HomeMy WebLinkAbout00-9856
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09856
J 6/ 2~kO
,
Date
BUI~NG ELECT~Al PlU~G
Property Owner: ---A.J) ( L('~tA()r ~ L<....
Job Address: b 05 {, 6-ct I ( (? I wI.
Parcell.D,# O"?-)b~)I- 0010- "~Oo- 00$-0
1'). ~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Energy Code:
Descriotion of Work -A ;;.. ~ ~ Q
Radon Gas:
Ouf
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
/o-c~-oo
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
3R
City License Registration #
State Certified License#
:::::.:JtMu 6 - ~
Company
Address
TelePhone#~/) eS 1-- 0000
Valuation or
Contract Price
9 Of!
000.
I I eonar 0 J c:>~
BUlL ING ELE TRICAL PLUMB NG MECHANICAL
Ftr, Tp, Serv, SLB Breakers
Pre SLB Rough In Tub Set Ducts Insl.
Lintel Meter Can Water Compressor
FRM. Canst. Pole Sewer Final
Insul. CL Pool Final
WL Pre.Meter \
Final
Driveway
b.re
~
""
qA
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/1 00 Dollars ($ 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,
Oct 24 00 02:08p
Cit~ of Zeph~rhills
[8131788-3293
p. 1
1't-'~'
~1 1J1j....1'l
'1'~
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED-
PLANS lUWIZW nz
OWN8R':; NAIo1I"#;~ ?t'()t.I'!1t5. lAIC.- J'IJ0NF. ~7- t!7'/-,{2.t:'CCJ
,TOB AJ)f1kF:S:-3 ~o~ 6;1/ /1 3.!..~'P-
(7/!4&. //Z/ '5~'Cf. 3, TIo.M/. 2~~. "f!- 21 t.
LEGAL DESCRIPTION: LOT(SI BLOCK SUBDIVISION
PARCI::!, ID Ii ~. Zc", - Z-I - () 010 - II 'tOt> -~c50 IOR'l'IITN FROM PROPF.RTY 'l'AX NOTICF.I
WORK PROPSF.D: ONI':W r:()N~THlIC'I'.lON
")(RP:fAJ H
o INSTALL
o ADDI nON
o ALTERATION
OSlGN
fJ MOVE
[] DEMOLISH
P!\O!?OSBll USE: OSGL FAMILY DWELLING
'}<r.OM,VJERC IAL
D RF:STAURANT & IlSAI.TIJ DEPART~1F.NTl>.PPROVAl,
OMULTI-F.1\MILY
On OF UNITS
D SWIMMING POOL
o MO!HLE HOME',
D <''l'HF.R
o INDUSTRIAL
DESCRIPTION OF' WORK
P.tJILDING SIZE
SQUARE ~'OO'I'^GE
HEIGHT
RESIL'8NTIAL: A'!"fACn (?) PI.,OT 1'1,1>.1'/:1 . PI 5fo:TS OT" B\JTT,DTNG 1'1,1>.1'15 ~ (U ,'3I';;'l l::NBRGY PORMS,
COMMERCIAL: ATTACH (31 SP'J'S OF' IlIITT,'lTNG PI,I>.Nf> ~ ('[) SF.'I' F.N~~RGY FORMS,
PROPP.RTV St1RVP.V REQt1n~E:!J FOR Ar.r. NF:W CONS'I'R!JCTTCN,
PERMITS REQUESTED
o BUILDING
$
VALUATION OF 'fOTAL CONSTRUCTJON
[J ELEC'l'P,ICAL
o PLlIMBING
1f.. MECHANICAL
o FLORI DA POWER
Al1P S!;:fNICE
o W,fl,C,C,
(~
VIl.J.UATION OF Mr;;CHANCIAL INSTALLATION
AC CIi.4,t./6, G our
.i-/() 7){./(; 7' 1&/0 1Ue.-
l-At3t11Z- ()A-It- Y
~tJt)
$
o GAS
D ROOFING D SPECIALTY
OF CONSTRUCTION: i BLOCK
D OTliER
TYPE
o FRANE
o 1:lTEEL
o O'fH.F.,R
t'lNl SHED f'LOOH BLEVATIONS
IS PROJECT IN f'LOQlJ ZONE AHEAD YES 0 1-10
[L.
;,:,~,::~;m_~l;~~;;t;~:'::;:'~:~:~;:'S!;;tE'.
;.:.,.,..-.
".;-.;:"
BUILDER
COMPNlY _ "'__
STAn: Cl;;l-\'l' 01-\ HEGl :~T
CITY PROCESSING ff
SIGNII'I'URE
.'.'*.'~'..'.~.~~"'~..~4.~~A.*..~.~.~~~,,*..~.~.*~**.*~+*.'*.~.4.
