HomeMy WebLinkAbout97-7284
BUILDING PERMIT 7284
Permit
3s---'/lV
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
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13
1/0,8v
BUILDING
Date
/~-L/-7~
~
PLUMBING
;2-.5 ~ ("lD
MECHANICAL
Sewer Conn I d-}J ~ d7>
Water Conn: g~2J # d1J
Water Meter: I gz) . @
T,I.F.'s: / t/ ro. I()
~
~opertyOwn.' .i{-%tLr~ ~Z9~
Job Address: ... ~i
Parcel 1.0. # Jf-JJ;: d-I-CJO/O- 0130 (j - / b
Zoning: ~ C~
DescriPtion of worki}f. #
~ Radon Gas:
T~
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
~
perm~'t Fee ~-: lTD ~
~~;P.:V ___~'/A/;'(~~ /
Addre __
Telephone#
Valuation or
Contract Price ~. I?:ro. (J()
City License Registration # 02 ~ Y ()
State Certified License#
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BUILDING
ELECTRICAL
~ -
~
PLUMBING
O~.I' S/~
(tr ~ /e'7
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final I h ~ /5 i {foP
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final I {l.-( ~f foil
Driveway
a.
b.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($4 S.60'l shall be made for each trip for each trade:
dlS:tlV UU /) ..--r t1,j /;2-$/-77
Wrong Address ~ ~
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called. rr . /J /' h - /~-CJ7
Work not ready for inspection when called. ~ 17-
Permit not posted on job site.
Plans not at job site.
Work not accessible.
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.
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CIIIIIIl'...... '7"15- G-reen slope D/2-- 2€pheJv.l(J if l l3~3S.,3 7
101 .-.. 3 763 r;, - /II e- uj( 0 JY) t:Z1'4!. _
I.IGAL H8C1U.ftlOlll LOr(I) I ~ ~(jII)l~o. GrrvvJ }-fvR-; z. on -/h~)J~1N- ~/
PAICII, I.D." gtJ- ;;s - ~ 1- t:J(J / () - () / 3 00 '7~l'jn nmr RlUIID'l'Y 'rAJ: mn~
IIllU lIla"ai.II~ Caaltncti... ---Udtu... --..A1teraU_ -..u&' -lutaU
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nolO8lD USlI ---IJ1aI1e r..uy
-Jt/P
_' of I1Illte
-"'18. Pool
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_o.-.rciaJ.
_1adut.
_Other
-..IMtI.unat . BMlth D.pel'~at ~fP~l
DISClUPrla 0' tIOUl Se + ~ fY1~ ~ _
IUU.D1IIQ ItzII :Jg I to t/- i rtJ V Aqaan ,..t, l.tabt
"IDIInALI AnACJI (I) 'LOr PLAIIS . (I) sm or 1UUD1IG PLAlS . (1) Ill' IUIGI ~.
ClOIIIII.aIAL I "nACJI ()) '1l1'IS or IUILDIIO PI..AN8 II (1) SItT IIIOGY ~.
nonan SIIIVIY IIQUlUD POl ALl.. NIW COISftUCflOlf.
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~.-r.ruCAL
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IS () JtIW Sentc:.
L) So () b3l.
~u bmnL~
YeJ.uatiOll of TDt.&l CoutruetlOll
~da ....1' COrp.
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GAl
Yal_u... of ~Ie&l Jqt.&1.1atloa
ROan"
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7J1- /J I
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0JImU.~ IIl1!CrTnw
-~. -- SeM;.t.II\'b~E fl.'""'-llot"f
'~t. Cart. or Ie. t.' 1-+'00"0 I L/
.tlU -- - - - - ~It' Lteeu. ha.ltraUOll . ~.9
. ~~.........................~..... ~
m-rflU. COHPAIlY CUe.. ,0 - 1\ ~hlc{ <.<A...J
lItate C.rt. or... t.' 0 ) ,
City Licenee a.,letr.tlOG .
...................................
SlIDat
00tIPAln' fuf..~ L - - tv(! ct..t/l.. W ,III c~
State c.rt. or ..,la . . C- JlC! O';I;.'PS 5
City Lle~ a..iatretloD .
.................................
