HomeMy WebLinkAbout02-1445
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1445
(813) 780-0020
Date
7- 10--(;7 f<
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
~ II Water Conn:
"".pertyOwn." . ~ ?~~; '(5 Wa..,M.t."
Job Address: e 'i nlA'". ~ N\...~1 'Edit) T.I.F.'s:
Parcel I. D. , 0 K:-u '5J , c K- fl.tO ~
Zoning:
Descriotion of Work
. Energy COde':Jz.. ti.... Radon Gas:
f3/~ I~/AQ .' 72D__ d- 5T~ 5Ck~.e,y
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
Valuation or _
Contract Price
Permit Fee ~ 1/'
)signature ~
Company - I oV'.s. ):'-\.(J
.Address '\-63~ ~'J~~ ~ \ Z \\\l\~\ ~~stt\
)delephone# '18'~- ~ 0 81 'i-.\ ~
City license Registration # 3019
State Certified license# elJc(')~Uk-
50 (/~ n
s; l-~ wtrtl~ s T",c.
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-
. al
SlB
Tub Set
Water
Sewer
Fina
Breakers
Ducts Ins!.
Compresso
Final
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Driveway
ffH)f <4 j:1r .5/~J/c -
7' -/3-t)2-
R l '1. KJO
"/
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.
CITY OJ:!"' ZHlPUYRHIIJIIS PEHMrr APPIJICA'l'ION
BUIIJ1>Hlll IJBJPAR'l'MIllN'.r 5335 Sth STREHl'I' ZlllPIIYRHII,I,S, Fl. 33540
PhoneIS13-'l80-0020 Fl!utI813-'TBO'.0021
DA'fB RRdRIVIllD ---"__""_n__.
PI,ANS RRVIEW FRR
..
I oHlIHlR f S NAt'1El~..~~..._Q3..__z..~~h~t~J\s....,__._____ __.______..__ PHONE] ('llN'['A(~,~,_j~tKB'..::_6Q,~, 7
IJOB SI'I'E) ADnREJsEl.Gi~~Q~~_\J.t'~__~~tJ.9..9--%~ki-.~__~--\:Qt(%llr_~~~ .._____,..
I,EJGAIJ Ul!ISeR] PTION: l,C)'I' (S)
BI,OCK
SUBDIVISION
--~ -----_."~~._._- ~.._._.__.
---- __'__~'_h~__.__._._ __. .._ ~____""~_~4_
PARCEL Hi #
WORK PROPSElD I ~NEJ\'I COnSTRUCTION
[Jslcm
-------~------_._-_._-~_._._-------_._-----------_._~------..--.-..----.--....
(OB'l'AIN I!'R(J~'1 PROPElR'l'Y 'l'AX. Nll'I'H!Ir.)
CI ADIlI 'r lOll
fJAI.'l'ERA'l'WN
[J REPAIR
[I IlI8'I'AT,f,
LJ (;j(JV E:
[J UElI1IOLJSH
PROPOSHJIJ USE I [ISGI, FAMIl,Y D\~ElIJLJNG
lJ ('1U LT I - F'AtlI T ,y
[,1# OP' UlH'I'S
r ,I Hos [r,m Hunm
[J ('UI<lMERC lAI I
n lNDUSTRIAl,
r]8~nl.1~HN(~ poor,
r J OTHER
[--J RElS'l'AURAH'1' & Hl!JA.I.'l'1I DEPAR'l't-1ElN'l' APPROVAl,
1Jl1l8C!lU P'l'lUlI OP' Vll mK ~~~\U..q.L\t-J_-R9~--~-~'19-r:~-~~~~..L _________._._______._______________
BlllJ,DIN<3 srZHl
.--.. ---~---- --- -----------.-----
SQUARE: FOO'l'1V~El
-----,,-~.__.,~--_._-
IIEJI(311'l'
RHl8IDflJN'I'IAI. :
C( il'1~1EJRC I AliI
A'l"I'ACII (:2) PUJ'l' PI,AlTS & (:2) SElTS OF BlrTI,Dnm PLANS & (]) SElT E1IElRGY Fom,18.
