HomeMy WebLinkAbout02-1435
BUILDING PERMIT
OTY OF ZEPHYRHIUS Permit N! 1435
(813) 780-0020 Date 9 -- f -0 ;;;;....
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D. ,
Zoning:
Descriotion of Work
s s . 7 ~ -1""",(,; "
u.> HW1 3D I
Water Meter:
T,I.F.'s:
Energy Code: ~
c:'O (~ON\. r
Radon Gas:
5; :tJ.-
LJ~
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
City License Registration #
State Certified License#
dtJ/?
Permit Fe.~
~ignature . m~~
Company
Address
A-1"elephone# %13- ?:5?- -1r37q
Valuation or
Contract Price
---
f~u4n ~ ~.
BUILDING
Tp. Servo
Rough In
Meter Can
Const. Po
Pool
Pre-
Fi I
PLUMBING
Ftr,
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Fina
Breakers
Ducts Insl.
Com r
Final
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.
, OWI"R' S "A"o_S-...:'L-L'i?~fe.f11~S _. ...... "'__ ___
,mB 81'l'E ADDRESS _hJ)S-~02_t___3,9L.______._
LEGAlJ DHlS<JRI P'l'IOlJ I {,()'l' (S) BLOCK
CITY OF' ZHlPHYRHIIJIJS PEHMP!l APP1.ICA'1'ION
8UH,lln,(~ IJBlPAR'l'MI!IN'l' 5335 8rh STRBlBJT ZlIlPflYRHIIJI,S, PT, 33540
PhoneI813-180-0020 FaxI81J-780-0021
IJA'rm RBOJuvmn ---q:,It2_._=p~
PLANS RRVIBW FH!
PHONE Cntl'l'AC'l'
..--.----....----...--
--- -------.. -~.,..-. '--.---
_._-----_.~-
SUBDIVISIUN
Pl\RCEL IIi #
___M,_______.__.~_...__.__.
._----._----~-_._---.._, --- ._~ _.,,_....~-~-
WORK PRUP8ED I I]NIlll'l COHSTRUCTION
-----~.._--_._-'-'-_._-_._----------_.._-----------------'_.._------- "'-
(OBTAIN F'Ror,] PROPElRTY TAX N()Tlt!U:)
[] ADflI'rIOU
[JALTERATION
[J REPAIR
/] IU8'1'J\! Ir r
[JSHH-T
LJ t<!OVE
[J LJElliJOIJJ8H
I?ROPOSEJlJ !JSE I r:JSCH., F'AIYJII,Y D\'1ElLLJNG
IJr'1uLTI - F'AHH,'{
IJ# OF UNl'I'S
Ll W)B II.Hl IIUr']Ei
I] O'I'IIER
[J ('UI,1MElRClAI I
I-J JHDUSTRIJ\IJ
[] SI'1 J/,1r1Ulr1 poor J
LlIl18CRIP'l'lON OF' HURK
Cl RBlSTAURAHT & HEAUl'II DEPAR'l'MElN'l' APPROVAl,
--~---- Sih -..12~___________~_____~~___
SQlIARE FOOTJH.:lEJ
Bun/DING SJzm
._~..__._-_._-----._._--_._----_._---
RHI8IlJRlN'J'IAI. :
corYJr-1EJR(! II\! I :
A'I"I'ACH (2) PLOT PI,AI18 & (2) SErt's OF' BlI1I1IHrm PJ,ANs & (J) SElT ElNffiRGY FORt'18.
A'l"I'ACII (3) SEITS OF BtJIfJlJllm PLANS & (l) BElT flJNEJRGY FORI1S,
PRUPER'l'Y SURVEY RE:QIJIHED F'OR 1\1,1, NEW CONSTRUCTION,
.-----...-----------
IIlUlcmT
------.--.-..-
LJ BlIJLllJ NG
[J ELElC'l'R. leA I.,
1'1 Pl,Ul1B flM
LJ HHlCHAIJJCl\L
l? ERMI 'rfLJ~,BlQUE s 'rED
$
- -----.--.-----
VALUATION OF TOTAL. COtIS'I'RlICTION
..-...---....------.-------
MtP S ER V I CEl
[]
F'J,URIDA POWElR
[J
W.R,E.c!.
