HomeMy WebLinkAbout98-8077
BUILDING PE.RMIT,
CITY OF ZEPHYRHILLS
(813) 788-6611
8077
Date~
Permit
:240. SO
BUILDING
'J 5'.00
ELECTRICAL
PLUMJNG
MEC1ANICAL
Sewer Conn
Pmperty Own., i]-"t,fi ~~r-
Job Address:56
j-rn
Water Conn:
W~~ /Jebd~Meter;
T.I.F.'s:
Parcell.D. #
Zoning:
Description of Work
Energy Code: Radon Gas:
~ ,~d {)U/ - o/f-tL. J/7~ Ul-
NO OCCUPANCY BEFORE C.O.
FINAL
1/ /{1 /q i
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
~(?~
11-,lfD.DO
City License Registration # :;) 5 0 ~
State Certified License#
p.'mitFe~,~
VSignature ~
Company o€ V'~ ~ ,...J-
Address . $' 1/ I w ' '51''' ""-
~lePhone~- D '3 - 5'"'1 I
Valuation or
Contract Price
~-, ~hod..L M r ~~ (l^1 , Jo~
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BUILDING ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. If I tj l'i 1. ll"b
Insul. CL
WL
Tp. Servo -:-:-1 l
Rough In---1..l..J 1 'J'i I$ob
Meter Can
Const. Pole
Pool
Pre-Meter
Final
M,ov~ Cei\;,,') u/nj'l 801
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 ($ 25.001 shall be made for each trip for each trade:
a. Wrong Address
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.
yp1't
yM. vJtl ~ _ 51- \ 'S APPLICATION FOR PERMIT
, II 0 _ '-fC:U ) CITY OF ZEPHYRHILLS
c;.J.J-:"r 1,. O.JJ.. . BUILDING DEPARTMENT
f Z -t (S". r.
;r/3 -p:?) - '-/Y 7 ()
DATE' RECEIVED / & - ~~ -9 ~
PLANS REVIEW FEE
OWNER'S NAME frd Kc PR,IJ.IIt1A,.{ /Oil: IJ)G~SLGIj 14:1/&. t:J12P. PHONE 79S"'-s-Soo
JOB ADDRESS 5{'.,22. Cdf t(tI~ ?p/:Wl/.e#/I-LS. FL. 33:54/
VACA-TEO RAIJ,.~D 1:> R W
LEGAL DESCRIPTION: LOT (S) :2. 'S' BLOCK 5'1 SUBDIVISION;?'EPH'II<HIU 5
PARCEL ID # /1-Zb-;<J-(1fJ}O-OS?06 -O;zSo (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
)'tAiTERATION
o DEMOLISH
o REPAIR
o INSTALL
Os I GN
o MOVE
PROPOSED USE: DSGL FAMILY DWELLING
~OMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
8/A.;t,! ~J--
f!)fl;~
5(4,(e
SQUARE FOOTAGE / t..O
HEIGHT
BUILDING SIZE
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.
PERMITS REQUESTED
c(" ~ILDING
0ELECTRICAL
$
2 'fo 0
VALUATION OF TOTAL CONSTRUCTION
/00
AMP SERVICE
~ FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
~ FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
/,C--
I ....-/
SIGNATURE
* ****************************************************************
COMPANY 10~1J Ulft'//J~ lZ~rA?~c4-L
STATE CERT OR REGIST #
CITY PROCESSING # .07;t \ /
~CTRIC~ ~
SIGNATURE, .
******************************************************************
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
, , .. ~,.
* * * * ** * * * * ** * * * * * ** * * * * * ** * * * * * * * ** * * * * * * * * * * '/< * ******* * * * *-* *** * *~:;:.
COMPANY . _. ')
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
*****************************************************************
OTHER
COMPANY
A'- . "1.'-,
STATE~~RTOR RBGIST #
CITY PROCe'SSfflG" #
SIGNATURE
, ./
* *** * * * * * * * * * * * * * * * * ** *..* ^* * * ~ * * * * * * * * * **** * * * * *** *** *** * * ** *****
,
\.
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CONDITIONS OF' PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit Inay be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks .
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is
understood that a drainage plan addressing a ~compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE F COMMENCEMENT".
