HomeMy WebLinkAbout98-7784
BUILDING PERMIT 7784 f3
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
Date
s-~tLy-9~
BUILDING
ELECTRICAL
PLUMBING
CM~~ Sewer Conn
Property Owner: ~ JA ". 'ff..LA r~
Job Address: ~ H t) ZJ Yl ~ a-.v-e-
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy;;odj;_
DescriPtion of Work -41' c. ~ (/.9-
Radon Gas:
NO OCCUPANCY BEFORE C,Q.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
P~'m;tFee ~ ~
Signature _ ~
Company
Address
Telephone#
Valuation or
Contract Price
f+~~-. Qi)
City License Registration # &-0, ~
State Certified License#
BUILDING
ELECTRICAL
PLUMBING
/~
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
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 ($<1 i.gO) shall be made for each trip for each trade:
.2~-:tTD
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.
a.
b.
C.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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SONNY'S DISC:OUNT APPLIANCES. INC.
'0' S-I SdOth HlghwIy301
lJAUE CITY, tlORIOA 33525
(.~U) 881.8224
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m" Jlr.....ttif ~r.by to 'urnlsh Inalerial and labor - complete In atcordanle wilh above specifications. for tht! SlIrn lIl:
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APPLICATION FOR PHRKIT
CI'IY OF ZEPHY:RHILLs
BUII.DDiC DEPARI1!l:Em'
. .'
OWNER · S RAIlE
lNRER'S ADDRIlSS ,",? J( ~ ". D
JOB ADDRESS ~
ot:~-~
Of)~ FHOD Yr?..2t- ~ LIO 9
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LEGAL DESCRIPTIOI!f: UJI'(S) Bl.OCX SUBDIVISIOIll
PARCEL LD.' tJ2-- 26 - ~r - f) d;;L1 - 00 () 00 .-- 006 0
WORK PROPOSED:_lIev Const:ruct:ion ---...Addit:ion _Alt:eration. _Repair ~~t:all
_,_Deaolish t2?1,d.~~~
S.
- 19D.
_ftove
PROPOSED USE:
Singl.e FaRtly
.> _"IF
_, 0:[ units
_K/H
_<=<-ercial
_Indust:.
_Swill. Pool
Other
_Rest:auran.t &: Hea1t:h. Depart:aeo.t: Approval
BUILDDiG SIZE:
x
Square Feet.
Height
J RESIDENTIAL:
COKttRRCIAL :
A'l'TAcH (2) PI.OI' PlAliS &: (2) SEI'S OF BUILDIliG PI...ABS &: 0) SET ENERGY FORKS. **
AITACH (3) SEI'S OF BUILDIIJG PLUrS &: (1) SET ENERGY FORKS. *-:l-
**COPY OF CORTRACT lUlQ1JIIRIlD.
PIlmIITS REQUESTED
_BUILDING
$
Valuat:ion 0:[ Total Construction
_ELECTRICAL
AIfp Service
Florida Power Corp.
W.R.E.C.
_MECHAliICAL
$ <6 'it': <?- g--
Waluat:iolt of Hechanical Installation
_PLUKBIHG GAS BOVRlIG
SPECIALTY
TYPE OF CONSTRUC'rION: _Block _Pralle _Steel
Other
FIliISHED FLOOR ELEVATIONS:
FT.
IS P.KO.JEcr III FLOOD ZONE AREA?
YES NO
**************************~***************
COftD'RACIOR SECTION
Bm, JlF.R
CO!IPM<<
St:at:e Cert:. or Regist:. "
City License Registration ,
******************************************
Signature
KJ.F-CTRICIAN'
CO!IPAlMY
St:at:e Cert:. or Regist:. f
City License Registrat:ion .
******************************************
SilmAture
PLOKBER.
CO!IPMiY
State Cert. or Regist. ,
City License Registration .
*************************** *************
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Signature
IfEalAl[[CAL
Signa~"
/'
~ amp
Stat:e Cert:. or egist:. f
City License Registration
,
****************************************
OTIIF.R
CO!IPMiY
Stat:e Cert. or Regist:. ,
Ci~ License Registration .
*********.**a~****************************
Signature
APPLICATION APPROVFJ) BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it.ay be subject to "deed restricti~ns" which lay be lore restrictive than City
regulations, The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRaGTOR RESPONSIBILITIES
If the owner has hired a contractor Dr contractors to undertake ~ork, they lay be required to be licensed in accordance with
state and local regulations. If' ttt~tll1rtritctor is nQ\ 1 icensed as required by law; both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
"Contractor Sections" 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 c~~tractor, 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 perlitting privileges in the
City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS Af'o1ENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection
Guide. prepared by the Florida Depart.ent-of Agriculture and Consuler Affairs, If the applicant is SOleone other than the
"owner", 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 cOllenceaent,
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent,
Application is hereby lade to obtain a perlit to do work and installation as indicated,' I certify that no work Dr
installation has cOlaenced prior to issuance uf a perlit and that all work will be perfotled to leet standards of all laws
regulating construction, City codes, zoning regulations, and lar.d developlent regulations in the jurisdiction, I also
certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is
IY responsibility to identify what actions I AuSt take to be in co.pliance, Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable WaterwaY5
f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Proiec~iun ~ijen~y - ~~he~tns abat~lent
I also certify that, if fill laterial is to be used in Flood Zong "A" or "A,eic,., it is understood that a drainage plan
addressing a "colpensating voluae" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it 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 shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code, Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance" or if work authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tile the work is cOI.enced, One 90 day extension of tile, lay be
allowed for the perait 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 six lonth per:~d, or the project will be considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY 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
CDftKENCEKENT, JOBS UNDER $2,500 IN VALUE DO NOT KEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
~ hM.---
SIGN TURE: CONTR~TOR .
Ort- . /
SI&NATURE, OYNER ~~
p~
If/as acknc.wledged
19-.:lL by
er
who is personal has
produced
as identification and who did/did not
-4t'_~A -}
take f?:~ X U/D-WYL/
(Signature)
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
befc.re me this .5-.:2 '1 ,19.:LL by
Ii 0 b ' 1-1 () fJ fl e Y"
who is personally known to me or who has
produced
as identification and who did/did not
-
tann oath.x J ~
(Sign~
(Name Typed, Printed or Stamped)
NOT ARY PUBL I C Official Seal ~
AMY L. SWANN
Notary Public. State of Florida
My comm. expires Oct. 6. 1999
Comm. No. CC 149883
(Name Typed, Pr~ ~ ~~NSt
NOTARY PUB ry Public, State 01 Florida
My comm. expires Oct. 6, 1999
comm. No. CC 149883