HomeMy WebLinkAbout98-7563
BUILDING PERMIT
I/O
BUILDING
,$S-
CITY OF ZEPHYRHILLS
(813) 788-6611
-
-3.1
Permit
7563 i3
3-ta-9yJ
-
Date
ELECTRICAL
PLUMBING
-
;2~
MECHANICAL
Sewer Conn 'pL
Waw conn;"'!'
Water Meter: ---.
T.I.F.'s: ~
::~::,~s:~e' ~~};/fl~7!l~;;{:')D
Parcel 1.0. # c52 'I-,,:Lt, - a/- t:)///JO - 0 t) /tJO- 0 So
~::~ri:tCZ~7 I G?#lfi!2l,,;Jii!ZIf- ~ '
NO OCCUPANCY BEFORE C,O, FINAL
3-1
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C,O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
":;~oi)
Permit Fee
Signature
Company
Address
Telephone#'
Valuation or
Contract Price
c?7/-7s-g'/
lS.a
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a , II
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: ~ ~
a. Wrong Address &-J().,~1; ~5 t
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.
APPLICATION FOR PERKIT
CITY OF ZBPHYRlIILLS
BlJILDING DBPAKTKBNT
~~ /-?~/A/;r" ~~~
OWNER'S RAKE ~~#?P.JL/b/d/ 4".##'~/~ONE 7fLJ- ~7
OWMERtS ADDRlS8 c.37"ir /7J/lL/l. t!#-/-f-e/LJ/Z, ~TL50
JOB ADDREBs.S'/b7?~ ~P/~/Z/7/~ .~ :3 3~7
LEGAL OE5C1UFl'ION: I.OT(8) BLOCK SUBDIVISION_
PARCEL 1,0.'_
COBTAlJLf.kOM P.RQPDTY TAX NQTJCB}
WORK PROPOSKD :_New CoruItroction ---Addition --^Iteration --Repair _Install
-.-S ign --"ove -Peaoli8h
PROPOSED USE: V Single Faaily ---KIF _' of Unh. --1t/H
_eo.ercial _InduGt. _Swia. Pool _Other
~eotaurant . Uealth Deport..nt Approval ~.
DESCRIPTION OF WORlt~~t?a/??. #p1/e Jer-o/- ~~e/'
BUILDING SIZI: ~ x #:) I <;:r,SZ; Square Peet, Beiaht
RESIDENTIAL: AtTACH (2) PLOT PLAHS & (2) SETS OF BUlLDINQ PI.ANS f. (1) SET ENIUtOY FORMS.
COMMIDfClAL: ATTACH (3) SITS OF BUILDING PUNS' (1) SRT ENEUGY FORMS.
PROPERTY SURVEY RRQlJ1RED FOR ALL NEW CONSTRUCTION.
v-BUl.LDING
~LRCTklCAL
~CIWI1CAL
~UKB~NG
$
PERMITS REOUEStED
./ ~/? Valuation of Total Construction
/ /PC? AHP Service Florida Power Corp.
~
~.R.E.O.
$
~
Valuation of Kechanicul Installation
GAS
ROOFING
SPRClAtTY
TYPE OF OOISTRUC'l'IOR: _8lock -"r..e _Steel
v"
Other
YUlISDRD FLOOR E1JtVA'tIONS:
PT.
18 PROJECT IN FLOOD ZONR AREAT
YES NO
....***...................................
COHTRA~~ SECTION
00IIP~ffit/~~~~
State C-=rt. or Regist. . ~
City License Regbtr.Uon' ~:3no
............................*.........*...
...
Signat~
/../"
:-=o~ CORPAHY, 0~~~.
State Cert. or Resist. t ag:~y
. City License Reaistration f I J ~
- . . ...i...................................... 1,,:5"& l7
PLUHBBIl. - -... COIlPAHY~~.x4P"'O~~~
. State Ocrt-. or Reabt. f ~/ /
City License Reat8tratlon . ..
.*...............................*........
SlQJl&tuTe
IlEGIl#.HII'6I, CORP a .
