HomeMy WebLinkAbout02-1400
BUILDING PERMIT
Permit N!!
CITY OF ZEPHYRHILLS
(813) 780-0020
1400
Date R: -I =1- 0 <
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
P'OP.:f~f...t;Y JJ~- iVW T .
Job Address: 7 _ __IT CD ~.f
Parcell.D. ,
bl v(() ,
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code: Radon Gar
TlI\T.e...f/,oy . --r;jvt,'11nuc Wi\; po;r
FINAL
C.O.
DATE
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.
DATE
Inspector
City License Registration #
State Certified License#
3005
fPermi~~
Signature
Company
Address
Valuation or
Contract Price
00 ~\@V
J {CTVV
BUILDING
ELECTRICAL
)<JTelephone# 1"27'" 2.."4'l^ 08i?
,
H *',0' pi IIMh, 1,
);I- P { S'
PLUMBING
~~
MECHANICAL 5-eJZj
J..J~d-,oYl ~ ('c.{g CNl~r
,
.-
Breakers
Ducts Insl
com'Zr .
Fi' 9 ~t(-t7Z,e~
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 /1-// -t1~ !Z(y
Driveway
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:
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.
CI'1'Y OF ZHJPUYRU:UJIlS PERMI'll APPIJJ:GA'l'ION
BUlIJIHNC~ DBPAR'l'Ml!ltl'r 53]5 8th Sl'REBl'l' ZlllJilIlYRHII,IJS, FI, 33'540
J,HlCJlU, DHlSC!RIP'l'JOll1 1,0'1'(S)
BUJCK
SlJBIllVISJOII
PARCEll, III ~t
..---.-----.---..----.---- ....-.-. .-_.__.~..-- -
HORK PRUP8EllJ, []NEM (!ONSTRUCTION
-.._-_._--_.~._-------,----_.__._- ---'-- .._-. --.- -----..----------------.---.---------- -_._----_._----_.__.._-_.._.._---~-_..._-_..
(UB'I'A1N F'Rot1 PROPElR'l'Y TAX tl0'!'lt!Hl)
lJ l\UIH'I'IOll
[J A I/rlJ:R I\T ION
[J REPAIR
LJ UlflTAT ,I,
[J S 1ml
LJ IvJOVEJ
[J LlElt10Td SII
PROP08ElIJ \JSEl I [Jsm, FAMH,Y 1MBlJJldUq
Af(!nM~IEJRC JA1 I
LJr'1UI/I'I .. F'M1Il,Y
[J# OF' IIIUTS
1".11'<losnE: 1I0Hm
1.:1 (J'['II ElR
[] INDUS'I'RIM,
[] SNIl1MTNG Poor,
11I1]SCIUPTIOU- f)F' NOIU<
(
BlJII..JJINt;! S H~El
r..:-..~1 IU1STAURAl1T & HBlAU1'II DHJP1\R'n1EJN'l' APPROV1II, _
;:r~sfP1{L1.kjrrL<,:.clid<v'_<t/# ":0/ ,,(/g d..__ _ ._.
----------------.--.--
Sl,JlJAREl FOU'J'Arm
RElSIlHlll/'I'IAT, I
COMr.1I!JRU.I1U J I
------~ ---~-__w
IlIllIGlI'I'
A'l'TACIl (;l) PI,OT PI.1\HS & (:2) SETS OF BUIJ,rnNG P1,1\'-'Ja & (J, SElT ElNIJlRGY FOR/.IS.
./\'I"J'AC!II (3) SEl'1'S OF Bl1Ir,DIlm PLAHS & (1' SElT BJI1I!lJH~Y FORI-IS.
PfUlPJl1ItTY SURVEY RElQtHREJD P'OR AI,II NE1lV1 CONs'rRIJr'T ION.
PERMITS REQUESTED
--------._------- ----~
[-oJ BlIlI,fllITlJ
$ -.-.---.--.---------..--- VAI,\JATION OF '['fYI'AI, COllS'l'RUCTJOll
[I HlLEJC'l'RI(~AII
I" 1 Pl,lJr-1B fl1(~
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At-1P 8EJRVJC'El .
