HomeMy WebLinkAbout98-7901
BUILDING PE.RMIT
)/0 - tlV
BUILDING
3!:>-'dV
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
~~)~-5262 ~: trV
PLUMBING MECHANICAL
PmpertyOwne, ~ ~
Job Add'e.", ,:J. .'-/l - ~ -_ ~ ~~
Parcell.D. # 1...3- ;Z{'-:;U, t'Jl3o - 0 {It:Jt:70 ~ 0 7 r U
Zoning:
Radon Gas:
"f;-:E-tJO cfl,'
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
7901 6>
Permit
Date
f'- /7- 7 k:.
Sewer Conn I J... ~ t: t7V
Water Conn: ~?J. t1'1J
W.... Mete" . ~ O. ~.",
T,I.F.'s: ~'7 'O'.,. c7i)
2-3-0
DATE
D
Valuation or I A--J )
Contract Price ;)..-. Ytro ' u v
~
City License Registration # ~ ? ~
State Certified License#
Permit Fee
Signatur~
Company
Address
Telephone#
L;~~
;;~7? ~J:/L
fhL~ /70
ELECTRICAL
~ j(7#1~r2~~
PLUMBING
BUILDING
~J~A///
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final '1/:Jq /9 t/'6l'Jb
.
SLB
Tub Set
Water
Sewer f-:-i
Final 9/C-fl:; X &.,b
Driveway
F: I'\c.. \ '1/2q/'1~ Cab
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1 S.OQi shall be made for each trip for each trade:
a. Wrong Address '^-~-. OV <:J j 71 ~~ ~ /7-,96'
b. Condemned work resulting from faulty construction. /J/~
c. Repairs or corrections not made when inspection called. . j Y -...$ -? r
d. Work not ready for inspection when called. J}...
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.
Sep~03-98 09:42A H&R Interstate Mob;le
813 782 1169
P:01
rr0TPAL PFPMITTING
PASCO cnUNTY, FLORIO~
nAIF: 08/19/9~Ab&0Ei b~:~6
T~3!:;UF OFFJCF; r:.
j:;:FCETPT i'IUNBf? ~ f.)o~:r-.r'~)"'j7 /;
OFFICF: nADE CITY
CDNTP(.:ICT[lF' :JI: ~
NAME: H 8 R TNTERSIATE
ADDR: 37651 NEW PORT AVE
C./<3T: '-;:',..IITI...I...';)
rOl~: :
CIIFel< t :I B~,";()({,
r:~[SC FE:F .... CTTY OF ''::~-'HTL.l...b -(I: 7C)(H [:
03-26-21-0330-00000-0780
,;CCi'~T
1:1-:/
TOTt\L I~NflI.JNl;
C(li"lPi'!Y (~CCClllHT cr",'!TFF:
B4~0 - 363000 - L
:I. Q,O']
AMOUNT DFSCRJPTTONiPERMT DATA DRieR
'L9~0~J ****** SOI._:I:O WAS1"E F~Ff~: 60
F'FCFI'.)FI"":o r:"y'
APPLICATION FOR PERHIT
CITY OF ZEPHYRHILLS
BUILDING DEPARnlENT
Oh'NER
~ ~ oR LJT~ILST;}Tf' .:
35 '2&7 .yw~ 51 ijj'. .'
}I IlL ~/1~A;(4~
Jon LOCATION J 76~1
Pl!~~l g/3 )1%); <~)70
APPLICANT
ADDRESS
J(juJ~f~il/~
LOT
SIZE he> x /th:J AREA SQ. fT . 0~
~
LEGAL DESCRIPTION: LOTeS)
IlLOCK sunrnVIS.lON 5
~ 0 - 17 j'. 0
PARCEL I.D.!i
t7 3 - :1 C:,- o? I -tJ/3, 0 - tJtJO
WORK PROPOSED:~I-i constru,ction _Addition _Altero.tion _.Rcp8.ir _Install
_Sign/Temp.
_Sign
_Hove
_Demolish
PROPOSED USE: _Single Family
...:...--M/F
~iF of Units
. ._~I/H
_Commercial
~Indust.
_SI-iim.. Pool
)n JJ-,
Other
____Restaurant & Health Department Approval
BUILDING SIZE: ~Jr X 3~ ,
!tH(
Height
Square Feet,
RESIDENTIAL:
COmlERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY rOR~IS. **
ATTACIl (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmIS."*
HCOPY OF CONTRACT REQUIRED.
