HomeMy WebLinkAbout02-1098
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1098
(813) 780-0020
Date
8- :2.;(.- O~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. "
~ e~ ~'" h-cl! ~
<=5 Slfo /ire. //5 ( IIIj?h~ ///t{<-r,R.- )
, a
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
Energy Code:
/71 I '-1/ lI, 'rh.
.I
~ Radon Gas:
'. 2t\Lri k...
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.
City License Registration #
State Certified License#
/9'7 :l
Permit Fee~
)<'Signature ~
Company
Address
X"elePhone# g 1:3 - 115 - 05'- (
Valuation or __
Contract Price
CT. <)/J1;-tJ, f~f1-
BUILDING
ELECTRICAL
PLUMBING
Breakers
Ducts In
Com~ssor
Finf-
Ftr. Tp. Servo
Pre SLB Rough In
Lintel Meter Can
FRM. Const. Pole /
Insul. CL Pool
WL Pre-Meter
Final
Driveway
SLB
Tub Set
Water
Sewer
Final
/
/
/
/
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.
~
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
DATE/ PERMIT."
/l7 cJ0 /0'
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections sholl be mode before the job
will be accepted.
,
ADDRESS
, j51.1o
Nit el'9 +-0
tA Gfy
Sev
nC t;
fA (( Jr'lilr
<:,Q/ \J e t
prtJfJuJ.-y
1\1 ~r ke~
ILlt'fose d
or
It il unlawful tor any Carpenter, Cantractar, Builder, or other personl, 10
cover or cau.. 10 be covered, any port of the work with flooring, loth, earth
or other material, unlllthe proper Inlpector hal hod ample lime 10 approve
the Inltallallon.
, AFTER CORRECTIONS ARE MADE CALL
788-6611 FOR RE-INSP CTION
,
OFFICE HOURS 8 - 5 MON.-FRI.
INSPECTOR
N
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-
F,t.R. 147 42'(P&f}
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SECTION 35, TOWNSHIP 25 ~
PASCO COUNTY
TRELU~A VENUE
(22' PAVEMENT WIDTH)
(60' RIGHT OF WAY WIDTH)
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PAD to
ON
589.45 10 E
81.00(P&F)
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l-STORY RESIDENCE
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c. SIVIITH FENCING ?JCV~ .
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cu~rrur"IEI\j)~-J1I'lt\. ~ DATI.: "3- , I f.:, 10'3
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I-'licu of UlllllUlcliul:.; ami illnli.lllalilill i1\l;ludu1.1 7,: 0' 0 . l~li(;u UUUlUllluoll ur unlilllulu fur........:...::.
lJays II UIII <3IJUvu ualo. All .. \ II mltlllUllulI UlIUlUllluuu fur 0110 (I) full yoar. PUYlllollluuo 011
cUlllplollulI. Ills fUllllur nUlll~d 1I1U11llu 1IItllUllulls lilt! sulu PluJlorly ur C. Glllilll FOIll:iIlU UIlIiI said IlIulOlI<31
has !Joon pulu fur III full.
pnOPOSAL ACCEPTED:
I ~~~~ "'; f)i~ \ D -:J-
-
CuslUlllOr SiUlmlulu Dalu CUI)ltul;lur GIUllolure D<3le
Adthm: "3 % j 4-~ ~~ , C. SllIillI Fendnu
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Phullu: '7 '6LJ,-i' 1;:- H 7) 3 <57 D~). (01 J J 7 'I G-U!iG 'I
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j7Cf-'9D5-LU
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/ OWNER'S NAME WC0 t s ~ 6 Lc.- P (, :< ~ f~
- JOB SITE ADDRESS 3803'- mil A#.~f-. ~<{'q~ ~ A 1
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540
PhoneI813-780-0020 FaxI813-780-0021
DATB aBCBIVED :i - 1(- D P----
PLANS RBVJ:BW J'BB
PHONE CONTACT qL{Cf, '{ ~ 8~
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID #
SUBDIVISION
WORK PROPSED: [JNEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
[JADDITIO~
[JALTERATION
[J REPAIR
[J INSTALL
[JSIGN
[JMOVE
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
[JMULTI - FAMILY
[J# OF UNITS
[J MOBILE HOME
[J OTHER
[J COMMERCIAL
[J INDUSTRIAL
[J SWIMMING POOL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
./ DESCRIPTION OF WORK 5e~ .a ~[60 G""UCA1-S 'TwK i<i.Ut {~~ Ut\G.5 /b 8c/4 /f.ods
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL I
COMMERCIAL:
~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH ( 3 ) SETS OF BUILDING PLANS & ( 1) SET ENERGY FORMS. ~ 1':' .v .
PROPSRTY SURVBY RSOUIRSD FOR ALL NSW CONSTRUCTION~ 1"1'-- &ff 10. ~(
PERMITS REQUESTED cS,/~
~Oo.oo
[J BUILDING
'./$
o ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION -4f j..5. 6.r
o W.R.E.C. r ~"I S,O).
~ ./~"?D
VALUATION OF MSCHANCIAL INSTALLATION ,6- ~~~
[J OTHER /{tf~\ "q 'f1
[J FRAME [J STEEL [J o~L/J~
o
FLORIDA POWER
[J PLUMBING
o MECHANICAL
$
[J GAS
[J ROOFING
[J SPECIALTY
TYPE OF CONSTRUCTION: [J BLqCK
FINISHED FLQOR ELEVATIONS
IS PROJECT IN FLOOD ZONE
o NO
BUILDBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
********************************************~*********************
BLBCTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLOHBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
" "
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHBR
111 C. ,
CONDITI0NS 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 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 mdsdemeanor
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 UContractor 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 uFlorida'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 Uowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the Uowner" 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, 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 UA" or UA,etc.", it is
understood that a drainage plan addressing a ucompensating 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 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 T E FOR IMPROVEMEN~ YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN CONSULT
WITH YO RENDER 0 ~ ORNEY BEFORE RECORDING YOUR N CE OF OMME CT. J SUNDER
$2,500 ALUE 0 D ECORD 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)
o who is personally known to me, or
o who has produced
(type of identification)
and whoD did Ddid not take an oath.
(name of person acknowledged)
[1ho is personally known to me, or
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped