HomeMy WebLinkAbout97-6690
BUILDING PERMIT
Permit N!
CITY OF ZEPHYRHILLS
(813) 788-6611
6690E
Date
~-;J.s-- 97
BUILDING
G~RI~O
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
PmpertyOwne, ~~AY 6f2
Job Address: --5_~~_ _'
Parcel I. D. #
Zoning: Energy co~ Radon Gas:
Description of Work !lI~,;, ../!.u; J if~~fl/-~Y\.-d
Water Meter:
T,I.F.'s:
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
Valuation or
Contract Price
/A:
:::::.:.~#~
Compan~
Address
Telephone#
---.
City License Registration #
State Certified License#
J9Lf'1
,
BUILDING
,JJ~r M,k~,
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 ($15.001 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.
u-..,
~ ::t;?
3?
QO ~
1-
'y
~ :f:=,:.
I C
,..
--
v') tt-,
I
2'"
'-,
c.-
-,
c
o"-J
~.\
,50
i
I
I
I
I
!
1
I
[
I
I
I
~-,- -----S5S5S~
I , . I
i~~
I 'm ~ .
1 oJ..
i
I
>-
<;::
..,
N
o
c.
S
e
16
I
i
1
I ;:(rltfi
1~91
I
I
!
I .>l"""vg L
I '-<lS '2J.'~
i
I
I
'rr~
/; ! to\
, ,'0
/1 'z:
,: I~'
LL__
I
I
I
";f"II'iJ" ./1
'~I)L~' ,
!
I
i
I
i
!
1---
I
i
I
I
I
[
i
!
_l__
i
I
I
I
I
I
!
i
I
i
J
@~
~--------I
...,31'1.
~
,[ 'I
[1
f'
B
'" -.-
~~- s --,. ~ /
_~):JwP ,
~
-\
f\
y-
["1\
:<::.
i
,
I
I
I
i
I
i
i
I
i
I
I
I
II~
I
U\tH
V\~\M
I,
e; I"
@!
- ---,
,~ I
L. [
r;, I
-L-j
I
~'--(h ,,/@
, $G~jwf' -L/~-~-T,"~",'~~-'-
~ --------, -,- i It) I
~ !" i
! ~" i
i !
'LJr
i :!
j .. .""
~ - I
'01
I [
. I
' I
i~j
:~
'~------'----~-I-----~
!
i
!
L-- --- ---T-- - -- - 1
I I I
i I I
' I
I
I
i i rvn l1i:3 '''fYJ 1-::1 (AtOI It z ~;lf'(
i I
_1_ _ __ _ _ L_________
-'~..__._.,.----.
i
I
I
[-,
I .-J
1--,---- i
I I
1- ---- --- -1
1_- '
'--- . -1
[
I
!
I
[
i
[
I
1
I
i
I
[
I I --- -'I
I: I
I I I
I : "-ifK-----j
'--- -'-- -- 'l+' I
18/
i
I
I
i
1
eJeeeee
:p -,;jn ~ ~
( ~ [l, -. '" f\'
- i'J S: 1"\
? S C" \ ~
.0 1) ~ s: f" n\
~ 3 ~ ":1 ~ ['\
t ~ ~ m ~ '~,
r" ~ 25 -'-....
~ v1 \J- 1") ~ ~.~
0" :t' .~- 1"". _, .~
I"--. L,; I' \
- v Ci 8'""' ::s ,_
b, n f" () ':!:>
~ "11 c- ~.
...... B - IS:? ;c~.~
-I-' J 'I,
r:s :-)
rrr ::..j s. ;: or-
H C
r ,i,--,,_
I..- :S" v
;:: -J- c, ~
::B 1\-
~ t,
-1'\
fi
\...
~
cf
f)
r'
S,
(
~
~ L:
("J
::-i ,c>'
b I,,"
~
(\
~
>=
':1
~:~
C
~.
E
~
C'
S'
C
r
9-
"t::
-:i
~
"1'
.,..
7"
\o,.J'
~
~
'Q
$-
~
l
~
~
~
~
-'/
;>-
r;t
X
~i
t'
S>
lJ\
t
::i
S-
r g
~r;
c' ~,..,
(" ~-
'-1
r'\
::'0
F)
;:
:,J
1;)
F'
~
I
\,\
..
c
"-
,
~
G
~
N
Ii':
~"'t'1
rr
,'t{
~
~
'-)
-
"
o
J;:
---<l
t
V'
I~
-~
<..