U (.:lAB
LJ ROOF ING
$.-,-------.------.--. VAL,UATION OF' /v!flJCHAHCIAf, IIJSTl\I,I,A'I'IOI1
LJ SPEt!IAUl'Y
[J OTHER
'l'YlJEJ DF CONSrl'RUC!'l'lON I (] BLOCK
IJ FRANE
[J S'l'EH:L
[J OTHER
F UHSIIEln F'J,()()f~ ElLHlVA'l'JONS
-----------.,.-
IS PRO,JB:CT Hr FLOOf) ZOlJEl AREA[J YES
Cl NO
BUt''''.. CO"PAl1L2~~._..~..u_,_..___.
STA'I'Ill CERT OR REGIS'!' # ___.___._'____.___,_,__,__.__,__
S I (lH~'l'tJr___.___.~___.~___~_.._ CT 'fY PROCOSS TNO 11.......30/..6..._____.______..__.____
""""""""""""""'*""""""""""""""""""
J!JI./BC'l'RICIAN
l'OI>1Pl\l.JY___,__....__... _.._._____ '_,_____ _'_. _ '___ ___
STATHl CERT OR RHJrHS'I' #
Slml1\'l'IJRBl ------------___,_______,_,__._______ CITY PRUCE:SSTNr:J #
.---.--~-_._....u___._..___ ~__. ___.___. _._.
P""Me'R CO"PA"Y __'__~_.. ___ ________...____.____ _._ ....._ ..
STATE: CERT OR REGIS'!' 1/ ----------__.'u.....,__...
81m1A'I'lJRHJ C l'l'Y PROCBlSS lUG 1/
"""""""""""""""""""""""""""""""""
---------_..~-._-._--- -_. -------.--.-...--- ~,
MIllUHANI (JAr,
--....-----.--,-----------.--,- ---.'-'-'----.---.-.----.-------....
"""""""""""""""""""""""""""""""""
O'l'HlIJR
""""""""""""""""""""""""""""""""*
Cor-1PJINY _____'__._.___________._______. '__'___
STl\TE CEJRT OR REr~ 1ST 1/
C'rJ'Y PRO(,ES8IHr~ II
---'~-~'--..~ -- ....._-~--, --'--'-. .--.. -- -.--"'---...
S IGlUI'l'URHl
-------._---_._---._--.._--~----_...__.--.._-
_._----~---_._-----_._._._-_.._----- -.. --.-------..---
----.----.-----------.-.-
SWNA'!'IJRE
------
COr-IPANY
STATE CERTORRiiiiJr ST-"II-'-----------------
CITY PROCESSING # -___h_____._____.__,____.___
------.------
""*"*""""**'*"""**,.,*'*',.,'**"~**"**'**'*,*",,**.*
--------.---..------------------. -.~---_.-.._,._.._-. --_..
U)ll')"_'.'.~ ()~ I e I)': p";nJ"~"' l\':f'I '.lAV' n.'
1\, NO'rICE Ol!' DillED HESrl'rnC'l'IONS
'1'be llndel:s.!gned understands that: t.ills pennJ t: may h'3 sllb\eul: ::0 "deed t:estdctlolls" I,rhlch
may be lIIon. resl:r..icl:ille than CJ.tynlgl\latiolls. 'l'h'3 lllld'3Lsl';Jlled assumes respollslhJl.i.t:y' ror
compli.ance \1Jth any applicable deed [t3st:d.otioIl8.
B.. 1/I.JJ,ICffiNSI!:n COH'l'H1\Crl'OnS AND COtl'l'HAI;'['OH HmSPUIIEI (BILl'l' [F,g
If the ulmer: has Idr.ed a uontr:actor ,)[ uont:ract:OL3 to undertake \1ork, they n\ay be reqll:l red
Lo be 1.icensed ln auuordance vd.t:1l stC:ll~e and local regulation,s. If the contractor is not:
lJoensed as reiptJ.r'ed by laH, both tile Ol'/TIer and cOlltracl:or llIay be oJted for a nd sdemeannr
vJulatioll IlIldsL' state laH, If the O\'meL or .1.ntend,ad COlltl:actor are IInr:ertain as to Hhat
I luellsl ng rSllld.relnents may apply 1'o.t: tIle intended 'owrk, tlle\' are advised to COil tact the
ell:y of Zephyr:ldUs BuJldl.ng Department, fl13-c/BB'6611.
