HomeMy WebLinkAbout00-9513
BUILDING PERMIT
J S-
CITY OF ZEPHYRHILLS
(813) 788-6611
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Permit
09513
Date ~ -~. - /) D
J.fo
BUILDING
bL?
MECHANICAL
Sewer Conn
Zoning:
Description of Work
~ 3:~~ff'h- 77
NO OCCUPANCY BEFORE C.O,
FINAL
~ - Z2.. -CY dfJ
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C,Q.
All work shall be performed in accordance with City Codes and Ordinances,
Inspector
DATE
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'1073 .~
Valuation or
Contract Price
City License Registration # ~~. ~ '27 7
State Certified License#
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BUILDING
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MECHANICAL
Tp, Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final 1::r?..O - CC) .2 f2
Ftr.
Pre SLB
Lintel
FRM.
Insul, CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final h -w-(!}() vEt:
Driveway
p~ b~2.o-00 ~ f(
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. _,) / pOAb<.-
c, Repairs or corrections not made when inspection called. ' ...e..? . _n~
d, Wor~ not ready for in~pec~ion when called. I i ~ LJQlf:} [j)
e. Permit not posted on Job site. v7 b
f, Plans not at job site, /) 1-
g, Work not accessible. f-.-t/ / to /'
The payment of inspection fees shall be made before any further permits will be issued to t/le person owning
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APPLICATION FOR PERl'IIT
CITY OF ZEPHYRHILLS
BUILDING DEPARnlENT
~.
APPLICANT -=ld Ci.- R. r rJTER S~&,-:E.
ADDRESS 35z..~ '1 H-LU Y 54-"l.>JESl
PIl;NE C~ I~) I<? L. - L2.. fJo
OHNER
JOB LOCATIONJ--O ~ jl.. 5b ~1\c,,,, ~
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LEGAL DESCRIPTION: LOT(S) ,~ BLOCK
LOT SIZWDx roo AREA SQ.FT. (ooC)
SUBDIVISION
PARCEL I. D. !F
HORK PROPOSED:~Ne\o,l Construction _Addition _Alteration _Repair _Install
_Sign/Temp. _Sign _I'love _Demolish
PROPOSED USE: ~SinglC Family ~M/F _iF of Units . __H/H
_Commercial
_Indust.
_S\vim. Pool
Other
BUILDING
_Rest~urant & Health Department Approval
SIZE: ~x~, I,;) '?f)
Square Fee t,
Height
RESIDENTIAL:
CmH-lERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY FORl-IS. **
ATTACH (J) SETS OF BUILDING PLANS & (1) SET ENERGY FORt-IS, -;,*
**COpy OF CONTRACT REQUIRED.
i BUILDING
YELECTRICAL
.&HECHANICAL
+PLUHBING
TYPE OF CONSTRUCTION:
:PERMTTS REOUESTED
$
V~luation of Total Construction
AMP Service
Florida Power Corp.
_h'.R.E.C,
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
_Dlock
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
**********"********************************
~ r,ONTEAGTOR SEerION
DliT!." L e; ~~ , rn~ .. ;~:~:n~ertH~~(eg:S~~ SiA?"
Sign~ ~: ~ . City Lieen"e Hee;';''''''';'''' I.' ~ ;;.1/(
~ * * ** ***** * ** '" '" ,',;,i,,~ i, i, i,,',,', ,'", ,., ,'", ,', ':,;, ,',,, /" '
::':~N
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Company Cti.--H JOItD A N
~ State Gert. or Hegist. "
City License ReGistration 0
* J.. ._**** * J,*J. *****.L. ,,'- * _'. * * ," ," ,'. J. _'_,. _'. _'_ _', -'. ,', J. -'.
.. .. . . ..... I.{..~ ""...{.............:'......