A'I"J'ACII (3) 8ElTS OF 8tJ)f,DJl1G PLAI'IS & (1) BElT ENERGY FORI<lS.
PRuPBlR'!'Y SURVEY RElQUIRED FOR AI/I, NEW CONSTRUCTION.
-- ----.--- ~_... _...._-_...~
PERMITS REQU~STED
[J BlljI,UJ ITG
[J ElI,ElC'I'RJCAI,
1"1 PI,u/ilB Hll3
LJ [vIEJCHAII J:Cl\ r.
$
.--..------.-.---------
VAL,IJATIO!-T OF TOTAL, C!OllS'I'RTlCTION
..-----,.-.~--_.___.4_~_
Ar-1P SERVICEl
[] F'T,ORIlJA pmmH
[] ~I . R . El . C .
[] (31\S
$----.--------------,-- VAL,UATION OF l"lECHANCIAl, nTSTl\I,I.1\.'1' IOU
U ROOFINf3
[1 SPElCIAUl'Y
I] O'l'HER
'I'YJ:lEJ OF' COlTS'I'RI1C'l'lON I IJ BLOCK
(] FRANEl
l] STEW!J
[J OTIIElR
F lIHI:l!IElD F'l.UUH ElI,EJVA'l'lONS
--------...-.---__...._4
IS PRIJtJHJCT 1l'J FII)(JfJ ZOllEl AREA[l YElS
(] NO
BUU,DRR C()MPAtJL.sO~.s.~~l/'""tr~ ,,~C'. _.___..__..,
Cl A ~ STATE! CEJR'I' OR RElGIST II C;.~~-~'t~~5t..__.._...._._,
SllmATIJRHl ---:.'r..J2=:~~-~~~__,____.__ CITY PROCESSING fL.3~9_______._____,._._______.
********'*******"'*************************"*********'**********
J!JLRC'l'RWIAtl
S.I mm'J'IJR E _______~,.____.__________
COI<lPANY___.________ n___....._ __,_._ 'm _ _'__
BTA'l'lil CERT OR HE(HS'!' 41
CITY PROCElSSTW~ #
--_.. -_._._......~---,._. -~-----
********************************************.*********************
-.-----.-.--..-....--. --_. -- -- --'---~-"-'-
PIJlJMBBR CCWfPIINY----_____..__.__ h____.__._...._____.
STATE: CERT OR RHJCHS'I' ,,___________......_,___.__....
f:llm1A'l'l1RHl Cl'I'Y PROCEJS8Jlm II
---.'..'------'--.-.--------..----,-.--.- ----,. '.-.--- -.--'-'------.---..-.--.--,-,...
***************************.*****************.**.******.*****,****
MBCHANICAI.
---~_._._--_._._.,-_..__....._--_._--
CO~1PJINY -----------.__h_____._,.___,___, .____,______..,...,_.
STATE CElR'I' OR REl(~ 18'1' #
CITY PRUCElSsnm 1/
----.---. ..--.----.----.....-..--.. _._..~- .------.--
SIGHJI'l'IJREl
****************************k.***********************************
_._-_.-._~-_.~.._--_._~_. -~._-- ~.--.__._-_..-...-
O'l'HBJR
--_.~------~---------"--
CO~IPANY
STATE CERT OR RElGIS'I'#.------.----'.----'..------...-...
('I'1'Y PROCElSSING # --.---~-.----,-.----.._________n_
SH3NA'l'IJREl
************.*.**..*******.********************.*************'**'
-~-------------_._----- .-- .-.----.--. --. -...-. ,---~
1\. IIO'j'ICF.. Olj' IlI11Hm HE8'l'IUC'I'IONS
'J'116 1I11de.ts.lgned ullderstallds that: t.his pennJ I: IlBY hE: s'ilb.leu1: t:o "deed r6str.Jctjolls" l'fhLch
llla.y be 1II0re .tesl:t:lctive thall City t"eglllaL:ions, The u!ldel S 1 qlled assulIIes respolJstbtl Jl:y tOl
co;np lla~lOe IIj th any appLicable deed rest!.teL:j,o,15.
