HomeMy WebLinkAbout02-1108
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1108
(813) 780-0020
Date
~ -:Lta -02-
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Property Owner:
Job Address:
Parcell.D. "
~" ~ ~-~
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Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s;
Zoning:
Description of Work
Energy Code:
.L/ I /-11
Radon Gas:
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NO OCCUPANCY BEFORE C.O.
FINAL
- --0 A
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Valuation or
Contract Price
/50'
Company
Address
celePhone# ~gJ 5'-
7Y~ -IRIPt16
City License Registration # -----
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BUILDING
.------
ELEClA-te~L
~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLU~-
--
MIiCIIAr<JI(.AL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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 ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
~.'f{J .t.r~
ADDRESS DATE PERMIT.,.
S4l{ I - \ <?~Jl -4- 2-(!) L. / 10
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
DO NOT REMOVE
I. il unlawful 'or any Carpenter, Canlroctor, Builder, or other pe/'$Onl, 10
cover or COUM to be covered, any port 0' the work with flooring, loth, earth
or other material, unlllthe proper Inlpector hOI hod ample lime to approve
the Inl'ollollon.
. AFTER CORRECTIONS ARE MADE CALL
788-66~JION
INSPECTOR
OfFICE HOURS 8 - 5 MON.-FRI.
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1109
Property Owner:
Job Address:
Parcell.D. "
~ (813) 780-0020 __
~5' ... _~~
C~ FCTRI('.~ ~ GECHANICAY
q~~./~~~
Date
;8 - .;2~ - tl:2-
.~-'
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL
/f- - {)~
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
BU II.J)WG
~
Inspector
~
~./j99 .
,
City License Registration # / f :z..
State Certified License#
Valuation or
Contract Price
~~
C=-~E.~!~lr0
PLUM.&Ntr
.---
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
pre-M~
Final ~ -:? -0.;2
SLB
Tub Set
Water
Sewer
Final
121. r flJO
I
Breakers
Ducts Insl.
Compressor
Final./" V -3-0 ~
RL~
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.
Ki~s;;C'C~~;~1 ~~~~. r-'
11~7
Heat & Air-Conditioning, Inc.
P.o. Box 2209
Zephyrhills, Florida 33539-2209
(813) 782-2300
RA0056288
NAM
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17. DATE_OF. ORDER I
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DATE PROMISED
ADDRESS
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APARTh4ENT
CITY
MAKE
MOOEL
SERIAL NO.
NATURE OF Q
SERVICE
REQUEST
o ESTIMATE
o CASH
o CHARGE
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<i:/ ~
SERVICE PERFORMED
lOTAL
MATERIAL
TECHNICAL
SERVICE TIME
TAX
7~ totd
DATE COMPLETED
CASH ~ ~g:LETlON _
TOTAL
TECHNICIAN
CUSTOMER'S SIGNATURE
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~
OWNER'S NAME
(- At" I /J..
~/A~
G(~
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L /,')V /1/
.
PHONE
77<7- ?y/r
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ,
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_De.olish
PROPOSED USE: _Single FOlily
_K/F
_, of Units _M/H
_eo..ercial
_Indust.
_Swia. Pool ___Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: ,6 TJ'Yv OA~~ 1!J-r-4 _
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECl'RICAL
AMP ServIce
Florida Power Corp.
W.R.E.C.
_KECHAliICAL
$
Valuation of Mechanical Installation
_PLUKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FrlHle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
COMPANY
State Cert. or Regist. ,
City License Registration ,
******************************************
Signature
Signatur
F.T.RCTRIC~ COMPANY kfd./f1l.1] CtU1-7vOrfC-L- tz:~(C
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..........................~~o~
PLUKBER COMPANY 1/
State Cert. or Regist. ,
City License Registration ,
******************************************
..' COIIPAHY ~:r. ~rl..( ~~~
State Cert. or egist. i
City License Registration' ~~~
***********~******************************0 t- L , .~
Signature
~
HEGHARICAL
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
- A. rNOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to ndeed restrictions" which laY be lOre restrictive than City
regulations. !he undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they lay 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 lay be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections I of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that laY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of IFlorida's Construction Lien Law - Boteowner's Protection
Guide" prepared by the Florida Departtent of Agriculture and Consuter Affairs. If the applicant is sOJleone other than the
nownerll, I certify that I bave obtained a copy of the above described docutent and prOJlise in good faith to deliver it to the
"owner" prior to cottenCetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas cOllenced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agenCies laY apply to the intended work, and that it is
IY responsib~lity to identify what actions I lUst take to be in colpliance. Sucb agencies include but are not lilited to:
* Departtent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
Water/Wastewater Treattent
* Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & ~ebabilitative Services; EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic ranks
* US InviroDlental Protection Agency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone HAn or "A,etc.", it is understood that a drainage plan
addressing a "cOJlpensating voluteR will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
A perlit 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid
unless the work authorized by such perlit is COIIenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IODtbs after the tite the work is co.enced. One 90 day eltension of tite, laY be
allowed for the perl~~ with fee charge of $15.00. !he extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
WARRING TO OWRER: YOUR FAILURE TO RECORD A NO'l'lCE OF COMMDCEllltff MAY RESULT IN YOUR PAYING !VICE FOR IMPROVBMmS TO YOUR
PROPERTY. IF YOU ItffBMD TO OBrAlN FINANCING, CONSULT WITH YOUR LENDER OR AN AnoRRIY BEFORE RECORDING YOUR NO'fICE OF
COMMlNC NT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED !O RECORD AND POsr A "NOTICE OF COMMINCEMEtff".
.. ~?(ue0" . Lr,f.j2$- i~r/Zft7&C~..-C<k:"?
SIGNATURE: OWNER OR GIRT I SIGNATURE: CONTRACT R
S!ATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19 by
---
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was aCknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC