HomeMy WebLinkAbout98-7914
BUILDING PERMIT
7914 IJ
BUILDING
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
~3~-S262 :J-!>'. VD
PLUMBING MECHANICAL
Permit
Date
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Sewer Conn
Water Conn:
~operty Owne, J/+ 7( tdif;t ~
Job Address: 1f cr-tJ3
Parcell.D. #
Water Meter:
T.I.F.'s:
~::~:~t;onOfWm' !J1 :z;e::7;r-~ (!Jt:r".J)
.::YfP~'1. ..j;;f~ If) -6 ~Pt" ~ IP~~~- hll1
NO OCCUPANCY BEFORE C.O.
FINAL
/o~
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 12J...
:~;~a~:~ 3~' ~
Company
Address
Telephone#
--
Valuation or
Contract Price / ~ b"t:ro . trV
City License Registration # ;Z ;7 .>
.
State Certified License#
BUILDING
If-' ~-AA1 1'10
ELECTRICAL
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PLUMBING
A~tL I?
,J/~.K ~~1E
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. 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 ($-+e..o9i shall be made for each trip for each trade:
;;1.5'. in)
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 PE1U'I1T
CITY OF ZEPHYRIlILLS
BUILDING DEPARnlENT
J"-/J--- r cr
APPLICANT ~ c::L~ Il\JfER sfA.T-:r..
ADDRESS 3S"" 2'-(01 H uJ Y 5~+..'{..0EST
/J/(/w1iM ('2-1LJ ~b_ IlA fl-
Jon LOCATION 510 -;( C-O/TA-tf<2-
Oh'N ER
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.!!
PH~~~t3 ) l S" Z- -7 z-"1 b.
LOT SIZE~X ~(")i\REA SQ.FT.
BLOCK
sunDIVISION
\WRK Ne,~ Cons.truction _Addition _Alterlltion _Rcp8.ir _Install
I
_Sign/Temp. _Sign - t'lovc ~DemOliSh
PROPOSED USE: _____Single Family ~M/F _Ii of Units ' 1'1/ Il
_Commercial ~Indust. _S\vim. . Pool Other
& Health Department Approval
,riu'1; ~T Square Feet,
(2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.**
(3) SETS OF BUILDING PLANS << (1) SET ENERGY FomIS.~'*
OF CONTRACT REQUIRED.
_Restaurant
IlUILDING SIZE:~ 5 x3k.,
RESIDENTIAL:
cmmERCIAL :
ATTACH
ATTACH
**COpy
XnUILDING
~ELECTRICAL
LI'IECHANICAL
'yJ PLilllnING
~ ~ s7hJ
/'SV. AMP Service
$
s
~~."'.>v
GAS
HeiGht
]:.F.RMTTS REOUESTED
vriluation of Total Construction
,*-Florida po"er Corp.
_",.R.E.C.
Valuation of Mechanical InstDl13~lon
ROOFING
SPECIALTY
Plt/J.
Other
TYPE OF CONSTRUCTION: _Block _Frame _Steel
FINISHED FLOOR ELEVATIONS: fv;/ld- PT.
*********~********************************
~ONTRACTOR 0E~
. Company \:::L- e :r: ~ f -n;]~:s;r1\ -r -E
State Cert. or Rc~ist. 0
City License I~cr'.i;,t.r:llinn iI -4 ~~ :;1'77
.~************************************~*
Company Cc:L-t-( .:Jl)dZf) A-N ~(.
State Cert. or Regist. U
City License l~cgi.str:H.ion!i ~ /70
*********************************~***
S~V.
:
Company . tJ t:l-sa u
State Cert. or Regist. ~,
City License Registration U
******************************************
Company (3 A-\-l- e .:; P 42-D P A"rJ E. cl-fY J e-
State Cert. or Regis t. i.! ---H) -
City License Registration 1.' ~ /1
****************************************
Signature
nTHER
rZ Y (l) A-N
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-:
.yo
Company
State Cert. or Rcgist. U
City License ReGistration,
Signature
PEmlIT OfFICER.