~ Stot. Ceet. or Realat.'. W~ =
.i.....lure CLly Ltc..... ..81.'ta"0",' . ~
*.*..***.....**..................**..*.."..
m:Iml\ COHPANY
State Cert. or ReRilt. .____
Signat.ure City License Ke8tf4l.ratlofl t
..........................................
Al'l'LlGATIOH APPROVEO BY ~_ PERtlIT OffiCER.
CONDl'J'IONS OF PEHMI'l' l\FY IDAVl'l'
J\. NOTICE OF OKED IlKSTIUC1'lONB
tbe undeCljgn~ under8tand, thatlhl, per.1t lay be subject to 'deed reBbid!u"stl IIhll,h lay be JIOre restrictive thin City
reoulllUonl. Ibe underelvnd aBlu.teB lflRPOIISlbiJUl' Cor co.pHaRc!! .Uh any llppHuble ~eod lB8lricUOIII.
lL UNLICENSED COliTRAC'l'OUS MfLJ CON'l'H.AC'l'On HESltON9IDILI'l'lES
H thll owner bae hired a contractor or cuntractors to ulI~e[laill voii~i,,"~;8 nquJ~8dLOjj81IcensecJ In Iccordance lith
elate IInd lOClIl rtyulIlUon,. If lhe contractor is not llcen811d a8 requhlltl by law, bolh Ul, Il1lner loc1 coolnclor ., be
cited (or a li8dt!leanor vloJatlon under IIlate law. If lhe OMner or Inlended contractor are uncert.ln 81 to lbat llc8nling
r@quJr~Mte ."1 apply (or Lhp. Jntended wo(lI, they ore advised to contacl the Cily or J.lll'hrrbllll BuUOln" DtpartMnt, (813)
188-66J1,
FurlberlOre, If the ONner bas hired a cunlraclor or contraclors, hn i8 advIsed Lo have lllO cUlltcaclor(.) 81go portloDl of tbt
'ContractQC Sectlonsl of lhl. appllcltIun for .bleh they will be responsible. II you, ag lb, owoer 11go el the contractor,
you are indicating that lOU, rathBr than tbe contrlctor, Irt! responsible for the work. if lbr contractor wllb" IOU to ,1qo
8S contraclor that la, be an IndicatIon that he Is not properly licensed and J8 not entitled lu Plt.lttlog prJ,Ileg.. In the
Cily of Zepbytbllll.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTJq!LX.~
0. CONBTRUC'I'ION LII!:N Lt\W (CUI\PTEH '/13, FLOlUDI\ S'l'A'.rO'l'EB, AS AM8lfDED)
I certify lbllt 1, lbe applj~i,e beBn ploylde~ lith a copy of 'Florida'. Construction Li~n Law _ HoIeoNner'. Protectl04
Guldft' prepared by the Florida Oepartlent of AgrIculture Ind CORsUler Af(alrl. If lbe ~ppllC3qt I, lOItOne olb.r than lb.
'ownertl, 1 certify tbat I have obtaIned a copy o( lhe above destrlbed ducu.enl lInd prOline In 0004 flltb to 4elhet it lu lbe
'ownet' pciol to co..enclIent.
II
i
~. COHTRACTOR'S/OWNER'S AFfIDAVIT
I cerlif, thlt all lhe inforlatlon In this application II accurate and that all work viii be dune In COIplllDCI with ill
applicable lawl regulating conltructlon, lonIng, ana land developlent.
Applicallon 18 horeby lade lo oblain I perlit lo do worl and Instailallon a. indicated. I cerliCr that no work or
In8tlllatlon haa COII8nCed prior to issuance of a pet.it an4 that all wort .ill be perlolled to ...t Itao4Irda of all I...
regulating construction, City cod,., loning regulatione, and land de,elov-ent regulations In the jurladict1on. I .180
certlC, that I under.tlnd that the regUlations of otber governlent.1 IIgenclue 1f1 apply tu tbe Intended IOrk, and that It I,
.Y relpon81bilJty to identify what Ictlons I luel lalQ to be In co.pllancu. Such Igenct91 Include but ar, Dot 11llted to:
· DePlrllent of Bn,lrOAIIRtal Regulation - Cypress BI,helld., Vetland Areas and BnvirOnlUnlally 8eRlltlvI Lan48,
, later/Waslewaler Treatient
· Southweet Florida Valer ftanegllent District. Nelle, Cypress 8a,heads, V.tland Arell, ^llerillg WaLarcour.'1
· Ar., CorOI of Iovlneers - Sta.alll, Docl" Mavlgable WaterMay.