(]
FJ,rJRIDA PCiNEUR
[)
W, R.I!l.c!.
jJr HHJCIIAll U!)\ IJ
[J 13}\S
LI ROOFIW;
$.--3._<2:Q_: ~--_. VlIJ.l1l\'l'IOH OF '-'1ElC'IIANC!lAI, Il1STAI,f,AT lOll
LJ SPEll.! I A/,'!' Y
[] UTlIElR
'f'YPIll OF CU!-II3'l'RlJC!'l' 1 ON I ~. 8I.oel<
FUH8HEln FLOOR ElIJHJVA1'IONS
U F R 1\wn
LJ S'I'BlEI,
[) O'l'IIER
-----.---.----.--
IS PRChJE1(!'!' IN F'LOUf) ZOlm AREJArJ YEllS
r:1 NO
BUlI.TJI!lR
~****~***************************************************~********
COMPAl1Y v'-". _____.______......_.___..._________...._.__.__..
STATE CElRT UR REcUST /I ___._____.__.__________.._.___.
CITY PROCElSSINa #
-~-._------~._._~-.__._--- ----..-.-------
81ml1\'l'lHHlll ;:.. .
v:.-<--~~_______._~__.______.:..._. .___~________..____. ___~'___
I!lLJllO'l'RIU!AU
COf.1PlINY ~_______._.____._.___.._________..___..___ .
ST1\TI1J eIlJ!?'!' OR RF.(31 ST #
Slml1\'l'IJREl '.----------_______._________ CITY PROCElS8ING #
_..~.---_._-~-------_.
Pl,tJMBlIR
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---------- --.----0__- .____._0____._ ____..._ _
-...-...- ----- . ----~---_....- .-..-...-- -.- - ------~-_. -- -- .- --- .-----.----
(!or'IP1\NY-.-________..___.__. ... ...._....______...__ _.__ .______... .
STATE ('ER'!' UR RBl<HST # ___.___..____._.___ __'.... ___
CITY PROCEUssum #
S J f3tl1\TlIREl
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MIJCHANWAL Cm1P}\IIY -~~<;L<.T..J-.-/:1/_~ . ._______.__
.-/7~ . ,/ ~ S'l'ATHl CHlR'f OR PEtHS'l' # _.~ t;&-I.ffY.....G...k-:____.
81mlJlTlJRIll -_._~~~..'=.______.._______ ('lTY PRUCElSSIHG ~.3.Q2-t--.__.-._..__.____.
----. - -....--.---.-------..--.--....-.---.-.-. _~_._ 4 _._
*****************************************************************
(l1l'HI!lR
-_.~_.o__._______.___.__._~___~_____~__.~_____ __.._0_._.___..____
*********'*******************************************************
cor.'!PANY
STATE CEJRTORRiiiarSTii--.---..--.-..-.---.---.----
('I'l'Y PROCESSING # .----------_._....____..._____.__..
f
. _.___n~..._._..~__._._____ _"____.______.._.. .....__ .
SIGNA'I'IJREl
.._._.._---~- - ---_._._------_.-.~.._----_._-_._--_._-_._._- ------,--
U.JfI.lJJ'l'JUNS OF' PE:m',:':' ^t;'~':'~)AV!.';'
J,. 11U'l'TCEl Oil' DElEn RE:S'l'RIC'I'IONS
'rile uudenslglled lllldel:stands that tJds permit may b,~ slbJe:.;t 1:0 "deed restdcl:lulls" \"Ildub
IiIClY I.JE: IIlOI:e restJ:Jct:l.ve than Cl.ty regulations. 'l'h" lud',rsl.qned assumes respollsl.bllJl:y Eor
(lompl lance \/It.h any appl.icalJ.l e deed r:estrJc:tloIIS.
B. llNl.lCEiNSlllU CON'I'RA.C'I'oRS ANn CONTRACTOR RES PON 5 T 131 L ['l'lE:;,
J f the Ulmer lias hlI:ed a contJ:actor or c:ontractoul to 'llId"nt:ake I-Iork, they Ii\ay be req\dred
I.ll be licensed In accordance vl1th state and locaL J:egIlLittlons. If the contractor is lIot
1loElIISed as reqlllred by law, both the O\"llleL and cont ti'lcl:or may be alted for a lIIi sdemeanor
ulolatioll llllder' stat:e li'Hl. If the o\"lner or lntendEld (]Olltractor are uncertaln as t.o I/hat
licensing requirelllellts may apply for the intended I/Ork/, they are advl.sed to oOlll:aut: the
ell:y of Zephydd Us Building Department, 013-'IBB.-6611.