APPLICATION APPROVED BY
******************************************
l
.:r."r',lDIT:::U~,l~; Ci.c ,,'EI<i'1IT .',:"'j~ID;\'.'I.,.
A. NO':' T CE OF r..~,::r:::J"?__!jEJ:;Tr< I cor TONS
the undersigned unders!ands !het ll,i~ per~it may be sublect to "deed restrictions' which ~ay b~ oore reslr.ictiyc than Cily
rcgulalior,s. the undersi~nd "c~t::;~S r~spDns!bi1it{';'for co~pliance l1ith any applicable deed restrictions.
E. UNL I Cr::~!SE~':L.~.rlJ.:.~I.[lQ~roRS AND CONTRACTOR RESPO!'IS I II I 1_ I T I r:;S
If the owner has hircd a cDn!r~c\Dr or contraclors
slate and local regulalion~. If Ih~ contractor Is
cilrd for a nisde~eanor vi01~liDn under state IaN,
requin:enls eo'! "Pi,!Y fc:r l.hL' inlcnde;\ li~rk, they
788-6611.
to undertake 110rt, .they Day be required 10 be licensed in accordance "ilh
not I icenHd as required by I iill , br,lh I in: r,uner "nd Cunlrac\c.r r.,y be
If the Oliner or Intended conlractor are unccrtain as 10 "hal licensing
arc advisrd \0 cDntact Ihe Cily of 2ephyrhills ?uilding Dfparl:en!, (813)
Further:ore, if Ihe OHner has hired a cDnlractor or contractDrs, hr is advised to have lhe contr~[tor(s) SIgn portions of the
'Conlr;clor Sections' of this ~~p!ication for lihlch they Hill be responsible. If you, ,,5 lhe Duner sign as !he contractor,
you are indicating lhat ye,'", r.ii.iiLT th:lll the contractor, arc 'respc.nsiblr for Hie Hc.rl:. Ii Ihc' [(,n\r;:cl[,r 111ch25 yc.u 10 sign
as cc,nlractc,r l'lal ~ay be ":1 jdllic,li[.n tl1,,\ he is not pre,perly licenser! ~nd is nol rnlilled lc, pH"ittiilg privileS2s h the
Ci II' clf Zephyrhi lie.
C. TRANSpmH8J:"I~JLL.JJ:.1.r::DCT FEES AND UT I L I TY COf\If\Ir::CT I gi:L-E5r::~i
D.
CON S T RUe T J J2!:L_.L-_LEl:L- L A ~.1.
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I cerlify that I, thr applicant, have been provi~ed with d copy of 'Florida's Construction Lien La" - HG~2GHner'S PrDteclion
Guide' prrpared hy the Flc.;!,:;] !Jq,;jf\=;ent of Agriculturr and Consu~er Mfairs. If lhe "[_plican! is sc,:cc;ne ol~,cr thail the
'oliner', I certify H,ilt I :,..,'/" ,.b\:,illed d. celpy of the abr,ve drscribed dc,cumenl and pre,~d,e in ~l,oJ [;;ith b delivH il Ic, the
.oHn~r. prior to co~~~n:r~~nt.
:1.,,;7' ..
E. CONTRACTOR'5/0WNER'S AFFIDAVIT
I certify thaI all the infDr~Jtion In this application is accurate and that all Mork "ill be done in co~pliance "ilh all
applicable liHS regul~ting c0nstructlDn, zDning, and land developcent.