· ~irllenl of "..lib. RBhabll1tatl,e Ser'itea, Rn,ilORlental Health Unit - Welle, VaeloNalor Yrellleot, Septic lanll
· US In,llOOllnl.l Protection Avency - 18beltol Ibatllent I
1 1110 certlfr tbat, If fJII later!,1 II to be uled In Flood Zone .~tI or tlA,ele.tI, It 1ft unGerstood that I dr.lDtgl plen
lIddrelling · 'COIptneatlng 'OJUII1 will be 8ub.JttRd which Js prepared bJ I proleeeJonlll englnfter reglBter" ID tbI Btall of
Florida ptior to per.it, lllu.nc,.
. A perllt iBBUed .blll be conatrue\J to be a licenle to proceed vith lbe lIork and nol a. autborUf to dOlatl, CIOCll .1lu, or
Bet Is148 IInl prowl.ion, of the tecbnlcal code8, nor shall II~upnce of a perllt prevent tbe Building Offlcl.l llOl tbllllftlt
requiring a correction of errO[8 In plans, construction, or vIolatlolls of anr code. Iver, plrllt ISlued ahal! beODll 10,111d
unle81 the .or1 authorlltd bl 8uch per.it la COll8hced vi thin 81. toIIths of IS8uance, or if worl lutborlll4 br the per.lt I,
Suspended or abandoned for a period of 8i1 IOnlh. after the till the IIOrlls cllIIenced. On, 90 day ut8DIloa IIf u., ., be
allowed fot th, perllt 11th fee charQe of '15.00. Ih, eatenslon aball be (!queeted In .rillng to the Building Official. In
appro,ed inspection luet be logge4 aurlng each 8i. IOntb p.riod, or the project 11111 be vonaldere4 abandoned.
WARlUG TO (MIll: YOOR FAILURI TO RICORD A NOTICI OF C0IfH811CIHIHf MY RESULT III YOUR PAYING fWlCI FOR IHPROYIJtOT8 TO rooa
PROPER". IF TOU IITIID 10 OBIAII FIIIAIICING, CONBULr WII" YOUR LIIIDKR OR AI ATTORRKY BRFOhJ RiCORDING YOUR MOJICI OF
COMKIMC&KBMf. JOBS UIIDIR $2,500 1M VALUK DO NOr MilO to R8CORD AND POST A ~NorlCI OF CUKHIMCiMIHY'.
~f'~~
SCIU: IORAGIM' .
srAIE OF rLORI~
coonr OF ~~
The foregoing In8~t W88 acknmrledged
before me tbis ~ ' 19 ~ by
Mho 18
Pl'oduced
~:k~:.:t~:~~a.ti~d .hO~~d not
( r;n??-':;;-~-'l'P~~~[at
(.~n8turer .
/ /
./(HUft Typed', -- vr'lnted'orsianip8llJ
NOTARY PUBLIC
8tlllB OF FLORIDA fl ~
COUNTY Of ~~~
Tile foregoing in8tv~ was acJgl9yedged
before me thi8~, _, 19~ by 0,
u-~ C~ U/;4~
who 1 nally Jmciij!p to lie or who baa
pt'oouced
GB identificati.oll nn~.'h~;!..;9 Id~t id not
take 1 uath. ?~p'~
(S ature)
JAMES F. NICOL!n'o '
Notary PUblic, Stale ot Florida
My comm expires May 18, 1999
No. CC465162
(Name Typed, printnd-o.r-Sta.ped)
NOTARY PUBL1.c-.__~___ ~'_
JAMES F. NICOLETTa
Notary PUblic, Stale ot FlOrida
My comm. expires May 18, 1999
No, CC465162
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SITE PLAN
(RESIDENTIAL USE ONLY)
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