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Home My WebLink About01-0219 BUILDING PERMIT N2 0219 CITY OF ZEPHYRHILLS (813) ____ Jf~ .-- tf~O- DOP:D ~D~ ~.c;::0 ~.. M~ ~operty Owne' ~ fir liP~~ C:2 ~ Job Address: _ p _~_ ~- A Parcell.D. # 4S-:;J.r- ,:;J./- or.JID - OSlolJO -oCJ U , Permit - Date c3-:30-DI . Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: DescriPtion of Work FINAL -'I,.. Z b -t!> ( DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector S'IF Permit Fee &> D . e..Q. ~~7 A~ c::;=J .~ Company Addres!: C~~ne#) 3~~ ~A1~e.wr1- /5T(jf;- B DING ELECTRICAL 19"? PLU~- ..-'" Valuation or Contract Price / >? 00 . - , "",^Af) - e:<$6 City License Registration # State Certified License# c: ::.J( " I "I G ct ""L. ME~k,AL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five 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 ~l ~ ~~ CITY OF ZEPHYRHILLS '3>rJ/f11 ~ .A;;_.,li')/ BUILDING DEPARTMENT RECEIVED --.:2 -~ y PLANS REVIEW FEE OWNER'S NAME Concire, Inc. (813) 783 8490 PHONE JOB ADDRESS 7246 Gall Blvd.. Zephyrhills. FI 33541 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # 35-25-21-0010-05600-000 (OBTAIN FROM PROPERTY TAX NOTTCF.1 WORK PROPSED: ONEW CONSTRUCTION o ADDITION DaALTERATION ~ DEMOLISH o REPAIR o INSTALL Os I GN o MOVE PROPOSED USE: OSGL FAMILY DWELLING [JCOMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Interior Renovations BUILDING SIZE 13X70 SQUARE FOOTAGE 910 HEIGHT n/ a RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~ BUILDING $ 1800.00 VALUATION OF TOTAL CONSTRUCTION rn ELECTRICAL 15'0 AMP SERVICE ~ FLORIDA POWER 0 U'B.~ . 0 PLUMBING r/JI 191~ o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION / 1/ / o GAS o ROOFING o SPECIALTY 0 /ltJ OTHER <.."J. TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD o NO BUILD~ # SIGNAT ..........~:.........*.*....*.***.*..*.**.********~~~*** COMPANY First Class Electric STATE CERT OR REGIST # 6r:J ~/'(::~/7 - CITY PROCESSING # / ~~ ' ELECTRIC ****************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** . CONDITIONS OF PERMIT AFFIDAVIT A,. NO'l:ICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance witll state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to corrunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as inqicated. I certify that no work or installation has corrunenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is corrunenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is corrunenced. One 90 day extension of time may be .allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS '0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI H YOUR LENDER OR AN TO BEFORE RECORDING YOUR NOTICE OF COMMENCEM T. OBS UNDER $2 500 IN VALUE DO NO'!, EED" RECORD AND POST A 'NOTICE OF COMMENCEMENT' . STATE OF FLORID~ COUNTY OF <...cn The foregoing i~ument was acknowledged Be~ me this ,day ~~' ~I by !) ~i '-I.. ). ~ (name of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDAHO c /"\,...." COUNTY OF _.::::?&. L.2 The foregoing instrument w~_a~knowledged BefOre\me this ~day Of~~, ~'L_(y-~ by , _,0 ..lOYY'\-..(l L...::> '? _.__ ~ (name of person acknowledged) ;-ulO is personally known to me, or D who has produced (type of identification) and who Ddid OUd not take an oath D who has produced (type and whoD did Ddid not of identification) take an oath. Name type Nallle riMMlE~ "'AR~d COMMISSION II OiX\OJ086 EXPWf.S H,iI 20 2005 \K'oNOW 1liROUGH RU tolSUIANCE 00NNHf .. Mar 05 01 06:03p '. i ~ ,~ ., ;. .. Donald Zahn fj 1 ;:l(:ifj 1 c::l::lc ".'.., ",f ..._.........v.... ......,:.:.iJ'. CAlf. I " i' " , - IC.~. ' ~ ~ , . . . .._--\ , -t-i " . t -- --' ~ f t - f~ I .' .- ~ , ,~ - - ." Jb" :,.~:::. . '/;.~L. '. rl ~o'"O ,.'J.. "t , '," A o o o -0 '0 ' >".,:,,-,{ ("'0,'" '" :" ,.. 'II;:';.. "." " , t. . '. . :.: . "',,", ;,.... ..:.::.~.,( . -I, 'II ~...~...... .~ '... p.2 ~,'" '.-' ,.....' .'li<'''::; '!.- .' , .' ,~,'; , , ~ .. .. ", ~.,.. "~~'fV' ~~..'" 4fT, .1. ... ".;.0\. . - " , \ ',f "- .....-.. . ZEPHYRHILLS FIRE DEPARTMENT 38410 SIXTH AVE ZEPHYRHILLS, FL. 33540 ~f~/iV PH. 813-780-0035 Business Name &A.".5A.1 ;......., Address 7 2. 5" z.. r;.f~!! OwnerMgr Occupancy Load FAX 813-780-0036 -' J IrY7 6, nj j t ,....-' Date Posted Bus. Phone 7~Y- 7..1" LJ Emergency Phone Alarm Company Contact Person Phone # Type of Inspection Conducted Quarterly _ Final 7 Commercial Check APPROVED hOT APPROVED_ - Annual _ Reinspect _ Other oy NOT OK v / _ Exit Signs L _ Emergency Lights Heat Detectors _/ _ Sprinkler System .z _ Exits Window Size Control Valves _ Water Supply Duct Detectors _ Exposures OK AOT OK ~ Fire Extinguishers Smoke Detectors _ Alarm Systems _ Hood System _ Storage Pressure Test Fire Dampers _// Fire Walls L _ Address posted _ _ Hydrants OK NOT OK _ _ f!.Y AC Shutdown _ _/Smoke Doors --1 Elevators _ -+ ElectrIcal i Tamper Switch _ Inspectors Test _ I Smoke Separation _~ Extension Cords --l- Tenant Separation ( Smoke Evac Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. Comments: N,I ;:1 / Inspection Date L./,/ln/6 I Time ofInspection II.' at/ Re-Inspection Date Inspectors Name C~ jJ r- t;;.A. /r./ Fire Department I D.# s"S' L-, , /0 Owners I Mgr Name Jt.... I~ Title ~ " This building has been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of, NFPA Minimum Standards, the State Fire Marshals Uniform Fire Safet~' Rules and other local fire safety codes. Revised08-12,99 White Copy - File Yellow Copy - Business