HomeMy WebLinkAbout01-0495
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Property Owner:
Job Address:
Parcel I. 0, #
Zoning: j 'J:
Description of Work
BUILDING PERMITN~
0495
ElE~l
CITY OF ZEPHYRHILLS
(813)~. -
1~O~lP7D ~[,...._"
~. ~~ECHANIC~
ft,"- ~"G/J j;. ')
Water Meter:
T,LF.'s:
Permit
Date
~ /~6/~1
I
Sewer Conn
Water Conn:
I
Energy Code: ,J ~
IJhJ;J (~it'\l b
Radon Gas:
UNiT
tV/A
FINAL
NO OCCUPANCY BEFORE C.O.
c.o.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Valuation 0'/:2 )ZD' r--., ,:~c
Contract Price 'J:2-.
City license Registration # ~'!li
State Certified license# G/.4l'~ 057L10l.
Permit Fee
Signature
Company
Address
Telephone#
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Driveway
J ~t. <-j> It l~.;
{
MECHANICAL
Al
Breakers
Ducts Insl.
Compressor
Final
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
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
Ul'LtCM'1,* rea JIDIG'l'
ern ,. IutrDUUoa
"IUl~ ~a.mft'
DAD UCUVKD
ptAJIS DV1ft ....
~..., ..... ~ ~~:tI::1Jx ...... B1:S . 1m - I en 0
JOB ADDRESS.314Q V<:o Qn d (Xl V{ Ze phyllh i' 11 ~f( I ::)15 3Cf
LEGAL DUCRIl'TION I LOT (8) BLOCK SUBDIVISION
PARCEL 10 "
IIORIC PROl'SUl: ONEIl' CONSTRUCTION
oSIaN
PROPOSED US!. oSOL F~Lr DWELLING
o COMMERCIAL
o ADDITl<>>l
o HOVE
/' In""aTN ranW' 'JlOPRJITY ,.ax lIO'tTCP.\
~'1'EM'11ON 0 IlBPAlR 0 IIlS'l'ALL
o DD<<>LIIH
oMl1Io'l'1 -rANI LY
~USTRIAL
O. or WITS
o SWIJ+lING POOL
D MOBIL! HOMB
D OTUR
CJ RI!:STJWAAJlT , HEl'ILTH 'DEPM'l'HI!:NT Ai'PROVAI.
DESCRIrTICH or WORK J)il.Dtn..lO ful0 Ccrcl1l rtain9 l11d
BUILDING BIZI SQUARE rooTAGE HBIGHT
RESIDENTIAL: ATTACH 12) PLOT PLANS, (2) SCTS OF BUILDING 'INlIl , (11 SST BNS~Y ro'l"l.
COMMERCIAL: ATTACH (3) SE:TS or aUILDING PLNlS , (1) SZOl' INIlROY FORKS.
i'ROPJ:R'l"t SURI!BY RllQUIJUW FOR ALL NEW CONSTRUCTION.
PJ:IQ4ITS RBQUES!'EO
o IIUILDING
~
VALU....TION or TOTAL COKSTlWC'l'ION
o ELECTRICAL
o ~8ING
~!ClWll CAL
AMi' SERVICE
D FLORIDA POWER
o ..R.E.C.
. O}~ao..Q.L
VlU.UAl'IOIf OJ' HECHAJlCIAL INSTALLATION
Oc;.a..s
o ROOrING
o SPECIALTY
D OTKER
D I'IWU:
OSTKCL
D O'1'HU
TYPE or CONSTRUCTION. 0 BLOCK
rlHISHBD FLOOR ELE~'I'lONS
IS Pl'IOJ!:C'l' IN l"LOOO ZONE .MEAD YES D HO
I:::'::, . ;.:1;:' '
: d,
':.':.
':_~~~;'i!~~:~~N~
COM'M't
STATE CERT OR REGIST .
CITY PROCSSSING I
E!!H!!!
