HomeMy WebLinkAbout97-7316
BUILDING PE"RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7316
f3
Date
/:J--IO~7'7
~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner: ",jJ_".flA ~ C~~
Job Address: .3 &,<..-c,t 0 J1 /} ~ 0 ~
Parcel 1.0. #
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
DescriPtionofWor~ <2 ,A~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
~?d-
Inspector
:~;~~::,:e ,.~~
Company _~_ _ _
Address
Telephone#
Valuation or
Contract Price
~.3 g--z;. crv
~~1nf;A
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 00/1 00 Dollars ($ 'HT:'66l shall be made for each trip for each trade:
~S -: cTt)
a.
b.
c.
d.
e.
f.
g.
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
i1250 South Highway 98, Dade City, Florida 33525
:\ Phone # (352) 567",8580
'I Bonded and InsUt'ed
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RoofIng Co~tractor
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'. TOTAL COST: $ 23J'(). 00
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APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE
/J15, L/~LI/IAJ
3t5t(O
SIfN1e
(!f'oTCfTl/{
A/~AA/ /11/6
PHONE
7J'3'-?73f/
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.' (};l. --.X- 00 (}../! - OtJ 000 - {JO 5?
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition --Alteration ~epair _Install
_Sign
-'love
_Deaolish
PROPOSED USE: _Single Fallily
_M/F
_' of Units _M/H
_ec-ercial
_Indust.
_Swia. Pool _Other
_Restaurant lie Health Departaent Approval
DESCRIPTION OF WORK: ~e:i0CJF 0lF f2..c.:.$ €1)J!AjC!...t;-
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.
_BUILDING
$
Sl330
PERMITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
---"ECBAlfiGAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
Other
FIRISBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
*****.*******************.**.*************
RllTl.Dm COMPANY U
State Cert. or Regist. ,
City License Registration .
**************************************
COMPANY
State Cert. or Regist. .
SiDnAture City License Registration .
***********************.*****..***********
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration .
***.**************************************
MECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration .
******************************************
OTRF.R COMPANY
State Cert. or Regist. ,
Signature City License Registration t
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDl'l'lONS OF PEUMI'l' AFFIDAVI'l'
^. - NOTICE OF DEED UES'l'RIC'l'IONS
TIle undersigned underatands tiiati:iiIspel.iC.ayliesubject to "deed restrictions" wllich lay be lOre restrictive than City
regulations. Tile undersigned assll1es responsibility Cor co.pliance with any applicable deed restrictions.
B. UNLICENSED CONl'UAC'1'OHS AND CON'l'JIAC'1'OH UESPONSIBILI'l'IES
If UIII owner has hired a contractor ofCOni.[actolRtouildertale work, tiley lay be required to be licensed in accordance with
staLe and local regulations. If Llle contractor is noL licensed as required by law, boLh the owner and contractor lay be
cited Cor a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
requirl!llents lay apply for Ule inLended work, IJmy are advisl!d to conLacL the City of ZepllyrbiUs BuUding Deparl:lent, (813)
788- 6611.
Furtherlore, if the owner has hired a conLracLor or contractors, he is advised to have Ule contractor(s) sign portions of the
.Contractor Sections" of this application Cor IIhich Lhey will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, raUler Ulan Llle contractor, are responsible Cor the work. If the contractor wisbes you to sIgn
as contractor that lay be an indication tllat he is not properly licensed and is not entitled to perlitting privileges in the
City of ZephyrhiIIs.
C. 'l'UANSPOU'l'A'l'ION IMPAC'l' FEES AND U'l'ILl'l'Y CONNECTION FEES ~ ~
D. CONS'l'UUC'l'ION LIEN L'l\W (CIIAP'l'EH 713, FLOlUDA STA'l'UTES, AS AMENDED)
I certiiy tha~ihe applicant, have been provided with a copy oC .Florida's Construction Lien Law _ HoIeoIner'. Protection
Guide" prepared by the Florida Deparllent of Agriculture and Consll1er Affairs. If the applicant is sOleone other tban the
.owner", I certiCy 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. COWrUAC'l'OU' S/OWNER' S AFFIDAVI'l'
I certify that aU the inforlation in this application is accurate and that aU work will be done in cOlpliance with aU
applicable lalls regulating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wor1 or
installation has cOllenced prior to issuance of a perlit and that all lIor1 will be perforled to leet standards of all law8
regulating construction, City codes, loning regulations, and land developlent regulations In the jurisdiction. I also
certify that I understand that tile regulations of oLher goverRlentBl agencies .ay apply to tbe intended vorl, and that it is
Iy responSibility to identify wllat actions I lust take to be in co.plianee. Such agencies include but are not lillited to:
t Deparltent of EnviroRlental Regulation - Cypress Bayheads, Metland Areas and EnviroRlentally SensitIve Lands,
Mater/Mastewater Trealtent
t Southwest Florida Mater Hanagetent District - Mells, Cypress Bayheads, Metland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Doc1s, Navigable Waterways
· Departaent of Health , Rehabilitative Services, EnviroOlental Health Unit - Mells, Mastewater IreBtaent, Septic 'anla
t US EnviroOlental Protection Agency - Asbestos abateJent
I also certify that, if fIll .aterial is to be used in Flood Zone "An or "A,etc.., it is understood that a drainage plan
addressing a "co.pensating volDle" will be sub.itLed 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 1I0rk and not as autbority to ,lolate, cancel alter, or
Bet aside any provisions of the lecllnical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or vioiations of any code. I,ery perlit issued ahall beCOll invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if wor1 authoriled by the perlit is
suspended or abandoned (or a period of six IOntlls after the tile the wor1 is cOIIenced. One 90 day l!Itension of tille, lilY 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.
MARNING TO WlfIiR: YOUR FIULURK TO RKCORD A NOTlCK OF COHHIiNCIiHENT HAY RESULT IN YOUR PAYING "IICH FOR IHPROVIlItBI1'S 10 YOUR
PROPIRTY. IF YOU INTIiND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORNBY BEFORl RICORDING YOUR JarlCH OF
COHHKNCEHKNT U DER $2,5 VA UE or NIiBD TO RBCORD AND POST A "NO OIlHENCBMI
: I
L',A-Y H
STATB OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknOWledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
1
~
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