JC LE:CTel C
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PL1l1'-HlER
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Signat~--- -
, Company' tJ~ r<. Y (h X4,J
=~ ~ State Cert. or Rcgist, {f
_~ _ City License Rcgistr0tion iF I ()~
. * ::.'-; . -=- - **.. **...... **.. * * ** * .", '''d, " 'd, ."",
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Company 6~t-\-e.. ~ PRO'YPr-1\J c: ~ AI c /
State Cert. or Regis t, i,~ ...c:::1
ity License Rcgistration i;C-~ if/-
,~*,~ ** , , * **,~ ** * * idd, * id", * ,;, ,d,,~ ,,,',;, i,,',;, I
Company
State Cert. or Regist, 0
City License Rcgistr0tion 0
OTHER
Signature
******************************************
APPLICATION APPROVED BY
PER~IIT OfFICER.
cc;~. ,~ T I '::JNC
PCFU'1:" ' ',FTc; D(\\,) I T
A. NOT I OE OF Q.c.r::j!_n~'~I.r2.l.~~~
Th~,und~rsigned understands th~t this parroit may b~ subl~ct to "decd rcstrictions' which may b~ ~or~ rcslrictiv~ than City
r~gulations. Th~ undcrsiQn~d "sS\J~e5 responsibilit'r:'forco~rnancc !lith any appliCilblE: deed r~stridions.
B. UNL I CENSED CC1r'lTr<ACTORS AND CONTRACTOR RESPO!'L5 I 1l I l_ I T I E;S
If the owntr has hired a contractDr ur cDntr~ctors to undertake Hork, they may be r~quired to be licensed in accordance Mith
state and IDcal regulatlDns. If th~ contractor is not licensed ~s required by law, both \hE: ouner and contractDr nay be
cit~d for a ~isdeneanor viDlatiDn under state la>>" If th~ DHner Dr intended contractor arc uncertain as to "hat licensing
requirelents aay apply fDr lhe intendrd HDrk, they are advised tD cDntact the City Df Zephyrhills Building Departaent, (813)
7B8-6611.
Furtheraore, if the D"n2r has hired a cDntractor or contractDrs, he is advised tD have the contractDrlsJ sign pDrtions Df th~
'Contractor Sections' of this 2pplication for which th~y will be r~spDn5ibl~. If you, as the Dwner sign as the contractor,
you ar~ indicating that YDU1 rather than the contractor, ar~ responsible for the Hork. If the contractor "i5h~s you to sign
as contractor that cay be 2~ indication that he is not properly licensed ~nd is nol enlillrd to permitting privilegos in \~e
City of Zephyrhills.
C. TRANSPORTAT T_~ll'l-IJ::1P(~CT FEES AND UT I L I TY C01\ll\IECT I 01\1 FEES
D.
CONSTRUCT lOr i_LIF:l'! u~\,-,_
(cHAPTER 713, FLORID~ STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien La" - Ho~eDKner's PrDteclion
Guide' prepared by the Florida D~2~rlment of Agriculture and Consucer Affairs. If the ~pplicant is so:e~ne other than the
'Dwn~r', I certify that I h2~~ obtained a, c~py of th~ abov~ described document and pro~iso in good faith \0 d~liver it to the
'Dwner' priDr 10 CD~~ence~ent.
.,_..'{: "
E. CONTRACTOR' 5LDt-I1:;1r::R I S AFF IDAV I T
I c~rtify that all the infDrlation in this applicatiDn is accurate and that all Mork Hill be d~n~ in co!pliance Kith all
applicable laHs regulating construction, zoning, and land dev~lopcent.
Application is h~reby ~ade to obtain a permit to'do ~ork and install~tion as indicated. I certify that no work or
installation has com2encEd priDr to issuance of a per~it and that all work Hill be perfor~ed to ~eet standards of all laMS
regulating construction, City codcs, zoning regulations, and land dev~IDpment regulations in the jurisdictiDn. I also
certify that 1 understand Ihat the regulations of Dther gDv~rnrnental agencirs may apply to the intended HGrk, and that it is
"y responsibility te, identify lihat actions I /!lust take to be in compli"ncc:. Sucl, age"clos incluje [Id :'Ie !'Ie,;' li'1ited tD:
, ..