B, lJIlI.IC/!lNSI!:ll CON'l'nAC'I'OHS AND COl'I'l'HAC'['OR RESPIJI18! BIT, L'['T ff:,S
r f. Lhe OllJler has hIr.ed a contl:actor or cOlltracr.oul to lI11d,,,rtake Hnrk, I:hey olay be reqld red
t Lo be IJcellsed ill at:uordance \-l1th st:al~e and lOCi,l l:egu.LutloIlEl. If. t.he contractor: Is noL
] Juensed as reqllJ Led by Jail, botll the ol.me]::' and ':~ont.tact;or lrIay be nlted for a nd sdsllleanor
'.II ulal:lon 1111<.161 state laH. If the Ol1ner or Jlltt,ndE:d contracl:or Eu:e \\Ilr.ertaln as to I/llal'
I luellsj Ily r81)Id.lelllellts llIay applyfo1: tile Int.elldl~d I/ork, tlley are advised to contact the
l~lly of Zepllyrh.11.l B BuJldtng Depa.t::t:l1IenL, fl13-'/Bll"6611.
F'lllLltel:lllol:e, If Lhe mIner:- has lLl,l:ed a COl1tr-actoJ: 01: contractors, Ite 1s advised to have the
(]()ntrac;l:()j: (5) siyn port1ons of. t:,he "Contractor ilections" of thJs appljeatJon for I'lhl eh they
11111 be u:sponslble, If YOll, as the OI>Jl1eJ: signa as I:he coni:1:act.ol:, you are lnd,jnatlng that:
you, ra Lher than the contra.ctor, are responsible fot: the lIor1>. I f the contraol.:or \.ilshes
YOll to s.l gn as contr:actor that llIay be all inc!lcation Lhat he Js not properly 11 cellsed and 1 s
lIot elltll:led l.o pennil:t:Jng pl:ivileges ill the CJty of ZephyL"llil1s.
c. 'l'R1IHflPOH'l'A'l'ruN U1PAC'l' FEmE .AlID U'l'Il.ITY CONl1EC'I'ION H'ElEB
n. COIIB'l'RlIC'f'tllll\'! ],IEN IJAW (CHAP'l'ER '713, InORIlJ}\ ,'3'l'A'l'lJ'n;S, AS At1ENll!!:D)
I cerl:! fy that I, the appltcant, have bean provided 1-11th a copy of "P,'JorJda's COllstl"1HJtJoll
1 lon I,all .. lIollleol-mer's Protection Guide" prepared by the E'.l<l1:ida Department: of AgrlClllture
<lnd COllsIlllle.t AI:EaJrs. If the app.Ucanl: is someonE: other l:hat. the "m.mer", I cSLlfy that I
have ubtaJned a copy of the above descrJbed docllment: and proml.se 111 CjlJoc! :fa.l.tll to deliver
j l' to the "uI'lJJer" prJor to cOlllrnell']E:1lI8nt.