J!'t.u::therlllCJl:6, If the O\'lner has Iilred a contractor or contractors, lie 1.a aclvi.sed to have the
Cl(llltJ::actor (s) slgn port.iolla of the "Contraotor Bec:LiollS" of thls app.licatlon for Hh.lch they
Hill be J:espollsjble. If you, as the Oi'iOer signs as the contractor, YOIl are Ind:1 (JaLing Lhat:
YOIl, rather than the contractor, al:etespons.ible for the Hork. J f t.he contnw\:oJ: III shes
YOll to sj gll as coutr.actor that llIay be an indicati.oll that he Js not properly 1.1 censed and j s
Hot ent.! tled \:0 perllliU:ing prl vileges in the Ci ty of ~',ephyrhills.
(:. 'l'!1l\\lSPOH'l'JI.'l'TON H1PAC'l' FEElS A1W U'l'ILI'l'Y CONHEC'I'ION H'EES
n. C01IS'I'RIlC'I'IlION LIEN LAW (CIIA.I?'l'ER '713, FI.ORIDA S'l'A'l'lJ'I'EB, AS AHE:NDElD}
I cet:l:j ty that I, the appl.lcant, have been proviqed IIU..h a copy of "H'lor:l.da's ConstnlOtlon
l j en I,au - lIollleO\'lller'S Protection Gulde" prepared by the B'lorida Department of AYl.l cultu.l:t!l
and Cons\l1IIer l\ffaJrs. If the applJcant is someolle otlie1: that the "ovme.r", T (jeLl fy that I
have u\Jtalned a copy of the above desorlbed document ,ll1d promi.se .l.n good :EaJth 1:0 dellver
J t to the "D\.met:" 11l::Jot to OOlnmelJC)elllelll~.
E:. CON'I'HAC'I'ClW B!oWNffiW S AFJ!'IIlAVl'l'
I oertj fy tlta!: all Ule information in l:l1i.s app.Ucatlon Js accurate and t.hal: all vlOr), Id.11
be dOlle ln qompllsnoe Hlth ail applicable laws reglllatillg construotion, zonl.ng, aud land
developlllelll: .
ApplJcaUon I.s hereby mqde to obtai.n a permJt to do Hork and i.nstal1atlon as lndioated. I
cerl:lfy that 110 IJod, or installation has commenced pr.1.o1' to isanallce of i'I perlnit alld \.hat:
aJ 1 vlOJ:k IV:U I be perf Drilled to llIeet standards of all lal-ls regUlating uonsl:nwtl.on, CII:y
codes, zonJng regulat:1.olls, and land development regulatlons 1n the jur.1.sdl.ction. I also
eel U ty that.:r understand that the regulations of other govenunental agencd.es may appJ y to
Ihe Jntended worl., and that it .is my l:'€lspons.U:)iU.ty to ident.Lfy what actJons I m\l/:il: Lake 1:0
be in compliance. SlIch agenc.iea .include bllt are not limited to: "'Department of
E:nvirolllllental Regll]aLion--CYP1:ess Bi'lyheads, Wetiand Aresf.I and EnvironmentaLly Senslt.1 ve
],allds, WateL'/WasteHater 'f'r.eatment
ASol\Lhwe~l: ll'lod.cla Water Mlwagement lHstdct-We.lla, CYPlZeSB Bayheads, Wel:lalld 1\1:eas,
AI\:e1:JIIg Wateroollrses
Al~J:IIlY Corps of EIIg.ineers-SeawaU.s, DOcks, Navigable WaterHays
~;j)epal:tlllenl: of Ileal th 6( Rehab:1.litaU.ve Ser.vices, EnvJl:'onmelltal lIealth IJnJ,t-Wells,
Wasl:eHater 'l'r.eatmellt, SeptJc '('al1ks
1'\J. S. E',nvJr.olllnelltal ProtEwtJolI Agency-Asbestos abatement
"I also cel.l;ify that, If flll mateclal.is to be llsed 1n Il'lood Zone "A" or "A,eLc.", lt 1s
1II1del:st.:ood that a dt:ai.nage plall addl:essing a "compensating volllme" wLU. be suhlll.ltted wld.c:h
is pl:epa Led by a lJl.ofessiona.l englneer r'eg.1.stered in the state of E'lor:1.da pLlor' 1:0 pennl. t
iasllallce.
