HomeMy WebLinkAbout98-7670
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7670 $
Date
7"'- /3 - ?k:::
'/ (). lJlJ
BUILDING
~-ccJ"D
ELECTRICAL
3s~ chJ
PLUMBING
~--:. OV
MECHANICAL
Sewer Conn /.::L 57 g; tJ"i?
...,~-......... ~
Water Conn: J~ Ue..., IJ
Water Meter: i g---tJ ~ (}"'D
T.I.F.'s: . J. "/ Rz;, d"V
,.
P,operty Owne' )/ +~ ~ ~
Job Add'e.., 6?);;L.s - L.. _ -:., -:;; "A-
Parcel 1.0. #-..3 -.;1{; --d-j 0(3/ . {) OCJ 00 (;) oYu
Zoning: ,~y co~ Radon Gas:
Descriotion of Work m " , ~,~ ;/:-7
U;qEc- ~J--"'17-YY~~
NO OCCUPANCY BEFORE C.O.
FINAL
DATEo--
C.O. ~'--f - 9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee
Signature
Company
Address
Telephone#
-fJ~ ~
Valuation or <") ~
Contract Price C>L ~ Y...s"O - lri)
City License Registration # j(t'.
State Certified License#
fL:it;:t?/
BUILDING
~I/I~ /72)
ELECTRICAL
Lt~ytf.tJ;J
PLUMBING
B~//
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final 'Il)K ~ ~ fDg
SLB
Tub Set
Water
Sewer
Final Y /lX ki f;,J$
Breakers
Ducts Insl.
Compressor
Final 'I ill /97 iJdl
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($~) shall be made for each trip for each trade: ,s-'
~'; v-D ]JU- /l . ? Il ,.. - /I 9'--13-9CJ
a. Wrong Address . ~ ~~
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called. ,1 ~ 'I 9 ("".-
d. Work not ready for inspection when called. f d' .!> - - 6
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.
INSPECTION REQUEST
PERMIT # :
'7&7D + 70 71
TYPE OF F- (
INSPECTION: ('(1(1
DATE REQUESTED: 5/5/'1 f'
I {
SIGNATURE: O~.UJz2
APPLICATION FOR PERKIT
CITY OF ZEPBYRHILLS
BUILDING DEPARTMENT
OWNER'S N~ ~R "It'\tersf41e... t11J,;te. 8otl1es
OWNER'S ADDRESS ,s5'~, 7 tlw(' 5(1- Z~riyr h,'US
JOB ADDRESS Lot ~if Z.phyr R;Jje. -
PHONE ~/3-7fd.-~7~
'33 '3)'1 I
LEGAL DESCRIPTION: LOT(S)
BWCK
SUBDIVISION
PARCEL I.D.' 03-;t(;,-oU-C310-00000 - OO'-/-eJ
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition --^lteration _Repair _Install
PROPOSED USE:
_Sign
v:.:: F..fly
_Move
_DeJIOlish
_M/F
-' of Units -!YJI
_Swia. Pool ~th~r.J... I
t11"." vf-'f'tC , () r-e d
ho ff[(J
/toll( e.
_eo..ercial
_Indust.
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK: I1~;f*1( (ljecJ ft1/f11c.J ..{~C-ful'pj
/' LiP'
BUILDING SIZE: ~x...:I.fL-. /98.0 / Square Feet.
Height
RESIDENTIAL: ATTACH (2) PWT 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.
~LDING
~YUCTRICAL
~CHAlUCAL
~PLUKB~NG
PERMITS REOUESTED
$ dZ/f50
.
/:50 AKP Service
Valuation of Total Construction
Florida Power Corp.
~C.
$
Valuation of Mechanical Installation
GAS ROOFING SPECIALTY
TYPE OF CONSTRUCTION: Block Fraae Steel H,J;I
FlRlSIIEII FLDOR ELEVATIONS ,4FT . - IS i>::-ECT IN FLOOD ZONE AREA1
..........................................