&&alii
1IfIIt!II....1C&L.
'feDatur.
mill
Siaaatuft
a>>cPAIlY
S~te cen. or beiel. .
Olt, Liceaee aealltratlOG .
..........................................
Al'rLICAfUII ArI'IaVID If
tmaf OPfICII..
'-
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The under.lgned und.r.Llnd. lb.t thi. p.ralt oa, b. .ub].ct to 'deed r..triclion.' -bieb .., be IDr. r..trictive tbau Cit,
reg.l.ti.... Tb. und.r.ign.d ....... respon.ibilily ior COIpliance -itb an, .ppllcabl. deed r..tricti....
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ....r b.. hired · contr.ctor or contr,clor. to ond.rLlI. worl, th.,.., he req.ired to be licen.ed In accooIaoce _ith
.t.t. and loc'l r.gui.tion.. If the contr.ctor i. nol licensed .. required b, ],_, buth the owner and CODtr.ICtor 10, be
c]led ior · .ied.....'r 'io].linn und.r .t.t. I... If the ONn.r or Intend.d contr.ctor .r. """,rt'in .s to .Iot licensing
reguir....ts lOy .pply ior tbe intended ..rl, th., .r. 'd,i.ed lu cont'cl the Cit, of Z.ph,rbill. Building Deparlseot, CBI3]
788-6611.
Furtbersor., if tb. ....r b.s hir.d · contr.ctor or contr.ctor., h. i. .d'ised to 10,. tb. cootractor(.) .ign porti... of the
'Contr.ctor Secti.... oi thi. .ppiication ior .hich tb., _il] be responslb].. ii rou, as lb. ..... .ign a. lb. contractor,
roo are indicating thal mo, rather lhan lhe COntr.clor, .r. r.sponsib]. for the worl. If tb. contractor .i8los mo to .iga
.. contr.clorthat 10, be an indlc.tion that h. i. nnt proper], licensed .nd i. not entitled to P!<Iittiog pri'lleges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
I ~I
,
D. CONSTRUCTION LIEN L"IIW (CHAPTER 'IB, FLORIDA STATUTES. AS AHElmED)
I c.rlif, thet I, the applicant, he,. b." provided .Ith a cop, of 'Florid.'. eoo.truction Lies Lis _ .........'. Fcotecti..
Guid.' prepar.d bt the Florid. Deparlleut of Igricuitur. .nd eon....r Aff.lra. If th. appllcaot I. ....... other tbau the
.....r", I certif, that I he" obt.ined · cop, of tb. ahove d..cribed doclllOllt and Prosi.. io !IDOd faith to deliver it to the
"owner" prior to co..enCelent.
E. CONTRACTOR' S/OWNER' S AFFIDAVI1'
I cerllf, tlot all tb. inforlOti.. 10 tbi. .ppiicatlon i. 'ccur.t. .nd lb.l .11 ..rl .111 be don. In OOIpIi.... .Ilb .11
applicable laws regUlating construction, zoning, and land develop.ent.
I
Appllcalion i. hereb, lade to obLlin · p.r.It to do ..rl and inst.ilalinn as indicaled. I cortif, that on IOrl nr
insLlII.tinn baa CDIIenced prior to i..nance nf a per.lt and that .11 IOrl .ill he perfnlled to seet .tsoIarda of all laos
regulating construction, Cit, cod", loning regul.tions, .nd iand d.,.IDpIOnt regul.tions in the jurisdiction. I al..
certify th.t I und.r.t.nd th.t th. regul.tions nf other gov.rns"t.1 agencies .., .ppl, to tbe intended 10(1, and that It i.
., re.ponsibliit, tu identlf, -hat .ctions I .unt t.l. lo be 10 CUSpli.uc.. S.eb agencies Include bat are nnt IIsJIed to:
· Deparlleut of En'ir.....LlI Regul.tlnn . C,pr... Ba,beada, W.tland Ar... and Bn'irnnsentally Sensitive land.,
Water/Wastewater Treatlent
· Soulhweat Flnrld. W.t.r ftanageaont Di.trlct - Well., Cypr... Ba,ho.d., W.tl.nd hrea., Altering watercourses
I Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
· De artsent of Reallb , Rehabilitative Service. Iollronseotal Heallb Bult . W.II., W'.l...t.r rrealleut, Septic TanIa
I US EnviroDlental Protection Agency - Asbestos abatelent
I al.o c.rtlf, that, If fl]] ..t.ri.] I. to be ..ed In Flood Zon. 'A' or 'A,.tc.', it I. under.tood lIot . drainage pi..
addre"lng · 'COIpen..ting ..I.... .ill be ..Io]tted -hicb I. pr.pared b, . prof...ional esgln... regl.tered 10 tbe Stat. of
Florida prior to per.it, issuance.