i ~parhent e,f EnvirDni!l2ntdl ReoulatiDn - Cypress Bayheads, Hetland ~reds and [nvir(,nrrI2r,~211y S0nsiti','~ Lands,
Hater/HasteHater Treatment
i Se,uthilEst Flc<rida Ilater l\anaQer.ent District - \Jells; Cypress Bayheads, \ld];jnd r,reas, ri1tuing H21ercGurs2S
i Ar~y CorDS ~f EnQineers - SeaHalls, Docks, Navigable \laterHays
I Depart~ent c,f He,,!th L Rehahilitatiye Services, EnviroMent,,1 fle"lth Unit - Iklls, \iasterl31er Tre3t':'C'lt, Septic Tjn~s
I US Enyiron~ental ProlEction Aoency - nsbestos abat~m~nt
also certify that, if fill ~atC'rial is to be used in Flood Zone "n" or "n,dc,', it is lIi,dHste,e,d l:,~l d drainage plan
addressing a 'cotp~nsating YDlume" Hill be sub~ittrd "hich is pr~pared by a professional enqlneer ioqi5t~roJ in the Slale Df
Florida pri8r to per~it issuance.
A p~r~it issued shall be construed to be a licens!! to proceed ~lith the "e,rk i,nil ne.t as Jllthe"il)' Ie, ,'ie,j"te, cancel elter, or
set aside any provisions Df thr technical cod~s, nor shall issuance of a permit prevent Ihe Building Officidl frD~ thereafter
requiring a ce,rre:c!ie,n e,f errDrs in plans; conslructie,n, e,r violations of any [(,ue. Eyny p,'r;::! I isslIl'd =~.al 1 be:CC'le invalid
unless the ~e.rk aulhe,ri,e:d by slIch permit is c(,m~enc~d "ithin six months [,r iss\I.\n((" e,r if lI(',}: 2\ilk.. i;cd bi the per.it is
suspended Dr abandoned f[,r a peric'[\ (,f six =onths after tlw ti:l~ the \1Drk is ce.Mlcnced, D,;e q,:, day o;!c"sic>\, of \iH, lJ.ay be
alle'Hed fe,r the pHJ.'\\t \lilh fee charg~ of $15.00. Th~ extensie,n shall b~ rC~III:s\cd in \nitin~ te, tho 8uilding Official. An
approved inspecti[,n !;Usl be le,ggrd during each six month p~riod, or th~ pre'it'd Ili I ] be ce,r,si,!cre:G dt,,;\,Je"lcd.
WARN I NG TO O\.-J1\IEF~: YOUR FA I LURE TO RECORD A 1\IOT I Cf::: OJ=- C0I'1i'1Ef,ICEMENT r1AY
RESUL TIN YOUR F'AY I NG TW I CE FOR I MPROVEMENTS TO YOUlc< PROPERTY. I F YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al-TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS U~IDER $2,500 IN VALUE
DO NOT NEED TO FlECORD AND POST A "[\lOT I CE OF COMr1Ef'ICLr'10JT".
DATE
-------------------------------~_._-----~
SIGNATunE
--~Afj0"-:k-~-;=='~-
DATE___________________________________
SIGNATURE
----------~~-a~-.--~~-------------
~~~/AG~n.Jr-
NOTARY AS TO A/ _ j'i /
OWNER OR AGENT__~~~~-f2-~ tl1A~~~'
, ~ !77-Il%?# J/y-rt-:z:;;;-
MY COhM 1 S5 1 ml Ey.r j i ([5______________________
NOTARY 0.S TO ...,/ ,.)
CONTR(\CTOR__:~~:.:-~~~;;L:J::;L,,~!;?j.~/
... YtrTH Lb c:- jJ ::fj!S f) tit 1..1.J
MY COMMISSION EXPIRES__________________
,,~,,~ 1'//4-
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~W:
""t OF f\.fI>~
KATHLEEN J BROWN
My ComrnInk>n CC449029
Explree~. 02.1999
Bondl>d by NF.NU
800-224-6368
fI>'\~4(
'" ~
~W~
, ,J'~OF 'f\.fI>"~
KATHLEEN J BROWN
~y ~OITllTlia.ion CC449029
>eptres Apr. 02. 1999
Bonded by NFNU
800-224-6368