Other
/
YES
NO
HEGllANI~~
Signature
CONTRACTOR SECTION
BUILDER AJ ~ COIIFANY f3v1hr f':€.(d tI106de. II,,,,Q
State Cert. or Regist. , ~/
Signature City License Registration , tf
~ .........................................
ELECTRlClA1l~ COfIPANY [}kre~n J;;rdl/'1
:::::::: State Cert. or Regist. ,
~ ,e .. City License Registration' /71'l
~ . ...................................*...
PLOIIBEI\ ~ ~ COfIPANY H-<-I?, IV\fer3f~+e
~ - State Cert. or Regist. ,
Signature City License Registration ,
~ .....~....................................
COMPANY f)(th t S frDOIIYle-
State Cert. or Regist.l,
City License Registration ,
.......~....*.......*.........*...*...
Se rVlt <2...
Mil-
~'70
L614~/ c.
I
17
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration .
................................*.....***.
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PEnHI'!' AFFIDAVIT
~. 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 wiLh any applicable deed restrictions.
B. UNLICENSED CONTRl\C'l'ORS AND CON'l'Rl\C'l'OU RESPONSIBILI'!'IES
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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, Lhey are advised Lo contacL the City of Zephyrbills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contracLor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which Lhey will be responsible. If you, as the OIfner 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. CONSTRUC'l'ION LIEN Lf\W (CHAPTER '/13, FLOIUDA s'rA'rUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOlfner's Protection
Guide" prepared by the Florida Departlent of Agriculture 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 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 with all
applicable laws regulating construction, loning, and land developlent.
1\
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 develop.ent regulations in the jurisdiction. I also
certify that I understand that Lhe regulations of otber goverDlenLal agencies lay apply to tbe intended worl, and that it is
Iy responsibility to identify what actions I lust Lake Lo be in cOlpliance. Sucb agencies include but are not lilited to:
· Departlent at EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· Arl' Corps of Engineers - Seawalls, Docks, Navigable WateIlfays
· Departlent of Health' Rehabilitative Services, HnvirOnlental HealLh Unit - Wells, Wastewater Treallent, Septic Tanks
· US invironlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is underatood 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 per.it. 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 the tecbnical 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 sball becOIB invalid
unless the Mork authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, IIJ 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 IOntb period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHRNCEHRNT HAY RESULT IN YOUR PAYING twlCR FOR IHPROVKKBNTS TO YOUR
PROPERTY. IF YOU INTRND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BRFORB RICORDING YOUR MOIICI OF
COHOINClftKRT. JOBS OlDER 12,500 IN . DO lOt HEED .0 R!CON. AN. PUS. . 'NOlICR OF ~
~~
. I'
STATR OF FLORIDA
COUNTY OF t{}~(~
The fOregOing. iJlP~~U'1 was acknowledged
before me this . , 19-9.Y by
At~{s/)r1 fvJ1Jllfl
who is personanYlnown to me or who has
produced
as iden ification and not
tak aUt.
STATR OF FLORI2
COUNTY OF a~o
The foregoing i strumen was ac!l!\owledged
before me this' , 19 q~ by
or who has
(S ture) Christina M.'cone
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Sig
Christina M. Cone
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~lo'/.y P~q~ CHRISTINA M CONE
~. rr o' ry!y COMMTSSiON # CC 530210
<!l. ~5,.1 s>'
':f? 0:;1.'1>'>' EXPIRES February 13, 2000
1-8CX'r3-NOTARY Fla. Notar, Service & Banding Co.
~....V.YP:;l:rL.
~ t:-N1 ~.
I/!,~,.,...c:.
-;:'.I'f"o~V-~
1.flOO-3,NOT ARY
CHRISTINA M. CONE
~'Y CO~'~',l" s.ON # CC 530210
EXPl RES, February 13, 2000
Fia. Notary SElfVIce & Bonding Co~
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