HomeMy WebLinkAbout01-0412
BUILDING PERMITN~
0412
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
iJ 00
TD> .-
BUI~ING ELECT~CAL PLU~ING MECHANICAL
Property Owner: PIc /', J,.. Eye L~ j,?a s c CI J,' S, '~/'
Job Address: ~ 1 O'~ if tV eN ~ Av-e-.
Date
b / 2~ /0 I
,
Sewer Conn
Water Conn:
W.J~er Meter:
T.I.F.'s:
Parcel I. D. #
Zoning:
Description of Work
Energy Code:
A / c ch~-''j t?
Radon Gas:
OI...A..-'t
FINAL
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
Permit Fe~L{O' ~
)(' Signature _,:"", ~
Company) )
Address
A Telephone# X) q - q.';~~~
~
Valuation or ? ~ S- vU
':> ;- Q-
Contract Price
City License Registration #
State Certified License#
'jCd...
4 .1m 5 .... IJ/c
BUILDI G
ELECT CAL
PLUMBI G
MECHANICAL
(~ ~
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
Breakers
Ducts Insl.
Compressor
Final
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.
Bob Youmans
788-5262
07/20/1999 11:13:34 AM
P.l
a:ft'LICM'1i:* I'ClR nJaIX'1'
ClTI ~ IUllDULLS
MfIUlX. D&PUaaIIft'
DAD UCUVKD
PLAJQ UV1D nil
iF tJl(l?-
OW)/ZJ\'S N.'\ME ~\o(id~ ~U~ c..'C.",+e,\
, ,
JOB ADDRESS ~ 'f>03>'6 }-:)c:x==\-r-. Pn,)'t,.
t>c:...~V,~\.::nHOHE (~\~ l'&~-lbS\o
'L.f. P""'U, (~. \\~
L~GAL DESCRIPTION I LOT(S)
PARCEL JO .
WORK PROPSEDI DNEIf CONSTRUCTION
D'IGN
BLOCK
SU8DIVISION
o ADDITlo)/
D MaV!:
fnR~ATN ~ PRnPRRTV ~ax .~lCP.'
~EIWJ'ION 0 REPAIR D UIS'1'ALL
o DDlOLIIH
PROPO,SD USE' D'GL I'AMILY DWELLING
~OHHJ:Jl.CIAL
DM\1lll'J - FAMILY
o INDUSTP.IAL
O. 01' tJIlITI
o SWI)IooIING POOL
o K08lLI HONS
o OTUR
DESCRIrTIaf Of WORK
c::l RE5TAUlWtT , HBlU.Tlf DIP1J\Tf'IPfT APPROVAL
c...~r<tL O~ t\ \L ~.S 'S"1".>-Th-,..,.....
aUILJ)ING SIZ!
SQUAJU: I"OOTIlGII:
HIlItilI'l'
~SIDEJn'IAL: ATTACH (2) PLOT P1.MS , f21 SE'l'1 OF BUILDING PIAMB , (11 SST !NI~Y FORMS,
COMMERCIAL: ATTACH (31 SETS OF aUILJ)ING I'LllNS , (1) 1E'l' ENIRGY roRKS.
?ROPERTY llURIfBY REQUIRa> FOR ALL NEW CONSTRUCTION.
PElQIITS DQUESDD
o IlUIloPING
o ELECTRICAL
o PLUM8ING
~IL'JII CJI\L
$
VALUATIOIl OF TOTAL CONSTRUCTION
AMP lIERVIC!
o FL01UDA POWER
D 'If.R.I.C.
.
t.b
3550
VlUoUA't'IotI 01' MECKAIlCIAL INSTALLATION
Dc;,...,
o ROOFING
o SPECIALTY
o OTtIER
o I'AAKE
DllTUL
o OTHER
TYPZ or CONSTRUCTION I D 8LOCK
rINISHED FLOOR ELEY.A7IONS
IS PROJECT IN FLOOD ZONE .M!'AD YIIS 0 HO
p::":. . ;.,i;:
.~_~~~i:~~:~t~l_
COMI'MY
STATE CERT OR REGIST .
