HomeMy WebLinkAbout97-7286
BUILDING PE.RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7286 13
!v
Date
(;),,-11-17
'16. v-o
BUILDING
3.S, (}?:)
ELECTRICAL
3S--' c7D
PLUMBING
{)..!>~. OV
MECHANICAL
Sewer Conn I. a 7 J-': (l'zJ
.
Water Conn: ,d....517 ' c77J
Water Meter: I g-o. tTD
T.I.F.'s: t if n. ()D
Property Owne' ~ ~
Job Address: <<-3 () yt 12~
Parcell.D. # c.3~-~ - /- OOf b - 0 1...3 00 -/ 'I V
Zoning: Ene!9J Code:~
Descriotion of Work Jlll ~h __ ~A ~
d~ .?~ Jet ~ ?-II-f~ /0 :tf/,$ }? It1.
NO OCCUPANCY BEFORE C.O.
Radon Gas:
FINAL
- d..:l-
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
';;:J. If' u
permitF~e ~~'c tTViJ
S;gnatu e_ _ _~ J41l.r;4 ~
Company _ _
Address
Telephone#
Valuation or
Contract Price
1/ ~ --: (7)7;J. a-o
City License Registration #
State Certified License#
ELECTRICAL
9-... "'~f
PLUMBING
MECHANICAL
~ -'''
BUILDING
~ 1~!7
.
~~~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final 3/ls/QS 15~.l
Breakers
Ducts Insl.
Compressor
Final tlJ. ~ fq 'i $0 rr
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
r-'",v.~ 3/h~~ tl()&
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ ';;c;;;all be made for each trip for each tra1e: /J ..J~;J
a. Wrong Address c./, \ ~ L/L t,;;;;::t
b. Condemned work resulting from faulty construction. L{../ ~
c. Repairs or corrections not made when inspection called. )1;' -/5' -t} 7
d. Work not ready for inspection when called. do)
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.
INSPECTION REQUEST
Ii,
PERMIT # : 7cR C?~
TYPE OF
INSPECTION:
DA TE REQUESTED: 7,-- ;2);J,- 7[?--
SIGNATURE~r rlr;u~
INSPECTION REQUEST
PERMIT # :
~~
l
TYPE OF
INSPECTION:
C7r6/;;f
DA TE REQUESTED: 7 r- (7 ~ Ir
SIGNATURE: ~.~bb.~
------ t-fJV-22i-'97 THJ 00'45 !D'
TEL NO:
~021 f'0~.
APPLICATlOl POI PIIIII!
Cln or Il1'Il!IIIlLtS
IUlLDJIG _Al1'I!IIf
CIIIIIa'IU- &~ J}oR;2cN T'nob,'l~ l~euz ftIOII, ff/3- 7t;) - J~fo~
CIIIIIIl::.:" :-?: '7 (p ~ - ft reen ,C) lop e.. D e 2 € f j, eJJ./k --:]1 l ,3 ~.,3 '7
___ _ 7&0_ - _~u.l<of1lJ 0/hP I
LIGAI. DllaW'rlQlI UIt(.)~veDI~OI GrrvvJ H-oRJ Z-l1l1 -fr..~~ ~/
PAIClII, I.D.' 34-';;S- - ,;2 / - t)CJ / tJ - () / 300 -;";"n .... RlJPa'rY 'l'U morTq}
IIUII NID'OIiDI ~ CaMtnctiClD --Uditlllll -...A1tuatiao .~c -Zaat&l1
-JI..
---,,"I
-,-lull
Indy.t.
_' of uau..
--,iII. Pool
~
nofOllD VIllI -JiIlale r..u.y
_ac-rcial
--lt/'
-OtJaer
~taunDt. I lea1th Departaeat &11I'_1
DISClUPrIa 0' vou.l~ ~
II01.WIIO IIDI ~ . ~? 1;Z D Sqaan r..t, ..ilbt
IISDIInAL, AnACIl (2) 'LOr PLAIlS I (2) sm or IUlLDlJG PLAlS a (1) lit IIIlOI ro..
COIIIIIClAL. AnAc:II (3) IITS or IUlLDIIG PI..UI8 I (1) SIT InIlGY I'OIIIS.
nonan lUUII IIQUDIlD roa Au. IIV COISftUCTloeT.
