HomeMy WebLinkAbout00-9512
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
1"5. ~
09512
Date bib /00
Permit
BUILDING
ELECTRICAL
PLUMBING
2.s: ~~
MECHANICAL
Sewer Conn i), ~. ~
Water Conn: -~
Water Meter:~
I 'fie. qE
(;"tr~"d~
\.k\S
!'t\ e.+er
Job Address: .
Parcell.D. # 01'-)' ,- 2
'" ,,-""~'.,.:.:-
Zoning: Enerpv Code: Radon Gas:
DescriPtion of Work ft\ ,ii, S~,. ':if. ..
tJl2.E It /f~jr-()O f:'/{)IJn.-~!, VDitEL- /lrJ'!dS !~ AL~~ &?~5
FINAL
DATE
2~
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.
Inspector
City License Registration #
State Certified License#
J' Signature
Company
Address
/' Telephone# ,'9 - ~-S I D
Valuation or
Contract Price
FJ .JI r~~~
BUILDING S~"
L-t' A ~,.dc."" ['/fI<
ELECTRICAL 3)
JJIl150.-" Ry"q&.vt
PLUMBING 11)'1
(f::.. ~ f 'S
MECHANICAL
17
Ftr.
Pre SLB
Lintel
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
:t
uJ,J-Tv i~:t/tJ{)
REINSPECTION FEES, When ex"a Inspection "ips a'e necessa", due to anV one ~e following ..asons, a
charge of Fifteen and 00/100 Dollars ($ 25.00 I shall be made for each trip for ear:. :~ade:
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 PERl'lIT
CITY OF ZEPHYRIlILLS
, BUILDING DEPARnlENT
APPLICANT Ii t i( InfEe~:flf~
ADDRESS < ~~~;)LD ( 5(2 ~ lAj.
OHNER ~K- =Cf)+{>t~\.+-e-
JOB LOCATION Ld*:J- z<:,f,hk'd~ \)12 LOT SIZ~X I{;() ,\REA SQ.FT.(ySOO
~ 067 ::Grrtl-I(I IT;;;;/fic '/Z"
LECAL DESCRIPTION: LOT(S) C~l ~) BLOCKraJ1J SUBDIVISION ?pphqe1Pir:lc1~
) ~0()LXJO ~()3() ,
/' '!J (3 ______
CjS I~
~
PII~N~71g -,35)u
\-tORK PROPOSED: Construction _Addition _Alter::ltion _Rcp8.ir _Install
_Sign/Temp. _Sign _1'love _Demolish
PROPOSED USE: ~Single Family ~M/F _if of Units , *-~l/H
.
Commercial _Indust. _S\vim. Poo 1 Other
PARCEL I.D.~I
_Restaurant & Health Department Approval
BUILDING SIZE: ;)2:; )(,5 ~
Square Fee t,
Height
RESIDENTIAL:
COHr-1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING l'Lt\NS [, (1) SET ENERGY FORl'lS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS, ~'*
**COPY OF CONTP~CT REQUIRED.
$
c0 LIDO 0 [).
,
PF.RMTTS REOUESTED
V
_BUILDING
V
_ELECTRICAL
V
_~lECHANICAL
V PLill1BING
Valuation of Total Construction
AMP Service
Florida Power Corp.
_H,R.E.C.
$
Valuation of Mechanical Installation
.'
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
**********~*******************************
\ \ ~ n. n CONTRACTOR ~ ' .1 I
nUTT.DER \'-.J\~~ilL ~~: ~~:~:n~e~ :~R~~7~IS1(~~
Signature ' City License Ecr'.L~ ('[:\ t, i.nn i.f ,:x51o
******************************************
--~ --:::::.
