HomeMy WebLinkAbout98-7651
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit
7651/jJ
Date
i/- 6 -~ y-
BUILDING ELECTRICAL ~BIN~ MECHANICAL
P'OpertvOwne'_>i--.f--- ~ ~
Job Address: 2---.! _..~___ _
-
Parcel I. D. #
Zoning: Energy Code: ~.A Radon Gas:
DescriotionofWork -.>2~~-rJ ~~ '--T'=t/~-
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
FINAL
C.O,
DATE
NO OCCUPANCY BEFORE C,O,
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
lSg
City License Registration #
State Certified License#
.;2,,333
Pe,m;t Fee ..:IS, .rzJF
Signature 21 at.?'Vo- f ,L-
Company
Address
Telephone#
Valuation or
Contract Price
02303,v-v
,/
~J?~
,
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ Hr.6OI shall be made for each trip for each trade:
,J...5: iTZ)
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.
a,
b.
c.
d.
e,
f.
g,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OIINBR' S IWD! t!e l1-kr rug Q;?Ac:l io.J; on ONe' 0 I ,,'] '\
OWNER'S ADDRESS 7~ I S <j'L'C(0~\Dpe. wr,
PHONE
Ze,,oh"IR~\ \\s, I f-L
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.' 3 i..f ~ 5 ~ , 0000 0 D ~ 00 068 I (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: V'New Construction _Addition _Alteration _Repair _Install
_Sign
~ove
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_' of Units _M/H
_eo..ercial
_Indust.
_Swia, Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
I (' (' , I A ~i (S"r. .s.1 s. -t-e. rc\
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E,C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BIITI.DER
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
RT,F.CTRICIAN
COMPANY
State Cert. or Regist. f
City License Registration .
******************************************
SiRnAture
PLUMBER
COMPANY
State Cert. or Regist, ,
City License Registration ,
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. f
City License Registration ,
******************************************
Signature
OTRRR
~ COIlPANY ~de ('~ LA"dSOrplY1..5
""')/J ". .f--- State Cert. or Regist, ,
a~ City License Registration' .;;;)..~2>~
*****************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER,
J CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit 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 CON'l'RAC'l'On RESPONSIBILITIES
If the ONner 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 liy be
cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
requirl!lents lay apply for the intended work, they are advised to contact the City of ZephyrbilIs Building Depart.ent, (813)
788-661I .
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 tbe 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. TRANSPOR'l'ATION IMPACrr FEES AND U'l'ILI'fY CONNECTION FEES tl~t
D. CONSTRUC'l'ION LIEN L1\.W (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWner's Protection
Guid~" prepared by the Florida Departlent of ngriculture and Consuler Affairs, If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to couencl!lent.
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, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perfotled to leet 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 other goveIDIental agencies lay apply to tbe intended worl, 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:
· Departlent of HnviroOlental Regulation - Cypress Bayheads, Wetland Areas and HnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· Departlent of Health & Rehabilitative Services, EnviroOlental Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks
· US EnviroOlental Protection Agency - Asbestos abatl!lent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", 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
Bet aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOlB invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, tal 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 tbe project will be considered abandoned.
WARNING TO OWNHR: YOUR FAILURH TO RHCORD A NOTICK OF COMMENCHHENT HAY RHSULT IN YOUR PAYING TWICE FOR IHPROVRMBlrS TO YOUR
PROPERTY. IF YOU IITKND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORB RECORDING YOUR RorICI OF
COMMENCEMENT. JOBS UNDHR $2,500 IN VALUE DO NOT NHED TO RHCORD AND POST A "NOTICE OF COKKHNCIMIHT",
, I
SIGNATURE: ONNER OR AGHNT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATH OF FLORIDA
COUNTY 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 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
Cnrnrnerc;31 & Residential Installation
October 3, 1997
Precise Construction, Inc.
10702 Bloomingdale Blvd.
Brandon, Fl, 33501
..------'
Attention: Mr. Joe Harless, Project Manger
Re: Radiation Oncology Center
Zephyrh ill s, F 1. '
Landscape Installation
5 Crape r'1yrtle
3 Hax ~1yrt 1 e
8 Li ve Oak
142 Glossy Ligustrum
48 Formosa Azalea
30 Gird of Paradise
6 Yds, Planting Soil
18 Yds. Cypress Mulch
16 Tree Staking
Total Landscape
Irrigation Installation
8IHt., Hz" Cal., 30 Gal.
71-81 Ht., 30 Gal.
1010AH, 2" Cal" 30 Gal.
24" lit., 3 Gal.
18"-24", 3 Gal.
18"-24",3 Gal.
2" Thick
@ $140.00
@ 140.00
@ 150.00
@ 8.00
@ 8,00
@ 17.00
@ 18.00
@ 27,00
@ 15.00
$700.00
420.00
1200.00
1136.00
384.00
510,00
108.00
486.00
240.00
$5184.00
$2303,00
Electrical to be supplied by others.
Cutting of asphalt not included, if applicable
Rough Grade should not exceed 1/10 high/low.
Any extra work with grade will be an additional charge per hour.
Meter t)y others.
Designed based on 1" meter. Controller wiring based on timer location inside back
door entrance.
Sod Installation
Approx, 20,000 sq. ft.
Note: Hew ill provide
additional fee will be
Argentine Bahia Sod
scheduling of sod, if paper work
added, Actual Footage installed
"Qualily in Planls, Service find Designing"
@ $.15 $3,000,00
handled thru our office an
I'd 11 be bill ed ,