~( wfIl-----
~a~'
SIGNATURE: OWNER O~
STATE OF FLORIDA /J_ /J 1"\
COUNTY OF ~S~~
The foregoing instrument was aCknoWledge~c
Before me thi~ day/i'~ ~' 19 ~.
by 1'Y),(!JtQ~. ~III___
(name of person acknowledged)
~who is personally known to me, or
Dwho has produced
(type of identification)
id not take an oath.
aking acknowledgement
~~-
GGNDIl6
Name ~~ or slamped
.~ ExpIres May e. 2002
CONTRACTOR
STATE OF FLORIDA Pao ((J
COUNTY OF
The foregoing ins ument wa~a~k~OWledge~2
Before ~e this -d of ~~~ , 19'
by , LO ~ jlJ. )
(name of person acknowledged)
[1ho is personally known to me, or
~. has produced r-L ~Lu2/1 '--L. (~
~ype of identification)
who Ddid [3:iid not take an oath
ledgment
CL'<-?-tC1J /Yl, 6 ~U,A~
Name typed, printed or st ped
~'.6~ Clereen M Brunty
*~ *My Commission CC748653
......"..".,. Expires June 15. 2002
<J;:
INSPECTION REQUEST
PERMIT #: ~ oi7
TYPE OF
INSPECTION:
r;.. .". :7
;ttl-f
DA TE REQUESTED:
SIGNATURE: 6/!1IJ---
RATTLESNAKE POINT INC.
5522 GALL BLVD.
SQ. FEET PRICE
MAIN OR LIVING AREA 1,359 $ 20.00
OTHER AREA UNDER ROOF $ 15.00
OTHER
VALUATION $ 27,180.00
FEE SHEET $ 160.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 240.00
CREDIT:
BUILDING LESS CREDIT: $ 240.00
ELECTRICAL: $ 25.00
PLUMBING:
MECHANICAL:
RADON:
TOTAL $ 265.00
SEWERI $
WATER: $
TOTAL: $
3/4" WATER METERI $
T IF 'S 'I $
99% $
1% $
TOTAL: $
265.00 I
TO~ SQUARE
PRUDENTIAL SECURITIES
c. W WLDER
727-403-5715
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ZEPHYRHILLS
FIRE DEPARTMENT ~
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REVIEWED' BY: ~ \.
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INSPECTION REQUEST
PERMIT # :
Bo/(
TYPE OF
INSPECTION:
+:J
DATE REQUESTED:
J 1- 11- 11
dI
--
SIGNATURE :
~~
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ZEPH~,.mILLS FIRE DEPART~..kNT
38410 SIXTH AVE
PH. 813-782- 8184 ZEPHYRHILLS, FL. 33540 FAX 813-788-3293
Business Name
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Address
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;. . ,.,.::.1 ,;~,.-
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Bus. Phone
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OwnerlMgr
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Occupancy Load
Date Posted
Emergency Phone
Contact Person
Alarm Company
Type of Inspection Conducted
Phone #
Annual Reinspect _ Quarterly _ Final -.lL.... Commercial Check
Ct7J~-APPROVED~ NOT APPROVED_
Other
OK
f
NOT OK
_ Exit Signs
_ Emergency Lights
Heat Detectors
_ Sprinkler System
Exits
Window Size
Control Valves
_ Water Supply
Duct Detectors
_ Exposures
OK
L
\,
NOT OK
...k1 Fire Exstiquishers
, Smoke Detectors
_ Alarm Systems
_ Hood System
_ Storage
Pressure Test
_ Fire Dampers
Fire Walls
_ Address posted
_ Hydrants
OK NOT OK
_ _ HV AC Shutdown
Smoke Doors
Elevators
Electrical
--
_ _ Tamper Switch
_ _Inspectors Test
_ _ Smoke Separation
Extension Cords
--
_ _ Tenant Separation
Smoke Evac.
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or
prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be
1- required, failure to comply is a violation of the City of Zep;hyrhills Fire Prevention Code.
l/k.' /) I 'j- / v') I /, /' / -,-- /-:::
,.jl} Comments: I ..<1 i/I/"'~'~,1/ I'l./<-',.f'.~",;:" ../I;T..../,,/,,~,../r- _
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nspectlOn ate //11// (~' Imeo nspechon
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,::- >":// T . . :~ I~:"~_ _".;7/:/i-
Inspectors Name
Owners / Mgr Name
Re-Inspection Date
Fire Department I. D.# S .!J-/
Title
/1cP<'
This building has been assessed by the ZephyrhiUs Fire Department. Utilizing the Codes and Standards of, NFPA Minimum
Standards, the State Fire Manhals Uniform Fire Safety Rules and other local fire safety ~odes. Reviled 6126197
White Copy - File
Yellow Copy - Business
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