HomeMy WebLinkAbout02-1018
BUILDING PERMIT~~
1018 .
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
1;)7.50
BUILDING
?1'~O
ELECTRICAL
Date ~ -:2 S- t) ~
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
P,"perty Owne' f]~ It; r c" ~ ~~
Job Address: :=) r--] L ( 3 (..,.JI1..4. cR
u -
Parcel I. D. #
Water Meter:.
T.LF.'s:
Zoning:
DescriPtion of Work
~gy Code:
adcb~~
Radon Gas:
3.5%
FINAL-'I--
C.O.
__ O.J--
DATE
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
'ifp 1< L
//
--#
Valuation or
Contract Price
c2 ((00.
&{)
~~;:::,;d!f!l.f;?
Company
Address
)ifelephone# .1/3- 7.1;}- ;;J~/'
City License Registration #
State Certified License#
fJ{'e 1J1l/rr.~..
Fee F(ee. :#10 t,
BUILDING
ELECTRICAL
L
Breakers
Ducts Insl
Compre sor
Final
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.
C~TY OF ZBPHYRHILLS PBRMIT APPLICATION
BUILDING DBPAllTKmlT 5335 8th S~Uft'1' ZBPHYJUIZLLS; J'L 33540
Pholl.'8~3-780-0020 PaxI813-7BO-0021 A _ /~_ .:v1
DATB UCZZVIID 0<. L..;;). V4.i
PUNS R:BV%BIf J'DI
OWNBR'S NAME (JAJLLCy
.
JOB SITH ADDRESS :1 74 J 3
PHONB CONTACT
LJ tflJ6C lJCJOO
l.BGAL DESCRIPTION; LOT(S)
BLOCK
SUBDIVISION
W G 06t5tJJO()()
PARCEL ID # /O~~I,~lJ- tJ/J/J -oOOOD -h75(j
WOlU<: PROPS ED : DNEW CONSTRUCTION ~ ADDITION
Os IClN [J MOVE
(OBTAIN PROM PROPERTY TAX NOTICB)
o ALTERATION
o DEMOLISH
ORBPAIR
o INSTALL
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULT.I-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DeSCRIPTION OP WORX IITJDWI A/I
BUILDING SIZE rJ. X 3D SQUARE FOOTAGE :J~{)
HEIGHT
J"
RESIDENTIAL:
COMME!tCIAL:
ATTACH (2) PLOT PLANS & (2) SBTS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIR~D FOR ALL NEW CONSTRUCTION.
PBRMITS RBQUESTBD
Ii BUILDING
$ . ~ 'I ()().. tX)
VALUATION OF TOTAL CONSTaUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o
N.R.E.C. (,l~
, 1 '
r1~~L.
'~}/)-- .
, /f/~~~L.;.1f
G~ "'O"'~2..
P6~"'~
YES DN~
o PLUMBING
o MECHANICAL $
VALUATION OF MECHANCIAL INSTALLATION
o GAB
o ROOFING
o SPECIALTY
o OTHER
TYPB OF CONSTRUCTION; 0 BLOCK
D FRAMa
o STEEL
o OTHER
FINISHED PLOOR ELBV~TIONS
IS PROJECT
.=-~
SIGNATURE
********...*******************************************************
J-
STATE CERT OR R2GIST #
CITY PROCBSSING ~/~~
IILBC1'Il'CUK dI-
SIGNATURE J4. V t ~
,
COMPANY t'6t;. El~~t~/<-
STATE CERT OR REG. IS,T # (!.~ wi OKS-
CITY PROCESSINt:; # It)~ () ("
I./J ..
***********.**.*******************.***********.***~***.***..******
- -,'
PLmmn
COMPANY
Sf ATE CERT OR RBGIST #
CITY PROCESSING #
SIGNATURE
JIJICBANlCAL
t*.******.****..********..*************.****.***.**...******.*****
COMPANY
STATE CERT OR REGIST. #
CITY PROCESSING #
SI~ATURE
***************.****.***.********.**.**.*********.*.***.****.****
O'l'llBR.