:ERRMTTS RF,OUESTED
t9L, !Jcil>> ~/,
~IlUILDING
-t-ELECTRICAL
1~IECIIANICAL
-12PLmIBI~lG
s ..J I 0Y1J
/'
..l.Sl1~AMP Service
V~luation of Total Construction
Florida powcr Corp.
k h'.R.E.C.
s
Id~
Valuation of Mechanical Instollat~Qn
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block _Frame _Steel
FINISHED FLOOR ELEVATIONS: ~It FT.
IY1Jd
Othcr
*********~********************************
mr.mmll /~~ Compony { : U ];;ROhJ {Ltc. <;tRl/[(~ /
.-/,/ . State Cert. or Ecgist:. ii
Si.[?.rl<1tll~/~ . City License Rcr,istr;,1r.ion I.' 1'70
/.._ .. .,.f, -:~..' -:, * * -:, -I< * * * * * -I< -I< * * -I< * * -I< * ," * -:, -:, ,', ,', ;, ,', -:, ,', ,', ,', ':, ':, ,', ':, ;, ;,
PLmmrR ~~~ /. Company /(fL.501J RYMAr1
State Cert. or Regist. !.! I
Signature. ~. ~ City License Rcgistration Ii 7th
tlEt.Hf.,Nlc.hl:7!l:::;fiA J.17~~*':::::::"**"B;;~';'*,'~~eM{ ~ AI
State Cert. 01 hegls t, 1: /'
Signature City License Registl'ation i.' /'7
******************************************
f;ONTR~~~~~n~RCTTON N ~ R JNTflLSTAIC
Statc Ccrt. 01' EeCist:, ii l/
City License I\cr',i!;l.1":\I',jnl1 ;1 277
***************************************~*~
OTHER
Signature
Company
State Cert. or Rceist. f~
City License RCGistl~ntioI1 0
******************************************
PERmT OfFICER.
APPLICATION APPROVED BY
CCNDI;'IC;'.j':: OF PEl":r"i:'" r.r-r-':, . ,',j , r
A. ~~OT I ~r:: OF nr-T:::n REr;TFt I CT I UNS
lhe undersigned understands that thi~ perolt may b~ subject to "deed restrictions' Mhich ~ay be =~rD restrictive than City
regulatie~s. Ih~ u~dersigned .(ssu~e~ respons\b\1\t{:ror.co~pliance \lith any applicable deed rr:dric\ic'~s.
B. l!NL T CEr--ISED CQtITGFCTORS AND CONTRACTOR RESPQt.1S I n I [_1 T I (5.
If the owner has hired a contractDr or contr~ctors to undertake lIork, they may be roquired 10 be licrn5e~ in ~c(~.d~~ce _ilh
state and local regulatiDns. If the contractor Is not licensed as required by lall, both the D"~er and contractDr nay be
cited for a ~i5de~eanor violation under state laH.. If the o~ner Dr Intended contractor are uncertain as to ~~at li(~n5i~g
require~ents ~ay ~pply for the intended lIork, they are advised to CDntact the City of Zephyrhills Building Dr?ar\,~nt, 18\31
78B-bbll.
FurthercDre, If the DMner h~5 hired ~ contractor or contractors, he is advised to have the conlractor(s) sign pDrtions of the
'Contractor SectiDns' of this application for Mhlch they will be responsible. If you, 2S the OM~~r sig~ 2S the contractor I
yo. ... ,..,..,,'. ,.., Y", ,..". ,... 'b. """"", ... ...",.Ibl. ,.. ... ,.... II ... ..."..", .,.... yo, I. .i,.
as con\r~ctor that cay be 2~ indicatiDn that he is not properly licensed ~nd is not entitled 10 pcr~itti~g privileges i~ the
City of Zephyrhills.
C. TRANSPORT AT I o.I::.Llt:l!::.0CT FEES AND UT I L I TV COi'INr::CT I Oi'.i Fr::ES.
D.
CONSTnUCT I 0['1 L 1 ~L~l-AI.-J
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, h~ve been proy(ded ~ith a copy Df "Florida's CDnstructiDn lien LaM - Ho~eo~ner's Protection
Guide' prepared hy the Florida D~par\aent of ngriculture and Consu~er Affairs. If tl,D ~ppli(ant is so:c6ne other than thr
'owner', I certify that I l;;,'/D obiaineu a. copy of the above described dc,cuIT,ent ;,r,d prc'~lise in qc,od fait~, to Geli';er it tt> the
'oHner' prior to co~~ence~~nt.
"1.':'':=.'.
E. CONTRACTOn' SLQ\.-lND3' S AFFIDAVIT
I certi fy tha\. all the inf"r~,)tis'n in this applicatic,n is accurate an'd that all )i(,d: ui II be dC'fle in cc,~pl iance MI th all
applicable laMS regulating cDnstructi~n, zoning, and land developD~nt.
