HomeMy WebLinkAbout97-6795
BUILDING PERMIT N!
CITY OF ZEPHYRHILLS Permit
(813) 788-6611
- .6795/3
'10. CJt)
BUilDING
Date
h -/~-9'7
.3 ~.......# d7J
ELECTRICAL
J--S ". i)V
PLUMBING
<20.t.h.J
MECHANICAL
Sewer Conn
Water Conn:
B 1 '
PmpertyOwne,. ~:F-/7j,2!6aA
Job Address: J 9', :-S
Parcell.D. # I.;) -db" d/- () o:J....A -- <::> o~""'O 0... (;) ()/ 0
Water Meter:
T.I.F.'s:
Zoning: _jr1e~y ~ Radon Gas:
Description of work.J1! ~ --17~.s:P~
~-f J--b-~ 7-5'-77 il~ .~~ 2'35- YJi1?
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
Inspector
1//1-
City license Registration # .;;z) 0 e;-
State Certified license#
P~'mitFee .~~ ~
Signature ~ ~?--
/
Company h
Address
Telephone#
Valuation or
Contract Price
'~,~
0~;l/ ~
/It cuJPA.h-/ 0 Y
BUilDING
ELECTRICAL
PLUMBING
;jj!;J( A-/L
MECHANICAL .:L/O?'
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final '1- ~q'l R-l.-~
SlB
Tub Set
Water
Sewer
Final f)-:S ~ '\'.1 J2:_L-,A
Breakers
Ducts Insl.
Compressor
Final
Driveway
~Uf ry,,3-<t, eL~
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.
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i:l8':,'3 POl
APPLICATION FOR PDKIT
CITY OP ZBPBYRalLLS
BUILDING DBPARTKBNT
OWNIR I S NAHB A If Y A /V ft1 E AJ I'\' < / /1/ PIIONa i
OWER'S ADDuss / Vi:1 d-.. ,J) /,tV ~ / IJ/l/ AI/L, L /:J /;, L/J/('f S hlAfT;4/A ~A~'9'
JOB ADDUSS < ~ 9, '{ ~ S S / X' T /-I A V E. ;::::<',(3 PA!E/f /Y/LL.6 ~/-.
-
LIOAL DIlSCIUPrIOIl, !.OT (S) 00 1.. {J SLOCK. SUBDIVISION \ l/ ;:r ,(6::: A;/ t? /17 O=;C
PARCEL 1.0.. /:2 -;)..k-, --;1,./.... ()O::L8-09,,;'OO -00/0 {OBT~III ~ PROP,," TAX Mot___l
WORlt PROPOSBD:---.New Coastruction --Addition -Jltel'atiou ----Repair ~...tall
_8180
---..Hove
-Duo11eh
PROPOSED US!. -k::Sin81e PeaUy
-HIP ___, of Units -->f/a
_eo..et'cial
_lndust. _Swia. Pool _Other
--..Re.t.aur8llt . Health Departaeot Approval
DBSCJUPl'ION OP WORlt :~ k ,/7L/,} C E M J:: /V T
.
ft18gJLE ...<)~I -/~/
BUILDING SUI: j b X d:z, /092.. Square Peet,
Hetght
USlDlIITlAL: ATTACB (2) PLOT PLA.HS , (2) SETS OF BUILDING PLANS Ii (1) SIT IHDGY POMS.
COtIlDCIAL: AnACB (3) SETS OP BUILDING PLANS Ii 0) SET BNERGY FORMS. .
PROPDTY SURVBY RlQUl.R!D POR ALL NEW CtJHSTRUCTI0N.
Dl11I.DING
~CAL
~ClWfIcw.
L..nutm1.O
PERMITS RmUESTRD
$
Valuation of Total Construction
/.{ ()
AKP Service Flodda Power Corp.
W.R.I.C.
$
Valuation of "echaoical ID8ta~tion
G.\.S
ROOFING
SPBClALn
y' Otber
1TPI or OOIrSTIlucnON % -..Block
--1r811e _Steel
rDIsUD PLOOJt 8LBVA'J'IONS:
PT.
IS PROJECT IN FLOOD 10.. ARIA? ~
YIS NO
..........................................
aUI~~1I
CON~CTOR SECT::(,Q,Pl
OOKPAHYP~rS/jEE ~e CL:/f/T~
State Cert. or Resist. . //o~/f C;;
City Licen81f Re8btraUoo f .:1. lOr
............~..............