SIGNATURE
COMPANY
STATE CERT OR REGIST ~
CITY PROCESSING #
******.**..**..*..***********..**..*******.*.......*****.*.*.*...
l 'd
f,tLO'ON
SllIY~ Hj3Z ~C J,1!8
V{jlr:3l lOD? 'S
. : rl r
, ,
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understands that this pe~t may be subject to ~deed re.trictionsq which
ma~ be m?re restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed ~e.trictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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 i.not
licensed as requ~red 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 a. to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Further.more, if the owner has hired a contractor or contractors, he is advised to have the
contraetor(s) sign portions of the ~Contractor Sect10nsN of thie application for which they
w1l1 be responsible. If you, as the owner signs as the oontractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contraotor wishes
you to sign as contractor that may be an indicatlonthat he is not properly licensed and i.
not entitled to per.m1tting privileges in the City of Zephyrhil13.
r. _ 'l'AJl.ltlRVnQ'I'b'l'Tl"\l.' 'TVD7\""" 1I'1l'1lO0 .....'n lTmTT Tn'IV ..........."................" __~
D. CONSTRUCTUION LIEN LAW (CHAPTER 113, FLO~IDA STATUTES, AS AMENDED)
I certify that I, the applicantr have been provided with a oopy of ~Florida'8 Construction
lien Law - Homeowner's Protection GuideN prepared by the rlorida Department of Agriculture
and Consumer Aff~irs. If the applieant is someone other that the ~owner", I cerity that I
'have-obtained a-dopy of the above described document and promise in good faith to deliver
it to the ~ownern prio~ to commencement.
E. CONTRACTOR'S/OWNER'8 AFFIDAVIT .
I certify that all the information in this application is accu~ate and that all work will
be done in oompliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a pe~t to do work and installation as indicated. I
eertify that no work or installation has commenced prior to issuance of a pe~t and that
all work. will be performed to meet standards of'all laws regUlating construction, City
code., 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 1s 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 Enqineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative SerVices, Environmental Health Unit-Wells,
Wastewater Trea~nt, Septic Tanks
*U.5.- Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~Aq or ~A,etc.N, it is
understood that a drainage plan addressing a ucompensating volumeN will be submitted which
is prepared by a professional engineer registered in the State, of Florida prior to permit
issuance.
A pe~t 1ssued shall be construed to be a licenae to proceed with the work and not as
auth9rity to violate, cancel, alter, or set aside any prOVisions of the technical codes,
nor shall issuance o~ a per.mit prevent the Building Official from therea(ter requirin9 a
correction of errors in plans, construction, or violations of any oode. Every pe~t
issued shall became inva11d unless the work authorized by such permit is co~nced within
six months of issuance, or if work authorized by the permit is suspende4 or abandoned for a
period of six month. after the time the work is commenced. 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 IMPROVi'.MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER 0 ATTO 'BEFORE RECORDING YOUR NOTICE OF C C JOBS UNDER
$2,500 IN NOT NEED TO CORD AND POST A uNOTICE OF CO CEMENTN.
OWNER OR AGENT
STATE OJ' FLORIDA 4 rA 0
COUNTY OF ~
The !orego1ng instrument waa acknowledged .
Befo.re me this 4 day of rCf} , d...JIP>-
by
~ (name of person aoknowledged)
;-who is personally known to me, or
SIGNATURE: CONTRACTOR
ST;ATE OJ!' FLORIDA ./J ~St! J
COUNTY OF ~ Q
The foregoing instrument was acknowledged
Before me this /3 day of ~M , 111'" ~1-
by
~ (n~e of person aoknowledged)
~o is personally known to me, or
Dwho has produced
(type
ot
identification)
an oath.
signatureot"Operson t~~E~ckri~ledgement
RiCA I)i\f\, ."'"
Notary Public. State ot ~';2:.:..
,,-,,;-\r'/
Name
Name type~:':,p"" ntedc". ~~~
:.' ';::.,,-,/' v-,,....,,":'.;,:>:;,;:':::.> "::7'':;-'''-':'::.~-'
-;, ~.-.; "~'" V'''"'-::;-, ~ v v ':-:,::;"'::; r'...V&c.:;;;.-"'~-,::." <':,~
Z . d
6tLQ'ON
SllIH~^Hd3Z ~O All)
~dlt:Zl IOOZ 'S '!nr
Ace Aluminum
37413 Wedghewood Dr.
SQ. FEET PRICE
MAIN OR LIVING: 288 $ 40.00
OTHER AREA UNDER ROOF: 70 $ 15.00
OTHER: $ -
VALUATION $ 12,570.00
FEE SHEET $ 85.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 127.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 127.50
ELECTRICAL: $ 29.20
PLUMBING: $ -
MECHANICAL: $ -
RADON: $ 3.58
TOTAL $ 160.28
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
I
1
I
I
1
WATER METERI $
IRRIGATION METER $
: I
SUB-TOTAL $
160.281
SIPS:I $
97.5% $
2.5% $
I
- I
T IF'S :1 $
99% $
1% $
TOTAL: $
160.281
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