HomeMy WebLinkAbout00-9466
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BUILDING ELEC~CAL
Pmpertv Owne, e..yJ..., ~d~
Job Address: 5"'/(' 1- .;...
BUILDING PERMIT
Permit 09466
Date ~~:J 40
CITY OF ZEPHYRHILLS
(813) 788~6611
PLU~ING
MECH\NICAL .
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel 1.0. #
Zoning:
Descriotion of Work
Energy Code:
f?~ - roo-!
Radon Gas:
FINAL
.s- ./ /!)? ~ t>> 2)
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee 7$. -~
/C Signature ~~ to:. JI\. Q.......
Company
Address
? Telephone# S?l ~-9 gto - 19 CX")
Valuation or
Contract Price
) I 00. CW!!'.
City License Registration # --1 'i 5
State Certified License#
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compress
Final
ANICAL
BUILDING
TRICAL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 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.
Ma~ 15 UO 1\): 13a
C~t~ oT Zeph~rhil15
(i:l13J7H8-32~:.;
p.2
APl'LlCA'l'XOIf FOR PIU04I'l'
CITY or ZBPHYJlIU.t.I.8
BUIWING DEPJlRDlImT
<1t;'G.CP .
DAft Ii\BCEJ.V&:D
J;LllRS REVIEW BlUl
0WNER's NAME
Ruth
5916
Peasly/Google
n_8~t;.h ~~L~~t, Zephyrhills
PHOlII; 3 52-567 -0089
JO'3 ]\.DDRES$
LEGAL DESCR:PTION: LO~(S)
3!.OCK
surmT\ 1310N
PARCET, IJ If
iOR'TjJ", TN ~'HOM PRCP-;r;R'T".,- TAX _.NOTICE'j
WORK PROPSED: DIu:" CC'-':3TRlICTION
o ADDIT ION
.KIAL::ERZ\.TION
o RFeAIF,
o INSTALL
D~:iGN
o MOVE
o DOOJLI SH
FRCPl"~'~r nsg~ ~G':.J ~~IIj'<.-' DWEIL=~G
DMUI,TI-FJ\MILY
OJ! 01" :n';:-:TS
o MOBILE HOME
o OTHER
IJCOMl"'.EP.;:;IAL
C INDUSTRIAL
o SWIMMING POOL
BUILDING SIZE
o RESTAURANT Ii. RE.lU.TH DEPARTMENT A~PROVAl,
shingle roofing
_ 1600
SQuARE FOOTAGE ______
.'!SIGHT
12'
DESCRIPTION Of WORK
iU;S IVl!;N'f IJ\Jc ,
CC'NNE:RCIAL:
.'\.TTJ'-Cl' i2) FLC'T PLANS Ii (21 SETS 01' BUILDING P.LJ\NS Ii (e) SET ENERGY 1"01<1'15.
ATTACH (3) SETS OF BVILDING PLANS & (1) SET ~NERGY PO~~,.
PROFER':'Y SURVEY REQUIRED FOR ALL NEiii CONS'rp,;]C'rION.
PERMITS REQUESTED
o E\UII~DIN'G
VAt,VATION O~' TOTAL CON S~'Rl1C'r j' :)101
o E:U;CI'RICAI,
_~C' ~F.:R\"-IC-E
o
l:"LORIDA POWER
LJ
lIf.R,E.C,
o PLUM3EiG
[] ;ofECJ-1.ANl CAL
$
\~LUATICH OF MECHANCIAL INS~ALLAII~~
o GAS ~v0~ING
o 3P8CIALTY
o OTHER
T'fPE OF C:C},STRUCTI')}l: 0 'lLOCK
o FRAME
o STEEL
o :JTH~R
rItiIsHED F~OOR ELEVATIOKS
IS PROJECT IN FLOC:.: ZONE AREAD YES
o NO
~
COMPANY .___..~..
STATE CERT OR REGIST #
CITI PROCESSING ~
SIGNAT:JRE.
*+~~~.~~~*~*~~***.*...****.*.*~~*.~*~~~-~**.~*.*~*..***~*~..***.~~*
li:LZCnlC!:AIII
SIG;mTt:RE
COMI!AI\!Y_.___ _n__..
