HomeMy WebLinkAbout98-7621
BUILDING PE.RMIT
7621 13
f'o.. tTl/
BUILDING
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788~6611
2-!::' '- , d-b
Permit
Date :5 -;) b - 9' r;--
PLUMBING
'--
;l.S c VV
MECHANICAL
Sewer Conn ~ /J?J . ifl:).
Water Conn: Ol.. tJ"t} c: tJ"t)
Water Meter: /6 t1 ' av
r.I.F..'s: 91/0..... IJV
a ~. i~
Property Owner: p .
Job Address: ...s~'O~ '.~ ..
Parcel 1.0. # );L:J.i, -J./-IJ.l6a -. {) /J~& U .. CJ (., .
Zoning: EJ':.rg)COde: Radon Gas:
Descriotion of Work /11 ~ 4.'YnJ ~ T ~
~.J" p~ ~ ~-?-?rr~ c23.3' J7%1
NO OCCUPANCY BEFORE C.O.
FINAL i
DATE
Jf-9'-
C.O.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector ol
Valuation or J
Contract Price ~ ~ - v=o
./
Permit Fee
~tZ?
City License Registration #
State Certified License#
;J(2~O
Signature
Company
Address
Telephone#
_)~M~;D-~(7' ~~~ ~ ~ ~I
ELECTRICAL PLUMBING J.-;). MECHANICAL :l;;J.../ t
~ Pa4r---O ;~
BUILDING
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
c.
d.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ Hr.O'Ol shall be made for each trip for each trade:
:L..!J -. (J7) .~
Wrong Address ') J~ /1). .____ .7I~..2%~9
Condemned work resulting from faulty construction. N~~../
Repairs or corrections not made when inspection called. j L/- g--9 Y
Work not ready for inspection when called. f- . .
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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CENTRAL PERMITTING
PASCO COUNTY, FLORIDA
DATE: 03/30/98 TIME: 11:17
PAGE: 1 OF 1
I :~;:::;UE OFF ICE: L
RECEIPT NUMBR: 00356936
OFFICE: LAND 0 LAKES
CONTRACTOR #: 999999
NAME: BARBARA BARFIELD
ADDR: 21912HALE RD
C/ST: LAND 0 LAKES. Fl
34(;.3'~/
FOR: RESOURCE FOR 7621-8
It/r~t...
P (j CHECK #
313(>
CONTRACTOR: 999999
TOTAL AMOUNT:
ACCNl ~UMPNY RCCOUNT CENTER
114 8450 - 363000 - 2
39 . ~:3
AMOUNT DESCRIPTION/PERMT DATA DRieR
39.33 ****** SOLID WASTE FEE 60
'., ./1
. ~ t) ([) J-')J
CC[' I .j
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RECE I \,lED BY --~~---t:.._JiL_________. ..___
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER · S ADDRESS
a J. .iI 0. -' '-?h.u- Ie ~ (; Ice; r
? YO 5' ~ Je; (.1~,4 J. 0 oJ:?
'-"" e;;r v. ,
.PHOJE
zj /I./k
OWNER · S NAKE
H ~.3SY/
JOB ADDRESS
S Ct 11-1(/
LEGAL DESCRIPTION: LOT(S) d~ [J BLOCK
PARCEL 1. D.' /1f- - dJ k - d. / 0) h 0
WORK PROPOSED:~ew Construction -^ddition -^lteration
SUBDIVISION dh/~/ Cr/:>u(
bO
-tlCOOO- 0 (OBTAIN FROM PROPERTY TAX NOTICE)
_Repair _Install
_Sign
---1Iove
_Deaolish
PROPOSED USE: _Single FUlily
_M/F
/
_' of Units ~M/B
_~ercial
_Indust.
_Swia. Pool ___Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:
:;) (, X 12. l:A ~1 Square Feet. Height
ATTACH 1!LPLOT PLANS &:~ETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
BUILDING SIZE:
RESIDENTIAL:
COMMERCIAL :
f
1L-BUILDING
lL-ELECTRlCAL
t/ MECHANICAL
LPLUHB~NG'
PERMITS REOUESTED
$ J h, zrv-o Valuation of Total Construction
-
AMP Service Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fralle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
~ COMPANY ~
, ./ / .../1 / ~ State Cert. or Regist. .
Signature -~...c- ~~/fI City License Registration'
, . .......................................
ELECTRICIAN ~_ / ,J/~< ':::.~:~r01~~C{eg~1.yt.~."J fh~
Sianature ~/ft<<- /lJZt City License Registration . -/).', J a ?..~
...... ........................................................ .
COMPANY S~~ (Iii adtc .~ ~q
State Cert. or Regist. .
City License Registration' ~~O
....*.........*..*..........*.........***
IIIlCIIAIllGAL COHPAIlY &( #~ 54 ill It If c/
cJ / J~- I State Cert. 0 Regist.' t
Signature petri/Uk ~ City License Registration' C).)...)~
. *......................................
r COMPANY
~ State Cert. or Regist. ,
City License Registration #
........................................
PLUMBER
/
Signature
ornER
Signat~re ~""
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peClit 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 CONTRACTOR 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
reguiretents 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. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law _ 8DIeoIner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOHOne other than the
"owner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
"owner" prior to cOllencetent.
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.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a peClit and that all work will be perfoCled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developleOt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and InviroDleDtally Sensitive Lands,
Water/Wastewater rreatlent
f Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Ingineers - Seawalls, Docks, Navigable Waterways
f DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
f US EnviroDlental Protection Agency - Asbestos abatetent '
I also certify that, if fill aaterial 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 issuance of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall becOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of' six IOnths after the tile the work is c~enced. One 90 day ntension of tile, lay 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.
WARNING TO OWNER: YOUR FAILURi '1'0 RECORD A NOTICK OF COHHENCEHElft' HAY RiSULr IH YOUR PAYlHG rlUCK FOR IHPROVIIIID'S '1'0 YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AM AnORHIY BEFORi RiCORDIHG YOUR lorlCl OF
COHHENCEHHHT. JOBS UNDIR '2,500 IH VALUE DO Nor HElD TO RICORD AND POST A "HorICE OF COHHIHCEHENT".
~~/~ ~~~I
SIGNATURB: OWNIlR OR AtllNT SIGNATURE: COHTRA fOR
STATE OF FLORIDA ~
mUnYOF ~
The foregOing instrument was acknowledged
before me this J1J a/l ,;l G , 19 r Y---by
"--,
who i personally kn to me or who has
produ ----
as identification and who did/did not
take an oat~ ~ . (] )J1I'J-t}-~
(Signature) ~ ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~~" Nancy A. Moody
f*:i::~ Mf COMMISSION' t::CS34lIre EXPlR.E S
~~ . . f FeIlnJery 21,2000
"~,9f.,tli BONllEDTHIIU TRO\' FAIN INSURANCe, INC
STATE OF FLORIDA ?
COUny OF '. ~
The foregoing instrument was acknowledged
before me this H'UuL;l G , 19f Y by
...-----"
who is ersonall to me or who has
produce
as identification and who did/did not
take an oath. Yl If. . (). JIlt ~ _
(Signature) ~ .~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC .~~~' Nancy A. Moody
*: :*E MY COMMISsIoN , CC534800 EXPIRE'
\....... '~i FebnNuy21,2000 ,C
t,w; ,!l\ IIONllED THIIU TROI' FAlN 'NSUIlANcE, INC
SITE PLAN
(RESIDIN11AL USE OM.. VI
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