HomeMy WebLinkAbout02-1338
BUILDING PERMIT.
CITY OF ZEPHYRHILLS Permit N!
(813) 780-0020
BUilDING
Property Owner:
Job Address:
Parcell.D. ,
~t;. e-O
El~CTRICAl
PLUMBING
MECHANICAL
1338
Date
7-9-(J;;{
~lh;tfs
'( 330
-f;o-lfj,€ wJir
/2.0 sf.
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Radon Gas:
1J If ~/Y?-- (I ~7MI <r CCTt! o/l/I,/J
..-:- Energy Uc,e: ,
JflStA ~
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.
Valuation or
Contract Price
7r.~
Permit Fee _::>
~ignature
Company
Address
')7elephone# 8'kf - 9/8' ',,;{O,fo
FINAL
C.O.
Inspector
(1-~-@:L
DATE
DA TE """"""0
'L 1-1 J
"'{'"
;2 1~ 0
City license Registration #
State Certified license#
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Driveway
7ss
ELECTRICAL
PLUMBING
MECHANICAL
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:
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final t/ q -J.o.- 0 7- (2L.L-{, ~:f()
SlB
Tub Set
Water
Sewer
Final
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 APPLICATION
BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, F~ 33540
Phones813-780-0020 Faxz813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME l~~'-tr \\\~ s.~~\'\~ ~~
JOB SITE ADDRESS '-\~30 W\l ~
PHONE CONTACT6\~ \'O~ \'\.5'1 X. . lo>.. 7
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERATION
(OBTAIN FROM PROPERTY TAX NOTICE)
~INSTALL
o REPAIR
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
~NDUSTRIAL
0# OF UNITS
o MOBILE HOME
o OTHER
o SWIMMING POOL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK \~.lc....\\c...\~O\\ ~J' 1.(,/l?~s.'-.. CJ;>~\ ~ (~~ (~~\?,
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
liifELECTRI CAL
$
(lOW '-1a\~ ')
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
SIGNATURE
COMPANY\{'\~""t:L\e.A ~\-.\~ s,\S\U\"\S
STATE CERT OR REGIST # f.~. DI'10 \\C\.<\
CITY PROCESSING # r::27'v t)
ELECTRICIAN
************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
SIGNATURE'f ~~
--~
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING # QYi ()
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned un~erstands that this permit may be subject to "deed restrictions~ whick
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 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, Cyp~ess 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.
W TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING T CE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR R ATTORNEY BEFORE RECORDING YOUR N CE OF COMMENCEMENT. JOBS UNDER
$2,500 I NEED TO RECORD AND POST A "NOTI E F COMMENCEMENT".
.-'
,STATE OF FLORIDA/'f)
COUNTY OF ra .sl!.D
The foregoing instrument was acknowledged
Before me t~s~day of f't'Itu{ , T9~~
by ~ s.s~
~ (name of person acknowledged)
~who is personally known to me, or
STA: E OF FLORIDA
COU TY OF
The foregoing instrument w~knOWledged
Before me this 2"f day of , ~2.a5Z.
by
_ ~ame of person acknowledged)
~ is personally known to me, or
o who has produced
(type of identification)
and w~ did f1Jdidlft, take an oath.
f:j~J ~ Y:i:dI~
Signature of person taking acknowledgement
. a/Ii
IDMMISSION# CC911597 EXPIRES
April 13. 2004
BON.eo THRU TROY F...IN INSU....NC~ INC.
~ VoIand8 A LujIn
Name typed, prirw~("~~acaaM3
,+....~ Expires JuIv 08.2004
~ integr~te, d
/ ~ secunty
(GSystems
. BB
" .
May 8, 2002
To: The City of Zephyrhills, Fl. Building Dept.
Fr: Integrated Security Systems
Ref: Letter of Affidavit
[ Jeffrey S. Nunberg hereby authorize Albert M. Hernandez II
to request, apply and accept permits for work to be done in the city of Zephyrhills, Fl. Applications
tor fire alarm and electrical permits only, installations to include access control, burglar alarm
systems and close circuit television.
-?~~
Je rey S. Nunberg
p. esident & CE
NO~:iJ1t-
jJR-~,/ l:..t100n
~ ~ V....A.....
"::'11* _eo........(lOIlI1Ia
~.~ expn._Gl."
1876 North West 7th Street Miami, Florida 33125 Phone: 305.324,8800 Fax: 305,324,0008 Tampa 813,664,8800 Melbourne 321,7334923
Nationwide 1.888-670,2226 E-Mail mfo.,l'TeamISScom Web: w\\\\ TeamlSS com License: EF-0001199 LR 001 & 002
U~/U~/~UU~ 15:31 FAX 305 593 6993
SEITLIN
i4l 002
....;! . ,,,,,,,,,,,..~.,. ",." .
DATE (MMJDD/Y'i)
5/09/02
SEITLlN
'DDS CI:Il'I'IIlt:AD II1ISlro11D AS AlIIA~ ONLY AND
COI'O'ElLS NO IUGIITS UPON 'J'fI& CKR!l'D'JCAft IIOUl8L nus aaTJm:ATE
00lSS I'IO'J' AlaND, EXIDm OR AL'I'D 'IDE COVEIU.GE AJJ'IJIl.DED ay'IBE
POLICIES IIJ!:LOW.
