HomeMy WebLinkAbout97-7195
BUILDING PE,RMIT
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BUILDING
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
~~':N
PLUMBING
Permit
7195 0
Date
/ / '- 7 - r 7
MECHANICAL
Sewer Conn
Parcel 1.0. #
Water conn:~,.. _
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T.I.~ 4 O'~
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Property Owner: . ...J-. ~
Job Address: _? /...3 0'- - zt.t" '%iJp ~
Zoning:
Descriotion of Work.
"Y.-f ;W~/:J-"'3- 9 '? P J~ 33.::> 11 tr}
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
Valuation or
Contract Price
Permit Fee
/10. {jz)
o/-PJ
1/).;
City License Registration # tit'"
State Certified License#
Signature (J..)~ E.
Company
Address
Telephone#
(A.;;Jtf;JJ~
BUILDING
7J/(~ ~:l:2
ELECTRICAL
I:J~ g7~ J{'6
PLUMBING
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 ($~) shall be made for each trip for each trade:
~~-: Vi)
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.
a.
b.
C.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PIWIIT
CITY OF ZEPIIYlUIILLS
BUILDING DEPARTHENT
OWNER'S NAKE
Smith ('rlttlp ~ f.:rrnTP Tn,..
I
PHONE Rll-7RR-n?,,)7
OWIEB.' ~ ADDUSS
JOB ~DRESS
5739 Gall Blvd. P.O. Box 1536 Zeohvrhills, Fl 33539
Silver Oaks Villaae - Eiland Blvd. J '13()-S~~E- jJ;J ~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.#. ':l ?F-. ?,. no 1 0 OQ~OO 000
(OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROpOSBD:_Hew Construction ---Addition ---..Alteration _Repair _Install
_Sign
--Hove
_Deaolish
PRO~smUSE: _S~leF~ily
---.Jt/F _' of Units ---.Jt/H
_ec-ercial
_Iodust. _Swiat Pool -LOther
--Restaurant Ii: Health Departaent Approval
DESCRIPTION OF WORK: TnRtrlll ('onl':trllf"ti on / Sri' PI': Mnnll'rlr TTni i-
BUILDING SIZE:
12 X 52 .
Square Feet.
Height
RESIDEtITIAL:
COHHERCIAL :
ATrACB (2) PlAlT PLUS &: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS.
An-ACB (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURvn UQUIRED FOR ALL NEW CONSTRUCTION.
PERHITS REOUESTm
-U,LAUlLDING
$
Valuation of Total Construction
~cnuCAL
AKP Service
x Florida Power Corp.
W.R.E.C.
.:J.,t..AJIECll.AlJlCAL
$
Valuation of tlecbanical Installation
~PLUKBING
GAS
ROOFING
SPECIALTY
TYPJ$ OF COItS1llucnON: -----Block _Fraae _Steel
x
Other
FDJISQD nooa ELBVAUOBS:
PT.
'IS PROJEct IN FLOOD ZONE AREA'l ---X-
YES NO
..........~...............................
'IE
RI.RCTRICIAIII
)11peL
COMPANY Morton Electric
State Cert. or Regist. .
City License Registration .
..........................................
:J-??-
PLIIHBER COIIPANY Colb Ja nes Plumbin
State Cert. or Regist. .
Signature City License Registration .
. .......................................
HECllAHIGAL COHPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
APPLICATION APPROVED BY PERHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned underBtands lhat lhis perlIt lay be Bubject lo "deed restrictions" .hich la, be lOre re8trictiY8 than Citr
regulatIons. The undersIgned assWles responsIbilIty for cOlplIance .Ith any applicable deed restrictions.
B. UNLICENSED CONT.RAC'l'ORS AND CON'l'.RACTOn RESPONSIBILITIES,
If the owner has hIred a contractor or contractors to undertale .orl, they lay be regulred to be llcenled in accordance ,Ith
Itate and local regulations. If the contractor is not licensed as required b, law, both the OImer and contractor ., be
cited for a lisdeleanor violation under state la.. If the owner or intended contraetor are uncertain 8S to what licensing
reguiretents lay apply for the inlended worl, lhey are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to ha,e the contractor(s) sign portioaa of the
"Contractor Sections" of this application for .hich they will be responsible. If you, al the OImel 81ga 88 the contractor,
you are indicating that you, rather than the contractor, are responsible for the IIOrl. If the contractor ,illles fOIl to llga
as contractor that la, be an indication that he is not properly licensed and is not entitled to peoUting prlYlltgll fa tilt
City of ZephyrhillB.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES i i
D. CONSTRUC'I'ION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Consttdctlon Lien Li, - no.eo.aer'l Protectloa
Guide" prepared by the Plorida Departlent of Agriculture and Consuler Affairs. If the applicant 18 IOIIOn8 other than the
"owner", I certIfy that I have obtaIned a copy of the above descrIbed doculent and prOlise in good faith to dell,er it to the
"owner" prior to COllenCl!lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all IOrl will be done in ~llance .l~ all
applicable laws regulating construction, loning, and land de,eJoplent.
