HomeMy WebLinkAbout99-9094
BUILDING PERMIT
B\oING ELECT~CAL PLU~ING
Property Owner: L€hCt, ~oI~.r 50.'
Job Address: c:;-("" 0 g ;20~ 5"'+
Parcell.D, # 11-2b-ll- ~ZO' DO "$00 - 0010
<fa. ~
MECHANICAL
09094
Date I J /ILf!11
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: --X-Jnergy Code: Radon Gas:
DescriPtion of Work ----Bf ( L i..c.......c, (l 0"- ....
FINAL (- 3 P - t:) /
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
City License Registration # -, I
State Certified License#
DATE
Inspector ~~
p~'m;tFee~ ~
-Signature ~ _
Company ,
Address
Telephone# 8/..~ - 7" 7 7 02700
Valuation or
Contract Price
?Y7$. ~
BUI DING
ELE
,J ~:~
, PLUM ING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. 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 ($ 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.
Bob Youmans
788-5262
11/24/1999 09:36:20 AM
P.1
JU>PLIa,,orICIR I'ClR PEllMJT
Cln or E.&PIIDUI%LLS
JlUILDIWlJ ~Q'DIIDft' DAD ua:IYJCI)
~. DVIft I'D
-"'" N^"" Let1Q IJrd~~ '''''''' 17.~ 'f:lS!i~
JOBADDRESS,S<;()R dCt-A _'_ -"f) Ze.phVD__'I_ 335Vt>
LEGAL D~SCR~PTION: 1.01'(5) BLOCK SUBDIVISION
o SIGN
PROPOSED USE, [JSGL FAMILY DWELLING
[J COMMERCIAL
PARCEL 10 1/
WORK PROPSED:
CONSTRUCTION
o REPAIR
o INSTALL
o HOVE
o DEMOLI Sll
[JMl1LTI-FAMILY
o INDUSTRIAL
0, OF UNITS
o SWIMMING POOL
o HOBI LI!: HOMI!:
o OTHJ:R
CJ RP.:STAURA,I.'l' & HEALTH DEPARTI'\t:lfT A1'PROVJU. II./)
DESCRIPTION OF WORK CJJa'7J€ tJU f (10< ~t1,' /d seer nr iennoy
aUILDING SIZE SQUARE FOOTAGE ItEIGHT
RESIDENTIAL:
COHMl'.:RCIAL:
1\TTl\CH e2) PLOT PLANS", (2) SETS OF WILDING PLANS ~ (11 SET DlI!:RG>Y l"OAM5.
AT'rACH (3) SETS OF BUI!.DING PLAHS Ii \1) S!:T ENERGY FORMS.
PROPERTY SURIlEY REQUIR&D roR ALL HEW CON S'r RUCT ION .
P:i:~TS REQOES'l'ED
o BUILDING
S
VJt.LUl\TION OF TOTAL COIfSTRUCTIOH
o ELECTRICAL
o PLI)J18ING
o MECHANICAL
AMP SERVICE
o FLORIDA POIIER
o W.R.E.C.
$ 3f9S, CC> VALUATION OF KECHAHCIAl. INSTALLA.TION
o GAS
o ROOFING
o SPI!:C~ALTY
o OTH~R
TYPE OF CONnRucTIOM: 0 8LOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELI!:VATIONS
IS PROJECT IN FLOOD ZONE AREA[J n:s 0 NO
r~
, ,_."t:{.Ti:'.\~~;~:;~Z;.it~t?:i~~:~~~{~~~;;!:!
COHP.a.NY
STATE CERT OR RE~IST ,
CITY PROCESSING I
~
SIGNATURE
...~+..............................................*......*.*.*...
SIGNATURE
COMP.a.N't
STATE CER'1' OR REGHT .
CITY PROCESSINw 1/
ELZCTlUCM
..................................................................
COMPANY
nATl!: CERT 01\ REcaST .
CITY PROC&S3IN~ .
~
SIGNATURE
~/Iecz;;;"fj ,
, c J;l 5f:.'/F Rei
{01'T1fX< 133M3
0'l'Da
COMPMY
STATE CERT OR REGIST I
CITY PROC~SING .
SIGNJt.Tt1RE
.__..._..._.__..__..~~.~....~l~~J~~~.~.~.~*.~.**~~**~~~~~.~~..~.~
..