. A per.it i..ued shall b. COO.trued to he · lic.... to proc.ed .ith the ..rl and nnt as ..tbority to 'inlat., .....1 alter, or
..t asid. .n, Provl.ions of lb. tecbnicai end.., nor sh.il i.,n!"". of . per.lt pr....t the Building Offlc1al flOl tlerearter
requiriog · correcti.. of .rror. in pi..., con.tructlnn, or ,iol.tlons of an, cod.. 8ferr IOIIit i8SuoI 8ha11 becooe inYalid
un]... lb. worl authorlled by sueb peCljt I. COIIenced .itb]n .i. IOOlha of I..uance, or if IOrl autbnri.oI by the P!<Iit il
.ulpend.d or .bandoned for · period of ail ..ntio .ft.r the tile lb. ..rl i. COIIOOcoI. Doe 90 dap "tens].. of tIss, so.! be
all...d for lb. peeslt .ith f.. eb.rge of $15.00. Tbe "t.nsi.. .ball be r.quested in .ritinq to tbs Buildiog Official. Au
Ipproved inspection ...t b. logged during eacb .i. sonlb period, or lb. proj.ct .ill be considerol abandonod.
-IIG TO llIiIIEll: fOOR FlIILIJRI TO RRCDRD A /lO'fICl OF CfJIIlEIcRJmJI, IlAY IlASIILT 1ft _ FUlIG IIilCllDll1llPllDflllms TO TOUII
FlIOFmr. IF 10U IIITRIlD TO DIIrm FiIlAIICIRG, l1llIS1lLT wm rllDR LRilDIR DR All Anomr _ IIRCIIIDIIG _ IOTICI OF
COHHINCEHINT. JOBS UNDIR $2,500 IN VALUI DO NOT NilD TO RICORD AND POST A II TICI OF COHM 1Hilft''' .
. I
OR AGR
1'e-
STATR OF FLORIDA n
COUNn OF l~
The foregoing instrument was acknowledged
before me this NDV- d ~ , 19~ by
& "','it-' It. Ale ..J:!5#v ~,
who is per onally known to me or who has
prOdUced
as iden not
take n
STATR OF FLORID~
COUNn OF Q....dl' .LJ
The foregoing instrument was acknowledged
before me this )/-dY , 192.Z- by
~~~ ~;~CJ
who is personally known to me or wbo bas
produced Jf b$/~""" - 'l<f-d-- ~<f-~~-()
as identification and who did/did not
take an oath.
c
(Name Typed, Printe or
NOTARY PUBLIC
(Signature)
~m '3:>N~l/{ISHfH/VHOll.LllIlH.LlI3ONO& ,~~'.~:t.
0Im '!~ ~ .>~:1if'\t:.
J3i:1/dX3 ~ * NOlSS/WWO:) AW ~"\"y',,/.j
,{pOOW 'V kIwN "~.. AIJ<W
"'Ill'"
APPLICATION FOR PERKlT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE
PHONE
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. f
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ---^ddition ~teration --.Jepair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: _Single F8IIily
_M/F
_' of Units _M/H
_ec:-ercial
_Indust.
_Swia. Pool _Other
_Restaurant lie Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
--1IECllARICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fralle _Steel
Other
FI.RISBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
RllTl.DRR COKPANY
State Cert. or Regist. ,
Signature City License Registration t
******************************************
F.l.F.CTRICIAR COMPANY
State Cert. or Regist. ,
Sianature City License Registration'
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration .
******************************************
MRCllABICAL COMPANY
State Cert. or Regist. f
Signature City License Registration'
******************************************
nTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
i'
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