ET.ECTRTC~ ~-_.::)~~-~
Company c* t-\-- -:\csKC\O'_4\. EJ!. \ ~. . ~'*' f () i Q{:
State Cert. or Regist. 0
City License ReGistration 0
*******************************~~*~~*~~***
PLUMBER ' Company' f"Je_~\~Cf)"'-. '-~ ~I\/\C~
~/_ -,..c::::-.::::.:- ~. State Cert. or Regist. i.! v
Signature ~_.._..,:-: ~-'. :-:----, City License Registration il 10 c)
, ********** *****************************
tlF.CH~tllC~ . Company DR-he r-~J),'DpCU1q
~ ~ State Cert. or Reg"st. "
Signature ' E' City License Registration ii ~ .17
,,* '* '*.. - .......... '*....* **. ,,* *,' ",..""
Si!!nature ~
':?:'S
~ ft( e
Signature
Company
State Cert. or Regist. 0
City License Registration 0
OTHER
******************************************
PER1HT OFFICER.
~ APPLICATION APPROVED IW
cC;t".lD I -r I cr'-tS (Jl~. fJER' 1Y"\- (;FF I IJ(\\) I T
A. NOT I CE Of"" qSC::J_:_..CE~";Tn:; CT I ':'J.::2jl
Ihe,undersigned understands Ih~t Illls p~rroit m~y be sublect to "deed restrictions' which ~ay be ~0re restrjctivc than City
regulations. The undersigned Q5Su~e5 respDns!blllt1~for compliance Mlth any ~pplic~ble deed restrictions.
E. UNL I CEt'-ISED C(UiI[lj~i~l~ORS AND CONTRACTOR RESPQ!:lf0...D~Ll T I F5_
If the o~ner has hired a contr~ctDr cr cDntr~ctors
state and local regulations. If the contractor Is
cited for a ~isdeneanor violaticn under state laM.
requirelents ~ay apply for Ih0 in!~nded "ork, they
788-6611.
to undertake Hork, they may be required to be licensed in accordance "ith
not licenHd as required by la\l, be,lh Ihi: e'\I~er and ontrac\C<r nay be
If th~ o~n~r or int~nded contractor are uncertain as to "hat licensing
ar~ advised to contact th~ City of Zephyrhills aui\ding Depart~entJ 18131
Furtheroore, if the OHner h;s lllred a contractor or contractors, he is advised to have the contractor Is) sign portions of the
'Contractor Sections' of this application for Mhich they will be responsible. If you, as the o~ner sign as the contractor,
you are indicating that you, rather thon the contractor, are responsible for the we.d:. If the ce,ntracte.r "ishes ye,u to sign
as contractor that oay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIOf\! FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORID~ STnTUTES, ns AMENDED)
I certify that 1, the applicant, have been prov(ded with a copy of "Florida's Construction Lien La~ - Ho~eDHner'5 Protection
Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so!c6ne other than the
'owner', 1 certify that I have c,btained a, co'py of the above described document and prc'c,i"c in ge.od faith to celivu it te, the
'owner' prior to co.~encer.ent.
~ 1. ';' ~:: "
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infofffiation in this application is accurate and that all work "ill bc done In compliance Hith all
applicable laHs regulating construction, zDning, and land develop~ent.
Application is hereby ~ade to vbtain a permit t~'do work and install~tion as indicated. 1 certify that no Hork or
installation has co~~enced prior to issuance of a permit and that all work Hill be perfor~ed to meet standards of all laws
regulating construction, City codes, zoning regulations, an~ land develDpnent regulations in lhe jurisdiction. I also
certify that I understand that the regulatiDns of other governmental agencies may apply to the intended work, and that it is
my responsibility to iden!.if! liha! actions I Illust take to be in compliance. Such <192"ci2S ir,clude b,d ~I e I>[,t li,1ited ta:
, ,-
I Departee"t of Environ~ental ReGulatiDn - Cypress Bayheads, Hetland nreas and Environmentally Sensi tive Lands,
Water/WasteHater Treatment
f: Se.uthllest Florida \Iater l!a_12a!l!,~,ent District - IIe11s; Cypress Bayheadsr Hetland tlreas, ri\\erir,g Ha\ercoufS2S
I Ar~y CorDS ,of EnQineer~ - SeaHalls, Docks, Havigable UaterHays
I Departeent d \\ealth !',_l'r:t1i\bilitative S~rvices. EnviroMJ!:ntalllealth Unit - \Ic,lls, \I..steHatu Treat;:;::r,l, Septic Tanks
I US Envirc,n~ental prc,tEcti~i'.S1. - r,sbestos abatement
also certify that, if fill ~atf:rial is to be used in He,od Zone 'n" C'f "n,etc.', it is \llIdu5le,e,d lidt ;, dr~ainage plan
addressing a 'co~pensating yolule" will be sub~itted Hhich is prepared by a professional engIneer feqisteieJ in the Slale of
Florida priH to per~it iS5u"nce.
