HomeMy WebLinkAbout02-1318
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1318
Date
~ -~h-O~
BUllQING.
~....-~.'
Sewer Conn
Water Conn:
_.......~""'"
Water Meter:
T.I.F.'s:
Parcell.D. "
FINAL
-s....c;2- I<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.
DATE
City license Registration #
State Certified License#
~9 '3:3
Inspector
Valuation or
Contract Price
B U 1J..Qttcrt(.
...--'
0', ELECTRICAL
Address.. ~ (
C:~~~;W;;~~ )) )? I (./- ~/6)/ ( ~ I .
.~~ ~ /,
(]/J1 . -.. .. .cjG~
. PL ---- ~F ANlcAL ~.
/)111/EjIJE
.'
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Compressor
Final /7 -{ - ~:2 /2('t'
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.
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING,
DEPARTMENT
q~
PERMIT +
13r8
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections sholl be mode before the job
. . will be accepted.
DO NOT REMOVE
ADDRESS
.:sh:LS
;}3~
DATE
7-2-0L
p~ ~~tZ.~ A- M1iI~
~r;p ~~-~ ~
It is unlawful tor any Carpenter, Canlraclor, Builder, or olher persons. 10
cover or caUM 10 be covered. any part of Ihe work with flooring. lath, earth
or olher material. unlillhe proper Inspeclor has had ample lime 10 approve
the Inslallallon.
. AFTER CORRECTIONS ARE MADE CAlL
788-661 ~ECTION
INSPECTOR .
OfFICE HOURS 8 - 5 MON.-FRI.
LEGAL DESCRIPTION: LOT(S)
CITY OF ZEPHYRHILLS PERMIT APPL~
BUILDING DEPARTMENT 5335 8~h STREET ZEPHYRHILLC;;~~.rOlV
Phone:813-7BO-0020 Fax:813-780-0021 ~~ 33
DATE REt>... $40
PLANS REVI.t>.
iJ \' i ,Ye",-+-- Y, f mAl to<'. Ii ,';i.-,~ifOilE 'CONTACT S '<~_~~
._)!J!y, 1'::;;" 7 ;, f L' ~3.2C)-~
---Lf: ,J:;I . ',J F , _ _ _ ,~ _ __
f- _ '-'.- "'/
'"
.
..: OWNER'S NAME, rn fZ~'. {--'/Ar<o~ c
J
~ JOB SITE ADDRESS_.r;]QL S-
2 _':/ (,~ /l
/
- PARCEL ID #~4-21- O';.?-A
WORK PROPSED: ONEW CONSTRUCTION
BLOCK
SUBDIVISION
.~. f'.....' .
~ ,'"
r,:
J (OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION [] REPAI~ ariNSTALL
o ADDITION
OS ION
PROPOSED USE: ~GL FAMILY DWELLING
o MOVE
o DEMOLISH
OMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
[] COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
~ DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
o
I n\rc." \
~)
1-!{'C0 ~~ f' \<', >;1 ", 'I
F
SQUARE FOOTAGE 11050
HEIGHT
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (i) SET
ATTACH (3) SETS OF BUILDING;;. PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
ENERGY FORMS.
I
.KBUILDING
PERMITS REQUESTED
.. $
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMJ~.rN"G
"<'/"".')"''''..,
/"'1B' MECHANICAL'
C~"-,.._.t:-J;"~F'ING
$__t:2..!'!_~ ____ VAL,UATION OF MECHANC'TA.I
[] SPECIALTY 0 OTHER
T-}J,ST7\_ T.,L.\TI:..;I~
I J,
, (i V He..
TYPE OF CONS;I'RUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
I
IS PROJECT IN FLOOD ZONE AREA 0 YES
o NO
~ BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
ELECTRICIAN
****~*************************************************************
SIGNATURE
M: /3/D E
-
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING # t
PLUMBER
*********************************************************-****r***
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
C ,*****************************************'k*l';~~*****, *** ~***" ~,* ~*:c**,* ,! /;~'! .-' / ,^I,'.
MECHANICAL COMPANY i=t&!()(2~, A..l.', 'hi~ h I l})(::- ,-'-; ( il,Lj').j
.
~ ../'l STA^TE CERT OR REGIST # Ji ftC 0 C;-;';..5 '67
SIGNATURE ~ ..---L.(""'"".....,.~ ~ CITY PROCESSING # ~ 9...?:l
~ .........................................................".......
OTHER
SIGNATURE
i [.
**************************************************************~**
COfvJPANY
STATE CERT OR REGIST # i
CITY PROCESSING #
s
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit Iiay be subject to "deed restrictions" which
may be more :restrictive thall City regulations. The undersigned aSSUID;:'!S responsibility for
compliance with any applicable deed rest:rl.ctions.
B. UNLICgNSED COt-j"TRACTORS 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 thb corltractor is not
licensed as required by law, both the owner and contractor may be cit.ed for a, misdemeanor
violation under state law. If the owner or intended contractor are uhcert~i~ 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 t~e 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 respcnsible. 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 i~
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANS20R'l'ATIOj~ IMPACT FEES AND UTILITY CONNECTION F'EES
D. CONSTRUC~UION 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 COnSUITler Affa1rs. If the applicant is someone other that the "owr;er", I cerify that I
have obtained a copy of the above described document and promise in gqod faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR's/OWNER'S AFFIDAVIT
I certify that ali the information in this application is
be done in compliance with all applicable laws regulating
development. ,
Application is hetleby 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 aqencies may apply to
the intended work, and that it is my responsibility to identify what aictions 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/Wast~water Treatment
*Southwest Flotida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses .
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Se.rvices, Environmental Health !Jnit-Wells,
Wastewater Treatment, Septic Tanks
*U. S. Envi't'omnental Protection A.gency-Asbestos abatement
I also ceJtify that, it tj~l material is to be used in F~ood ~one "A" or "A,etc.", it is
understood that a ,drainage plan addressing a "compensating volume" will be 'submitted which
is prepared by a Jrofessional engineer registered in the State of Florida prio~ to permit
I
accurate and tha~ all work will
construction, zoning, and land
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.pecome invalid unless the work authorized by such permit .ts 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 tj,me 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 COMMENC.EMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE YOU INTEND TO OBTAIN FI~AN~ING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEEORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN Vp.--LU;;': DO NOT NEED TO RECORp AND POST A "NOTICE OF COMMENCEMENT".
'/'Ja/z~~=LL)~~
~K~ ex)
SIGNATURE: OWNER OR AGENT CONTRACTOR
STATE: OF ~'LORI~ " n....... STATE OF FLORIDA. -J") <- ,/} 0
COUNTY OF~'~ ~ COUNTY OF '~::::/::::Q';;;:JJ:~_
The foregoing instrument was acknowledged The foregoing instr~ment was acknowledged
Before ~\e _ ::ei. s ~ay of ~~ -f , },.g~O(Jd-- Before me. this &S nay of ..JIA./l~ , H-~
by f'4\~~~~~"\- ____olct U.\IruI1'\ by ,,---r(j.VJYl fl.yyjr~
(name of person acknowledged) / (name of person acknowledged)
Owho is personally known to me, or 0Iho is personally kn9WI1 to me, or
~o has produce'd~"" L("o lJ.<:..
, (type of identification)
id not take an oath.
o who has produced I
(type of lidentification)
~i at take an oath
o
acknowle~
....