Application is hereby ~a~~ 10 0btain a peruit t~'~o H~rk and installation as indicated. I certify that no Mort or
Install~tiDn has cDI:enc2d priDr to issuance of a per~lt and that all MDrk will be perf Greed !~ roeet standards of all laws
regulating construction, City [~d~s, zoning regulati~ns, an~ land development regulatiDns in tho jurisdictiDn. I alsD
","fy ,.., . ,.,.."", "~,I ,., ,.,...."" ., ..h., ,...",.".. ,g.,,'" .., .".i ,. ,., i,'..'" "", .,d ,.., " i.
'y "",,,it il iI Y ,. ....,;;, c,:", ""." I ",,\ \.,. " b. I, ".pll..,,,. S..:, .,...,d" '"e1 ,0, ..,. '" ';c., 11. iI.' '"'
. ,.
I Denartsent c,f EnviHn;;c:n\;:j Ren'.11i!tion - Cypress nayhcads, Helland rlreas and En'/irc>nr:I~r:\a\ ly S~nsj tii" L,li,d'l
\/ater/HasteHatcr Treatment
f Sc,uthHEst FI5'il~~la\eE-.J~~~~I~!-,:.!:>~j)istric\ - \Jells; Cypress l\ayheads, Hetland (,reas, f,ltering ':I,,\.erc0urS~S
I Any Cc,rns .of [nnir,,'rr:c.. - Se;;llclls, Docks, Navigable IlaterlJays
I D~parta~,-.0.J!paIJJd,_Y:U!J~~))\t:,tiVP. Services, Environmental Ilealth Unit - \lr:lls, \l;,s\~~a\er Tre::L:c:t!, Septic Tanks
I US Envir~~'l:-.:..Lf'lJ:.l,-"-cJ.Lrl,~~r:.Y. - f,sbestos abatelnent
also certify that, if illl ~atr:rial is to be used in Hcood Zc.ne "n" c,r 'n,ctc.', it is \lnllL-r5Ic,c,d tl,,1I a drainage plan
...,....,. ' '"."..,,,,, ..1,... ,I" .. ..b.iil.' .bl,b I, p,.p.'" by , p,.I...i'.., ..,i..., ,..,."", i. ". ".,. .1
Florida prior to perlil i55uan[~.
, ,...Ii i..", ...1' b. ",..,.., .. b. . ",.," \. ".,... .ii. ,.. .." ... ,,' ,. ..,..,1" I, """', .,.." "",, ..
... ..i.. "I p"""'" .1 ,.. ..,.,1'.' ,...., .., .b.11 i.....'. .f , p.,.I' I""" ,.. O,i"i., 'In,i.1 f.c. ...,..1'..
",.,"., . """'''''' ,.1 "'"" ,,, p''''; ,,"''''''''', " ",I.Ii... .1 .", "d.. "Nt ,,"''' i..'''''' .:"iI bee"" i,."lid
..I... ,.. ",\ "It".,' ,,' by""" p" ,II .. ".""",,, .11'" .i, ""h. ,. r ,,,,,.m", ,., " ".., I ..11.,." ,oj I,' \C.. ,,,. iI i.
.",,,,., " .b...""d I,.,' . '" i m' " ." ,.,Ib. .n" lb. Ii" .., ,,,,I i, "...."",. D", ", d., ,," ,.. i ". .1 "", "y b,
.1,...' I.. ,.. p.,.i' ,i" f.. ,b.". .1 "5.", T" ......,.. ~." b. ,..".".01 i. .,"i., " ". ..il.i., Oll"'~, I.
a~proved insprctic,n rJlIst be lc,gr;ed during each six month periDd, c,r the prc,jl'ct \iill bi' (l,r,sider!:d cbd\,Gc"10d.
I,.oIARN I NG TO OI.-Jj'lEn: YOUR FA I LURE TO RECORD A I'IOT I C\:: m=- CQt'1t'H.:r,IU.:t'1ENT f'1AY
RESULT IN YOUR pnYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU
INTEND TO OBTAIN FINANCING, CONSUL-r WITH YOUR LENDER OR AN Al'TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOD" UNDER '2,500 IN VALUE
DO NOT NEED TO DECORD AN~ST: "NOTICE OF cm".,nICEMU"a
SIGNATUnE__~-~----- SIGNAT~RE -- --------~--------
7-~C"NER on AGENT CONTRACTOR
DATE _____~"',!fL'----------~-----------. DA TE__!L'!Lc,L----------..----------
NOTARY AS TO
OWNER OR IIGENT ______________._____________-:-
MY COMMISSION EXPInES . .
----------------------
NOTARY AS TO
CONTRIICTOR_____________________________
MY COMMISSION EXPIRES__________________
"
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