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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 .' Nol..~~ s r-.,Q" Vfl.c. pfl"l e: I He... r7~~J.. t-<.S 4 \ L~t-~ F\~, $3549 ~ ~a;. .:;),Eff eop,! ~. ()) -:'\L ~ 7"J , ;-j .- ~ '~ 1\ ~ - ~ -; <f: \{) lV-J....: fY) r'''-' 1"/ . v Q~ M .z. ~ t::i. 'J <= ~ ~ '-" ...J , ~ \:) -:i ~ .~ J f'. V) f{) -P ~ <-I- 0 .-:)- ;> ~ tJ II-~ ocI, r ~ 00 N 10' M l \ JJ. ?,.< <'1- ] t L 00 r~ 1- ;).~foO G/t{fo N e.. 66( e. "-- 5/1;11 '"' (; (/' ------ 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. II ,I i I I ! II \.I I.: I ! I I , I I ; j I II j I i I i' j I . I ! l I \ I I I I I I II . 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