A permit i sSlled shall he cOllstrued to be a IJoense to proceed Hith the \'lorle and not as
altthot:.l Ly to vlolate, cancel, alter.1 or set aside any pr'ovlsions of the teohn.l.cal oodes,
nor aha.l.] j SSlIance of a permtt prevent the Bu.U.d.lng Of fi.cial from therea fter requld.ng l:l
coneuLJoll of ElrrOrs in plans, aonatruotJol1, or Vi(llations of any aoete. Every permtt
.l.aaued shall become invalid unless the work au~hodzed by such perndt 16 nOllllnerwed ~Ji.tld n
si>( lllontha of issuance, or if \>lOrk CluthorJzed by the permJt is slIspended or abandoned r()l- a
ped.od of. 13bt months after the time the worK is oommenced. One 90 day extens.ioll of thns
may be alloHed for the perrott with fee charge of $15.00. 'I'he elttensinn shall be r:equElsted
j n Hri Ling to the Building Offi()ial. An approved inspeotlon InUS t be jogged dud ng eacll 8lH
month ped.od, or the proJeot will be cOllsidered abandoned.
Wl\fUUUG 'J'O OWNElRI 'fOUR FAILURE '1'0 RFJCORD A NO'l'ICE OF COMHI!:NCEHE:N'l' N1\Y nESIJU[' 111 YUUR
P.AYTI/G 'l'WICH: B'OR INI?HOVE:NElN'I'S '1'0 YOUR PHOPER'l'Y. IF YOU IH'l'END '1'0 OA'I'ATtI Il'HIAl-/Cl//lil, COlISIIL'I'
WI'1'lI 'iOIJH l,HlNIJEH OR AN A'I"l'ORNKY BI!iFORH', RECORDING YOUR NO'l're!!', OF COMMHlNCEI'4EH'['. ,JOBS IJHIJI!:H
$2,50U IN VAJ,lIE: DO I/O'!' HE:Em '1'0 RECORD AND POS'J' A "NO'l'ICE DB' C0t111E:NCmME:lI'l'u.
. '. -,_..._._.....-,- -'-'--~- --~.. -. - . -". '---'-'_'~___,,_~_,>o___
Sf GHl\'l'lIl1H: I OWNHlR UR AGEN'f
,')'J'/VJ'ffi Oil' ll'UJRf/lA.
(;011 N'J' Y 0 E' .____.__.____ .__.____._____.________.____.....
'J'he forego.lng instrllment vias acknowledged
Before me 1:llls._ ....._ day of._..________.__, l~__
by ___...._ __.'_.___ .____.._.._.___.._.__._____. ________.__.___..____...______...._
. (name of persoll aCJkno~dedged)
111110 1s personally known to me, or
1.1 HllO lias pt:oduaed___..____._.__._._~______._______
(type of idelltifiaatloH)
and Hho[]dJd [Jdtd llot take an oath.
.., "-~""--- ---...--.--..... ..-., .-.-----.______._......._____n._.."'_.__,.,_.~_"__.. ___
8j gnal:llle of persoll tald.ng aokno\-lledgement
Name typed, prilll:ed or. stamped
--.... ___..__..._.4'_.W__...._.___........_____... . _._.,_._..__,~....____ '.-......_..v..___..._._. _,
S I GHA'l' II RE: C01'1'l'R1\C'{'OIl
R'I'A'j'E: DE' FLORIDA
COHN'J'Y o Ii' ______.__.____......._...._ ..._....._..________...___......_
']'he foregoing Jnsl:r\llllenl: Has auknovlledged
Be fo re me till S _____f.lay 0 f - ....-...-.--.--.-_, 19 _:....
b y _.._....___..____.~______.____ _ _._____.__._.__..._____.__.__...__..
