HomeMy WebLinkAbout01-0519
BUILDING PERMITN~
0519
-
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
;;5
BUILDING
Date
9 - S--c.O I
Property Owner:
Job Address:
Parcel I. D. #
ELE~. PLU~. M~L-
;{!l:J~4~~~~ '
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
~- 7r-
Radon ,s:
C\g 1-"';'
tJ~~€
~ ?-?l<
FINAL 3 ~
c.o.
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
Valuation or J /J ()
Contract Price II ex - LJ .
.
City License Registration # /d2...s-
State Certified License#
J9?PLE S /C;A.J
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- Pe'm;' Feaf '4 72 '
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COr:!lfWJy
C=e.___~~ "11/ <P - ":;>''':;>':;1.. 0
BUILDING
ELECT~
~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~_.-
-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
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APPLICATION F~ V'cf(OI .;:].JkU. .,/0 I
GITY OF ZEPIIYRHIU.s . ()) '.r / ;' ~
,BUIWlBG DEPARlIIENT l.b
OWNER · S lIAItE
rnot2.bAI'J TI r?E: CORP.. mONE 72..7-++/~372. 7
SUNN'fDA-lt;; f?\!D. ~ (LEA(2v.JftTe21 FL-. 31?c.S
. , .
(gALL (?LVD.
'ti'
OWNER'S ADDRESS 20 Z.(
JOB ADDRESS 52..4-0
LEGAL DESCRlPI'ION: !.OT(S) BLOCK SUBDIVISION
PARCEL 1. D.'
WORK PRo.POSED:_Nev Const.ruction ----..Addit.ion _Alt.eration .Repair
(%) (}JALC- SignS _Hove _D~l1.ish
PROPOSED USE: Single F~ily _"IF _' o~ Unit.s
~~ercial _Indust. _Swu.. Pool
TnQta11
---II/H
Other
Restaurant & Health Deparr:.ent. Approval
BUIIJHNG SIZE:
x
~uare Feet..
Height.
RESIDEBTlAL:
COHKERCL\L :
ATTACH (2) PLOT PLAliS & (2) SEI'S OF BUlLDlBG PLANS & (1) 'SET EIiERGY f'O.RfJS.
A'n'ACII (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORItS.
PROPERTY SURVEY Rl!QUIRIID FOR ALL NEIl CONSTRUcnON.
_BUILDING
$
12.00..00
PERHITS RJrnUFSTED
Valuat.ion of Total Const.ruct.ion
_ELECI'JU.CAL
NIP Service
Florida Power Corp.
W.R.E.C.
_KECllAllICAL
$
Valuation of Hechanical lnst.a1lation
_PLlftBING GAS ROOFlllG
TYPE OF CONST.RUCl'ION: _Bloclt ---..Fr8lle _Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS: FI' . IS PROJECI' IN FLOOD ZONE AREA? _. i,.
.......................................... ~~ .~~ '(~
COlITRACfOR SECI'ION ./-1- rq fl1~
BUILIIER . COIlPAIIY APP/..€: '3 /b~ !i ~ '" ll'l(:r
~ J Stat.eCert.. or Regist.. . Ct:' A'lIt,Z.
Signat.ure Cit.y License Regist.ration' La........
-- .......................................... l/i~
F.Ul.:CTRl: CIAII
COHPMiY
Stat.e Cert.. or Regist.. .
City License Regist.rat.ion .
..........................................
SilnlAt.ure
.PLUflBER.
cotIPAIO'
Stat.e Cert.. or ReglSt.. ,
City License Regist.rat.ion ,
....................~.....................
Signat.ure
KECIL\NT~
Signature
cotlPMiY
Stat.e Cert.. or Regist.. ,
Cit.y License Regist.rat.ion ,
..........................................
tmJ.ER .
Signature
cotlPARY
Stat.e Cert.. or Regist.. ,
City License Regist.rat.ion ,
..........................................
\PPLICATIOR APPRoVEQ ay
PERllIr OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned uncler8tanc1a that this perIIit lilY be subject to Ideed restrictionsl wbieb lilY be lOre restrictive than City
regulations. Ihe undersigned aaaUIeB responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the GlIDer bai' bired a contractor or contractors to undertake IIOrk, they lilY be required to be llcensed in accordance with
state and local regulations. If the contractor is not licensed.as required by la, both the 0IIleI and contractor UJ be
cited for. a lisdeieinol vioiation under state law. If the mmer or intended contractor are uncertain as to "bat lic8D8ing
requireaents lilY apply for the in~ec1l1Ork, they are advi~ to contact.the"Citr of lePbyrbills Building Departlent, (813)
788-6611. ., ""., '. . ..