CITY PROCUSING .
E!!H!!!
SIGNATURE
~.*.......'....*....'...'....P~.'..........."'.'.................
SIc;NATURK
CO)(I'Nrt
ST^TJ: CI:RT 011 IUlGIST .
CITY I'ROCESIING .
llLaC'lJUcnM
..................................................................
CotI,AlI"l
STATI C8RT OR REGIS'!' .
CITY 'ACCESSING .
.11--
SIGNATURE
.*.fr.............................................~..........~....~.. - ~~
MSCUllICAL COM,ANY . r }L '<;,. 'i-"" ~ r ~
JA . ',ClJ . ^ STAT! CERl OR JIEGlBT . c.. S .., qOC
SIGNATURE UJUi.&"-~' CITY 'AOCU.ING * \ 1l\o,
........................***.......**.......**...**...............
SIGNATURE
CotlPMY
STATI CERf OR REGIST .
CITY 'ACCESSING .
cnaJl
.....**..........j.....~A...l.&llA***t***.a..*.**...*..*.*.*.****.
"
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF nUD RESTf\IG'1'IONS
The undecsigned un~r.tan'~ that thie pe~t may be subject to ~d..d restrictions" which
may he more re.trictive than City regulations. The undersigned as.ume. re.ponsibility f~r
compliance with any applinabJ.e deed r..trictions.
8. UNLIC&NSID CONTRACTORS AND CONT~OR RE9PONSI8ILITIR8
If the owner hae hired a (Joot:r:actor or contractora to undertake work, they may b. reqUired
to be liceo.ed in accordaltce with IItate and local reguhtion.. It the contractor ill not
licen..d as required by lllW, both tha owner and ccntnctor may be citad for a misdemeanor
violation under state law, If the owner or intended contractor are uncertain .. to what
liOiin.ing requirements mal' apply for the intended work, they are advieed to contact the
City of lepbyrhilh 8uilding Department, 813-788-6611.
purtnarmore, if the owner has hired a contraotor or contrsctora, he i. advised to have th.
contractor (II) sign portions ot the ~COntractor Sections" of this applioation for whioh th.,y
Hill be respon.J.ble. If ~roll, as tbe owner signa a. the contraotor, you are indicating thllt
YOIl, rather than the oontl:actor, are responllibla for the work. If! the oontl:aotol: whhes
you to $1911 .. oontracitor that may l:Ie an indication that he i. lIot propel'ly 110ensed and b
not entitled to permittinlr privllegu in the City of ZephyrhiU..
C. TRl\K1I110RTATION IMPACT nES ANn UTILITY COIlNBCTIOll PEES
D. COH8:rRUCTUION LI!H IJ\i1 (CHl\.l'T!R '113, B'LORJDA STATUTL', 1\8 1IMI'.HDEll)
I oartify that I, the applicant, hllve b.en pl:ovlded with a oopy of ~l'lorida' IS Con.tructiorl
lien Law - Homaownar'. Proteotion Guide" pl:eparad l:Iy the 8'lor1da Depart_nt of Agriculture
and Consumer Affair.. If the applicant ia .omeene other that the uowner", I cerify that l:
have obtained a copy of the above c1eeodbecl 400ument and promise in good faith to deliver
it to the "owner" prior 'tel cOllllllenc_nt.
B. CONTRACTOR' S/OWNER' B }>!'rI1lIWIT
I o.rtify tbat all the lnl:Orll\lltion in thi. application i. acourate and that all work will
be don.. in OQ1IlP11anee With all applicable lewa re<julating construction, zonillll, and l.nd
development.