STATE CERT OR RIX; I 8T '#
CITY PROCE~SING ~
.***~~_Ak-+_~~*~*.*~*....**.*~~.~**...**.~*~*W*~********t*l*~***~~
PWMBI'lR
SIGNAT\rRE;
COMPANY
S~ATE CERT OR REGIST ~
CITY FROCESSmG #
**~'~j*.*.~~.P*~***~***~k**.~**.**+*.~*'.f**.k~******~**9.***~~~*.*
Ml!\CHNU CA.L
o:rHl:~
Ro
COMJ?1.N'i
STATE CERT OR REGJST #
CITY J?ROCESSIN3 #
S'; r.tJATU RE
*.~~..**.~~..~*~w*~~*_~.**~~*.~*..***+*.
3 I GNA'rURS
COMPANY Westsid
STATE CERT 0" REG:ST #
CITY PROCESSING #
~.ervices
CC C049364
.**~***k~~~**.*.**~..~*.****..*~*~**~***
Ma~ 15 00 18:1~a
Clt~ of Zeph~r~iI15
1813J78t:;<J2S3
p.::!
C:Jl,rr;l'::IGNS OF P~R!GT A~'rlJAV1T
A, NOTIS3 GF ~EED ~ESTHICT!ONS
-.::t~~ Li.ndf: .rf"_i;n~:-:i 1.....nderst.arlds th.a~ t_t.i.~ ?ermit .':ray be subj~c::: to "de~d .r@o~:.:::::_,-::tionsJ" which
nlay ne ~f'_ct"e .1.~estrict:iv~ than Cit'l reg:'J.latiot!s. The undersigr.\ed aS5'Jn'tf..s .te.:!po,~~ioility for
campL~anCJ~ \,~1 tJ.l any applicable dr~erj r'es ~L":Lctions.
~, lrnL:CS~S~D CONT~~CTORS NiD CONTRACTOR RES?ONS:BILITI~5
::f the C1,offilBr has hiLt'}d a ~;ontraGtt'JL' Jt" '.;ontractor.s to undertake wct-k. ~he~' !t.a.i be teCfl.:i~-=d
tel :Ce Lic"'n~ec' i:~ ac.~or,hr,ce Hi tCl stace .",d lo.~al regulat1m:.s. I f the c:;nt~acto:: is :lOe
:_ice.r:s~d as _~~f"~quiJ:ed by layJ, b-oi.:h "(".he owner and c:cc.traet.or rnay be cit~d for a ~ll:tsoe.mean{"'J:
vi"laticl.'l unie:c sta':" ~;;,w, If th-e o,;r.e:c or intendeci ;:cntra.;tcr :H'e u~~ertain <:'.$ to what
_,i(.:er...sin;f Leq..Jil.en~el.:.j",:,;! maj.' appl y ~:'~Jr the in~ended wock:, they a;:e adv.:..sed rc. :;Ofli:act the.
8ity of' Z~pty.=hil...s lll...::'ldlng D<!partll\e:c.t, H3-7S6-S611.