2001 NW 10i AVE.. SUITE 200
MIAMI, FL 33172
COMPANIES AFFOltDING COVERAGE
INSt.1U:D
COMPANY
A
LEXINGTON INSURANCE COMPANY
COMPANY
Integrated 5ecuirty Systems
ASiR Axit. Inc.-PBA
1876 NW 7th Street
Miami FL 33125
B NATIONAl. UNION INSURANCE CO.
COMl'ANY
C
COl\U'ANY
TBrS IS TO CIl:Il1DY 'DL\1' 11IR IOUCIBS QFJNStIIWIla IJSTED BELOW flAW JIEEN ~ 1'0 nm UlSt1J&8D 1'lAJUl) AIlOVB lOa TAR POUCY IBJUOO
INDlCA.'I'ED, NOrWIJBS'r~ANY ~,11ICM Ok CONDmON OJ' AI'l'Y COIffltACT OIl cmIIRDOaNIHrWlm USlEC"l' TO WBICH'IlDS
CBK1D"ICAU NAY BB I5&tJIII) OR MAY IBIlT.uN, 'l'RS lJ'I&VR,4NC11:.uJOImI:D BY mE l'OUOESlDlICRlJIIi!D m:REINIS stlBJEC"l' TO ALL nm 'lDKS,
EXCWSIONS AND COND1'I1ONS OF SlTClUOUCIES. LJMn'S S1IOWNHAY UAVE BEEN UJruCI!J) ay PAID CL\DIIS.
CO ........OP.....,."'.- 1'0 ,.., POUCYDF. 1'OUCYEXP. L~
LlK . o,n. _,.........,'-&0 u... NtJMJlIlIt DATE lIO(JDD/YY) DATE lMK/DDJYYl '''"''''
A
GENERAL I.WUI..l'1"Y
COIIOf. CJlNAAL LJ~JlJ'Lm
QAJlIISMADE [X]OCCUK
OWl<<Jt's ... CON'!1UCT'S 1'Jlor
X EIlO INCL.
4014117
4/19/02
4/19/03
CENEIlAL ACGJlBGA'l'E
l"a~0Ml'1Or AOO.
l'ZRS. AIJJV. DII'tIIly
SACK (l(.'ClIDENCE
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DESClUPrION 01" Ol'aAlIONSILOCAlIOlIISIWHICUlSlSI'KC.A" ~I\IIS
ZEPHYRHrLLS
53358st
ZEPHRYHILLS, FL 33640
SIIOVtDANY OFnm AIIOW15~l'OUCI&S. CANCIJ.('IO IBfOQ 'I'RB
EXl'DtATIONDATB'DIaEOF. '!BE ISSmNG COMI'ANY WJU..Dlm:AYOa TO
HAIL 30 DAYS waIrIEN Ml'IJCB TO TBB a:amICA'l'E IIOLIlD NAMED TO 'IBE
LUT, BtIT J'AILtIIl& TO KA!L SDal:NOTlCE 5IIAU. EMl"OSE NO OIIUG4lION OR
~ OF ANY IaNDllION 'JDE COIlO'ANY,ITSAGDI'l'SORJtDJtESDlTA1'J\IBS.
4tl'1D01lJZED IIJCIIJIBSKIn'A1nK
.'
;,~
:::>>IAI t: Ut" t"LURIOA
n~PARrMrNT OF BUSIN~~S AND PROFESSIONAL REGULI
: .fL.EeT C']NTR_::r~~~ L1CENS[~r; 30
19~O N ~ONRaE Sf
TI\LL\:lASSer- Fl3Z39Q-0711
l.-..~-, ;. A _~-. .. -~_
~
ON 1..-:, ~-- .'~. ~: 'C I ,.
t 350)' ltf38-]109
~UN~.[P';, Jf-FFi(EY SC:JTT
~ & ~ FtXIT [Nt 06A I~T~~RATEO SECURITY SYS
5013 SAVONA AY(.
(n~~l GAal[S FL 331~S
r. STATE OF flORIDA ACI S'31~SO~
'. . DEPARTMENT OF BUSINESS "AND
~, PROFESSION~l REGULATION
EF -OOOl19~'06/o3/2000 000036~
CERT ALARM SYSTEM .CONTRACTOR I
NUNBERG, JEFFREY'SCOTT
A &-R FIXIT.INC ,D8A INTEGRATEO S
I seE j{ T I FIE 0 under !he prOYislons of Ch. -\ 8'~ FS.
Expirallon Dale: AUG 31, 200 Z
DETACH HERE
5-9ji856-------------~~~T~~;~O~~D~-------------------------.