Applioation is henby mad.. to obtain a permit to cSo work and tn.tallation all 1ndilcated. l:
oertify that no work or illstallatian haa oommenced prior to i.suanoe of a p.nnit anel that
all work wl11 be perfoaMKl to meet at.ndards of all law. regulating ccnstruotion, City
code., ~oning regulations, and land development regulationa in the juri.diction. I 81ao
certify that 'X undentand that the regUlation. ot other lIowrnmentlll. agencies may apply to
the intended work, and thllt it ill my r..ponalbility to identify wh.t action.. I must take 1;0
be in compliance. Such allenci... 1nelude but are not limited tOI *Department of
EnVironmental Re9Ulation-<;yp.rull 8ayheada, Wetland Are.. and 'Ilnvironmentally Sen.itive
Landa, Water/W..teNater Tr.eatment
*Southwest florids W.ter t~nagement District-Rells, Cyp~esll Bayhe8ds, .etland Areal,
Altering Vatereour.ell
*ADI\y Corp. of ISnqineerll-ll.a....ll., Dooks, Navigable Wat.rway.
*DepartlMlnt of a."lth i Rlohabil.itative Servic.., Bnvironmental aealth Unit-Walls,
Ifastewater 'l'relltllU!lnt, Sepf:ic 'ranks
*U.S. !nvironmantal 'rote,xion Agency-A.bestoll abatement
I aho certify that, if (J.ll -terial ia to be used in Plood Zone "1\" or ~A, eto.", it i.
undarstood that a drain..g.. plan addressinq a "'COIlIpenaating volume" will be submitted which
18 prepared by a professionlll engine.r reghtered in the Seats of Florida prior to permit
ilSsuance.
A permit i..ued ahall be (Jon. trued to be a lioense to proceed with' the work and not alS
authority to violate, c.Il"el, alter, or set ..ide eny provision. of the teohnical codes,
nor .hall 1&)IU..noe ot .. po~t prevent the Building Official from therea(tlor requiring II
oorrection of errors in pianll, conlltruction, or violations of any cGde. Every ptrmit
iB.U~ )Iball become invalJ.eI unl..s the work authorizad by such pe~t i. commenctd within
aill months of iuuano., OJ: it woek authorized l:Iy the permit i. I5UIpI5nded or sband,onecl tor a
period of six m.onthll IIftaJ: the time the work i. commenc.d. One 90 day elltenltion of time
~y be allowed for the p.l3Ut with fee charge of $15.00. The axtan.ion ahall be requested
in If.dUng to the Builclinlf Official. An approved inspeotion llI\.Iat be logged durill,g e.ch a.ill
month periGd, or the projnct w111 be considered. abandonsd.
R~ING TO OllNltR. YOUR FJUWRE TO RECORD A NOTICE 01' CONMENCmmrr MAY RllSULT Ill' YOUR
f1\UNG TWICE IUR IMl'ROVIMI!:HTS TO YOUR I?ROPIilM'Y. II' YOU INTEND TO OBTAtK PINANCI~'G, CONSUl,T
WITH YOUP. LBND&R OR AN A'I"~O.RNIY BEroRE RBCORDING YOUR HO'rIC! or CllMMEHCEMBlfT. JC,!S UNDER
$2,500 IN VALUE 00 NOT NElm TO RECORD AND POST A ~NOTICE OF COIoI4ENCDlBNTH.
t.'/-fuu _~
SIGNA-TURK, CONTRACTOR
~,~
SlGNATUR!':, OirnER OR MEN'r
STATZ OF !'LORIDA
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p~
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l-1!Ol1-3-NOTA
Signa
<LIAS
fOMMISSION # CC 885490
EXPIRES: Nov 5, 2003
Name typed, printed or a
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.f'~'f> ALICE L BELLAs
~1' ~i' MY COMMISSION /I CC 88S4~
OFf\: EXPIRFS: Nov 5 2003
1-8OO-a-NOTARY FI .
a. Notary Service & Bondi
ngCO.