HomeMy WebLinkAbout98-7936
BUILDING PERMIT
7936 13
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BUILDING
J-5 " ()1J
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788~6611
AFTER HOURS PHONE NUMBER
(813) 788-5262 02..-.5-. OV
PLUMBING MECHANICAL
Permit
Date
g-31-?~
Sewer Conn
Water Conn:
Pmperty owne,~~~~}J ~~
Job Address: " J __ --- -
Parcel I. D, #
Zoning: /J ~gy Code: /J. Radon GaJ
Description of Work ~ _..4\1..1.,..) . ...#A't7f& -.d- -{~
Water Meter:
T.I.F.'s:
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
Permit F
Signatur
Company
Address
Telephone#
(---<
Valuation or
Contract Price
?tTlJ.cri)
City License Registration # ,.;l Jr- 3
State Certified License#
,/J~/1..
~~ {l~.M lift/
/d~L17J:JE<Ir
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers ~
Ducts Insl. 1O(?f 'tfi ~b
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo l
Rough In LOh1. q~ gll~
Meter Can
Const. Pole
Pool
:::~~etf=r }Jlfl(L--f V ~k1
Ftr.
Pre SLB
Lintel
FRM. JoIJ] /9 ~ g~'o
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 ($~S.0e) shall be made for each trip for each trade:
,L..5-:i7D
a.
b.
C.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
r-:J- 'f - y f'
7g:J.~ 7f)J~ '
}L-_ 335Y ()
JOB ADDRESS
~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ---..Addition ---Alteration _Repair _Install
_Sign
----"ove
_Deaolish
.
PROPOSED USE: _5 ingle Faaily
----", F
_' of Units _"/H
_<=<-ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Deparbaent Approval
DESCRIPTION OF WORK:
- -
~~\t
NLI~J ..~'U~:
.
f
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d OOr-
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.~
~/~.., ~,
BUILDING SIZE:
x
. .....
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
/ tfcJ ' Ji)
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS'PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
CONTRACTOR ~~ . ,
aMlPAn uL~'r
State Cert. or Regi t. - S.a
City License Registration' ;;;II ~
**~********************************
Signature
COMPANY ~,J LtN..J I-::;:~C
State Cert. or Regist. , l'
City License Registration' I t:- (
*******~~*********************************
PLUMBER
COMPANY
State Cert. or Regist. f
City License Registration ,
********~-********************************
Signature
MECHANICAL ~ COMPANY (',h~rJ;e PRA""-r-- .//7~ ...~.
/'J State Cert. or Regist. f Ch?~ffC"
Signature ~ City License Registration f ~____
***.*****.********.***.*****.~************
OTHER COMPANY
State Cert. or Regist. ,
Signature City License Registration #
********~.***************.**.x************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. . NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to,ldeed restrictions I which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for eo.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
788-6611.
FurtberlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections I of this application for which they will be responsible. If you, as the owner 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 perJitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of IPlorida's Construction Lien Law - HOII!OI.Iler's Protection
Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is SQleoDe other than the
"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
"owner" prior to couenceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in COIpliance with all
applicable laws regulating construction, loning, and land develoPlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas COIIenced prior to issuance of a perJit and that all work will be perforled to .et standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies lilY apply to the 'intended work, and that it is
IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/Wastewater !reatJent
t Southwest Florida Nater Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODlt!Jltal Health Unit - Wells, Wastewater !reatJent, Septic ranks
t US Environaental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood Zone III or II,etc.I, it is understood that a drainage plan
addressing a ICQlpensating voluael will be subJitted 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 the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall bec:oIe invalid
unless the work authorized by such perlit is COIIenCed within sillOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of sillODths after the tile the work is COIIeDced. One 90 day utension of tile, lily be
allowed for the perlit with fee charge of $15.00. The utension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each sil IODth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD I NOTICE OF COfMEHCBIlDT HAY RESUL! 1M YOUR PlYING !NICE FOR IMPROVEHEHTS TO YOUR
PROPElIrY. IF YOU IH'J'EHD TO OB!AIH FIHlHCING, CONSULT WI!U YOUR LBHDElI OR IN Anomy BEFORE CORDING yOUR NOTICE OF
'COHHENCEHKH'J' . JOBS UHD $2,500 IN VALUE DO NOT NEED TO RECORD AND POST I INOTICE OF COHHBH
STATE OF FLORID~
COUH'J'Y OF ~~
The foregoing instrument was a~knowledged
before me this O~ :;iY, 19Lt:-by
who is ~owo to me or who has
produce
as identification and who did/did not
take an ~ ~ C( m t9-t><L
(Signature) ~ ~ '<1
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA<::R .. .
COUH'J'Y OF . ~
The foregoing instrument was acknowledged
before me this 6-- d--'1. , 19 7' Vby
who iS~SO~OWD to me or who has
produce
as identification and who did/did not
take an oat:b.Jf, a }Jf ~
(Signature)' ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
4-~'" Nancy A. Moody ('
f,.:~,.\ Mf COMMISSION * CC534806 EXPIRE._
~'5.:, : j Feblll8lY 21, 2000
-~~(;;'A.' ~ BONDED THRU 1llOY FAIN INSURANCE, !~ii:
"'lin'"
\,"If." Nan A M dy
....';..;.r-.'f.~".. cy . 00
t:tJi.'~;~ MY COMMISSION * CC534806 EXPIF't'
'f.li,~~l Feblll8lY 21, 2000
.1,')f''''A.l:ff>'' BONDEDTHRU 1llOY FAIN INSURANCE, "..
"Hr..,,"
DATE:
8/24/98
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!! RES I DENT I AL ~'. COMMERC I AL
!1 F\eCi lstet~ed Bui ld ing Contt~actot~ RB 0032524
II Reqistered Roofing Contractor RC 0056763
q
!i 11250 South Highway 98, Dade Ci ty, Flot~ida 33525
II Phone # (352) 567-8580 (813) 782-0920
q FAX '* (352) 567-7073
Ii Bonded and InsLlt~ed
I ~_______________..m____...___.________________________- .
II PFmpOSAL_ FOR: I PHONE: 782-7032
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.! i_'M_,,__~___'____M__________'_.___M________________" I
HNAI"IE: CliU.t'c:h Di' the Na;zat~ene I JOB NAME:
Ii 61 ~51 L?tli f:3t t~eet I
II ZephvTh i 11 s. FL 33540 I
11 I
!L__________.______. I
Illlo/e h.:=?t'ebv su_bmit specifications and estimates fOt':
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PAUL
SCHAPER
CONSTRUCTION
CD_
Same
- Oversee proposed installation of walls to
create a lobby area and offices
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II Insti:o_llation of new walls ~'. doot'
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!i 1/2" .jt'vwall on 2 :< 4 studs
II E:<isi;;inq ceilings
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II He 3/0 dOOt' with levet' handles
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H - {~/c 1::1\1 othet's
II -. F': 1 e c-l: t' i c: b \I 0 the t' S
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II Total cost: $700.00
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