SIGJ/ATORB
.........................*.....~..................................
SIGHATUQ
COMPANY
STI.TJ: CIRt' Oil RKGIST .
CITY 'ROCS'SING .
IlL8C'l'JUClM
**................................................................
COMPM".
STATI CKR'l' OR R&GIST .
CITY PROCESSING .
~
SIGNATURE
..........~........................*......
MSCUII1CAI. I
SIGNATURE ~~ }~0;\.
, .1(',
.................................................................
COMrMY
STAT! CERT OR REGIST .
CITY PROC!SSIIlG I
0'!DJl
SIGN....TURE
....*.*............~.*.j.'...,&&A***t..*.**...****........****.**
.
A. hOTICB OP DIED RJ!:ST1UC'l'IONS
The undersigned unde~.tands that this permit ..y be subject to ~deed restri~~ionsN which
RIllY be more restrictive thin City requlationa. The undersigned assum.s r.sp"nsibllity f"r
compliance with IIny appliclble deed restrictions.
8. UNLICI:NSED COKTJlACTQRS AND CONTJlACTOR Jl.ESPONSIlltLITIJ:S
If the owner has hired a contractor or contractors to undertake work, they _.y b. required
to be licemled in accordance with at ate end loce1 regulation,s. If the oontr..ctol' 1.11 not
lic~lIed .8 required by 1,11\1, both the Olmer and contraetor may be el ted ~or " mad_anor
violation under atate law. If the owner or intended contractor ar. uncertain .8 to wh.t
licensing requirelHntll may apply foz; the intended work, they II>;. advised to '~ontact the
City of Zephyrhills Building Depll~nt, 813-788-6611.
Furtherlllora, if tha owner blla h.t.red a contractor or contraotorll, h. is advia.!ld to have the
contractor(.) siq.n portiona of the ~Contr.ctor S.etlQnaH of this applle.tlon for which they
wll1 be responslble. If you, as the owner signa a. the oontractor, you axa indicating that
you, rather than the contractor, lire responsible for tbe work. If the cont~'ctor wish.s
you to Sign all contractor that may be an indication that he i. not pxoperly licensed and ia
not entitled to permitting privileqe. in the City of Zephyrhills.
C. TJUufSPO.R'!'ATION IMPACT lEES AND UTIl.IT'i COKNECTIQN nEs
D. CONS'l'll.UCTUION LIEN !JI)r ICIIAPT!R 713i P"LORUIll. lITATUTBS, AS AMBNDIl:Dl
I certify that I, the applicant, have bel!ln providsd with a copy of "Flo1:ida' " Con.tr~ction
lien Law - HOfIIeowner' s Protection GuideN prepared by the rlorida o.p.rtment '3f Aqri<:!1.ll tur..
and Consumer Altairs. If the applicant i. someone other that the "ownerH, r cerify that I
have obtained · copy of the above descz;.t.bed dOCUlllant and promise in goocl flli'th to deliver
it to the "own..rN prlorto comnenc~ent.
E. COHTRACTOR'S/OWkER'S AlrIOAVIT
I certify that all the infoCllation in this application is aoeurate and th.t ,lll work will
be done in oOlllplianQ<t With all applicable laws >;equlating OOl'latr\lction, 'ZOnil~g, and land
development.
