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HomeMy WebLinkAbout02-1384 BUILDING PERMIT Permit N!! CITY OF ZEPHYRHILLS (813) 780-0020 1384 Date 7r-('-O;;' BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcel I. O. /I ~rA 5~~ .)t!13 5-(1.. rr Water Meter: T.I.F.'s: Zoning: OescriDtion of Work Energy n: /9 J' I I ,)...C 1 Radon Gas: - I-oUr ~ NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ,)Signature Company Address ..-\::1""elephone# ~~ ;{/ j)--- City License Registration" J 99 .s- State Certified license# Valuation or Contract Price "'.13- 77~- ~33J IIlkltp~ F~ce Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-M Fina PLUMBING Ftr. Pre SlB lintel FRM. Insul. Cl Wl SlB Tub Set Water Sewer Final Breakers Ducts Insl Com ssor Final BUILDING 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 ZEPHYRHILIAS PERMIT APPLICA'rION BUILDINCl DEPARTMENT 5335 8th STREE'r ZEPlIYRHILLS, FL 33540 PhoneI813-780-0020 FaxI813-780-0021 _ DATB RBCBIVJlID _____ PLANS RBVIBW FBE I OWNER'S NAME LJU 0 V.5' J-! E It. PHONE CONTACT'&)3 tyg -.52.22. JOB SITE ADDRESS 52f3? ~5tlJ ,St-, 2LP/lYf~c-L.s -8 33S-l{2 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED; ONEW CONSTRUCTION DADDITION o ALTERATION (OBTAIN FROM PROPERTY TAX NOTICE) ~NSTALI, D REPAIR DSIGN D MOVE o DEMOLISH PROPOSED USE; ~L FAMILY DWELLING DMULTI - F'AMIL Y D# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o COMMERCIAL D INDUSTRIAL DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMEN'f APPROVAL _7/11sf;4/1 9' { , I if -1~ PT? BUILDING SIZE SQUARE FOOTAGE iJ?/ vfJCv PENCE-. / ' HEIGHT 6" i RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUnDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. D BUILDING $ PERMITS REQUESTED 1/' <:)'7 &.00 ~ 0-r6. -1-_ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FI,ORIDA POWER o W.R.E.C. D PLUMB ING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALI,ATION ~THER TYPE OF CONSTRUCTION: 0 BLOCK D FRAME o STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLBCTRICIAN S IGNA'l'URE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER --.L!E/t/ (" E r-T,v s 7'iI//"E ;<:?, SIGNATURE 7~4=/,O~ ***************************************************************** COMPANY /J ~Ac TlO/V FErvC#E STATE CERT OR REGIST # _ GOZ.05"~900i 9'&' CITY PROCESSING # ;;( 9rs- CONDITIONS O~ PERM~~ ^FFIDAVI~ A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsN which may be more restrictive than City regulations. T]le undersigned assumes responsibility for 'compTiance with any applicable deed restrictions. B. UNLICENSED CONTR1\CTORS AND CON'l'RACTOFl RESPONSIIHLITU:S If the owner has hired a contractor or contract.orl~ to undert1!ke work, t.hey may be required to be licensed in accordance with state and local regulat.ions. 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 \-lOrk, they are advised to contact the City of Zephyrhills Building Department, 813-78B-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor SectionsN 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 U,!'ILITY CONNEC'rION FEES D. CONSTRUC'rUION LIEN LAW (CHAP'l'ER 713, FLORIDA S'rATUTES, 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 ced.fy 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, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-ASbestos abatement I also certify that, i~ fill material is to be used in Flood Zone "AN or "A,etc.N, it is understood that a drainage plan 'addressing a "compensating volume" will be submitted ",hich 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 iseued shall become invalid unless the work authorized by such permit is commenced within SiK months of issuance, or if work authorized by the permit is suspended or abandoned for a period of SiK months after the time the work is commenced. One 90 day extension of tJrtte 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 'fa OWNER: YOUR FAII,URE TO RECORD A NO'!'ICE OF COMMENCEMENT MAY RESUI.T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR I,ENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER $2,500 IN VALUE DO NOT NEED fro RECORD AND POS'!' A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNNfURE: CONTRACTOR STATE OF FLORIDA COUNfry OF The foregoing instrument was Before me this _ day of by acknmdedged , 19_ STATE OF FLORIDA COUN'rY OF The foregoing instrument was Before me this _____day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or o who has produced (type and whoO did Odid not (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid D:l.id not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment' Name typed, printed or stamped Name typed, printed or stamped . ~v ~. J A ACTION .r--y-ENCE CO. Your Fence Company 8327 Jacqueline Ct. · Zephyrhills, FL 33541 (813) 779-4331 .'. Name: ~'rw 1/1/ 5' ffF,4 Address: 5 L/~3 J 5- t:f 5~ 2~~1yrA,.//j ~L 33S-~L Phone: 7lf8 -322. z. Sunshine State One Call (1-800-432-4770) Reference # ).. ( ~ L DOc;. , Date: '7- 3 1- ~., <- FENCE SPECIFICATIONS A ~/.J / - f/jIt/"Ui:Ji.4lc /- /tJ /;;, UP/f/C G41'&. ~~-- rE#CC t!CJJ{ It ~ 777.:~ t:hJ Z-E~/yl"I/J.IfI!MI1' -r 3L7---=--- ~Ol) 1/ ~ 3'2/J ~ /3*!-K 11/It:'y'-i' '----~f Ex,w,Jj./I f cfl,4,,"J ;/ \ ( J,-I y/Jfo- )I ( I I iO'P.!lf.lv'EG'ATt (pv'/ BdCKytfRO ( I"" J::"uf; 119 \ C, l-'I\j( I~ I l . r'OI I I I '~I /3 I/~'- /tl.M<..ter- , . /0 If' f.,I/AUqiI'TE ~- 5M SI-~e-i!T g' I , , I I I - -- Customer agrees to furnish and be responsible for property lines. This quotation does not include compressor for digging in underlying rock. A Action Fence will not be liable for any underground wiring, pipes, or other conditions not known to us at time of installation. Customer agrees to be responsible for all building code and home owner association code restrictions that may apply to the erecting of a fence on their property. A Action Fence: ,c:.A2./ _____/ By: ~. We hereby propose to furnish labor and materials complete in accordance with the above specifications, for the sum of C' ,I $ ~ Y'2f - With payment to be made as follows: S- 0 ~ 70 7'f/lr/ d.ld wA~~? Cb"o/Rk~,. Accepted: By: We Accept Visa & MasterCard Warranty: One year on materials and workmanship unless extended manufacturer's warranty is noted.