HomeMy WebLinkAbout01-0136
BUILDING PERMIT~~
0136
CITY OF ZEPHYRHILLS
(813) 788.-6611
Permit
--:!O.~
BUILDING E~RICAL. PLU~BING MECH\NICAL
Property Owner: -:j~\ ~"5~ IYI~.~ ~".,~ ~~. ~"
Job Address: L.::, .\- ':l 2. (' E,.... Rr &It (eI '~t) .'" .f-e.
Date -2h 9/01
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. II
Zoning:
DescriPtion of Work
Energy Code:
Or :ve ~c..V
I
Radon Gas:
FINAL
C.O.
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.
DATE
Inspector
City License Registration #
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
'3(}.~
~ok~
'lVStJ6/ NC+~
/?g-'5"~OO
Valuation or
Contract Price
'XOo.~
Ty.fo,,",
BUILDING
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
MECH
Breakers
Ducts Insl.
Compressor
Final
Driveway Z,2J-Of J~
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 wh.n 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.
CITY 01' UPIIYRRILLS PBR)O:T APPLICATION
BOIUlDl'G DI.~ 813-788-'611 WAX: 113-'88-1516 c:l.. -c:< I- 0 I
DAn UClIYIID -
JLMq DVDIlr I'D
-." - (ire ( e K. 51:H'''' <:.
J:JB ADDRESS 3% S-D" Cd ~ t c. Cl' I?cf
-----
fne
.'1
PHONE
LEGAL D!SCRrPTION: LOTIS) BLOCK SUBDIVISION
PARCEL 10. 62 - 2~ -- 2/-./ 0 .I ~stSa..n..
cgn~v.~~v TAV Nn~rrF.}
WORK O'ROE>SED, o NEW CONSTaUCTION Cl ADDITION DALTERATION Cl UP/UIl. o INSTALL
DS1GN o MOVii: D OEMOLISfI
PROPOSED USii:: DSGL FAMILY OMELLING DMOLTI-rAMILY 0, OF ONUS o tIDBILE 1l0Wi:
o COHMERC IAL o INDUSTRIAL DSiHMMING POOL o OTHER
DESCRIPTION O~ NORK
o RESTAURANT & !l.EALTH DEPARTMENT APPROVAL
tlelJ 2. J~JICd.f~jJ lee e f1tdC(~ I
ha.fa f t!v"<'-e fD;'&
BUILDING SIZE
SQUARE FOOTAGE
llJ;:IGIIT
RESIDENTIAL: ATTACH (2) 'LOT PLANS & (2) SETS Of BUILDING PLANS & (1) SiT ENERGY FORMS.
COMMERCIAL: ATTACH (31 SETS OT BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SUaVEY REQUIRED roll. ALL NEW CONSTRUCTION.
o BUILDING
~TRICAL
o PLUMBING
o Ml!:CHANlCAL
$l~~
PBRMI'l'S lUIQUBSftD
VAI.UATION OT TOTAL cONSTRUCTION
lIMP SERVICE
o FLORIDA POWER
o
"'.R.E.C.
$
VALUATION OF MECBANCIAL INSTALLATION
Cl OTHER
o GAS
o ROO!'ING [J SPECIALTY
TYPE O~ CONSTRUCTION: 0 e~OCK
o TRAME
o STEEL
o OTRER
FINISKED FLOOR ELEVATIONS
IS PROJ~CT IN FLOOD ZON~ AREACJ YES 0 NO
[
.-".:
BUILD"
COMPANY
STATE CERT OR REGIST *
CITY PROCESSING .
SIGNATURE
IILIlCDIC
******.*********.*...*.......;..*.**...*.~*~.w**ww***.~*...**~**_*
COMPANY -:p. tJ. Ad T~ Y /J5S oe ~ tJ:L
STATE CERT OR REGIST~
CITY PROCESSING . (II? Y
*~*...*.*****w.***~**.********w...*w*~**~*
PLUNDR
COMPAN'.tL
STATE CER'l' OR REGIST t
CITY PROCESSING ,
SIGNATlffiA;
..ClIQIQL
****.~**.***.**.**.*.*w****w**.....~************'~*w.***.*...***.~
COMPANY
STATE CERT OR REGIST .
CITY PROCESSING #
5 IG~!ATURE
********~~**~w.*w****.**********.**.~*..**.*.~*~*.****..*********
0'fIlU
SIGNATURE
COMI?ANY
STATE C~RT OR REGIST .
CITY PROCESSING *
*~****..*~*.w*.~~****************....*.+*+.**..*...*************.
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LS30'ON
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RtBTRICTIONS
Tha u~d~raignad "ndarst.nds that this perndt may be subject to ndeed r..tr~ction.n which
may be more re.trictive than City r~lation.. The un~rsigned ass~. responsibility for
compliance with any applicable d..d restrictions.