C>
ri~
P
~
~
~
~
C
~
",
'"
13
f
~
R
((;1
-1.....
C'
("
:::,
I"
'"
...
.~
~.
:1:.;
...---... C>
Z
.; .
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTHENT
~
~
OWNER'S NAME
o Mt=:1l1l4\f0 L~61"()N
~Sl
Po)) \\~
2e\?h t h",\ ls, FL--
,
PHONE
'75-s- 700/
OWNER'S ADDRESS 5 3Lt 6
JOB ADDRESS c:; A VY\ E"""
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:____New Construction ____Addition ____Alteration vRepair _:::::ins tall
____Sign ____Move ____De.olish
PROPOSED USE: ____Single Family _H/F _, of Units _H/H
_COIIBercial _Indust. _Swim. Pool _Other
_____Restaurant & Health Department Approval
DESCRIPTION OF WORK: m'~OtL- Elec:T([ .(IlL ~~ tvOV A Ii O'J
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
_BUILDING
-LELECTRICAL
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
_HECHAlUCAL
$
Valuation of Mechanical Installation
____PLUMBING GAS ROOFING
TYPE OF CONSTRUCTION: ____Block ~r8lle ____Steel
SPECIALTY
Other
FINISHED FLOOR"ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. I
City License Registration I
*..*..........*..*****..*******
Signature
ELECTRICIAN
COMPANY Q-s{ ~N /a-T IU e-
State Cert. or Regist. # Ef? QJO
City License Registration t
******************************************
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
KECHANICAL
COMPANY
State ~ert. or Regist. ,
City Li~ense Registration ,
******************************************
Signature
OTHER
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
, .... CONDl'l'lONS UF PEHMJ'l' AFFIDAVI.'l'
A. NOTICE Of DEED RESTHIC'l'IONS
The undllrsignecfUridert "andstiiii-uiis per.it .ayiJi!subject to "deed restrictions" which lay be IIOre restrictive than City
regulations. The undersigned assUlles respolJRibility for co.pliallce wUh illlY applicable deed restrictions.
B. UNLICENSED CONTRACl'OnS ANI) CON'I'lU\C'l'OU UESPONSIDILI'I'IES
If the owner has hired a contractor or contractors to undertake workr they .ay b-e required to be licensed in accordance with
stat~ and local regulations. If the contractor is not licensed as required by law, botb the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
reguireJents .ay apply (or the intended Hork, they are advised to cont.act the City or Zephyrbills Building Departlent, (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 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 tbe
City of Zephyrbills.
c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
D. CONS1'RUC'l',:ON LIEN U\W (CHAPTER 713, FLOHIDA S'l'A'l'UTES, AS AMENDED)
I certify that I, the iilplicant, have Leen' provided Nith a copy of "Florida's Construction Lien Law - HOIeONner's Protection
Guide" prepared by the Plorida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleooe other than the
"oNller", I certify thaI I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"ONner" prior to CODenCl!Jlent.
E. CONTRACTOH'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance witb all
applicable laws regulating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all law8
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber,governlenlal agencies aay apply to tbe intended work, and that it is
If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
A Departlent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Kanagl!Jlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health fi Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnviroRlental Protl!ction AgencI - Asbestos abatl!Jlent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensat.llg volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit, lssuance.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official lrOJ thereafter
requiring a correction of errors in plans, construction, or vioiations of any code, Every perlit issued sball beCOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned lur is period of six IOnths after the tile the 1Iork is cOllenced. One 90 day utension of tile, Iill 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 IOnth period, or the project will be considered abandoned,
WARNING TO ONNER: YOUR FAILURB TO RECORD A NOTICE OF COKHENCKHBNT KAY RBSULT IN YOUR PAYING TWICE FOR IHPROVEMBMlS TO YOUR
PROPBRTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNBY BEFORE RECORDING YOUR NOTICH OF
COMMBNCEMBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICK OF COHHBNCKHEMT".
, I
SIGNATURE: OWNBR OR AGENT
SIGNATURE: CONTRACTOR
was acknowledged
, 19 by
STATB OF FLORIDA
COUNTY OF
'fhe foregoing instrument
before me this
was acknowledged
, 19,_ by
STATE OF FLORIDA
COUM'lY OF
The foregoing instrument
before me this
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 all oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC