HomeMy WebLinkAbout02-1094
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1094
(813) 780-0020
Date ~-5, 11 - 0 ~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D. "
Zoning:
Descriotion of Work
tJe.sf:s~ P'L'L~
:3 8v 3(q ~f<:i;t 57 uAAJ!. .
c2.A ,
Water Meter:
T,I.F.'s:
Energy Code:
5err/~5 ;)rIOO~
Radon Gas:
1'(/11 n I VI l' i,,1 'f. ...
I J
+0
btl~ ~5
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 eWe4/\.
City License Registration #
State Certified License#
s. p.o
Permit Fe~ ?C ~
/~ignature !tV / 0 12 L~
Company
Address
Aelephone# WC) - C{ ~ li~
~.(7AS/~ &?~..z,(,
Valuation or
Contract Price
~,go
c2,;l. ~r
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
ELE RICAL
PLUMBING
MECHANICAL
I
I
I
Tp. Servo /
Rough I~
Meter (tan
I
Cons': Pole
PooV
PrEf~Meter
Fi~al
SLB
Tub Set
Water /
Sewer /
F. I !
,na '
/'
Breakers
Ducts Insl.
comp7sor
Final~ =i.;2. <)-
o ~ (Jw~
Driveway
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
/ OWNER'S NAME West:s ~ () Le- ? t. < ~ 1+
- JOB SITE ADDRESS 38C)3'=- mllA.f<<-f-. ~)9i?o~ ~A '
CITY OF ZEPHYRHILLB PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540
Phoner813-780-0020 Paxr813-780-0021
DATE RBCBIVED :i - ! ( -- 0 P----
PLANS RBVJ:BW PBB
PHONE CONTACT QQ9, c..{ ~ 8?,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID It
WORK PROPSED: [JNEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
[JADDITIO~
[JALTERATION
[J REPAIR
o INSTALL
DSIGN
[J MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
[JMULTI - FAMILY
o It OF UNITS
o MOBILE HOME
[J OTHER
o COMMERCIAL
o INDUSTRIAL
[J SWIMMING POOL
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
/ DESCRIPTION OF WORK 5.e~ .a ~{60 Gt}-({c>:lJ..S /:wK p.~ftl. ,~~ UnG.'5 Ie Bc.ftr. /(e,ds
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH ( 3 ) SETS OF BUILDING PLANS & ( 1) SET ENERGY FORMS. ~. oC''j) .
PROPERTY SURVEY REQUIRED FOR ALL NBW CONSTRDCTION ~ YI'- &ft Co : ~(
PBRMITS REQUESTBD ~./~
"/$
~OOfOO
o BUILDING
D ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION -I ~.5" 6]);-
o WORO;)J- ~;S~).
VALDATION OF MBClIANCIAL INSTALLATION JKl-II~~
[J OTHER ('rtfJ.-<~ tZf 'fl ;'
o FRAME [J STEEL 0 o~Lv~
o
FLORIDA POWER
[J PLUMBING
D MECHANICAL
$
o GAS
[J ROOFING
o SPECIALTY
TYPE OF CONSTRUCTION: [J Br,qCK
FINISHED FLQOR ELEVATIONS
IS PROJECT IN FLOOD ZONE
EAD YES D NO
BUILDBR
COMPAN DAVE OVITT
STATE
CITY P:
Manager
SIGNATURE
SIGNATURE
COMPAN~
STATE C
CITY PH
813-949-4286
17602 N. U.S. Hwy.41
Lutz, FL 33549
****************************************;
ELBCTRICIAN
* * * * * * * * * * ***** *** * * * * ** * ** * * * * * * * * * * * * * * COMMERCIAL
RESIDENTIAL
PLUHBBR.
COMPANY
STATE CERT OR REGIST 1#
CITY PROCESSING It .
, "
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
SIGNATURE
***************************************************************** 9~-~~8~
r;~S ~r&;:jDPI>>.(~ COMPANY )../tJt!tz.S/c/t; ?~~Jf:;VQ.. I/le.
A') _ STATE CERT OR REGIST 1# ~ <;
SIGNATURE LY' - CITY FROCESSING' .:2.~ !. y ~
**********************************************~1i*************
OTHBR
(
(
CONDITIONS OF PERMIT AFFIDAVIT
A. , NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit: may be subject .to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or cont,~actors 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.
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, CypEess 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 volume" 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
may he 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 he 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 T E FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN CONSULT
WITH YO RENDER 0 ~ ~EfORE RECORDIHG YOOR N CE OF 0 C T. J S UNOE'
$2,500 ALUE 0 D RECORD AND POST A "NOTI 0 CO NC N '.
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19
(name of person ackno~ledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Owho has produced
(type of identification)
and whoD did Ddid not take an oath.
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
.'
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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1095
(813) 780-0020
Date
3 'e:20-tJ ~
BUrLDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. "
-=:fA ~~
'3 ~b 'is
}Ji c..lo{ 5
N~ot"T
M.
Water Meter:
T,I.F.'s:
Zoning:
DescriPtion of Work
Energv Code:
\1q r fiMCJL
Radon Gas:
- ~;nL(:"r
FINAL 3~ c:<:;: 0 :l..
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
.70 ;ft
('1 '1 ?-..
P~rmitFee ~ ~
,.><sIgnature .___
Company
Address
~elephone# g 13 'I I 5" c) 5 6 \
Valuation or
Contract Price
City License Registration #
State Certified License#
C. .5"",'ofl, ~/'", G
BUrLDING
Tp. Servo
Rough In
Meter Can
Const. Pole l
Pool /
I
Pre-Meter I
Final !
PLUMBING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
/
/
/
I
I
/
(
Breaker
Duct nsl.
Co, pressor
Final
Driveway
REINSPECTlON 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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