HomeMy WebLinkAbout97-7223
BUILDING PE.RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7223 J3
Date
/1-/?-?7
c9 ELECTRICAL PLUMBING MECHANICAL
Property Owner: ~4?~ IJ::::: ~ '1;:.
JObAdd,e..',~ - ~6- ~-- -~Q
Parcell.D. # _ ~6 _
Zoning: Energy Code: ./.;> _ oJ. n Radon Gas:
Oesc,;pt;on of W;'; ~~l ~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
3-
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Valuation or
Contract Price
~~it-
Inspector
Pe,m;t Fee ~S- ch:J tt.
Signature ~ q,. "... J iZ4 .A -'1.1 ...."", ~1lA.......
Company
Address
Telephone#
City License Registration #
State Certified License#
~/L-
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. 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:
~':iJV
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.
$> 3~. tJD
/0rfJi/J
.
APPLICATION FOR PERKIT
CITY OF ZEPIIYRHILLS
BUILDING DEPARTKENT
OWNER'S NAME
b~enV1t) n.
PHONE 1rj 3 - ? jf/- /4RO
OWNER'S ADDRESS L ~/ 3 9 ~'S~~ ri'I W1 8 r' 1// II])/"
JOB ADDRESS Sf ,19 S IAVU lAA (I r #1 ~ L 7)",
LEGAL DESCRIPTION: LOT(S) j./
PARCEL 1. D. 1 /;;.. - ;;) 6 - d. /
BLOCK
SUBDIVISION .:5i/M If1 ~4 1-1/ LL
WORK PROPOSED:_New Construction _Addition
(QBTAIN FROM PROPERTY TAX NOTICE)
_Alteration _Repair ~nstall
_Sign
_Move
_Deaolish
.
PROPOSED USE: _Single Faaily
_KIF
_' of Units _K/H
_ec:-ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
, 'i
DESCRIPTION OF WORK: //1 5tr / / 4-5 h tJ rH Ie;:: 13 JJ ce A:5 S #/JtlJ A/ / Ai P L (J r.
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMKERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
P1NlSHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA'l
******************************************
YES NO
Run.nER
CONTRACTOR SECTIrH I //
COKPANY 1V1-nrt.1../~~
I 1
State Cert. or Regist.
City License Registration ,
******************************************
Signature
ELEGTRICIAR
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
SismAture
PLUKBER
COMPANY
State Cert. or Regist. 1
City License Registration t
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration 1
***********~******************************
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
APPLICATION APPROVED BY
PERKIT 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. rhe undersigned assuaes 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 lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtberlOre, if tbe ONner 'Ias bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the
"Contractor Sections" of this application for whicb tbey will be responsible. If you, as the owner sign as the contractor,
you are indicating tbat you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
as contractor that lay be an indication tbat be is not properly licensed and Is not entitled to perlitting priVileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
D. CONS TRUC'I' I ON LIEN Lf\.W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ Hoaeowner'. Protection
Guide~ prepared by the Florida Deparllent of Agriculture and Consuaer Affairs. If the applicant is sOleODe 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 COllenCelent.
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
, \
Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no wort or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards 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 otber governaental agencies lay apply to the intended wort, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
I Deparllent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/Wastewater Treallent
I Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Engineers - Seawalls, Docks, Ravigable Waterways
I Departlent of Health' Rehabilitative Services, BnviroRlental Health Unit - Wells, Wastewater Treatlent, Septic !ants
I US InviroRlental Protection Agency - Asbestos abatelent
I also certIfy that, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
addressing a "colpensating volOle" will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit. 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 sball is~u~nce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Svery perlit issued shall beCOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the petlit is
suspended or abandoned for a period of six IOnths after the tile the work is cDlienced. One 90 day eatension of tile, III be
allowed for the perlit witb fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project W!l he considered abandoned.
WARRIRG TO ONRER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCEHlRT HAY RESULT IN R PAYIRG. ICE FOR IHPROViMllrS TO YOUR
PROPERTY. IF YOU IITERD TO OBTAIR FINARCIRG, CONSULT,WITH YOUR LENDER OR AN ATTO it BEFO~'~~ORDING YOUR NOIlCE OF
COKMERCEHENT. JOBS URDER $2,500 IN VALUE DO ROT REED TO RECORD ARD POST A MROTICE OF COHHBH~Rr".
,
SIGRATURE: OWNER OR AGBRT
I
SIGNATURB: CORTRACTOR
STArK OF FLORIDA
COURn OF
The foregOing instrument
before me this
was acknowledged
, 19_ by
STATK OF FLORIDA
COURn 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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-/JeC()~oS' elr PI/>CO C~t/,v IY.J F'Cotel b /I'
'Iff EA.
1"16"16'
DOG-EARED
FENCE PICKET
(169-757)
6'18' STOCKADE
· Double nailed boards
· 3 back rails
(511-145)
6'18' BOARD-
ON-BOARD
· Double nailed board
· 3 back rails
1%'1
POST HOLE
DIGGER
· 7"x5 1~ blades
· M" handles
17-074 (689-971)
'%7
4 CD ft STEEL
WHEELBARROW
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