HomeMy WebLinkAbout97-7285
BUILDING PE,RMIT 7285 13
.
.
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
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lfo.fj-zJ
~n
ELECTRICAL
~~.clb
PLUMBING
~s . cro
MECHANICAL
Sewer Conn t ~ 7 K'". irD
Water Conn: 3.!:>----O. h
Water Meter: / ~O. d7J
T.I.F.'s: ~ If ~ . t./7)
BUILDING
~~
Property Owner: ~
Job Address: 0 ~ tJ ~ ~ ~
Parcell.D. #....5Y- :A!>---;)/- CJ fJ I 0 - 01-500 .-
II
Zoning: -Y'e~y Code:
DescriPtion of Work JlJ ~L -.:zr ~
~..f ~~...3-~-9d~ 9.'o~
NO OCCUPANCY BEFORE C.O.
Radon Gas:
FINAL
Y1111
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
~;) t.f ()
:~;~~~~'/~~ /
Comp ;r
Address
Telephone#
Valuation or
Contract Price '/ CJ J o-v--z::;
City License Registration #
State Certified License#
1~~--r
BUILDING
()A" ~ I f- '7
2 .
C-<J- ~. ~ ~.A
PLUMBING
(I~ t2 ~
ELECTRICAL
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final 1/;) i /~ ~ !?acT
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($4-&:ee) shall be made for each trip for each trade:
~-. tT1) ~. '7f I I , A /:L -r'-9'!/
a. Wrong Address ~ ~..I/
b. Condemned work resulting from faulty construction. ~ ~~ ,... 0.1
c. Repairs or corrections not made when inspection called. 'jfl.- ' /5 - 1
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.
-..-..-,.- NJ'J-20-'97 TKJ 06'~5 ID.
TEL He'
~f'l21 PO?..
APPLICATlOl rvI l'IIIIlT
carr OF ZIPUIIIIlLU
IU1LDIIQ DUAInIIft
CIIIIIIIl" JA- &r~ +bRi2dlJ /hobllle.l~~<-.... *,/3- 7g;). - J~t,0
...... "a- 7(P1~- G-reen ,c)]ope. DI2-- 2epheJJ-ll.o 11 l ,33S..3 i
.JOI -- c3 771)(/- )1Jeui.oW! {lA...e ,
LIGAI. DIllCIllftU*1 un(')~VII)lVUI" G~ }-h,R.} Un -/h~~ (1Jv/
PAICIL I.D.' 34- ~s - ,;2 / - CJ() I () - 0 / 300 -;JJ,..... nmI ftmIDft' U% mrr~)
1UIl1WlJlOlliD1~ CaMtnet10D ---AdditlOD -Jlteratiao ....ir -1uta11
--IJ1ID
~e
--.t-llab
noMID UlIII ---81rlde r.uy
_o-l"C:la1
--1tlr
_lDduat.
_' of Vatu
-JWia. Pool
~
_0tJae~
_____.tav.nat I Health Departaew..::;_l
........... .. _. 5li~ ~ ~~ <L-
IUUD1IIQ SUlI d..(]I Lfcj -:-/3' ~ sqaan r..t. Rdlbt
1IIS1D!II1'UL1 AnAGII (I) 'LOT PLAIIS . (I) sm or IUWlIJO PWI . (1) SIT IIIlOIlOIIII.
ClOtIIIllCUL I AnAGII (3) SITS or IUlLDlla PLANS , (1) SET RnIlGY ~.
PIOPIlTf S1aYIY IIQUlIID I"Ol Au, NIV CORlftUCTIOIf.
~.,~
~IoIIUN
L----;; .-r.ruc:.u.
~CM.
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. ,;Jo J r;v-iJ
( J tJ JR lenlC!tl
'-- I~oo ~
~rs UDIlU'nD
Va!uatiOD of Total Couuuett_
V';lorida ro.r COrp.
--.JI.....C.