. ,
Furthenore, if the 0IIDeI bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
IContractor Sectional of this application for wbieb they lIill be responsible. If JOU, as the 0IIJleI sign as the contractor,
you are indicating that JOU, rather than the contractor, are responsible for the IIOrt. If the contractor wisbes fOIl to sign
as contractor that lilY be an indication that be is not properly lic8D8ed and is not entitled to perIIitting privilegu in tbe
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of IFlorida's Conatruction Lien Law - lIcIIeoImer's protection
Guidel prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant i8 BOII!OIl& other than tbe
10000erl, I certify that I bave obtained a copy of the above described c10cuIent and promse in good faitb to deliver it to tbe
lOII1erl prior to COIIBIlceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforliltion in tbis application is accurate and tbat all IIOrt will be done in COIPliance with all
applicable laws regulating construction, loning, and land develoPElt.
Application is hereby Be to obtain a perlit to do IOrk and installation as indicated. I certify that no work or
installation bas ~ced prior to issuance of a perlit and that allllOrk will be perfomec1 to _t ataDllarc1s of all laws
regulating construction, City coeles, loning regulations, and land developaent regulations in tbe jurisdictiOD. I also
certify that I understand that the regulations of other govemaental agencies lilY apply to the intended work, and that it is
If responsibility to identify wbat actions I lust take to be in COIpliance. Sueb agencies include but are not lilited to:
. Departlent of Environaental Regulation - Cypress Baybeau, WetlancllIeas and EnviroDMlltally Sensitive Lands,
Water/Wastewater Treatlent .'.
. Soutlnlest Florida Water Hanageaent District - Wells, Cypress Baybeau, Wetland Areas, Altering WatercoUrses
. III' Corps of Engineers - Seawalls, Docks, lIavigable Watenays
t Departaent of Healtb i Rebabilitative Services, Environaental Health Unit - Wells, Wastewater 'reatlent, Septic 'anks
t US EnvirOllllel1tal Protection Agency - Aabeatoa abatelent
I also certify that, if filllilterial is to be used in Flood ZOne III or II, etc. I, it is understood tbat a drainage plan
addressing a Icmpensating voluael ,ill be sw.1tted ,bieb is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
I perait issued &ball be construed to be a license to proceed ,ith tbe IIOrt and not as autbority to violate, cancel alter, or
set aside any provisions of the technical coeles, nor shall iBBuance of a peIlit prevent tbe Building Official fIOl thereafter
reguiring a correction of errors in plans, construction, or violations of any coele. Ivery perIIit issued shall beaIIe invalid
unless the work autboriled by sUeb perait is ~ced within sillODtbs of issuance, or if !IOrk authoriled by the perlit is
suspended or abandoned for a period of sillODtbs after the tile the IIOrk is co.enced. One 90 day atension of tile, aay be
allOlfed for tbe perIIit witb fee charge of $15.00. Tbe atension shall be requested in writing to the Building Official. An
approved inspection nst be logged during eaeb sillODth period, or the project will be considered abaDI1oned.
WARIIUG TO <IIIJR: ~ FAlLURI '0 RECORD A IOfICE OF CCIIIIIICIIIBH! HAY RISUL' II YOOR PAYIIG !VICE FOR DIPROVIIIBI!8 '0 YOOK
PROPEIl'lY. IF YOO .uilllD 10- 0Bf1Il F IIG, COIISUL' utH YOOR LIIDBR OR All IftORRIY BIFORB RICOBDIIG YOOK JIO'fICE OF
~ 2.!iIlIl UIIlIlO IOf BiD 10 RllClllllIIII POST~~'. .
~1f- CJ ~
SIGlII!URI: COIIRICIOR
S'lID OF FLORIDA P ~ /"
coum OF A I7L 0
The foregoing i,t~was 2knOWledged
before ~e this - , 1t4. OOt>>y
FA U l.,.. ......1 M ^
who is personally known to me or who has
produce(("""'
as ideotif~ "~J.90~i~id Dot
take an oa ,.. ~ y~
~~UM)A(2..~ IN l ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~O~F FLORIDA t' A seo
The foregoing inJtt~t was acknowledged
before me this -'2 ., , 1!J"'2Do I by
_F(ZA N a <; .M .. t..-. N .etZ-
who is personally known to me or who has
producer -'
as identifi 1ion...-J..,an.,. d.'iih21 d~d.id not
take an 0 ., /~~......- y~
~eA~lL~l.(-
(Name Typed, Printed or Sta.ped)
NOTARY PUBLIC
~, R. MaTkWi1le\t
f~r. \ MY COMMISSION # CC880695 08
;*: :*~ December 8, 2003
\:~......;;'"f BQNOeDlHIl\J1I!0Y FAlNINS\lRH4C1I1C
:,f:fn\~'"
~-"""""'" R. Mark WIIett
f:~A.~:-. MY COMMISSION # CC880695 EXPIRES
",;,~':"i December 8, 2003
\:~'.....:0' BQNOEDlltlUOOYFAIN INlIURANCf.lNC.
'.Rf..~~'
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