1!'1l1.t:heLlIIcH:e, if the OHllel: has h.i.J:ed a contract:ot: or: contraotors, be is advlsed to have the
oOlltraotol: (s) sign portions of the "Cont.racto1: S~lctions" of thls app,U.oatiol1 for I'lhlel1 they
Hill be responsible. If YOII, as the molDer signs as l:he (Jontr:actoJ.:, you are ind.loat:ing that-,
YOIl, l.'aLhet: than the conl:raotor:', are responsible for the worh:. If the oontran\.:or I,d shes
\lOll 1:0 13,1 yn as cOlltractol that may be an .ind.l.catioll t:hat he is not: properly L1 censed and Is
!lilt: anti tIed 1.,0 pennU:tillg privileges In the Clty of Z,ephYIJdlls.
c. '1'Rl\HSPOH'!'l\'J'IOH H1PAC'l'lfEElS ,AlID U'l'ILITY CONllffiC'I'ION E'ElES
lJ, COHS'l'RIIG'j'UI01'1 l,[EN 1J1\W (CIIAP'l'ER '713, FLORIDA S'l'Arl'IJ'I'ES, AS Al'1EN\lIW)
I cel:t.i ty that I, the appllcanl:, have been provided 1.i.1l:h' a copy of "Wlorida's ConstrllctJ.on
1 ten 1,all .- lIomeol-mer's Protection Guide" prepared by the E'.lorida Department: of Agr:lalllt:llre
and COllsumer A1'faJ1.'s. If the app,Ucant 1s somli:one other that l:he "oHner", I ccn:\fy t:hat I
have obta.ined a r:opy of the above desorlbed docllment: and prom1se 1n good :falth to delllrer
it to the "ol-/ner" prlor: to commencement:.
E:. CON'('Hl\C'I'OH' B/OWNH:R' S AFE'IDAVl'I'
( oert:.1,fy that: all the informaUoll in tills appllcat.loIl.ls accurate and t.hat:, all llOrk 111:1.1
be dOlle 1u compl:l.ance H1th aU, applJ.oab.le 1a"'l13 reglllaU.ng constrllction, zon.lng, and land
dE:lle1.opmellt.
Appl.l.caU Dn :I 13 herehy made to obtaj 11 a perrnlt to do work and :Installation as indloated. I
cel.U fV thaI: no \/Ork or installation has oomrnenced pr.1.or to lsallance of a pennil'. and that:
al.l Horl, \'/11 1 be performed to lIIeet standards of all laHs regulating uonstuwtJon, Cll:y
codes, zonlng regulal:.i.ons, anrl land development reglllat.Lons 1n the j\ll..lsd.i.ctJon. I also
ceLl: I f:y LIla t: . I 1Il1l1ersl:and that the regulatlons of other gover:mnent:al agellClles IIlay apply to
Lhe In\:ended v/Cnk, and that: it 113 my responsibi.llty to ldellU fy l'lhat aut:ions I mllst talie 1:0
be in cOInplJallce. SlIch a\]encl.es :Include but are not J il\lited to: *neparl:menL of:
H:nvJt'olllllenta 1 Hegulatioll'-Cypr:es.:I Bayheads, Wetland AJ:eas and n:nvlrollTnElntally Sensltlve
l,ands, WaLer:-!Wasl:eHaLer 'l'reat:llIent:
'Solllhvlesl: 1!'l.ol:J.da \'1ater Hanagelllent llistr.\ at-Wells, Cypress Bayheads, Wetland 1\reas,
l\J.t:Bdllg WaterCOllJ:ses
'!-Il:IllY CULpa of E1llgllleel:s-BeaHalls, Docks, Navigable Wat:er\'/ays
+, lJepattll\enl: of Ileal th & HehabilJta\:Jve Services, l!:nvJrolJlnenl:al Health lJnlt-Wells,
Wastellat:er Treatment, Septic 'I'anl~s
+.u. s. E:nv1 L0ll10Ellltal t'l'otection Agency-Asbestos abatement:
1 also cerLI fy that, lf fLU Illat:er\.al \.S to be used .In F.'lood Zone "A" or "A,eLe.", l.t .is
lllHlel:sl:ood that a dralnage plan addressing a "compensatlng volume" ...11.11 be submitt:ed \'Ih1Gh
is prepared by a professional eng!.nser. registered in the state of I!'lorlda priot' to penn!.\:
.issllance.