. YM jf,
I ~n'IIlJlfl-.
~.llr.ftICAL
~~
~
fi 1-0
. frJD- Ve1uatiOll of Total CouUlletiao
IS/. liU lel'Ytetl ~rlod.da '-r Corp. -'.....c.
l ! :) V 0 . ~'iJ.- Val_tiao of NecbIDlc:al Iutal1atloll
.....,-n IlImIL'I'Tq
GAl
ROOPlIIO
al'llCULn
7;"!/- '
other
nn or _u","'Xdllh
.1~
--J~ ---..steel
i'IIUID n.oua IILIVAnoal--".
IS lmJllCT II fLOOD ZOII AllAT _
tIS 110
..........................................
lllU
mwraAcrr. 1I1eC1'l0ll
CIOlIPAI'I .:J",,, n ; f\ ~ '" 0 b: I e. ~~- ~t ~
~tet, Cut. or'" t.' ::cH-oovo /1../
JUy Lie.., hal.traUoo, ":!i.<1J ~<i9
...............................
IIIUIII
COttPAI'I ~/ \,
State COuto or lei t.'
City Licea.e leli.tratloo .
..................................
s
fmIII a>>tPAIY
State cen. or "alat. t
s.....tun Oil)' Lic_ I.elletratlClD .
..........................................
Al'ft.J~ AftIDVID II .-.xl ORICIR.
...
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
lb. und.rslgn.d und.rstands that this ..rslt oay be suhj.ct to 'd..d r.stricti...' which oay he IDr. restrlcti.. than City
regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If th. ow... b.. blred a cootractor or cootractors to und.rlale worl. they oay he r.goired to he Ilceosed in accordan.. wilb
stale and local regulati.... If lb. contractor is oot lic.nSed .. reguired by I... both th. ..... and conlIactor soy he
cited for a sl.deoeaoor violation und.r .tat. I... If lb. ....r or iotended contractor are oocertain as to .Iot licensing
r.guires..ts oay apply for th. Int'nded worl, they are advis.d tn contact tie City of Z.phyr.llls Bulldlog Oeparlsent. (81l1
788-6611 .
Furtherwor.. if the ....r ha. hired a contractor or contractors. h. Is advised to ha,. th. contractorls) .110 portions of tie
'Contractor Section.' of thi. application for wbleb lIey will be responslhl.. If YOU. .. the "'er alga .. tbe CODtrector,
you are Indicating that YOU. rath.r than th. contractor, are responsibl. for tie worl. If the contractor .1.... rou to slga
a. contractor that lay be an indication that b. i. not properly licensed and Is ..t entitled to perajtti.g prl,lleges i. tie
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND U'l'ILI'fY CONNECTION FEES " "
D. CONSTRUCTION LIEN LfIW (CIIAPTER '113, FLORIDA STATUTES.. AS AMENDED)
I ..rtlfy that I, the applicant, have be.. provided with a c.py .f 'Ylorida's Constroction Lien La. _ Booeosoer's Protection
Guid.' p..pared by tie YI.rida Departs"t .f Agricultur. and C......r Affair.. If lbu applicant ia ....... .ther than tbe
.....r., I certify that I have obtained a copy .f th. above described docuoeut and prowls. i. good faith to dell... It to tbe
"owner" prior to co-enCl!llent.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
I c.rtify that all th. inforsatlon in this appllcati.. is accurat. and tbat all worl .ill be done i. 00Bpi1.... .ith all
applicable laws regulating construction, loning, and land developlent.
I
Application is hereby .ade to obtain a per.it to do wort and instailation as indicated. I certify that no worl or
I.stallatino b.. CDBOenced pri.r t. i..uance .f a persit and lhet all worl .111 he perf.rsed to ...t 'looIards of all I...
regulating C...truction, CIty cod". .nolng regulatl.n.. and land devel.,...t regulatl... i. tbe jorloilctl... I aIlD
..rtlfy that I und.r.land that tbe regulation. .f .tber go.......tal agencies lay apply to tbe Iolended sorl, and tbat it I.
