT
r u."-'---
_ _ _ . _..,i-#,."."~~....~~"
SI~ATURE: CONTRAeTOH
STATE OF FLORIDA ,j/
COUNTY OF /15C 0
The foregoing inst~ent
before me this 71;//
was acknowledged
, 1922- by
STATE OF FLORIDA ~
COUNTY OF 115: C ()
The foregoing instrumjnt was acknowledged
before me this 1/ 17 , 19 -2.Z. by
who is personally known to me or who has
produced
as identification and who didldid not
take an oath~r?( ~~~
(Signature) ,
who is personally known to me or who has
produced
as identificatio~ and who did/did not
take an oat~~~JLP c;-rUi?
(Signature) .
(Name Typed! Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
"'''''''' .KEITH 00RRElA
!~"~~ MY COMMISSION' CC 451416
i*t EXPIRES: May 18. 1_
IIondId l1Ilu NolIIY NlIc UlIdIlWlIIiIII
KEITH CORREIA
MY COMMISSION' CC 451416
{J] EXPIRES: May 13. 1999
.~'t-" Bonded Thru NolaIy PuIJIIc IBIerMIIn
'roposal
Page No,
of
" Pages .
SUN STtrrE AlUMfNUM~ ;NC,
37~.."8 State Ro"!d 54 Wpst
ZEPi--oYRHiLLS, FL 3354 t
{813\ '788.7308
C~;,q.
PROP~AL SUBMITTED TO
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JOB LOCATION
We hereby submit specifications and estimates for:
(-'0'
JOB PHONE
ARCHITECT
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hereby to furnish material and labor - c~mplete in accordance with above specifications, for the sum of:
("'. C', 1
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.. ''A, .~".,C':>) ..'..'--- '..-....- '''''--, :S,>::::::j dollars ($ Ei:')U:~
be mil'iJe as follows:
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).
All material is guaranteed to be as specified, All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance,
Our workers are fully covered by Workman's Compensation Insurance,
Authorized
Signature
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Note: This proposal may be
withdrawn by us if not accepted within
days.
Acceptance of 'roposal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
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Date of Acceptance:
Signature
(llP...5IDEHTIAL USE OHLY)
rARCEL L D.
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SHOW ALL EXISTING /\NO PROrOSED STRUCTURES GIVING DIH..E.NSIOHS AND SITllACKS. IILSO, INDICATE
MI' BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO TilE PHOPEHTY. INUIC/ITE
THE SIZE, YE,AR, f_"l!:l !-If_liE OF HaBILE; SUCII AS 12' ^ 60', D81. FLEETwOOii.
All "EASEMENTS", "RIGIIT-Of-WAY" and "JURISDICTIONAL LINES" must be showll on all site plans.
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L ENGINEER - OEI/[LOPI.CENT CONSULTIINT
P.O. BOX 4360
POAT OOANCr.. nOOll)1I 32119
TElEPHONE, (90~) 7C,7-HH
lAX (904) lC,l.,C,~~C,
SCREEN ENCLOSURES
SCREEN / VINYL WALLS
SOLID COVER
ntE DESIGNS AND SPANS SHO'Ml ON TIlES(
DRA'MNCS ARE BIISEO ON TlfE LOAD REQUIREMENTS
Of mE r(X.LOWlNG COOES:
t. S TIINOIIRD BU/LDING COOE 1994 EO. CHAPTER 16
IfICLUD/NC IIPPLlCIIBLE WIlD LOADS AND PROIIISlOtIS
Of, SBCCI 5S ID 10,. 93
2. BOCII 1M nONIIL OUIIOIIIG COllE 1993
,I. TEXIIS DEPIIRTMENT Of IIISURIIIICE WI/lDSIOIllA
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I. STANDARD 8UllDtNG CODE 1004 CD. CHAPfER 16
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