ELECTRICIAN
COMPlINY
STA'rE CERT OR REGIST II
CITY PROCESSING n
SIGNlI'i'U"8
.~~~~A~.~.'....'*.*~j*~'*~*~~*~*...*~.*~..*+.~**+*****.**+**...~.~
PLUMBER
COMPANY
STATE CERT OR REGT 5'1' #__
CITY PROCP.:SSTNG II
S 1 GNA'I'U RE
MECHANI
I> '" 4" .. 1\''' }... 11; A ......... A ... .r. "..,. 4.. " . .J " I- .. '1" .. . J .. '" , 7 ;. ~ J. J,. ... J. ~ t .i. j.J.. .~. 4-
CmlPANY ( b5{;Ptl . \:);t,f;ON14IUJO
STATE CEH'I' OR REGIS'!' n CAe DS&uv?
~ITY PROCEDDING #
OTHER
COMPANY
ST^TE CERT 01-\ REGIS'!'
Cl'J'Y l?ROCc:SSlNl; II
SIGNATURE
.~....~...~..+..............~.......~...~.....~....~.~.... .~~..~.
Oct 24 00 02:08p
Cit~ of Zeph~rhills
18131788-3293
p.2
CONDITIONS OF PERMIT AFFIDAVIT
A, NO'rIeJ:: lW VI:;J::D Iu,:S2'IUC'l'loNl:i
'l'he undc.r:::Jigncd undcrsti.lnd::j thi.lt thl:J pcrmi l IIIUY be 3\Jhjp.ct to "deed L'e:s'tl:icc.ion.sJl whicll
may be mor'e rest rl cr.i ve than (;1 ty regulations, The undersigned aSSUmes responsibility for
compliance Hi\'.h "ny dppli"<lbl" d..ed resLricLions,
B, UNLICENSED CONTRACTORS AND CONTRACfOR RI;:SPONSlBI LI'!'IlCS
II Lhe owner has hired a contractor or coneractors to undertake work, they may b", required
to be liCensed ill "c'cord"l1ce with sLaLe and local regulations. If the contl-dctor i ,; not
licensed as required by .Law, both the owner and cont:I'Qct('r mllY bc. cited [or a misdemeanor
violation under' std'te la.w. It the cwn..::r 'n" ilttelJded Ct>tlL.ti:U;LllL' aL.e uncertain as to l,..Jhnt
llo.;"n..lny H'yuln'llI"uL.. llIdY apply [or' L:le InL"'nded work, they are advised to cont""t: the
City of Zmphyrhllls Building Oepartment, 813-788-6611,
Furthermore, if the owner has hired Ii cont1.actor 0,1' "onttad:n!'"" he i>> adviseu to haVe Lh..
contract.or (a) sign portiona of the "Contractor Sectionsl.l ot this applicd.liorl ff.)[ wld<.:h t.hey
wl,ll h<1 responsibln, If you, as the owner signs as the contn.cto,r, you are indicating that
you, l'ather that. the contractor, are r,;,spr!llsible fOl the Work. It t.he contntelor l.ishe05
you to sign as contracto!: that, may be an illdication tholt he is not I'!:operly licens..d and is
rIot. enti tIed Lo pe!:llutLlng pr'lvilege,; In the Ci t}' of Zephyrhills,
C, TRANSPORTATION IMPACT FEES A~lD LJTTT.TTY CONNI':CTTON ~'P.F;S
[I, CONSTRUCTUION LIEN LAI~ (CHAPTER 713, FLORIDA STATllTF.S, AS AMr.NDF.nl
I certi tythat. T, the app] j cant, have ,1l'>en provided wi th a copy of "~'lorida' 0$ Con"Lructlon
ll"'Il Law - Honu,'owner'" Pr'ol,.".:Llon Guide" pr'epared by the Florida (,..partmene of Ag!:i,cuJ ture
and Conswner Affairs, If the applicant is someone other that the "owne.''', l' ceri ty that: T
have obtaIned a copy of LillO above described document and promise .in good taith to deJ.lver.
it. to the "o\.>1ner" prior to Coommcnccrnent._
F" CONTRACTOR' S/O~mF,R' S AFf'TDAVrT
T curti fy thdt dn th", infol.ln..t.iol1 ill this dl'l'1.icd\.j,on 1,; aCCUL'aLe and lhal, 011 work w.ill
be ciolle 1n compliance wiLh all appli.cable laws: regulating const.ruction, zouin9, itnd l;:1:nd
deveiopment:,
Application is hereby made to obtain a permit to do work and instal]ation ~5 il1dic,1tecL T
certify that no work or ins Lalla Lion h"s cOll~enced prior to issuance ot a permi~ and that
all "ork will be performed to meet standards of all laws regulating construction, C:ity
codes, zonin<;r regIl11lt.Jonil, MId Jilnd deve10pmcnt reglllations ill the ,\'It'lsdlcLion, I also
certify that I IInderst.and t.hat the regulations of other governmental agencies lIIay apply to
ehe intended work, anei that il is my responslbilil}' to idenlify "hat actions I must take to
b~ in cOlllpli~nGt~. ~)uch ~9~nc,i es i ncl ude but ~H'e not limil:ed to: "'Departmen-r. of
F.nv.i ronmental. Regulation-Cypress Bayheads, Wetland ALeas and F,nvi r.onment,l'l I.y Scnsi ti v.,
Lands, ~Iater/Waste"ater 'I'r",aLmenl
li'S~")uLhwesl: l:'lol':ida \vaL~r ManaguULt:lnl Dit;l.I'ic.:L-\-h:,ll.s, CYPJ.-e~.!i Hayhellds, i~etland Al.:~as,
Altering WateLcollrses
*ArIflY Curl's of I'"<]i ''''''1 s-Sea,." II s, DOC;KS, N"vtgauIe 11dtel:w"ys
'Depa"t:mellt of Health & Rehabilitative Services. Environmental Health Unit'.I~eJls,
Waste\.atel '!'r"'dtlllent, Sept.i c Tilnks
J.U.S. EnVironmental ProtecLlou Ag~I1(,~Y-Aob~:::;.Lo.::J l"ll;ul.\o:.ltll...~I1L
I ,.lso ,",':rt.ity th<:lt, it tl1llllaterial is to be used in Flood Zone "1\" or "1\.etc.", it is
underslood Lhat. " dx"ir..'g'" pl.", addressing a "compensating volume" w.i.11 be submitted wlljch
L:.l f'n:PQ1<.:d by Q prot...::;"ional enqineel: regist.ered in t.he Stat.e of Florida prio!: to permit.