GAl
Val_UGCl of ~Ical 1aataUatloll
aooruo
SftlCllALrY
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nn or OU-D:....Tdlh .1"<+ --J~ ---JSteeJ
iDIIIID rLOOIILIYATlOI81---1'f. 18 noJllCT II 'LOOD ZOII AlIA! _
TIS
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110
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m~CI'IlII 1I11!Cl't0ll
ClOtIPAII SerH'; I\~ /he b~e Ih.~ ~t ~
'Ute Cut. or... t.' tfooC'o / L/
. J1t1 Lleeue hatatnuClG' ~ fe
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COHPAII ~ / - ^~.t.vc{ --0
.taU C~II:t. or... c., 0 )
City Licea.e IOllaeratiOG .
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C(l(llAIIf -
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ootIPAIfY ~ l. !..V) Cl.-1.___ Lv, Illl~
lltaw Cut. o~ It.at. . . '. A<I 0. '
City Lic~ ...1etratloa .
..................................
mJIIl CQNPAIY
SUU Cflrt. Of leI.lat. t
S.....tun GltT Ltc_e laainretiOD .
..........................................
ArrLIc:AnClI ArI'IlJVID II '11II11 OffICII..
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 CON'l'RAC'l'On 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 law. If the owner or intended contractor are uncertain as to what licenSing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the 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 that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
" ~'
D. CONSTRUC'I'ION LIEN L-nW (CHAPTER "13, FLORIDA STA'l'UTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HDIeOWDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone 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 couenCelent.
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.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to Jeet 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 other goverRIental agencies aay 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 liJited to:
* Departlent of KnvironJental Regulation - Cypress Bayheads, Wetland Areas and BnvironJentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* De artlent of Health & Rehabilitative Services BnvironJental Health Unit - Wells, Wastewater TreatJent, Septic Tants
* US KnvironJental 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 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 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 shall is~u~nce of a per.it prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOJe invalid
unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if wort authoriled by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eztension of tile, lIy be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
WARIIING TO OIiNiR: YOUR FAILURR TO RECORD A NOTlCR OF COHHBNCEHBNT HAY MSULT IH YOUR PAYING RICE FOR IHPROVEllBIIl'S TO YOUR
PROPBRTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORREY BEFOM RECORDING YOUR HOIICE OF
COHHENCBHBNT. JOBS UNDER $2,5 IN VALUE DO NOT NiBD TO RBCORD AND POST A "NOTICB OF COMKBNC "
""-
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. I
STATB OF FLORID~
COUHJY OF ----.to-.-j <L.V
The foreg ing instrument was acknowledged
before this Nov. ;}. ~ , 1911 by
A. /lJl>~ ko W\ 1{ .
nally known to me or who has
-
STATK OF FLORIDA ~
COUNTY OF ~
The foregOing instrument was acknowledged
before me this It Z . 191.Z.. by
iJ~A-d . /~
who is personally known to me or who has
produced If h'~~~-;>~OI-Ljcf --..S~tI, D
as identification and who did/did not
take an oathLlt _ () ~4
(Signatore) . d ~\<C ~'" ol y
(Name Typed, Printed gr Stampe) /
NOTARY PUBLIC
....~':Jll.",..
~~"J~\ Nancy A. Moo!tj
~*! :"1 MYCOM\ISSIO'UCCS:i.;.'::. ".:
<.,." Februery 21. .\.
, # '.' BONOm1HAU'FR(WFAIMif."50P/-;."._
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE
PHONE
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.f
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction .--,Addition _Alteration --Repair _Install
_Sign
--..Move
_Deaolish
PROPOSED USE: _Single Faaily
--..M/F
_' of Units --..M/H
_ec:-ercial
_Indust.
_Swia. Pool _Other
_Restaurant lie Health Departaent Approval
DESCRIPTION OF WORK:
BUlLDIRG 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
_BUlLDIRG
$
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
Signature
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
RllTl.DER
Sianature
COMPANY
State Cert. or Regist. f
City License Registration f
******************************************
RT .RCTRICIAR
Signature
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
PLUMBER
Signature
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
KECllANI.CAL
COMPANY
State Cert. or Regist. .
City License Registration ,
******************************************
nTRRR
Signature
APPLICATION APPROVED.BY
PERMIT OFFICER.
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