SiaDature
SilDatur
COHPANY ~ /L.LIS ;::-LEG
State Cert. or Resist. f EIf{'OO 9.5 be;
City Licet1a;r.- ae.btraUoD' ~/ o.;;z
..................1..............
PIJDIRIR
OOKPAHY__h A //1/..u~ /fr <6f/ /l?,(j;1 A/;;
State Cert. or Reat.t. ~
City LicHu.e Reai8traUou' .:2 / 0 L/
...................tt..............
Siaqature
COKPANY #E"S A/C----
State Cert. or aesiet. .
ctty LlceW'e Reai8tr.tioQ . ~ :;1.../ () 5?
..................~...............
J1lIII
COKPAHY
State Cert. Ot' Resist. .
City License aea1etration .
..........................................
Slpature
APPtTGAifflJJ _P~("lVl'r-. ~\:"
"''1-.,..........,..,"1'., "..._."".,..,,,,,,,...
COND l'!'lOliB Of PERMIT AFFIDAVl'l'
. A~ NOTIce OF D5EU RESTRICTIONS
fhe undlrelgned understande lhat~lhi~p8rlTt .ay be-8ubJecl lo .de~ re6trlctlons' whicb eay be lOre restrictl" tOaD City
regulatfons. the undersigned oa8U1es responsibility Cor co.plIance with any applicable deed re.tllctiOBl.
B. UNLICENSED CONTMC1'ons ANU CUN'.1'MC'1'OU HESPONBIBILITIEQ
Jf tbe owner bas hlr~ a contractor or contractors to undertake work, they lay be requtred to be licensed in .ccordance vltb
Itatl and local reiUlations. IC the contr~ctor 18 noL- licensed as reqcired by law, both lbe owner and contrlctDr ." be
cited Cor a liadeeeanor violation un~er Itat9 law. If the owner or Intended contractor are unetrta1n ae to whit llCIDIlng
requlreJtnts lay apply (or the intended work, they are advjBe~ to contact the City oC Zephyrhll1a Bul1dlog Oeplrtlent, (813)
788-6611.
FurtbellOre, if the ~ner has hired a contractor or contractors, lie Ia advised to baye the contractor(l) 8lgn portl00a of tbe
'Contractor SectlDOS' of this application fOr vltich they will be responsible. If you, 81 the ovoer .lgn II tbe contractor,
you Ire in4icating that you, rather than the contractor, are responsible [or the work. If the contractor wlabea fOU to .190
as contcactor that aay be an IndicatIon that he is not properly licen8~d and 18 not entitled to per.lttlog prS,lltgll 10 the
City of &epb,rhil1e,
C. lAANSPORTATION IMPJ\CT FEE~__l\Nl) V'I'll-l'rY CONNeCTION F6EB
D. CONSTRUCTION LIEN L1\W (Ctl^PTER '113, FLORIDA STATUTES, AS AHBHDED)
I certify that I, tbe applIcant, bave been provlaed with a copy of 'Flor!da'. Con'lluctlon Lien La, - HoIeoMott'1 Protectloo
Guia,' prepered by the Florl0a DapartJent of Agriculture and ConSUJer ~iCalr.. If th, applicant I. 1OItOn. otber than the
'ownor', I certIfy that I have obtalne~ a copy of the aUove described ,!ocUlent and proal.. in good faltb to delJ'1t it to the
'owner' prior lQ coe.enceaenl.
II
E. ~RACTOR'SjOWNERIS~AFFIDAVIT
I cerlley tbat .11 tbe in(ortatfon In lbls applicatIon is accurate and that all work will be done in OOIPliancl wilb all
applicable law8 regulatIng construction, loning, and land deve~optent.