1\. perm.! t .I Bsued shall be construed to be a Ii-cense 1:.0 proceed Hi th the work and not as
aut:hod Ly to vlolat:e, caneel, alter, or set aside any prov.i.sions of the te(]hnlcal codes,
nor shall i BSllance of a penni l: prevent the BuLlcUng otUciaJ. from l:hereafter requld.ng a
cou:euLlon of errors ln pl.ans, construction, or violations of any aode. Everv permlt
isslled shall. heDome inval.!.d unless the wot:k authol:'ized by suoh perm.!.\: .!.s rJollllllenced \'/,i l:ld n
sill mouths of lssuBuoe, or .i.f \V017k authod.zed hy the permit: is suspended or abandoned ror a
pedod uE S1.b, months after: the l:Jme the \'lor}, 1s commenced. One 90 day e}{t:ens.loll of t.lme
lIIay be alloHed for tile pertnit Hith fee chal:ge of $Hi, no, '['he e}{tenslOll shall be reqnes\:ed
ill \11:1\:il1g 1.0 the BIIlldlng Offic:ial. An appr.oved inspection IIII1St be logged dllr:l ng eac:h s.l J(
month perlod, (n the proj ect: 1'l111 he consldered abancloned.
Wl\RNJllG '1'0 OWmjHI YOUH jj'AII.\JnE '1'0 RJilCORD A NO'l'Iell', OF COMttEHCITIHE\U'I.' NAY nrr.SlJI,'I' IN YOIJ[\
PAYHIG 'l'WICn: ll'OH THPROVEMENTS '1'0 YOUR PROPF.:R'l'Y, IE' YOU IH'l'll',ND '1'0 OR'l'AHI F.'IHAIICHIl3, COlISIIUI'
WITH YOUR l.n:JWF.lR OH AN A'l"l'ORl-IF.:Y Bffili'ORJr, RI!'.CORDlllG YOlm lW'l'ICm OF C()[YI!'111\NCI!;HEH'!'. ,fOBI'! l1IWF.',H
~2, 511ll 111 VALUE DO !lO'I' HE:En 'i'O RE:COHD AND POS'I' A "/'jO'I'ICE: elf COHHE',I'ICEHE:N'!'''.
SIGlIA'1'UHm I OWNER UR AGffitl'I'
SIC;Nl\'I'URE:: CON'l'RT\.C'l'OH
S'j'NI'E\ Ol!' l!'l,OHUH\
CUlJIl'1'Y o Ii' .--..--..--,.-..-..-..----.-..--.--..---,-...
'J'lle foreyo.tllg instrument \las acknmrledged
Before me I:hls_..__._,.. day of...__.___..., l~_....
by ,_......_.._...._..._ ..._.._._'~_h________.___....__...____.__..__..
(name of person acknowledged)
[) I~ho is personally IUIOHn to me, or
[I Hha has p I:odllced___,______.____......___
(type of: identJf1eatJon)
and \.Jho[} dld []clJd 1I0t tal,e an oath.
fJ'r1\'l' E: CW FLORI \)A
COlIN'I'Y ()h~ ____,___......_..,__..,.._.._..___.__h_'__._
'1'he foregoing i.nstr\llllent Has aolOlol-lledgsd
Before me th.is ____JIey of-..-.......,--.-.., 19 _.:.....
by ..___.....__.__________..,_._....._......___.._.._,____,.....
(name of person aoknowledged)
[1ho is personaUy known 1.:0 me, 01:
[J 1-1110 has prodllot;jd__,.... _.._._~._,___.__.
(type of Jdell!:il'leaUon)
and 1'1110 []dJd DHd noL I:ake an oath
SiYllature of person tak.illg f.lckllovlledgement
81gnal:llr:e of persoll takll1g aclolO\lledgment I
Name typed, pd IIted OJ: stamped
Name typed, p1'l, nted or s l:amped