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HomeMy WebLinkAbout01-0814 BUILDING PERMITN~ 0814 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date / ~ - 1-0 / ~ ELEC~"' PL~-' -MECHANICAL Sewer Conn ~:::~~~.;~e~ itf?t~~/~~ _ ;~:: Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: /39 J [!.4,,-<~~ R4n Gas: \:.' -,.-:- ./.A? fU-- NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or 11 ~ oS: . .~ Contract Price ~ I /0 Permit Fee C~~atlJr~ Company ~ ' ~(J -fp l~ (;J;;Pl0JlD City License Registration # c:2 9 t) ~ State Certified License# .IA ) ~ -d..4?2-5 ~ It-LAl--'lI BUILDING ~. Address .~~~ $?(03-~~/Iq<-( ~ ELECTB.lGAL - PLU~'" MEC~AL - 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE Zephyrhills Water PHONE 813-783-1959 x-247 OWNER'S NAME JOB ADDRESS 4330 20th St Zeph, FL 33540 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 13-26-21-0070-07400-0000 (OBTAIN FROM PROPRRTY TAX NOTICRI WORK PROPSED: ONEW CONSTRUCTION o ADDITION . OALTERATION o RE'PAIR. o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING GtCOMMERC IAL OMULTI-FAMILY o INDUSTRIAL 0# OF x- 12'h cl1 fence w gates adn grey PDS fillerstrips UNITS OMOBILE HOME o SWIMMING POOL o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL Install 12'h c/l fence with gate and PDS filler strips around cooling t6'Wero BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOaMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ 5,510.00 VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION BOTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO CO'/';j'h,ffi'1~~TOEt~ECTI6N ""'i;~',C"'~"""'''''''''''''''''''''''' BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** _:w ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL , ****************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************** OTHER J COMPANY Jim Williams Fence Company STATE CERT OR REGIST # GSP-92-10265 CITY PROCESSING # *****************************************************.~*********** CONDI':'IONS OF E'ERMIT J'.FFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "dee~ restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed r~strictions. B. UNLICENS~D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contracto~ or contractors to undertake work, they may be required to be licensed in accordance with state and loc~l regulations. If the contractor is not licensed as required by law, both the owner and contractor Inay 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 contr~ctor, you a~e indicating that you, rather than the contractor, are responsible for the wor~. 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 .~D UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, .have bee~ 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 tha1: 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 indicated. 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 co~struction, City codes, zoning regulations, and land development regulations in the juri.sdiction. I al~Q 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 rnust tak~ 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-We:ls, 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 wh.ich 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 w~rk 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 pJ.ans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced 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 IMPROVEMENT~ .:J YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE 0 OMNENCEMEN'l"'. SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 19_ STJl.TE OF FLORIDA Polk COUNTY OF ________ The foregoing instrument was acknowled~tfRl Before me this 2~_day of Decem~er_, 1'9"__ by Jame~ W. Will1ams, Pres1dent (name of person acknowledged) aho is personally Known to me, or (name of person acknOWLedged) o who is personally ~l1own to me, or o who has produced .___ (type of identification) and whoD did Ddid not . take an oath. .Dwho has produced (type of identification) Ddid ~id not take ai: oat:h Name typed, printed or stdmped Signature of person taking acknowledgement ;~,~.