.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
· Del"rbrent of in'ir.....tal Regulation - Cypre.. 8ayheads. Metland Ar... ..d 8nvir.....laIly 8eoalti.. ionds,
Water/Wastewater Treablent
t Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Ar.y Corps of Engineers - Seawalls, Docks, Havigable Waterways
· De arlseot of Health' Hehabllitati,e Services Io'ir.....tal Health Unit - Wells. Mloleoater rrealseot. SeptIc 1anI.
t US EnviroDlental Protection Agenct - Asbestos abatl!llent
I al.. certify lhet, If fill sat.rial i. to be u.ed in Ylood .... 'A' or 'o,.tc.', it Is uod.r.looI that a drainage pi..
addr...ing a 'CDS,..sating vol.... will he suboitted which Is prepared by a professional engin,er registered in tbo Stale of
Florida prior to per.it. issuance.
. I petSlt I..uod shall be constru'd to b. a licens, to procoed wilb 1Io worl and not as authority to violate. caoceI aller, or
.et aside any provision. of 1Io t'eboical cod,s, nor shall i....... of a per.lt pr....t the 801ldlog Officlol froo tboroafter
roqulrlog a corr,ctlno of error. in pi.... "nstrocti... or violations of ..y cod,. Bverr persJt i88Ded 8hal1 becooo Iotalld
Onl,.. the wort authorlled by .uel per.lt i. ......cod .itbin si, IDOtho of i.....ce. or if sorl aotborlsed by 1Io polIit i.
suSpended or abandoned for a P'rind of siz sooths after the tise the worl is _Ced. Ilns gO day estensl.. of 1WI, soy be
allowed for tho peralt lilb fee cbarge of 115.00. lb. est"sion shall be requested I. wrill.g to the Holldlog Official. ..
approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
IIARlflG ro OIIIEII: I'OOR "fLDHH ro RKCOlID 0 IIClrIOlOF COIIIIIIICIlIIm lilY _r III _ PIYfIlG mOl flIR IlIPiIlfIIIms ro fOUII
PIIOPERrY. IF roo IRZI/IO ro DIlrm f1It1J1CIRG. CDROOLr Rnu I'OOR I.HIDI1fII 01111I Anomy HH1OlUlIIICII/uJIIIG I'OOR lIOrlCR OF
COHHEHCEHHHT. JOBS UHDER ALOE DO HOT HEED TO RECORD AND POST A "HOTICE OF CO HCEHEIfIIl .
....
, I
OR AGH~T
;) rqt. f+
srATE OF FWRIDA [)
COUHTY OF ~~
The foregOing instrument was acJmowledged before me this MJu. J ~ , 199.:7- by
(;.ec r~~ It-. /IJ~~ko fh J"12-,
who is per onally known to ~or who bas
produce~ ,/
as identi ation and W did/. not
ta a h.
STArK OF FLORID~
COUNrY OF ~ <)
The foregOing instrument was acknowledged
before me this ) /- !l L; , 19L.L. by
~~, ~AO:' .A 0
who is personally known to me or who has
produced )f b Ys-- ')kd- Yt- ~""'J..o - 0
as identification and who didldid not
take an oa~ a. m '7'4-
(SignatureJ/f:::8 .4. 11"01 -
(Name Typed, Printed' or Stamped) 7
NOTARY PUBLIC
$~lf\~'~ Nqy A. Moody
€*:~:*S MY COI.MssIoN , CCS34806 EXPIRES
~. . ~ Fe!IruIIy 21, 2000
'~Rf..l'iI IIllQo lIIlU 'IIIlV I'NN 1NSUIWIcf. INC,
APPLICATION FOR PERMIT
CITY OF ZEPHYRBlLLS
BUILDING DEPARTMENT
OWNER'S NAKE
PHONE
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BI.OCIL--SUBDIVISION
PARCEL 1. D. f
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~teration --.Jepair _Install
_Sign
--"ove
_Deaolish
PROPOSED USE: _Single Fallily
_M/F
_' of Units _M/H
_eo..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
~UlLDING
$
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 ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
F.1.F.CTRICIAR COMPANY
State Cert. or Regist. ,
Signature City License Registration f
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration f
******************************************
HECllABICAL COMPANY
State Cert. or Regist. f
Signature City License Registration ,
******************************************
nTRRR COMPANY
State Cert. or Regist. i
Signature City License Registration t
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
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