Bob Youmans
788-5262
11/24/1999 09:36:20 fu~
P.2
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF D~D RESTRICTIONS
The undersigned understands that this permit may be subject to .deed restrictionaU which
may be more restrictive than City regulations. The undersIgned assumes responsibility far
compliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS A"~D CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contraetor is not
licensed as required by law. both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work. they are advised to contact the
CIty of Zephyrhl11s Building Department. B13-7BB-6611.
Yurth.rmor.. it th. owner ha$ hired A contractor or contractors, he is advised to have the
contrsctor(sl sign portions of the "Contractor SectionsW of this application for which they
will be responsible. If you. as the owner signs 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 may be an indication rhat he is not properly licensed and is
not entitled to permitting priviLeges in the City of Zephyrhilis.
C. TRANSPORTATION IMl'ACT FEES AND UTILITY CotlNI!:CTION Fl!:ES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713. FLORID-' STATUTES. AS AMENDEDl
1 certify that I. the appLicant. have been provided with a copy of "Florida'. Construction
lien Law - Homeowner's Protec~ion Guide. prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~ownerw. I cerify that I
have obtained a copy of the above described document and promise in 90~ faith to aeliver
it to the ~ownerw prior to commenc~nt.
E. CONTRACTOR' S/OWNER' S AFf'ItlAVIT
I certify that all the information in thie application is accurate and that all work will
be done in compliance with ail appLicable laws regulating construction. zoning, and land
development.
Application is hereby made to obtain a permit to do work and ~n8taliation as indicated. r
certify that no work or Inetallation bas commenced prior to issuance or a vermlt and that
all work will be performed to meet standarda of all laws regulating construction, City
codes. zoning regulations. and land development requlations in the jurisdiction. I alao
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what dctions I must take to
be 1n compliance. Such agencies include but are not limited to: 'Department of
~nvironmental Requl~tion-Cypress Bayheads. Wetland ~reas and Enviro~ntslly Sensitive
Landsr lIate.r/Waslewater TU'IaLJuent
.southwest tlorida Water Manaqe~ent District-Wells. Cypress 8ayheaus. Wetland Areas.
AlteLing Watetcourses
.Army Coxps of Enqineers-Seawalls, Docks. Navigable Waterways
.Department of Health , Rehabilitative Services. Environmental Health Unit-Wells.
Waatewater Treatment. Septic Tanka
'u.s. Environmental Protection Agency-Asbestos abatement
I also certify that, if fili material is to be ~sed in Flood Zone "AH or ~A,etc.~. it i.
understood that a drainage plan addressing a ~compenaating volumeH will be submitted which
is p.repared by a profeas1onal engineer registered in the State of Florida peior to perta1.t
ie.uanee.
A permit i..ued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel. alter. Or set aside any plovisions of the technical cod...
nor shall i..~anc. of a p.~t prevent the Building Official from thereafter requiring a
correction of er~ors in plan5, consc~uction. or violations of any code. Evety pe~t
iasued shall become invalid uo1eaa the work authorized by such pe~t is commenced within
six months of issuance. or if work authorized by the permit is auapended or abandoned for a
period of six montbs after the tine the work i. commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
mQnth period. or the project will be considered abandoned.
WArolING TO OWNER: YOUR FAILURE TO RECORD A NOTICI!: OF COMM!:NCDtEJfT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN l"lNANCING, CONsUI.T
WITH YOUR LENDER OR AN ATIORNEY BP:l'ORE RECORDING YOUR NOTICE OF COMMENcEMENT. JOBS UNDER
$2.50 N VALUE OO!lOT BED TO RECORD AND POST A ~NOTIC! OF CQt4MENCEMENTw.
STATE OF FLORIDA
COUNTY OF
The {oregoing instrumellL W<l1O
Before _ this _ day of
by
ackoo..loOdged
. 19_
(name of person acknowledg@d)
o who is personally known to ...... or
o who ha. produced
{type
and whoQ did Ddid not
of identification}
take an ....th.
Signature of person taking acknowledgeMent
Name typed. printed or st""'Ped
SIGNATURE: CONTAACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
BeCo.re me this -----pay of
by
acltnowledCJed
, 19...:...
lname of person acknawledqa.U
C1ho is personally known to me. or
o who has ploduced
itype of identificaLlunl
and who Ddid [):lid not take An oath
Signature of person taking acknowLedgment
Name typed. prInted or staMpBd