ApplJ.cation i. hereby made to obtain a pel.'lllit to do work and 11l.stsllat:ion as ind1oated. I
certify that no work o~ inatallation has commenoed priOr to is.uanoe of a pe~t and that::
all work will b. perfo-=-<! to m.at standards of all laws regulatinq oonstruc'~ion, City
cod.., ~onlng regulations, and land development regulations in the jurisdict,lon. I also
cartify that 'I undez;st:and that the regulations of other gbvernmental agenciel may apply to
the intended work, and that it i. my responsibility to identify wlu.t: actions I must take to
be in compliance. SUch agencies inolude but a/::e not: lira1ted to. *DeparbDant of
Envirol1ll\ental Regulation-c,ypress Bayheada, Wetland Areaa ..net BnvirolJlnentally Sensitive
Lands, Water/Wastewater rreatment
"South_st Florida Wat.r Manaq_ent District-Ifel,!a, Cypress Ilayhead.., Wetland Area.,
Altering Watexcour.es
"Army Corps of Engineers-Seawalla, Docka, Naviqable Waterways
"Dl!lpartment of Health & Il.ebabilitative Sl!lrvice., Environmental Health 17nit-W.allll,
Wastewater Treatment, Septio Tankll
"U.8. Environmental Protection Ag.ncY-~besto.abatement
I also certify that, if :1:.1.,11 material is to ba used in Flooct Zone ~AN Or "A,.~tC.N, it ill
~nclerl!ltoocl tbat a dJ::a1.nage plan addresaing . "c::omp.n.ating Volume" wIll be s'.U>m1tted which
i. prepared by a profeadonal enqineer registered in the Stat.. of I'lorida prior to peDllit
issuance.
A permit i..qecl Shall b. construed to be a li~se to prooeed with the work ,.nd not a.
a~thority to violate, cancel, altar, or set .s.ide any prOVisions of the tecrn~ical codes,
nor ahall issuance of a perm.t.t prevent tne Buildinq Official from thereaft.r ~.quirinq A
correction of error.s in plana, oonat:ructioD, or Violations of any Clode. Every permit:
i.sued .shall be~ inVlllid unless the work authorized by .uch 'peClllit ill COIlI:n.no.d within
six months of issuance, or i~ work authorized by the pe~t i. suspended or abandoned for a
period of s.ix months IIfte~ the time the work i. Commenced. One gO day extension of time
may be allo_d for the pemit with fee charge of $15.00. The extellston ahall ba re'lcest:ed
in writing to the BUilding O~ficia1. An approved 1n.llpection mullt be logged ,~urlng e~oh aix
month period, or the projec,t w1l1 be considered abandoned.
WARNING TO OWNER. Y'OUR m LuRE TO RECORD A NOTlel OJ!' COMHDICBHP.H'l' MAY RilSUL'f UI YOUR
PAYING TWICE I1'OR IMPROVEMENTS TO YOUR P~PER1'Y. IF YOU INTEND TO OBTAIN FIN.I\HCING, CONSUL'!'
WITH YOUR LENDER OR ~ ATTC'RN!:Y BEFORE RICORDING YOUR NOTIe!!: OF COMNEtrCIH!NT. JOBS UNDO
$2,500 IN VALUE Do KOT NBEt' TO RECORD AND POST A ~NOTICE or CoMM!NC~Th.
1 () l'
do~/~ )(7R J'f}I.J}{'~
SIGNA'l'lIRE. OWNER OR AGBNT
&~~f ,~~)tT'j.O~:V'~
SIGNATURE I CONTRACTOR
STATe OF FLORIDA D STATE OF FLORIDA
COUNTY 01' rc... ~CD cOUNTY or '
The foregoing instrument we. ackno'!l'ledqed""'r"'" The tox.voinq i)111~unent ~~g.~ _'" \
Before 1M :this J..::r::-day of. "" ~ Before _ this l- y 0 1:9- ~
by - .\-l by _ ~~
me of pl!lrSon acknolo,ledgedl (nallle of person acknow!.edqed) is p.r.ona~ly known to me, or ho ia personally known to 1IIe, Or
?~L6
o who
I'd
ALICE L BELlAS
# CC 88S49U
EXPIRES: Nov 5, 2003
Fla, Notary Service & Bonding Co.
U9 Q'D N
Sll]H~AHd3Z jO Al!J
ALICE L BELLAs
88S49U
'EXPIRES: Nov 5, 2IJ03
As, Notary Sell/ice & Bonding Co,
~~D8:5 I) ~