Application 1. bereby lade to obtain a parllt to do work 6n~ In8tailatlon a8 indicated. 1 clttlfr that DO IOrl or
installation baa COIIInced prior to issuance of a per.it and that ell wvrk _ill be ptrforJed to ...t .t&DdItda of III 1...
regulating construction, City codes, loning re9ulatloos, and land d6veloplent r~lalion. In tb. jurll4ictloo. J .180
certJC, that I understand that the regulations or other 9o'ernaenlol ~genciei .., apply to the inteadl4 .or., and ~t it 18
ry responsibility to Identify whet dctlons 1 lust la~B to be In cOlp(iance. Such agencies include but are POt ll1ited to:
· DeRtrllent or Knvlrontentel Regulation - Cypress Bayheads, ~etlano Areal and 8nvironaantal1y Sensiti,e LandI,
Water/Waltewater Treatlent
t Southwest Plori~1 Water Hanagtteot District. We118, Cypress Bayheads, Wetland Areal, Altering WaterCOijZ188
t AtIY Corps of ~tneer8 ~ Seawalls, Docks, Navigable Waterways
t ~tlent ot Health' RehabIlitative S!I!ic~&nvlronlent~1 Healtb Unll . Welle, Waslewaler Trea~l, Septic lanks
· 11.8 lD,lrouental PcQtectloo ^~!Qf1 . Asbestos abatetefll
I 1110 certify that, it fl11 ~terial Is to ~ used in Flood Zone "A' or "A,etc,', it 1. ~er8l00d that . dra1DoQe plan
I6drt81ino I 'COIptnletlA9 yolu.e' 'Ill be sublltteo whIch is prepdred vy 0 prote88ional engineer rtgl,t81td in tbe Stlte of
Florid. prior to perlit ilsuince.
, I ptrIit 18sued ahal1 be con8tru~ to be a license to proceed wIth the work and not a. luthority to 'lollte, caDcel alter, or
ail '1lde any prov18iOOl of tbe teChnical code8, nor shall i88UanCij j~ a per.it prevent the Building Officill frOl tberllflar
requiring a correction of errors In plans, construction, iJ! violations of any code, Bvecy peaJt l..ued aba11 bee-. iD9Il1d
unless the MOck autborlJed by 8uch perllt is cOllenced within six IOnths of issuance, or if work lutborlled by the ptrIlt 18
suepended or a..bandooed for 4 period of elx IOnths after the U,e lhe wvrk 19 cQQeneed. One 90 dlY 81twloo of u., ., be
allowed Cor t.hiI ptrlit lIith lee cherqe of U5.00. The elltensl011 sha!! be requested In wdting to the 8u11G1D9 Oencial. An
IpprOled inspection JUet be logged ~urin9 each 81~ lOotb period, or lbe project .111 be conaldered abandoned.
VARJIWG TO OWJKR: YOUR 'A(LURE TO RgCORO A HOTIC! OF CQKHBKCEKBHT ~~y RBSULT 1N YOUR PAYING TWICl FOR IMPROVBMIXT8 fO YOUi
PROPlRTY, IF YOU UTm> TO OBTAIN FINANCING, CONSULT '11TH VWR LENDER OR A.M ATTOM!r BBPORJ RlCORDINQ YOOI IIO'tlCJ 01
COKMiICiKiHl. J DER 12,\00 1M 'ALUR va RUT HiED IU RECORD A" POSI A 'HOIICE OF CDHMIHCIHIHl~
~ - /J(-
STAR or FLQR~
coon, OF ' t-:~
The foregOing lnBtrument was aCknowledged
before Ite this j - I~ , 19L!2 by
lS 11/:'0-003 ...r2lf-!?'};L -0
wbo 18 perl),nal)Y knO~o me or who has
produced ~~ ~ .
as identification and who did/did not
take an oat'l:-.l1 a }jf ~
(SIgnature) ~ If J
- ~.;J. It L'/ A 00 "-/
(N-.e Typed, Pc nteu Or~d) ~
HOTARY PUBLIC
... -
"..
STATK OF PLORl~
COU~TY OF. . '- ~
The foregoing instrument was Ic~owledg.d
before me this 6 - 18- , 19 ~ '? by
G- t.,/~~- 936 --35'- ,;170 - 0
who--T,j peg"al_lY known t~ .. or wbo Ii..
prot;:.:ced A~ Z~ 0
ae identification and who dld/d1d not
taka an oatb ~ ~
-- tZOfr;
(819natu;;;tt;~ .L
---- c9- h C-. v II. ~tJZJ +
(HclJl;9 Typed, PrintedlOr Stupe)
!2T."!!t't PUBLIC
.......~~'~/"I" N
$~~&' ..~~ ancy!',.
;..: :..~ MY COMMISSION '
~'J;..........~i Febr;I'i:.
l~',9fllf:r,.~ BONDED THRlI.!"I~".',