issuance..
A p.'l'lni t 1 "slled shall be construed to be a license to proceed with the work and nol as
allthority to violat~, c.an!.,:",), t1.1Lp.r, nr ~P.t: H~irl~ arty provir-dnn~ of t".hp. t.~I~hn.i(~al cndp...;,;,
nor shaLl issuance of a pernlit prevent the Buildiug O[flelal [rolll Lher'eafLer requIring"
correction ot errors rn plans, construc'tion, or violat.ions of any COde. ~~vcry permit.
isslled slld,ll become invalid unless the "ork 'Hlt.hol'i:.~ed by ::;uch peulUl. is conuneuced I.ilhin
six months of issuance, or 1 t <<ork authorized bi' the permit is suspended or abandoned for a
pe.liod of si.."'t mont.hs afte.t: l.he l.im~ l.llt:' W()Jk j ~ 1..:(')IlUII~LJ(_:~U. 0111:' 90 Uo.1.y e.....lt:::lI~.lull uf L.iUlt:'
may be allowed for the permi t. wi t,h tee cbarge of $15,00, The extension shall be requested
in <<riting to the BUildlu'.l OFf,j(;.idl, An appr.oved inspection lIIust be logged during each six
month period, or t.he pJ:ojcct. "i 11 be cOln:lidClcd ...bandonud,
WAllNING 'I'O O~INER: YOUR FAILURE TO R1::CORD A NOne!:: QJ,' COMMENCEMENT MAY HC:SUL'l' lN YOUR
PAYING TWIC!:; ~'OR lMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN nNANCING, CONSULT
~HTH YOUR LI;:IWER OR ./l.N ATTORNEY BEFORE' RECORr>lN(.; YOIIR NOTTCR ()To' r"lMMnlCp.MRNT, ,TOTlS IINDP.R
$"~, 500 IN VALUE: DO NO'!' N<:ED '1'0 RECORD AND POST "NOTICE OF C CEME T",
STATE O~' ~'~llA
COtJN'I'Y Or' A-1\.l~P-
The toregoing inslrwn"'lll WHS dCKlIowl"'''ged
Be~rc Ill" rhis'23tJ day of Q:..(d1elL- , J)l:lpcw
by ~)( L Irl~
Iname of perSOll acknowledged)
~ho is perBonal..!.y kuc.)wl1 to me:!, OJ'
'l'A'!'!:; Oli' ~'LORIllA
COtJN'I'Y or- Oi2AN(,,~
The foregoing instrument was aek!JOwledged
Before me this ("~ilY ot ;l,? .~ . 1_25/0
by ~~$G~LP. '0; l~{)UAtoQ ,
-......J ,name of person acknol-lledg..d)
llItho is personally known to lIle, or:
PHl1..US RllPA1IJCIC
Notay Public - siatii'Cif r i n
My Commission EIcpHs Aug 2. 3:IQI
CamlIssIon # CC763869
of identific~tion)
Cake aU oilth,
o who has
- , n t,akilllJ dcknowl.edgement
NumB typed, printed 0
PHYlLIS RlZPATRICIC
s'~,~;~ Public;; -!~Ie rA fbIda
My Commission &phis Aug 2. 2OQ2
Commissial , CC163869
POWER OF ATTORNEY
I hereby appoint Robert Greene to be my lawful attorney in fact to act for me
and apply to the City of Zephryhills Building Dept. for a Mechanical Permit and
Licensing for work to be performed at the location described as:
ABC Liquor Store #138
6056 Gall Blvd.
Zephyrhills, FI.
Certified Mechanical Contractor: Joseph P. Dileon
License # CA C056665
r~o&
Signature of Certified Contractor
Joseph P Dileonardo who is personally known to me and who did not take an
oath acknowledged this foregoing instrument before me this 32rd day of October
2000.
County of Orange
State of Florida
Notary PU~,}i~;~. __-.--
Signature:, /
/., E
----- - --
Seal:
PHYLLIS FITZPATRICK
Notary Public - State of Ratda
Mt Commission &pires Aug 2. zm
Commission * CC763869