D=PARTHEHT ~~-8USINESS AND PAOFESSIONAL RE;UlATIOH
' ELECT 'CONTRACTORS. LICENSING "80'
~LICF~SF MBR ~
) :3/Z000JW036~. 1 eF i-noun _..______.___ ---.J
dtlr'~H.SYSTEM C1N~CTDR I
tit. prollsd.i o~ fi ~~' 'Fl.
ltlon date: AU!; 31. 200Z
IBER:i. 'J5FF~F.Y :iC OTT
. R FIXIT tNe DI3A I~TE(;::\J\TE~ SECU~ITY SYS
'6 ~w 7TH STREEr
HI FL 33125
!:B E\U S f-t
OV[RNOR
DISPLA Y AS REQUIRED BY LAW
CYMTHCA A. HENDERSON
SECRETARY
; Q 'f
Pi'SINF:3 NAME I LOGA HON
<. LOCK I; ,?I.
iE!'l6 !\),,; .,
":'; ;~;4 [.1
OV"dNt;P
i. f; FD I
Sec. "IVpf' of Busfness
;; :3 '.,FRVI
rHtS IS ,!I,N OCCUPATIONAL
TAX ONL'{ IT DOES NO!
rERMIT HiE I,JCENSEr T,I)
VIOLATE ANY f-XIS-m,!(.,
nEGUl.l\rORY Oft ZO~UN(~
LAWS OF THE COUNTY on
CITIES, NOR nOES n
EXEMPT THE LICENSEE
fROM l\NY OTHER LICENSE
OR PERMIT REOUIBED BY
LAW. THIS IS NOT l"
CERTIFICATION Or Till='
LlCENSE.E'!, QUAUr-!r:A
"fION,
PA ,(MENT HECEIVFD
MIAMI~DAUE COUNTY TAX
cOLLECTORll/o 6/2 0 0 1
02010l3100Z
0000<;;1.7:,1
SEE OTHER SIDE
"I;,
LF:ENSE NO
INC
I F'EPAIRS
4 CONTRACTORS lICENSt
F.rWL or E E~)
~;
(', I. L U C 1<' ,t. y~ ~qr FORWARD
J F D Y ~ NUN0E~G DR
1 lbtl,.,.; 1 r
r,j I\'~I L :LH2
, 1 , I
" ! , ; i . ,
319275-4
BUSINESS NAME I LOCATION
ABCO LOCK S SAFE
1876 NW 7 5T
331.25 MIAMI
PAYMENT RECEIVEO
MIAMf.:.DADE COUNTY TAX
COlLEClOB"
, 1.1/06/2001
02010231003
000082".80
SEE OTHER SIDE
FIRST-CLASS
U,5. POSTAGE
PAID
MIAMI, FL
PERMIT NO, 231
12498-5
FIRST-CLASS
U.S. POSTAGE I
PA'D
MIAMI,FL
PERMIT NO. 231
RENEWAL
LICENSE NO. :3 3 2497- 7
/I
EMPLOYEES
16
OWNER
A ~ R FIXIT TNe
see, Type of Business
214 RFTaIl STORE
THIS IS AN OCCUPATIONAL
TAX ONLY, IT DOES NOT
PERMIT THE LICENSEE TO
VIOLA IE ANY EXISTING
REGULATORY OR ZONING
LAWS OF TIlE COUNTY OR
cllIES, NOR DOES IT
EXEMP1' THE LICENSEE
FROM ANY OTHER LICENSE
OR peRMIT REQUIRED BY
LAW, THIS IS NOT A
CERTIFICATION OF THE
LICENSEE'S OUAUFICA-
TlON,
DO NOT FORWARD
ABeD LOCK [,; SAFE
JEFFREY S NUNHERG PRES
lBl6 NW " ST
MIAMI FL 33125
11:1::: ~lIt~\~l;~.~ ;,;!l!,li},i~!,.!~i~l.tt!,j\ lil}i~l~l
368987-5
BUSiNESS NAME I LOCAnON
A I; R FIXIT INt
DBA INTEGRATED SECURITY SYSTEMS
1816 NW.7 ST ****
33125 MIAMI
OWNER
A t P FIXIT IHe
Sec. Type of Business
196 SPECIALTY ELECTRICAL CONTRACT
nus IS AN OCCUPATIONAl.
T AX ONLY, IT DOES NOT
PERMIT THE LICENSE. TO
VIOLA IT ANY EXISTING
REGULATORY OR ZONING
LAWS Of HI. COUNTY OR
cm.s. NOR OO'S IT
EXEMPT THE LICENSEE
FROM ANY OTHER LICENSE
OR PERMIT REOUIRED BY
LAW, THIS IS NOT A
CERTIFICATION OF nu:
LICENSEE'S aUALlFfCA..
TION.
PAYMENT RECEIVED
MIAMI..[)ADE COUNTY TAX
COLLECTOR:
11/0612001
0201023.1001
000051'4"5
SEE OTHER SIDE
'.
FIRST-CLASS
U.S:PQSTAGE
PAID
M1AtJjl, FL
PERMIT NO, 231
RENEWAL
LICENSE NO. 385467-1
STATEIJEF0001199
WORKERS
8
DO NOT FORWARD
A f. R FIXIT INC
DBA INTEGRATED SECURITY
JEFFREY NUNBERG PRES
1876 NW 1 STREET
MIAMI FL 33125
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