HomeMy WebLinkAbout02-1188
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BUilDING
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
Date ?t.,;;; ~- & ~
1188
Sewer Conn I ::2 7S- . ~
, (YO
1i:.'~ ' . // Water Conn: ,':3,\8.' tYD
Property Owner:. ~ I ~, 3M II....f11 Water Meter: I 1;; M:)
Job Address: -- J (Vt:JW~ ~., tiC/a ~#1Y T,I.F.'s: I;~()'
Parcel 1.0. , ,;<.,~~ 4,-.5/ Fu ~ If 7. ~
(/ 7'
rr, . Co,I1. /75" #0
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3s,tfi>
ELECTRICAL
(813) 780-0020
3~'pV
PLUMBING
.25' ,.f)
MECHANICAL
Zoning:
Energy Code:
f-\. 8. s~ ~
Radon Gas:
Descriotion of Work
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
P~rmit Fee /~
~Ignature..,.~_ - fi~
Company
Address
k""Telephone# <6/1 977 - 7 '1 t!)L)
Valuation or
Contract Price
City license Registration # :21 V r
State Certified license#
~~~
BUilDING
,t; u,f ~ ""'1/.'1
4'2') ~
ELECTRICAL
~~ ~ [)~1lu..\.5~
<TT ~ Cf9 tt: 1/-;8'/
PLUMBING MECHANICAL
SlB Breakers
Tub Set Ducts Insl.
Water . Compressor
Sewer Final t~/O -tJ.:J.... Ktl(; /lJO
FinallA -/tJ-~J..- "K1..'-071J7;
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final ~ -ltJ- O.J- Rtft
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Driveway
lJ,t?cJ!/ /p _//-0:2 /,:}:/7 ~ 5~?'1'i~ t:I--
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 PERMIT APP
BUILDINa DBPAR'1'MENT 5335 8~ STRBBT ZBPHYRHILLS. PL 3354
Phone:813-780-0020 Pax:813-780-0021'
DATB
PLANS
OWNER'S NAME
LEGAL DESCRIPTIO
PARCEL ID #
DSIGN
(OBTAIN FROM PROPERTY TAX
o ADDITION o ALTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH tLLE
o MULTI - FAMILY 0# OF UNITS HOME
o INDUSTRIAL o SWIMMING POOL o OTHER
WORK PROPSED: DNEW CONSTRUCTION
PROPOSED USE:OSGL FAMILY DWELLING
o COMMERCIAL
DESCRIPTION OF
CJ RESTAtJRANT ~Z DEPARTMENT APPROVAL
WORK 1w $lMItlt' ~
JP'lIj( ~t) SQUARE FOOTAGE ----41k-
HEIGHT
BUILDING SIZE
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
rg-1(UILDING
~ECTRICAL
~~ING
~CHANICAL
~ PERMITS REQUISTED
$ ~av .- VALUATION OF TOTAL CONSTRUCTION
~ AMP SERVICE
o
FLORIDA POWER
o
W.R.E.C.
$
t!P
/Fco -
,
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLQOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUXLDBR
SIGNATURE.
~ f) Sti
***********************************************
" "
::..~~p ~~~~~~S~~N~IST
* * * * * ~ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *~.......... ..~ JO tl. ~J-
PLUMBBR COMPANY~___________
STATE CERT OR REGIST 'jff ~ h
SIGNATURE ~ ~ ! \..j CITY PROCESSING # r
OTBBR
SIGNATURE
COMPANY
STATE CERT OR
CITY PROCESSING #
(h
REGIST # ~~ LJ 7//F
l'7cal
#~f) ~I orpFl'L..
*****:rJ$i~bAq~ 1)
1./ "'/~-o ff1 I hr/f....
MBCHA!UCAL
*****************************
**********
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 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 own.er 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, 813-788-661l.
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 'r 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 ~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 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN UE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
STATE OF FLORID
COUNTY OF ~~V
The foregoing in,~~ent wa~~ed~~__
Before me this~ day of ,~
by
0- ~ t) s.1;;ct
SIGNATURE: CONTRACTOR
~-
STATE OF FLORIDA
COUNTY OF
The foregoing ins~ment wa
Before me this ~day 0
by
Wl~~
.if"'-.. ~T-"~../" .r
,)
o who
acknowledged)
known ~ me, or
auced ~ .
(type of identification)
[}:lid not take an oath
(name of person a
o who is personally
o who
and whoD did
of identification)
take an oath.
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!:-,,:) E/,:, -~"Z t',':);
.\--~-(" '^'c'Ec:>'
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p~f:.on~~~ng ackno '. edgment
S.."Q PJ" '"', -- ,
~~atary :~t.::= - S"~~!.~ ~_~~_~::;:~:';_, :~
'~----e::'7:; ~'~,-
~UF~('~
~~,
~\ HOMES <~
~(>~o~
I1telligen'" C
March 20, 2002
to whom it may concern:
I, Larry D stewart, qualitfer for Bay Manf'd Homes, Inc.
installation licence DIH000006, give permission to
Truman Norris to pull pemits in my name in the
City of Zephyrhills.
Thank you.
b \:) S~
Larr D stewart
10916 N. Nebraska Ave., Tampa, FL 33612
Phone: (813) 977-7300 Toll Free: (800) 979-6400 Fax (813) 977-5878 E-mail: Bayhomes@gte.net
Visit our web site - www.Oasistech.comlBavhomes
<-.
-
.
2001.2002 Mobile Home Ins~Uer License
Licensee:
Bay Manufactured Homes, Inc.
License Number:
Etfrcttv( 04tc
10-1.01
nlli-000006
~Imt 04/(
9.30-02
Stat. 01 Florida. Dlpartm..t 011lll1l.a7 SalltJ aDd lIot1< V.ldell, - DbIsIo. ollleter V.Id....
@)
..,....
-
The licensee is hereby certified under the provisions
of section 320.8249, Florida Statutes to conduct and
carryon business as an installer of mobile homes in
the state of Flo' .
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I ACORD~ I',j, JJ:l; IDKS C, i.
CERTIFICAT~ OF LIABILITY INSURAN:; W'lILIIC~
, .' IOAYKA-l O:!/U/O.:l -.-
PII!OO.Jt':l!!" THIS CERTIPICATEJ IS ISSUED AS A MAlTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
:Srow.n Ii S;z:OWll, :InC! , I-IOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. o. llcz 1229 ALTER THE COVERAGE AF!=ORDIiD SY TPlE POLICIES BELOW. .~~
T~a TL 33601-1229 lNSURERS AFFORDING COVERAGE
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