B. UNLICENSED CONTRACTORS AND COHT~R RESPONSIBILITIES
If the owner h.s hired a contractor or contraotors to u~~rt.ke work, they may b. required
to ~ liceneed in accordanoe with state and lo~l regulations. If the oontractor is not
l~oen.ed .s required by law, both the owner and contracto~ may b. cited ~Dr a misdemeenor
v~olation under state law, If the owner or intended oontractor are uncertein .. to what
lieene~nq requirements ~y apply tor the intended work, they are advised to contaot the
City of Zephyrllills Building Depart"nt, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advi.ed to have the
contractox(s) sign portions of the ~Contractor SectionsW of thie application for whi~ they
will be r.e.ponsible. It you, a. the own.r signa as the oontracto.t, you are indicating that
you, rather than the contractor, are responsible for the work. If the oontractor wi.hes
you to sign as contra~r that may be an indication that h. is ~ot properly licensed and is
not entitled to pe~tting privileges in the City of tephyrhills.
C. 'l'RAASPORTA'l'IOH IMPACl: I!'EJ!:S AND U'l'ILITY CONNECTION rus
D. CONSTRUCTlJION LIl!:N ~w (CHAI/TER 713, FLORIDA STATlFTBS, AS AM&NDI!:D)
I certify that I, the, applicant, have been prov1d.d with a copy of -Florida's construction
lien Law - Homeowner'. Protection GuideN prepared by the Florida o.partment of AgriCUlture
and ConsUlMr Affair... If the appllclUlt is S-.one other tlw.t the nownerN, r cerify thlle I
have obtained a copy of the above describ"d aocument and promis.. in good faith to d.liver
it to the ~own.rN prior to commencement.
E. CONTIlACTOR' S/OWNBR' S AI!TIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in camplian~ with all applicable laws regulating construction, zoning, and land
developlMOnt.
Application is hereby Made to obtain a parDdt to do work and installation as indicated. r
ceLtify that no work or installation haa commanced prior to i.suance of . permit and .that
all work will be performed to meet atandara. of all laws regUlating construction, City
oodea, 20n1ng regulations, and land development regulations in the jurisdiction. I also
certify that'r und.r.ta~d that the regulationa of other governmental aqeneies m.y apply to
the intenda4 work, and that it is ~ responsibility to Identity what action. I Must take to
be in Compliance. Such agencies include but are not l1m1ted tOI .Departl!lent of
Environmantal Regulation-Cypress Bayn.ads, Wetland ~'as and &nviro~ntally Sensitive
Land., WaterIWaatewater,Treatment
*South".at !'loLida W.tet Manaq_t Dl.tr~ct-Wall., Cypress Bayh.ad", Wetland Areas,
Altering Watercourses
*Azmy Corps of Bngineer.-S..walls, Dock41, Navigable ..terwsys
*o.partment of H..lth 'Rehabilitative Service" Environmental Health Unit-Wella,
Wastewater TreatMent, Septic Tanka
*u.S. Envi:OnMllntal ProUectlon Aqency-AMbestoa abat~nt
I al.o certify that, if fill material is to be used in rlood Zone nAN or ~A,etc.N. it 1.
understood that a drainage plan addrening a ncompen...tin\l volUJIWN will be submitted which'
is prepared by a prof.s.ion..l engineer registered in tne State of Florida prior to permit
.l.s.u..nce.
A permit i.sued shall be construed to be a license to proceed with the ~ork end not .s
autho~ity to violate, canoel, alter, or .et a.ide any provisions of ehe technical codes,
nor Ihall issuance of a permit prevent the Bul1ding Officiel from theraatter requiring a
~orrection of errors in jplanl, construction, or vlo1ations of any eode. Every permit
issued ahell become in~lid unless the work authorized by SUch permit 11 commenoed within
eix months of is,"anoe, or if work authorized by the permit is SUspended or ebandoned for a
period of six month. af~er the time the work is commenced, One 90 day extellsion of time
may be allowed for the p~t wlth fee charge of '15.00. The extension ahall be requested
in writing to the .uil~ng Official. An approved inspection mult be logged during eaoh six
month period, or the prQject will be considered abandoned.
lIMNING TO OWlfERI YOUI\E'AlWRB TO RECORD A NOTICE OF COMMBNCEKBN'r ~ RESULT IN YOUR
PA"iIHG TWICE !'oR IMPRO~J.:IlT5 TO YOUR PROPERTY. IF YOU IHT!ND TO OBTAIN FINANCING, CONSULT
WITH YOl/'R LENDER OR AN A'rTO~ BEFORE RECORDING YOUR KOTICE or COtIM8:KCDlENT. JOBS UNDER
IN 2D ORn AND POST A "NOTICE OF COlolMENCt:MENTN.
SIGNATURE: CONTRACTOR
STA'rl: OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this -----Pay of
by
acknowledged
, i9
oath.
(name of person acknowledged)
c,ho 111 personally known to me, or
o who bas produced
(type of ielenUnc.tion,
and who Ddid DUd not tak", an oath
~
_nt
Signature of person taking acknowled~~nt
Name typed, printed or llta~ecl
SllIH~AHd3Z jO A1IJ
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