HomeMy WebLinkAbout01-0870
BUILDING PERMITN~
0810
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
;25 ' ~ /
BUILDING EL~RICAL
Property Owner: B4w.1<.'fl.
Job Address: 550 () {, -
Date 1:2 -;((, .... () I
PLU~
MEC~AL
Sewer Conn
Water Conn:
rr fr1 A/1 tJ - .5
;;.7'"
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Descriotion of Work ,;( t.....J,,1.1 5f ~
Radon Gas:
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
.... : () j...
DATE
NO OCCUPANCY BEFORE C.O.
DATE
City license Registration #
State Certified license#
~/3'f
Inspector
Permit Fee ~ ~-r ~
rsignature .... j-
Company ~ (.... L '- fA- ( c. f / ~fy C'" 0
Address .5-5 -0 /Y / c.. c.. ~ A. /(.p. ~ /
~elePhone# p /) - C j--c.../ - tf- t Y ()
Valuation or
Contract Price
~
~fOO '
Elect",,- 5/~ G:>.
BUILDING
ELE~AL
/"
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final ( J -q, 0 I f2.1-'f
PLUMBI~
~
MEC~ICAL
/"
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
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.
I', fl.. 'IJ ../J
...-e-V'-!,()(
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPAR~ 5335 8~ STRBBT ZBPBYRRXLLS, P~ 33540
PhoneI813-780-0020 PaxI813-780-0021 10 ;~ ~/
DATB RBCBXVBD /5:.X - 10 - C."f
PLANS RBVIBW PBB
I.d~dt.~
OWNER'S NAME J/f-LJ C OCje:. C Oll-..a
JOB SITE ADDRESS s::-.;-o 0 6 T H d T:
L./.'S
PHONE CONTACT.?"/.J - ( J- Y -- f .s yo
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
J'IGN
PROPOSED USE: [JSGL FAMILY DWELLING
~OMMERCIAL
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
[J ADDITION
[JALTERATION
[JREPAIR
o INSTALL
[JMOVE
[J DEMOLISH
DMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
L lvlftL
c,,-y
SQUARE FOOTAGE 90. j
HEIGHT
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
If; /Jo
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
SIGNATURE
jzA- /I/r Cstr
COMPANY t- L /(./C- d' ~"y
STATE CERT OR REGIST #
CITY PROCESSING # -I- :21
BUILDBR
******************************************************************
BLBCTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MBCHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands tliat this permi't: may be subject to "deed restrictions" which
may be more restrictive than City regulat:ions. The undersigned assumes responsibility for
compliance with any applicable deed restric1dons.
B. UNLICENSED CONTRACTORS AND CONTRACTOR ~~SPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may 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 contractor, you are indicating that
you, rather than the contractor, are responsible for the work. 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 AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been 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 that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement. I
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 commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
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 must take 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-Wells,
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 volumeD will be submitted which
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 work 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 plans, 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 commenced. One 90 day extension of time
maybe 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 IMPROVEMENTS TO 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 OF COMMENCEMENTD.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, l!L-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 19
(name of person acknowledged)
o who is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoDdid Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid Diid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
.
I Typical 'Portico Elevation
I '
( , I / \ /
r
6"--=r-1
4.~
14 Ft. (36- -8-) Stacked logo
23'0"
~
I 168" I
nI.B~dCocK
I H 0 M ~.:..........,.f.:.'i..\.'.f..'..;..'.;.;'......,..r.;...... URN I T U R E
L- '/>,"Y,..;
22'0" 24'0"
r 14'0. ,
I- 12' --0. 1
10'-10-
"Badcock&.more" - Typical "Portico" Concept
Scale: NTS Revised 10/10/2000
'" RV1ls ReserYlld. NO Part 01 ~
Drawing May be Reproduced gr Copied
in aI'Of Form ~ or EIec1ronicaIv)
\Mlhout Expressed Witten Permission.
: SUN SlmE foEON
AND SPECIfICS
: W.s. BADCOCK CORP.
@ SlIl State Neon 2/2000
1-800-726-1607
- 14 Ft. Logo - Typical "Portico" Front Elevation -
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FR~1~~~t ltU_i"F' FIRCI1] '!'ECT
PHCI'E 1-0. El63 G43 9136
Dec. 06 2001 el5: 4~ Fr.2
12106101
To whOm It mayeoneem.
[Colcnau Davis avthcrlze _ W.S. Bwicook;corporation tQ apply forb
n,",Pl')' 8. ~ 10 ere.et . IMW Alen ~ ~ exterior of Dl) buUdlnJ.
and in.1all tJM lnterlot 5~e . my properi)' tocated at:
Be<<ock Heme Jtwmlhl'liP Center
5500 ((1& $1.. :
ZqbyrbUls, Fl. 33'41.'.
r eel-:-
s~:
DUe:
Ilfl,~~ Carmen A. Britton
~ ~~8moo#CC~~6
:: . .:: Expires Oct. S.2004
" ~ BondedThru
o :"w.. "...... Allantie Bonding ::tr
(~~ 4, 8f'W~
STATE OF FLORIDA
COUNTY ,OF POLK
Sworn to (or afflp:tl~) and ,ubscrlbed before me this
~dayof ~('otY\~ .20~.
, by 6e>.M.!1 ~ e. P~'" >
~I cfJ .r ~ /J - 3 f , 'i+r..--.
CARMEN A. BRITTON
Personally Known~OR Produced Identification
Type of 1.0.
Icb.. -- of - () /
~~'OO/La~~ ~~;~(
~l':s':l~.'::l~':'
H..A/'ll ''';.1 If 1:S.:.uJ'.;ul.i"::'
t-'~t:. '.3.1.
FRa~ : ~)lt WLL~r ARCHITECT
...~_I
PHCJE NO. 863 &46 9136
Dl!e. 06 2l?01 0!5 : 4eflM p;z
12106101
To wbOlD it may c:oD(.erIl.
[Colemau Davis avwrlzt1he W.S. Bmcook;Corporation to apply fortb.e
n~aary Ii. ~ 10 ere.et . n.., -len no ~ exterior of Dl) bui1~
and inl1lll1 tOe i.nwlor slpaaa at my property located at:
Badcock Home 'f:umilhl"1p Center
"00 ". S-. :
ZqbytblilJ, PI. 33"41..399P
fe~
Signatw'e:
Date:
~"ltt#l,...~ Carmen A. BrittOl~
'-Commission # CC 973026
~S Exp!res Oct. 5,2004
~.. ~~ .Bonded Thru.
f "II" \ \ Atlantic Bonding C:i/fc
0-( ~ --- 4, (;" ((IT--)
STATE OF FLORIDA
COUNTY .OF POLK
Sworn to (or affl~~d) and ,ubscrlbed before me this
~day of J,A: ~ 0 iY'\12~ . 20.a.L-.
. by 6"'fY\.Q,.., C. P~v.::>
~1~t'~tJ. ~f, ''H-r-,
CARMEN A. BRITTON
Personally Known..!::::::. OR Produced Identification
Type of 1.0.
Icb -- () f - () /