-,. -' JIM WILLIAMS FENCE CO. 934 East Rose St. Lakeland, Florida 33801 Phone (863) 688-1194 \ ~l JOB HA~"'LL Co, I-2-ePl'1'r~(L~ \".O=--""l-dL SHEET N01?~ tl ~ (OF \ CALCULATED BY "i(l;...., DATE' , I ~<.-I OJ CHECKED BY DATE SCALE N.-rs r2>L-DV- - ilph7r J, "[ Ik ~V~ woL()9 h\fUS ett rJ(,.P-: ~a. (0 0L,1~/ \ + f It' \~\h chuV\ L~K~U\Q Q ~(~ YDS" -h\\eJ S-W-IPS 4- NM111 'lbx~ ~~ JIM WILLIAMS FENCE CO. 934 East Rose St. Lake/and, Florida 33801 Phone (863) 688-1194 ." t-1A."""LL DJJ:J. ....Pt>~(l~ W"-""'""'- SHEET NO 12 ~ r\ ) ~ _ ( _ OF 1 CALCULATED BY ~ DATE III "l.c-I 0) CHECKED BY DATE SCALE f\J-f$ /?>(,f)/ - il~jh!rl\ i Il \'Vt~ \ ~I tooLrt9 h\fUS eJi-e:f t (O~ C;.~ r It' I~\h chu~ L~KfU\Q Q ~rMJ t'DS -h\\QJ S,-W1pS \ +- .4-- MOIL1H Lb~~ ~~ "'..........n' ,,_ __ JIM WILLIAMS FENCE CO. 934 East Rose St. Lakeland, Florida 33801 Phone (863) 688-1194 \ ~I .- "" "''''''''"''- ~ ......""~lL~ ""...""'-"'- SHEET No.1B f\ ) - _ ( _ OF \ CALCULATED BY ~ DATE III ~<.o 10J CHECKED BY DATE SCALE f\/ -r$ BL-cYr - llf)h7( II i lis. ~Vc~ e.ooL()9 -h\fUS IL rJ(.,~a. (0 '.:>l,I~/ \ .. r If I~\h ~~ l~K~U\Q Q ~(eAj '"PDS +,\\Q1 S-hrlpS 4" NOQ'f11 1-b~~ ~K ~t>.....,", ~_ .,__ FROM.: WILLIAMS FENCE FAX NO. 9416836402 Dec. 05 2001 04: 37PM P4 JlA ,,,,. w_ . "1,11 ~,,- Do 11II"'""...... State of lIIorld. } COk~ ~ I , ... ......'~.n... ......, _ ... ..- _ ....__ .... .. ...e.. '" c..."'" _'_ ... In _... ~ Me1Ion "3.13 ef the r:lo,'d. 'tetutu. thtI f~JoWl"e h'fanft.1iolt f. 'lilted In tfll. IVQnCE OF CO....MflNCEMS;....T."CC a"vrlpdon 0' Property...,..,. ~epWlr.b;f.U~. .Rf.h~.J;. .9~'!Ip.~p'y....,. , . , , .;, , ... . . . , . . . , , . . . , . . . ., . .. . . .... . . .. . . . . . , . . ... . .' . 4330 20th St Zeph. FL' 33540 ... .................... ,...................... ............. .......... "?;;';;;" 'iI.; i'":J~'"'''''''''''''''''' ..... .... .... .....".. ............. ........... .... ............. .,............:......... ....... , . UJ;;)./ 00700 7yOJ _ ()OOL' . '. . I . ......................................... . '0, Genere' <<f.acnptlon oflmlt'o"...nu ......lm;~f.).~..~.~.'.I;t...~.q~,~R.;~;!.~~..f.~~.~~..~I,1~ gates with PDS filler str1 ~ I a around w~ter cooling towers . 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N/A . ~ . , . . . - . . . , . . Addr... ,.............................,........,................,.....,...,.............................,..................,.... P""on within die 8tllle of Florid. d..lg"lItIId by own... upon Whom. ".ti... or 01he, dOCUMent. ma., ~ .."".d: Name .....................,..............: N /.A. . . . , ... . .. . . . . . . . . . . , . . . . . . . , . . . . . . . :. . . . . . . . . .. . . . .. . . . . . . . ... . . , ..,. .. . ... , . . . . Add.... ...,............................................,...............................,........................ ..,.....,...,. In addition to him.elf, owner dMlg".I" 1he follOWing ~e"'on to ..c:ei.,. _ oqpy 04 the li.~...c Netice .. proyided in :se.:lion,. 713.13 111 (hI, Plorlda at8lUtes. IFill In ., Owner'.' 9IJtiont. :: Acld,.s~ ....,......."""..".... _ .. _ I . . . . .. _ . .. . . . . . . . . . . . . . . . I . . . . . . . . . , mt. "ASiI FOR IIlI~O"OI"" U.. OIlfLV ,Name '............... _...... ....~ ........._J3./.~..,.............. ........... Rcpl: 548922 DS: 0.00 12/07/01 JED PITTMAN PASCO COUNT~C~ERK 12/07/01 12: 1iPm 1 10762 OR BK 479'1 PG Rec: 6.00 IT: 0.00 .--_ '_... Dpty Clerk . ... " .~.~~...;..M.... , ~ Cal~~~ ow-, r~ ~ Swam to ana aUbaetibad befere me this ...... . , . . , , . . . ; , . . . . . . . .' ".. .,... . a .._..~.::...~ of ....... ~"'.<:.Ilt\th~.... N '. .. . ". ~__~I .,.............~.~...~~....,..... Notory Public 111111111111 1111I111111111I 11111 1111I111111111/11111 111I1111 20011702!57 ~,"If'JlI ~~;&ifI'\r~ Ruth L GiH ~( }j MYCOMMISSlO~.# CC911S97 EXPIRES ~1~ ...~ Apnl'13.2004 ' 'I!f.,~'[....,,- EONI>fLl TH.u TlOY FAtN INSUtANCf, we. Recieved Time Dec. 5. 5:02PM