r, perllit issued shall b" ((,nstruro to be a license to proceed ~Iith the He,d: .,nil nc.t oS a\lllle'rity Ie' vi e, 1:'\[' , cancel aller, or
set aside any provisions ~f the technical codes, nor shall issuance of a permit prevent the Building Official fr0~ thereafter
",0' d" ' ","" ti ,," .,f mo" i" P 1,"'; co", ,,,,Ii,,, " ,'" ,.ti "" of '"V "01,, C,,' i "~co ti i "",,1 ,to, II """" i ,n ti d
unless the tiC.rk authH iice! by such perro,i t is cc,m~enced within six monlhs nf iSSlIJrll:c" e,r if ltC., \. autj,r'1 J ;cD by the pcrli t is
suspended Dr abanonned fDr ~ period of six lonths after the t;~e the wDrk is commenc~d, O~e 90 day c:lf~sjOII Df ti~e, ~ay be
alle,wed for the per;,>,it rlll,!, fee charge of $15.00. 1he extensie.n "hall be rcq!ll:sl~d in \iri\in~ te, the St1ilding Official. An
apprDyed inspeclie.n r,us\ \,~ le'ylF'u ollrin9 each si~ month period, or the pre.jC'cl Iiill lip cc,r,sidui::C <<bollde.r,ed.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT I N YOUR P()'f I NG Tt-.J I CE FOR I MPRO\/EMENTS TO YOUf'< fC1ROPERTY. I F YOU
INTEND TO OBT~IN FINANCING, CONSULT WITH YOUR LENDER OR AN Al'TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO ~;:::cor-m AND POST A "NOT I CE OF cm1tv1ENCEi'IDJ r" ,
SIGNAT~ ~~ SIGNATunEJ:.____~--~-:.- ~
-------O\:"E"-O"- A~~-:KW"'~ corneJCTOR ~~
DATE --("QJ~IQO----------------------- DATE__---ULLo)f2Q-------------
NOTARY AS TO ~ 9.b~ .'
OWNER OR AGENT __/:5..JJ1:l.t-.&~J!.J._J:3RawJ::J.----.-
NOTARY ('IS TO ~()..&~
CONTRACTOR___~)cry~~~~~---
MY COMMISSION EX~
,
MY Cm11'1l 55 I ON
~y~ '
~J:g\. KA'ffiLEEN J BROWN
~A. ~ MY COMMISSION '# CC 8'<u
-'OF 1'-"",- EX.. __"",9
1-80(). PIRES: ~/l2'200
3-NOT ARY Fla, Notary Ser. 3
~,'e-"~_ ICS& Bonding Co.
......
#'....y'~ KATHLEJ!NJBROWN
~.... MY COMMISSION '# CC 825469
'f'qOFI'-I:l" EXPIRES: ~/12'2003
1-8O().3-NOT ARY Fla, Notary Service & Bonding Co,
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8137823321
SILVEROAkS
PAGE 131
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HP Fax Series 900
Plain Paper Fax/Copier
Fax History Report for
City of Zephyrhills
(813)788-3293
Jul13 2000 11:22am
Last Fax
~ Time ~
Jul13 11:21am Sent
Identification
buration ~ B&s.\ili
0:28 1 OK
99915128
Result:
OK - black and white fax