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HomeMy WebLinkAbout00-9507 BUILDING PERMIT . t.......--._. CITY OF ZEPHYRHILLS (813) 788-6611 09507 Date ~ (S/Oo , , Permit 6/.~ BUilDING ElE~ICAl PlU~NG Property Owner: L; .1 t : a"" L.~ f~ : e: Job Address: 31 D 5'-( (~lw('u^cI a. Loup Parcell.D, # (f..(. 2'. 21 - 0' ~ O. f'X)Ooo - t>o ~ 0 M~ANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: /u~""'" . I /J"\ 2.11. \ 'r e ~- ),1. ...5 (~-'- Crek Zoning: Description of Work Energy Code: ~!>o, I,. J '" k.":~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL o - 12- CJ<6J 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 Valuation or Contract Price '-((10. G4 City License Registration # State Certified License# .)At Signatur Company Address ~ Telephone# ~( 0 ~-- loll (p--S4l.o ~ f1/ll-, ;.'\~..... BUILDING T~c. 1< J~V( 5'15/4.,. PLUMBIN 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) 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. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT /~~" cP 0IiIlER' S NAIlIl ~;V\ ~CI ij, ph. ~ OWNER'S ADDRESS ~t(J5If L-v UJ~"J Q JOB ADDRESS S ~LL [f' PHONE (S 03- q /OS:- 111(/1' LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# ) Lf-;Z ~-~ 1-6 J !o () - 6(')C)()06- 60'A'fJhAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~tion _Alteration _Repair _Install _Sign. _Kove _Deaolish PROPOSED USE: ~~e F8IIily _KIF _, of Uni ts t...-;;;;;..-ft/B _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval IO;{/"2- J 11 _ JIll L . ~ DESCRIPTION OP 1iORK: ~lVd:: - W-K~- f y:,S't-l ['8 Lljyi~ BUILDING SIZE: X ,'c)7 Y Square Feet. Height PERMITS REOUESTED tutlFP '"'KOllJ'I & (1) SET. ENERGY FoRMs. FORKSC~FlLL-- r). .. ~ "':;;;5~$ ~~LC. c;~.(57J~T RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ ~OSIo.l[9 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Kechanical Installation _PLUMBING GAS FIRISHED FLOOR ELEVATIONS: FT. ROOFING SPECIALTY _prue _Steel fllLl1wv\ O~- /,t-e~ I IS PROJECT IN FLOOD ZONE AREA? . ~ YES NO TYPE OF CONSTRUCTION: _Block .......................................... Bun.DER CONTRACTOR SECTION COKPANY I L0u1;1J lJ.Jw1 State Cert. or Regist. # City License Registration # .............................. fID ~ Signature RI.RCTRICIAN COMPANY State Cert. or Regist. , SianAture City License Registration' .......................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration , .......................................... MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration # .......................................... OTRRR COMPANY State Cert. or Regist. t Signature City License Registration , .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~ undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAC'!'OU RESPONSIBILITIES If the owner has 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 aay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat 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(s) 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 contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~J D. CONSTRUC'!'ION LIEN Lf\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWRer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is &oIeOne 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 COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforlation in tbis application is accurate and tbat all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOIIenced prior to issuance of a perlit and that all work will be perfoIJed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber govefRIental agencies lay apply to the intended wnrk, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not Iilited to: · DepartJent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands, Nater/Nastewater TreatJent · Southwest Florida Water Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · DepartJent of Health & Rehabilitative Services, EnviroRlental Health Unit - Wells, Wastewater Treallent, Septic Tanks · US EnviroRlental Protection Agency - Asbestos abatelent I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volUle" will be sublitted wbicb 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 shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued sball beCOlB invalid unless the work authorized by such per.it is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day eztension of tile, I8Y be allowed for the perlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCR OF COHHRNCBHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIlIIID'S TO YOUR PROPIRTY. IF YOU INTEND TO OBTAlH FINANCING, CONSULT WnH YOUR LENOIR OR AI AnOllllY BEFORE RECORDIKG YOUR KOIICB OF COMMENCEHRNT. JOBS UNDER $2,500 IN VALUR DO NOT NEED TO RECORD AID POST A "NOTICE OF COMHBNCBIIDT". ~~v , I' STATK OF FLORIDA f) 1/ COUNTY OF ~() I IS.. The foregOing instrument was acknowledged before me this ;J:t ~, J..9"~by who iC~~~l~~~~to me or who has produced fatl.r:.'s/)hC4.lI;ft ~wt1 as identifi ation and ho did/did not t e an oa h STATR OF FLORIDA ~ ~ COUNTY OF J The foregoing instrument was acknowledged before me this ~~ rr1Cu..f ,~~ by :Jey~~ ~/o()~ who is personal y known t me or who has produced ~u.s{)Ylf.< "'ft, !4t..(JU)n as identifi ation and ho did/did Dot take a oath ( 1'( 1Ill1l1l1ll1lllllldllllll/lIl1lllllNr'? 111/1/1/,\:. ~ ~".'oy PYb Bonnlyn Patricia Carpen~er f (~~J'O Nota:y Public, Stale ofFlo~da ,;, ~ ~W''-~ Couunission No. CC 5624:>4 r ( ~ OFf\,'0'" My Commission Exp, 06/25/2000 ,', ( " ( l,81lO.3,NOTARY. Fla. Notary Service & Bending Co, ,< ~..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,..,')\ re), I1n (Name Typed, Printed 0 Stamped) NOTARY P r.f'PllllllIIlIIIIIIIIIIIIIIIIIIIIIIllIIIIIII<: ( I'\\Y'.Uo Bonnlyn Patricia Carpenter ; ~ ~~A(,..7: ;-].)t~:y ~u~tic, State ofFlo~;.!1 ~ ~~$l ,-2: Coml:ussJO,n No. CC 5624?" ." /, < ~o ,\,()'<- My CommiSSIOn Exp, 06/25/l1Jd, ,'. ( F \ ." ~~, ~( < l,800.3.NOTARY, FI" Not;ry ServIce & llenam,' '.A), ) ~<,..,..,..,..,..,)) ),) )..,))) )).., >,','Yi':N,)','i,',) '",'>','.. ,) ,,'> > >',",',')\ ~vP- ~ ~ Pi" , > lr.c~.. Sir;,i-~ ~ _'I_-.....(.."'1..("'..........~ (puJ ~ '3 c~ t)'-f L..'l,,-i .1\\.10 ~ ~.A:;.Gr vJI\(.Y l rol do. SO.FEET, PRICE MAIN OR LIVING AREA .. OTHER AREA UNDER ROOF Z'7Lf /5."'~ OTHER ! . 0'" BUILDING: 10'7. sO ELECTRICAL: PLUMBING: MECHANICAL: RADON: 2.?lf CREDIT: tJl/f SEWER: fJ J JIr? 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