,
Application is hereby lade to obtain a perlit to do worl and instailation as indicated. I certif, that no worl or
installation has COIIenced prior to issuance of a perlit and that all .orl will be perforl8d to lilt .tIadarda of III ....
regulating construction, City codes, lonlng regulations, and land developlent regulationl In the jurisdiction. I al80
certify that I understand that the regulatIons of other 9O'IInlentBl &gehcies ~1 appl, to the intended worl, ana ttlt It II
IY responsibility to identify .hat actions I lUst tale to be in COIpUance. Sucb agenclel Include but are not U.ltec1 to:
· Departlent of BnviroRIIRtal Regulation - CypresB Ba,heads, Wetland Areat and Bn,irORlentall, Sensitl,. Lande,
Vater/Vastewater Treatlent
I Soutbvest Florida later Hanagl!tent District - Vells, C,presl Bayheads, letland Areas, Altering Ifatercourle8
· Ir., Corpl of BDgineers - Seawalll, Docks, lavigable latellars
· Departlent of Healtb , Rebabilitatbe Benices, IndrOllleDtal Health Unit - lells, Wastewater freallent, Septic Iws
· US In,irORlental Protection Agency - Asbestos abatelent
I also certify that, if fill aaterlal Is to be used in Flood Zone "A" or "A,etc.", it is understood that I drainage plan'
addressing B "COIpeDBatlng volUle" will be subtitted whIch Is prepared by a professional engineer registered in tbI 8t1te of
FlorIda prior to perllt, issuance.
. I perlit issued shall be construed to be a license to proceed with tbe IOrl and not as authoritr to ,iolate, caace1 alter, or
set aside any provisions of the technical codes, nor shall is~u~ce of a per.it pr.,ent the Building Official frot ~ter
requiring a correction of errors in plans, construction, or ,Iolations of an, code. B,err pertlt llsued ahal1 becaIe lnta11d
unless the IOrl authoriled by such periit is cOll8nced within sia IDnths of issuance, or If work authorl.ed br the pertlt II
suspended or abandoned (or a period of six IOnths after the till! the worl i8~. One 90 cla, at_Ion of Ute, -J be
allowed for the perlit with fee charge of $15.00. The ellension shall be requuted In writing to tile BuUc1lng Official. AD
appro,ec) inspection lUst be logged during each sil IOOtb period, or tile project wUI be conalt1erec1 abIndonec1.
WARRIIG TO OIlER: YOUR PAILORI TO RICORD A DICK or CdIIDCIIIBII1' lilY RBSULf II YOOR PIllIG !IIICI FOR IIIPROVIIIQI' 10 100II
PROPERTY. I' YOU IIIIIfD TO OBTAIN PIIIAIICIIIG, COllSULT "ITR YOUR LBIIDIR OR AI AnORlll "PORI RlCCllDIIG YOOR JIOI'ICI OF
COHMIIICIJIKNT. JOBS OIDIR '2,500 II VALUI DO lOT 11110 TO RICORD AID POST A "lIOTICK OF aJIIBlICIIIDJw.
.=::::r2 ~,~ ~~
SI~lMIBBYiGI' -S..../~ ·
STArB OP FLORIDA ~
COUIIY OF . ;----~
The foregoing instru.ent was acknowledged
before me this 10 ';)...1 ' 1977 by
.' I"
STATK OF FLORIDI_~
COUIIY OP , ---t-~-D
The foregOing instrument was acknOWledged
before me this Jp -~, 19f!L by
.......----~~
;~~~~e~~~~~-~~ to me or who bas
as identification and who did/did not
take lln oath~ a. 1Jt~
(Signature) . AI. ~ 4 11 I
Ol-ncv , t"dv
(HOe Typed, Printed/or S uped) /
NOTARY PUBLIC
own to me or who has
and who did/did not
,",....."" Nancy A. Moody
W"~~~~ Mf COtIMSSION' CC534806 EXPIR,'
=*~ : ~ F8bnIaIY 21. 2000
"",... . 1lOIlDED1IRlTRO'fFAlllINSURANCE, :~!
'/~.
'~. '& Nancy A. Moody
/$) :~~ ~ COMMISSION # CC534806 EXPIRf:
~,~. : J FeIHUary 21, 2000, ,,'
,,~~.....,,'lJ BONOE01llll\JTRO'fFAININSURANC',lt"
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