HomeMy WebLinkAbout98-8112
BUILDING PE^RMIT^
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8112
Date
11/17/98
$35.00
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D, #
Anna Warner
38718 Windflower Ave.
O?-?h-?l 0010-0~100-0000
Water Meter:
T,I.F.'s:
Zoning: Energy Code: Radon Gas:
DescriPtion of Work Re-roof w/songle ply membrane
FINAL
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.
C.O.
DATE
Permit Fee
Signature
Company Comfort Cover Systems
Address
Telephone# (727) 298-0955
Valuation or
Contract Price
$2,39').00
City License Registration # 2181
State Certified License# rrr 057091
Comfort Cover Systems
112181
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($ 25,00 I 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.
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE
4;\Jt4- W~rI$/2-
OWNER'S ADDRESS J B -; I B w (f'JO PLau.A4~
~.
1Jvt2
PHONE 81/- /8~ij/'0
~,.....HIUJ 3"3 ~YO
JOB ADDRESS
E
LEGAL DESCRIPTION: LOT(S) l) 0 BLOCK
o d- - a.-b - d-.I - OD I D --f) S-l20 -CiXJU
SUBDIVISION
s;..~/z-(J 'I
-;r-zL.(,M) frI I-J-,#
_Sign
_Hove
_Deaolish
PROPOSED USE: _Single Faaily
_H/F
_' of Units
XH/H
_ec-ercial
_Indust.
_Swia. Pool
_Other
_Restaurant & Health Depar~ent Approval
DESCRIPTION OF WO~: ((6. - QoiJF W/S1rJbt.r1i: - r-?i-,7" M~v'VlljYl.f1NL
I
BUILDING SIZE: /;2.. X s8, 6tJ(J 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.
btrrLDIBG
PERMITS REOUESTED
$
d-31r.DO
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
-1IECllAllICAL
$
Valuation of Hechanical Installation
_PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FIIIISBED FLOOR ELEVATIONS:
PT.
IS PROJECT IN FLOOD ZONE AREA?
..........................................
YES NO
'CONTRACTOR SECTION
RUn.DER
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
Rl.RCTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
SiA'nAture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration .
......*.............**..*....**...........
Signature
MECHANICAL
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
COMPANY Cw,PorLT Cv;;a.... $..siT,,-1-,-r
State Cert. or Regist.' cc(;: 0$'/0'7/
City License Registration' o?/9/
..........................................
Signature
OTRRR /lcVYIh
(Signature ~
APPLICATION APPROVED BY
PERHIT OFFICER.
CONDITIONS OF PElmlT AFFIDAVIT
, A.. NOTICE OF DEED RES'l'RICTIONS
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 lith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If tbe contractor is not licensed as required by lal, both the OlDer and contractor lay be
cited (or a lisdeleanor violation under state lal. If the olner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended lork, they are advised to contact the City of Zeph,rhills Building Departlent, (813)
788-6611. .
FurtberlOre, 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 the, will be responsible. If you, as the owner sign as the contractor,
you are indicating that fOU, rather than the contractor, are responsible for the work. If the 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 the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
"
"
D. CONSTRUC'l'ION LIEN L'l\W (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien taw - HOIeOIDer's Protection
Guide' prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOleORe other than the
'OlDer", 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 lork will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developaent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoIled to leet standards of. all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certif, that I understand that the regulations o( otber goverDlental agencies la, appl, 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 lilited to:
· Deparllent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnvirODlentall, Sensitive Lands,
, Water/Wastewater !reallent
· SOUthlest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· Arl' Corps of Bngineers - Seawalls, Docks, Navigable Waterways
· Departlent of Health' Rehabilitative Services, BnvirDDleDtal Health Unit - Wells, Wastewater !reallent, Septic lanls
· US BnviroDlental Protection Agenc, - Asbestos abatelent
I also certIfy that, If fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understoodtbat 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 tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official fIOI thereafter
requiring a correction of errors in plans, construction, or violations of any code. Svery perlit issued sball becOle iDvalid
unless the work authorized by such per.it is cOll8nced within sil IOnths of issuance, or if .ort authoriled b, the perllt is
suspended or abandoned (or a period of sillOnths after the tile the worl is cOIIenced. One 90 day eltension of tile, ., 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 sil IOnth period, or'the project will be considered abandoned.
WARNIIIG TO OWIIER:~OUR LURK TO RECORD A NOTlCE OF COHHENCHHBNT HAY RlSUL! I" YOUR PAYING BICI FOR IHPROVHHBIIIS 10 YOUR
PROPERTY. IF YOU I NT D" ..' O. BTAIN. F.I..,," ,A. ICING, CONSUL! WITH YOUR LINDKR OR AN ATTORIIIY BEFOR! RICORDIMG YOUR MorICI OF
COHMINCEHINT. JOBS N $2,5 IN VAL NOT NEID TO RlCORD AND POST A "NOTICI OF COIIIIBJICBHIIIIIl. I
/'/ ,.,/
,. ~ "
,'/ / , I'
/' ;<-~R
srATE OF FLORI;! _
COUI" OF pK-LcAJ
The foregoing instrument was acknowledged
before me this II-/~ , 19f& by
jJAvt, tJlL ~
c:Jdm1s persona lUlu".. Lv me :t>r who has
produced
as identification and who did/<<lfil no1:)
take an oath.~/~
(Signature)
STATI OF FLORIDA/.1
COUNTY OF &4(..4./
The foregoing instrument was acknowledged
before me this 1/---/6"-, 197"6 by
@ecrA J1l~
<:JIfffif ersonally known to .is> or who bas
produced
as identification and who di~
take an oath. ~h_M ~ ~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
11 Ronald R RollbInI
* * My eomm_c:c:elMe
~ ~ Expirel MIlICh 30. 200t
1fo.,,'t.Q~