l:tu..:t~e.:mort::r i: the Ot'J"'LE::~ b.iS hired a ~~utra.,::tc.r cr ct,)tltracc<:'L":::, !--~t:: is Q.dvi~ed::;G have th~
c()t'lt-.;ra.:-:'t;:.~th;) ~i~rn po.!",:jCf'_S o:f the '-'Cont.re:.ctor Sectio~~N of this appltcatior' feLt: ""h,icL they
;.,~i",l 1)(-. l:'e~t)()nslbl€:. ,of y~u, as the owner signs alS th~? contractu.c, j/'vu .are in,dic;;tti:1,.; that
yr;:':J.. J:a.ther: tn,a.n th.e c,lJr..tractQl-, tu:e re::spr,n.sible :tor tIle work.. If the Goi:'n!.:.ractor wi;f!hes
'10;;' cc .Jiign as cont.;:a-ct.or tha.t m.!.Y ~}e ar.. lndication that he; is r..ot p~o"erly l..:..can.sed c.:ld is
l1~t ent.itlt:d to,., peJ:1nit.~:.ng pri'/'ileges .:.n t;1:e City of Z ephy.ch ill" ,
c, TRANSPORIATI~( IMPACT ~EES ~,j UTILI~Y ~ONN~CTION :EZS
D. CONS~~;;Ul;TU!O!\ LIEl, LAW (CHAITER ~:3, n.ORIDA STATU'TES, AS i\MEN:::ED)
.~ ce~1:i(~' t--:hat Ii' t.be applicant, have been prC"v.:...ded with ill copy ~f '~Flo,r'~da' So Const:rtJction
lien L~w -~ Home.-oct.Jne::'.:I P.rotectiun Guide" prepared by t.:1.e Flcri.di!l ne?Clrtme......t 0: l-\gt:l.cult!..Jre
and CcnSU.D1_er Affai.r-s. 'if thE: applicant is someone othel" that the "ownc)/' f' 1 ~e:n_fy t.hat 1.
juve oota; ::>"'1 " "'DPY of the ...bove described docillll.mt and !?:comi se in good fal t'n t~ oel1ver
j:: t:J t.hf~ \<'lr,u~,X"'J p.:. io:; to ,,;o~I.i.C'-enlEnt.
f;. CON'l'J.lAG!.'OR' S!O>'lNER' S AfFIIJIWl T
I ::ertJ.ty that"ll ~:h,- jrfortM.tcior In thl.5 appltcat:ion ',5 accurate and tha: al~ wor:< ....111
1.06 do;:e in cr.}J[;pJ.i:iJ.lce w.~ ~h all applicabl~ laws re9ulatin~ c(Jnstru.~tion! z'oTu..ng', and land
de".:e 1. (~1p!llen. t ..
App.:i"ati")O i" r,ereby Dll1C:e tc obtain a penr.it to do ""ak and in"Callat1e,n "3 Lndicated I
cert~fy th,~~ tJ;) ....oxk 0" 1n~tallation has commenced pr'ior to iss'U,,"nce of a p""ndt and ',:hat
,':'1 ;,or~ "ill be perfoaned to me"t standards of all J...",. regulating ~on.'3trll.;t:J.Ol1, City
\"';od~" r zon:tn~; r~;gL.la tL.>na ; and land de'"."elopment regulations in thl:: j t.;.ri~dict.i ~"n '. I i!.lso
c;'"rtify tl'.al: 1 'mder.tar.d <::hat t~e r"gulations of' ocher goverm."!lta... "'\Jeneles =y apply to
t"" ,ntend"ci "erk, ""d tnat it is my rellp<'nsibility to identify whac ..<':tic,..s I l"us:;;cake to
h'! iT: c;crrll)lj,,\r;.ce. Such agencies ':":J.cl\:..de but are no;;' limited to: ....Depar.tment :..'If
Fr.dr,::mmental Regl.lh,tiol1-CypIess eayheads, ~7etland Areas and EnvircHU'aI'!nta.'cly Sen~j.tlVE>
-:':ands.,- Water.;'\'ids.t~~'A'utec 'freatment
....s..::-:thwest Elori.dli Wt,T:ex' M:a:r;.age:r~~ll1:. Di.strict-Wel18r Cnre:.ss Bsybeads" Wetland ~.reas,
l',ae r i"o Watn:Gourse~
--i.Auft.': .:\Jrp~ (;.f E.rJ.9in,=eL.5-~eClwall;:,:, Llock;,,. N<<'ri'i:fahle Wa.te,t;W4:'~
"Dep<crtment cf H..alth , R..habil"tacllrp' Servic<al, Envirenmental l-lealth Unit-\liells,
Wustew~ter Tre~clnent, 3ept:ic TanK3
"":J. S. El~v.i.xor:.:i.entaJ p z:ot:ection J;.gel'l.-:.'-y-AsbeE~os abaterr"ent
I also oertif:,' 'chelt.. if fill mareI__i~i: i5 tc. be used iL Flood. Zone \\..~{f ~r '\A;etc.'l', it is
.'>>cecstocd th:>t a dralt,ag" plan addre,,,..ing a "compen5atL19 '/01ume" will be sublldtted which
is ",,'epH:"'''' b:,o a professional engineer I~9ist..r..d in L", State of Florid. pri.ox' to pertn.1.t
i e~ua nc~ .