(nallle of person aoknowl~dg~dl
[Lho is personally kno\'ln to me, or
[] who has prodlloed_______.___...__,_.___.___.._______
(type of Jdsnl:lfioal:l.oll)
and who lJdJd DUd not: take an oath
-". '_m.._._..._._..___~...__,._ n._".~_~_......_.._._..._ _ _ _'_.__....,_.~_____._ "_"h_ '__.....~._,
Signature of persoll takl.ng acknoHlsdgwentl
lIawe typed, pr.l nted or el:amped
"
~
-. Mc.w\M.I-0.3utLD (\\.1 --r or Nr+lt.l<n~'
'or'
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e. JII!!I" JItE2
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.... I~"'-- · 30 ,~o 000
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CITYOF II N OT ICE" BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
1////
I 7t;R'/, 44 Btvd. 9-2;0] ;;~~ I
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
.~~' &k~ ~.d!,~ zt'~fl~
7:ozfift~v: cndu: ~ ~ ~ b
DO NOT REMOVE
It ia unlawful tor any Carpenter, Contractor, Builder, or other peraena, '0
cover or caUM to be covered, any port ot the work with flooring, loth, earth
or other ma'erlal, until the proper Inapector haa hod ample tlm. '0 approve
'he Inatallallon.
. AFTER CORRECTIONS ARE f.MDE CAlL
INSP'CTO:88-66 ~~SPEcrION
OfFICE HOURS 8 - 5 MON.-FRI.
Jun.19.2002
ONNBR'S NAME
1:17PM CITY OF ZEPHYRHILLS No.1950 P.
C~AX u, ~~~arRHILLS PBRHIT APPLICATION
B01:l.DJ:JIl'Q DIIPARTHmrr 5335 aU. STallft ZIIPIIY1UULL8, PL 3jS,to
'Phon.,813-780_0020 PaxI813-780-0021.
DATil 1UICII:rvJlD
PLUf8 -.v:r. ra
IJA' -I1ItI2T
JOB SITS ADDRIlSS
PRONE CONTACT
LEGAL DBSCRIPTION, LOT(S)
PARCBL ID #
WORK PROPSBD: )fINBlf CONSTRUC'l'ION
OSIGN
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o MOvs
OALTBRATION
o DJD<<>LISH
o RBPAIR
o INSTALL
PROPOSED OSB. OSG!. FAMILY DlfBLLINQ
~~RCIAL
DtWLTI - FAMILY
o INDUSTRIAL
Oi OF UNITS
DSWIMMING POOL
o MOBILE HOMB
o OTlUlR
o USTAURANT " HBAL11f DEPARTMENT APPROVAL
DESCRIPTION OF WORK =r:A1r.~tDL ~/AJ'.~II(}"r
BUILDING BIZB SQUARB POOTMB ~
HBIGHT
RBSIDBNTZAL: A'1"1'ACH (2) PLOT PLANS" ('2) SETS OF BUILDING PLANS" (1) SET BmmGY FORMS.
COfo9mRCIAL: . ATTACH (3) sns OF BUILDING PLANS" (1) SBT RNBRGY FOkMS.
PROPBRTY SURVlIY REQOIRED FOR ALL NEw CONSTRUCTION.
RBRHITS REQt1BSTBD
}4 BUILDING $ 3D~t:JOO VALUATION OF TOTAL CONSTRUCTION
)It BLECTRICAL AMP SBRVJ:CE 0 l"LOJlIDA POIfBR 0 If.R.B.C.
Pl PLUMBING
o MECHANICAL (I VALUATION OF MBCJLl\NCIAL INSTALLATION
DGA9 DROOPING o SPECIALTY 0 OntER
'l'YPB O~ CONSTRUC'l'ION: 0 BLOCK
o FRAMB
o STBBL
o OTHRR
FINISHED P'L9QR ELBVATIONS
IS PROJECT m FLOOD ZONE ARRAO YlIS 0 NO
.,-f:) 8';
Aw...~aD
COMPANY ,JAll-.J.J...... ~-e . G~~\ck':" .. J-.Jc,J ('-'If
STATE COT OR REGIST" C-6c..c;
CITY PROCBSSING t
BOJ:LDlIR
tIGNATURB. ...c::-.=~
-LBCTRZCIAH
......................................*....*.*....................
SIGNATURB
COMPANY
STATE CHRT OR RBGIST #
CITY PROCBSSING #
PLOJDJIR
't1GNATUltB
IQICBUaCAL
............................-.................-...................
COMPANY
STATE CBRT OR RBGIST 1#
CITY PROCBSSING fJ
.....***.**.........**.****....***..*****.............*.*.........
COMPANY
STATB CBRT OR RBGIST. i
crn PROCllSSING i
SIGNATURB
OTBBll
.*..*........~..~.***~.**.*.*.*.****..*****.*...****.......**....
SIlJNATURB
COMPANY
STATE.CHRT OR RESIST i
crTY PROCBSSING #
......****************....******....*.****...._*.*...............