HomeMy WebLinkAbout98-7612
- ,oP.(JlJ BUILDING PE.RMIT 7612 15
,rPR r CITY OF ZEPHYRHILLS Permit
(813) 788~6611 Date ,3 - d- 'i -1' r
7;)~()
I b ;;2.so
BUILDING
//lRV
JJ~ '-.. CTZ>
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
~opertYown.'~~~. ~
Job Address: ~ 0 ~ .:L 0
Water Conn:
Water Meter:
T.IF's:
Parcell.D. #
Zoning:
Descriotion of Work
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
10
DAH
/tJ-/-/r
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#
Permit Fee
Signature
Company
Address
Telephone
Valuation or
Contract Price
.3 /. ;1--S (). c7V
,
2d.-9::L.
Tp. Servo I
Rough In ~ ,,, 1'1 ~ l30h
Meter Can
Const. Pole
Pool
Pre-Meter
Final
_~<f~~ ~ 1d!J.3Y @~-
PLUMBING J.r2. r 9'
SLB J.//J.tI'i6 /.'''_
Tub Set.f ..5o-1~,1, LL
Water
Sewer
Final
ELECTRICAL
Y/r/kuf
MECHANICAL a2 9'9
,~~(~
BUILDING
Ftr.
re SLB
Lintel
FRM.
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Y-d.3-'1~.81u.. .
> /'-1 fct i. f."
sit"., i geR
:{ol;' J.eREIN"SPI:CTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.801 shall be made for each trip for each trade:
:2.!:> -. t/7J
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.
KEENER CONSTRUCTION
4330 - 20TH STREET
SQ. FEET PRICE
MAIN OR LIVING AREA p $ 50.00
OTHER AREA UNDER ROOF $ 15.00
OTHER 625 $ 50.00
VALUATION $ 31 ~50.00
.
FEE SHEET $ 175.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 162.50
ELECTRICAL: $ 111.84
PLUMBING: $ 72.50
MECHANICAL: $ 75.00
RADON: $ -
CREDIT: $ 100.00
TOTAL $ 421.84
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
.~ at
rro '" --I
I .J-frr
/f1, Y
THE PERRIER GROUP OF AMERICA
PHONE
, 813-783-1959
OWNER · S NAME
JOB ADDRESS
4330 20th ST., ZEPHYRHILLS, FL
4330 20th ST., ZEPHYRHILLS, FL
33540
33540
OWNER' S ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.'
(OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ddition llJJ.teration _Repair _Install
_Sign ---,"ove _Deaolish
PROPOSED USE: _Single Faaily _KIF _' of Units _K/H
_<:o.aercial l.L,Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: ADDITION TO A PRE-EXISTING BUILDING.
BUILDING SIZE:
25 X 25 ,( Approx.) Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
-lLBUlLDING
~ELECTRICAL
~CllARICAL
PERHITS REOUESTED
$ 314,230.00 Valuation of Total Construction
AKP Service Florida Power Corp.
W.R.E.C.
$ 48,600.00
Valuation of Kechanica1 Installation
~PLUHBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FIliISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
Signature
COMPANY KEENER CONSTRUCTION, INC.
State Cert. or Regist. . CGC 012bl3
City License Registration . ;1.2 '1~
**************************************
v'
RunDER
SignAture
COMPANY _J~i.oA::?~ (IJ')-~
(See Attached) State Cert. or Regist. .
City License Registration' :230?
******************************************
..,....-
Signature
COMPANYJ,J /Y M~-J-
( ) State Cert. or Regist. .
See Attached City License Registration' ~ (;L 7' S/
******************************************
I
PLOKBER
............-
MECHANICAL
Signature
COMPANY N'1t~ Ik/.I'-!:..
State Cer.:. or egist. f
(See Attached) City License Registration' ~ ~ ~
******************************************
v'
OTHRR
Signature
NA---------------
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
rbe Wldersign.d und.r.l.ods Ib.1 lbi. peroil oa, be s.bj.cl 10 'deed r..lricli.... .bich .., be lOr. ,..trlcli" tbao Cil,
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRAC'l'OnS AND CON'l'RAC'l'On RESPONSIBILI'l'IES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
clled lor · .i8deoe.oor viol'lloo ond.r .1.1. I... II lb. ....r or iolended coolractor are oocertalo .. to 1101 11....1ng
'OIOir....I. ..y 'pply lor lb. 1.I.oded vorl, Ih.y .r. .dvlsed 10 coolacl lbe Clly 01 Zepbyrbllls Bolldlog Dopartoe,I, (BI3)
788-6611. .
FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
'Cootr.ctor S.cli...' of this .ppllc.li.. for .bich ller .ill he r..poosibl.. If you, .s lbe ..." olgo .. the cootractor,
you are indicating that you, rather tban the contractor, are responsible for the wort. If tbe contractor wisbes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in tbe
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND U'l'ILl'l'Y CONNECTION FEES ,.,
D. CONSTRUC'l'ION LIEN Lnw (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIBOIDer's Protection
Guide" prepared by the Florida DeparLlent of Agriculture and ConsUler Affairs. If tho applicant is SOl8Ono other than tbe
"owner", I certify that I have obtained a copy of the above described doculent and prOlise in good faitb to deliver it to the
"owner" prior to cOllenCelent.
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 witb all
applicable laws regUlating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify tbat no wor1 or
installation bas cOllenced prior to issuance of a perlit and that all wor1 will be perforaed to l8et standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber governaental agencies lay 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:
· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· De arLlent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater freatJent, Septic rants
· US EnviroDlental Protection Agency - Asbestos abateaent
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 tbe State of
Florida prior to perlit, issuance.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall becoIe invalid
unless the wor1 authoriled by such perlit is cOllenced witbin six IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a pedod of six IOnths after the tile the work is c08enced. One 90 day I!Itension of tile, la, be
allowed for tbe perlit with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An
approved inspection lUst be logged during each six IOntb period, or'the project will be considered abandoned.
WARlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCIDIKNT HAY RBSULT IN YOUR PAYING rlfICB FOR DlPROVIIIDrS TO YOUR
PROPERTY. IF YOO INTEND TO OBTAIN FINANCING, CONSULT WITH YOOR LBNDBR OR AJf ATTORRBY BBFORI RlCORDIHG YOUR HO'rICE OF
COHHENCEHBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RBCORD AlfD POST A "NOTI B OF C NCBIIBNT".
was acknowledged
, 19_ by
/
. I
(See Attached)
SIGNATURI: OWNER OR AGENT
STATB OF FLORIDA
COOny OF
The foregOing instrument
before me this
STATE OF FL I A
COUHTY OF
The foregoing instrument
before me this
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 bas
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
r-05-9B 11:13A Nick Nolan
MaMar_04_9S 04:54P K,.u.oo;or Con~truct.'or.
Perr1@r Group 1 813 7B8 6986
1-941-686-0764 P.Oz
P.Ol
C~UlrlONs O~ PERMIT AfFIDAViT
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03/11/98 14:55 FAX 8132424214 SOl~RN POWER
Mar-09-98 02:~2P K..n~r Construct;gn ~-94~-QB6-0764
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HARPER
FAX NO. 11
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