A permit is~ued .s~1.al':" te con:!ltr:ued to be d 2-.ic.:eEse tc pL:oceed with the work a~"1u r.ot d:J
a.~tho.r"i ty t,u v~:_c2.at~" canc6!:J., altel:, or set ,'iSlC~e any ~J.:o-visions of the technical code,s,
nor ~h~.ll J.05~U;o."ce of a p",rIllit pre.vent the B\lilct.tng Offi ::~al frot" thex'eat':"" requlri.hg a
VO.l;.'!;;w:c::-J.un ,-,:: c!.\':)':r;.-:,:;::,!; in p..j,.~nsr GOrl.3tr1.:M..::ticn, or vio':"aticna of any code. F.veL'L pE'=-L;w,t;
is.ued . :cal: ""'''cOle invalid unle:>s the work al.lthoJ::iz:~d by such permit 18 coJ:DlIle!lIced wichin
s':'x "l'.Jr.tl1S of l..ssuance, or if Hork authCrlu,d by the permit; ~s s.....spenu.c'\ O~ ab.:mdoned for a
peri.od of ~~~ ;''1lont:hu afte-~ the ti-:n.e the wcrk is commen.:ed. ()n~ 90 day e::.ct@nsio!i. of tint.
'IlilY be ..ll~.",..d. fer the r-elT..it with fee charge of $15,00. Th.. .,,,Um~icn shall be requested
in W.ciL'LWJ to the Duildin';J Official. An approved. inspec::ion :nUSi; be lagged cur',fig ""ch 51x
l'c,~p'tn pe!.i.Qrd.. c.!: th. pr~J.ct. w.ill. b<O!! c:or..sideroeod abandonf'od.
WA;:;NING TI) OW':'l'<;R, YO'JR FAILURE TO RECORD A NO-rICE OF COMMEtICEMENT I1AY RE3CI.T IN YO:JR
""YING ~lnCJ;: liC.'R r.r~PRO\!EM~N'l'S TO YOUR PROPEHTY, n' QU INT!;;ND INANCING, CON3ULT
tiI'fH YIJIJP LENDER OR AN ....'!:!'OR'lEY 8El!'ORE RECOROr:iG Y P. C iT. "~)BS UNDER
$2, !)GO IN '1ALUE ;)(1 '1<')'1' N3ED TO RECORD AND P~S": Ate F
SIGN.l!:l'iJR..:4: OWNER (IR AOEN'!
51
\r\
STATE OF FLORIDA
COUt~11Y ~.\F__
'rh~ fv.i:cg'Jl~q i:1Ett.'Wnent \"48 ackno~/ledg,'!!d
Bef"Jce me ';h':l _ day ot___, 1'1._
by
(.,,,n.e of person '!cknowJ.e.dgedl
C);.{.'lC i3 pe,;:,sona: ty "'H\.H'il"l to uae, or
o wt.o has prod~'o"d
~ type
and wh:>O d1," Dd1d nct
of ider:tif.::.cat.lo~......;
take an oath.
STAT~: OF FLORIDA
COU1{TY OF
'The_ fore{.ioing in;3.tLuni.~nt was acknowle~~~ _ _
BeteL'., nl, thi." da] uf 'fl^c..Y' ,~
by
~ (name cf pe~~o. acknowledged)
~.o i~ pereonally known to me. or
o '","ho ~_as produ.-:ed(____...~-__;.. _____---:---;----:--
l. tiP:::; ,)! J~deatlf1cat1.':m)
Signature ,-,i pe.r~cn takin'J Clckr..owleogement.
~ ~\peu 1
Name typed, print@
'''10 CAMILLE MARIE TANNER
_ CC 810398
'# ac~fc.'t'f~'Y 17, 2003
0ll!J!y SeMee & 1londi"G Co,
N~ tYP@'d, printed C),C stamp"d