HomeMy WebLinkAbout97-7025
BUILDING PE,RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
7025
jJ
Permit
yo.crt)
Date 10 - b - cr ~
BUILDING
t.35 ':. V7J
ELECTRICAL
~':.c/D
PLUMBING
;;b5-:J-zJ
MECHANICAL
Sewer Conn j J.- ~ 6'-. OV
Water Conn: 2S:.'CJ, c'rD
Water Meter: ,n. c1V
T.I.F.'s: / 'f f-o ' OD
, ,
PmpertyOwne, c;r3I !{~ &LA~~
Job Address: J
Parcel 1.0. #( ?-:ll:J -Jj , (G>/O - /J ee8 0 ' oRY 0
Zoning: , ~~er~y C~de7-- . Radon Gas:
DescriPtionOfWorkm~p ~~ ,~ ./~~
).JRE.~ lIP -.2~-Y7 ~? 1/111.
NO OCCUPANCY BEFORE C.O.
FINAL 10
DATE
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
P?'
Permit Fee
Signature
Company
Address
Telephone#
~-s-. 0-0 .
~~~~R-~
Valuation or
Contract Price
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,
13~;tl~JfJ
BUILDING
P.k L'7tJ
ELECTRICAL
C?7~ eQ7'
PLUMBING
~~/'7
MECHANICAL
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 ($1IIIM6) shall be made for each trip for each trade:
.:JS": P1)
a.
b.
c.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
2J~
r;J
JD --Ii - 9 7
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
"t
CENTRAL PERMITTING
PASCO COUNTY, FLORIDA
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CONTRACTOR #: 00986Q
NAME: WAYNE BUrTERF[~LD
ADDR: 38?30 BUfTERFIELD LANE
C / ~3 1': l ET'H YI:;:IIT LU:: F L '3 ::;: ~:; 'W
DATE: 10/06/97 TIME: 15:47
PAGE: 1 OF 1
1 :.::::;;UE OFF I CE: D
RECEIPT NUMBR: 0033785!5
OFFICE: DADE CITY
.J
F(m:
CHECk tt 11.::.1.;:.12
f<E:::;C. IJNI_ Y C 11 Y ur' l..H ILLS
702~i B
CONTRACTOR: Ou9864
-1'Ol (':L nt/loUNI':
ALCNT COMPNY ACCOUNT CENTER
114 B450 - 363000 - ~
1 ~~~.. 2:;~
..
AMOUNT DESCRIPTION/PERMT DATA
12.22 ****** SOLID WASTE FEE ~
RECEIVED BY
01iIlER' 5 NAIIB .~ lie -f A I:' e "'y
OWNER'S ADDRESS 3"763 ;J.. AJewk'-
I-fJ+ ;IF 8Lf "2 ~ A
6?uWtllo->~91
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---,.."'.,....~.>>."'_..'k.. .".
-''-,,",
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
JOB ADDRESS
~/
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION ~
PARCEL LD.' 63- ~- a/- tJ3iO- 00000- cP8LfO
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
PROPOSED USE:
_Sign
~l.
_Move
_Deaolish
Faaily
---14/ F
_' of Units
_M/H
/
V Oth>>r
IY7ttllvf/1C fllr~ j HOrJ? €
_~ercial
_Indust.
_Swia. Pool
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: Lsi A (( iV1f1fluf"cf vreJ kojll1.€
BUILDING SIZE: ~'r X C,O , Jq t71 Square Feet, Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
/BUILDING
/ ELECTRICAL
~CBAlUCAL
~UNB~NG
PERMITS REOUESTED
$
I( 65D
/S~ AMP Service
Valuation of Total Construction
Florida Power Corp.
W.R.E.C.
$
/ ;)- jO
Valuation of Mechanical Installation
GAS
-~ROOFING
~ SPECIALTY
/flllllvi~cill/ej IfPAJ6t:her
~
TYPE OF CONSTRUCTION:
_Block
_Fraae _Steel
FINISHED FLOOR ELEVATIONS :~FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES
NO
BIITloOD
!;O~::;~i-h~e ( )
State Cert. or Regist. .
City License Registration' ~~
********************************
//
t/
F.1.RCTRICIAR
. II/N flee ~r )(),t ~
/J
COMPANY
State Cert. or Regist. .
License Registration .
******************************
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Signature . City License Registration ,
I' . ******************************************
IQ!(2WllCAL ~ COIIPAHY f1 hI' A
~ B' State Cert. or Regis . ,
Signature evil'! 4Ar- City License Registration'
~.-...~..............................
COMPANY R \/IY\ 1tt1
State Cert. of Regist. ,
\ ,
Iln ^- ,
, '~
.~~ )(
v
OTHRR COMPANY
State Cert. or Regist. t
Signature City License Registration I
******************************************
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 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 aay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner has hired a contractor or contractors, he is advised to bave tbe 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 tbat you, rather than tbe contractor, are responsible for the work. If tbe contractor wishes you to 8ign
as contractor that lay be an indication tbat he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
I ~~'
,
D. CONSTRUCTION LIEN unw (ClmPTER 713, FLORIDA STATUTES I AS AMENDED)
I certify tbat I, tbe applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
Guide~ prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doeulent and prolise in good faith to deliver it to the
"owner" prior to co..encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land deve~oflent.
Application is hereby .ade to obtain a perlit to do work and instaifation as indicated. I certify that no vorl or
installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled to teet standard8 of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlental agencies aay apply to tbe intended vorl, and that it is
IY responSibility to identify what actions I lust take to be in eOlpliance. Such agencies include but are not 11lito4 to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
Vater/Vastewater Treatlent
t Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses
t Ar., Corps of Bngineers - Seawalls, Docks, Havigable Waterways
t Departtent of Health & Rehabilitative Services, BnviroDlental Healtb Unit - VeIls, Vastewater TreatleRt, Septic Tanks
t US BnviroDlental Protection Agency - Asbestos abatelent
I also certIfy that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood 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 perlit, issuance.
. A per.it issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
Bet aside any provisions of the technical codes, nor sball is~u~ce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in pJans, construction, or violations of any code. Ivery peIlit iS8ued shall heCOle invalid
unless the work authorized by such perlit is cOllenced witbin Sil IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of Sil IOnths after tbe ti.e the work is cOll8nced. One 90 day eatension of tile, tal be
allowed for the per.it with fee cbarge of $15.00. The extension sball 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.
WARNIHG TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COHHBHCBHBNT HAY RESULT IH YOUR PAYIHG fNlCE FOR IHPROVEKBITS TO YOUR
PROPERTY. IF YOU INTBHD TO OBTAIH FIHANCING, CORSULT WITH YOUR LERDBR OR AN ATTORIBY BIFORI RBCORDING YOUR NOTICE OF
ClIIIII_. JOIIS I/IlDIR !ll ~LUE 00 NOr 1110 10 RitllIlII AII0 POST A 'IIIIlICll Ol' /'. . I
SIGlA~~ Sl~~
STATK OF FLORIDA
COUNTY OF
The foregOing instrument
before me this
was acknowledged
, 19_ by
STATK OF FLORIDA
COUHTY 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
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