Application is hereby nade tD obtain a permit to'do Hork and install~tiDn as indicated. I certify Ihat nD HDrk Dr
installalion has co~~enced prior to issuance of a permit and that all MDrk liill be periDr~ed tD meel standards of all
rrgulating constructiDn, City codes, zoning reguIatiDns, and land develr,pmrnt regulations in Ihe jurisdic!ion. I also
certify lhal I understand Ihat thr regulations r,f other gDvern~enlal agencies ~ay apply.ID lhe intended "Dik, and lhat
r.y respoTlsibility Ie. identify lihat actir,ns I ,]ust tal:e to be in cOMpliu,ce. Such i1Qe:lcies ir,clueD bid ~I e lil,l Ii,~i!ed te,:
laws
., .
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I Deparlcenl elf Environmental Rro\llalil)n - Cypress Bayheaos, I1dl,md nreas and En'lirc.n"enlol]y Sensi tjie LdiIGS,
Haler/l1asteHater Treatment
I r'e,ulh~e5t Flr,rida Hider l~~naQe~ent District - \Jells,' Cypress Bayheads, l1etL;nd Meos, f,]tHing 'd2\erou;s25
I Ar~y CDrDs~f EnQineer~ - SeaHalls, Docks, Navigable l1aterHays
I Dep"rtoer,t c,j l\e"II,b.J,-.J:~~:h.iJl~iltivr. Services, Environrrlentall\r,dlh Unil - Ildls, 1I;,sle"Jler Trc.ct,:c:::. '3eptic T2n~s
I US En'lire,n:[.!~j! PrdeIJic,n finency - Asbestos abatc~ent
;,150 Certify th"t, if fill r,;)tl!rial is tr, be used in FIt.od Ze.ne "n" c,r 'il,dc.', it is unMr~te,e,J tL"t :, Juinag(' plan
addressin~ a 'co~pensating vDlu~e' NIII be submittrd lihich is prepared by a pr~f('ssional en~in[er i[0i~t0f0J iil t~(' 51ale of
Florida priDr tD per~it i~suancl!.
A perbit issued shall be conslrued Ir, be a ]i~ens~ to procerd with the liDrl: and nol ~5 aulhDrity ID yi8j~I~1 c2ncel alter, Dr
set aside any provisions 8f lhe lechnlcal cDdes, nor shall Issuance of a permit prcvent the Building Orrici~1 frD~ Ihereaftrr
requiring a corrEction ~f errors In plans; constructiDn, Dr viDlations of any code. Every p~rQi l isst!~J ~hJll becotc invalid
unless lhe lll,rk aulltc'l i~d t,y such perl!ill is ce'lIlilenced llllhin six months [,f issuancc" e,r ij Ill"1. ",ilk'l )~('d hI' lhr per.,il is
suspended Dr abandoned f~r a pcriod Df six ~onths after the ti~e Ihe liork is commenced. One 70 day 0;1~~5ioll or li~e, DJY be
alle'lied fc.r the prr~illlilh fel' chiirge of ~15.00. The exlrnsir,n shall be rer,ul:sI('d in \Hitin~ Ie. th~ 8c;ilJir.:J Official. An
apprc"ed ir,s[;l'clic.n ,.ust bE lC'\jgeJ during pach six mr,nth period, c.r the pre.jl~cl Ilill be c[ol,si,!['r('d dl',.Jluc'"c.d.
WARNING TO mnlEF\: YOUR FAILURE TO RECORD A NOTICl:: m~ COr1f':E[,ICEnENT r.1AY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER.I.Y. IF YOU
INTEND TO 08TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al.TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JODS UNDeR $2,500 IN VALUE
DO !'lOT NEED TO F{ECOfm AND POST A "NOT I CE OF COI'H'lr::f\IC[:::.]C::I'JT".
SIG"ATURE___~___________~-- SIGNATURE ---------b-----
~-~INE~ OR AGENT CONT~ACTOR
DATE ---~4f!{A'K-----------_.~-----.-------
DATE
-----------------------------------
NOTARY AS TO
OWNEf1 Oil (',GEtH
-------------------------------
NOTARY AS TO
CONTRACTOil_____________________________
..
MY COMMISSION ExrrnES
MY COMMISSION EXPIRES
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