Ii:, CON'I'lUICl'On' S/OWtlfi:f\' S l\I!'ff'IDA\ll'I'
I certify Ulal: a] L the inforlllat:jon 1n Lllis appllcat.Joll Is accurate alld t.hal: all Hode 1-11]1
he dOlle 111 uOIllpllallce Id,th all applJcable laHS re\:llllaU.ng constnwtlon, 2',onI119, alld land
developmelll: ,
Appllcal..loll :Is hereby made to obtajn a perm1.t to do wade alld 111stallatJon as Jlldiaated, I
eer U f\, Lila t no Hork or .installation haa aomrnended prJor to isslIallcB of a penni I: and that:
aj 1 ~/orlc \"l.1I 1 be performed to lIleet standards of all lal1S regulat.ing unnstulCltlol1, C\ l:y
codes, zonlng reglllations, and lalld development regll.lat.l.olls in the JurJsdictJon. I also
cerLlfy UlaL J Illldelsl:and that the l:eglllat:ions of other govenllllent:al agendes llIay apply to
Lhe IIl\:snded \-/oI.'k, and that: It .is my l:esponsibiU,ty to Jdent:.l fy I'fllat auttons I IIIlIs1: take 1:0
be in cOIllpllan(]e, SItch agenctes inclllde bllt are not l1mited to: *neparl:msnt of
H:nvlnJlllllt:lntal Hegulatiol\'-Cypress Bayheads, Wetland Al:eaf.l alld ll;nvll:olHlIelltaLI y Sensil'..tve
I,allds, Water"/Wast:eHal:er 'j'.reaLment
^SOlltll\-lesI: F'lol:lda ~~ate.r Nanagement: lll.str.tcthWells, cYPJress Bayheads, Wetland Areas,
1\1 tedlly Wa \:ercolll:ses
'l'ltmy corps of mug.J lIeel:s-BeaHalls, flocks, NavlgabJe WaterNays
*IJepar.trnent of Health & HehabilJtat:Jve Services, E:nvirolllllelll:al Health lInit-Wells,
WaateHater '1'1:eatll\en1:, Beptle Tanles
"lI.S. lJ:nvJJ:Olllnental l'rotectJoll Agency-ASbestos abatement:
T a.lao cerl:,lfy that, if fill material :l.s to be used In E'lood ZOlle "A" or "A,el:c.", .I.t.1s
understood Lhat a dtalnage plall addressIng a "colllpensa Ling volume" Htll be submU:ted I./Id,ch
j s prepa l:ed by a professional eng.l.neel registered in tile state of E'lorJda pdot. 1:0 pennl.t
iSSlIallue.
1\ peUllJ t .i sSlled shall be construed to IJe a license ro Pl:oceed Hith the Hork ~nd not as
alll:llorJt.y to vJolaLe, cancel., alter, or set: aside any provls1olls of the teclmlca1. Godes,
Ilor shall I SSlIallce of a permJl: prevent the BII.U.cUng Offt.ciaJ. from Lhereelfter reqlllrll1g a
cou:euUolI of errors in plans, construction, Dr violations of any code. Every permll:
Issued shall bSDome invalid unless the work aUl:hoJ::ized by such permit, is oommenced H.i LId II
alll Illouths of lssuance, or if \wr.k authod.zed by Lhe pennJ.t is s\lspellded or abandoned for a
period lJ f silt months a fter the I:lrne the Hork .is commenced. One 90 day ex\:ens.illll of t j IIle
lIIay be allo\"lt:d for the lJennit I.litll fee charge of $15.00. The el{tenslolt shall be I.eqllest:ed
III Ilrit:ing Lo the BlIilding Official. An approved lnspect.ion lIlllSt be .Logged dllJ:! ng each sJ 1I
month period, ell: the IHojecl: 1-lJ.ll be COliS ide red abandoned.
WARlIHlG '1'0 OWNmn: YOUR ij'AII.\JHE '1'0 RECORD A NOTICE OF Cm1HENCE"1I!\U'1' !11\Y HffiSlIJ,'l' IN YOUR
P1\YHIG 'I'Wrcn: IfOR H1PROVEMI!:N'I'S '1'0 YOUR PROPERTY, Iff' YOU IH'I'EHD '1'0 OR'J'Anl If'JUAHClI-Il3, CONSlliil'
WITH YOIIR J,n:!IIlElR on AN A'l"I'OR1IR:Y BffilroRl!~ RECORDIlIG Ycmn IIO'I'ICE OF COt1J'1E:11C~;HEN'I', ,lOBS lJlWIr.H
$2,500 111 VALUE DO 110'1' NI!:EIJ '1'0 RECOIlD AND POS'I' A \\NO'l'TC~; OF C(JHHE\IICE~1fi:N'l'".
~_,l,)JJ.U ,,_ 'J'.1 OJ! S ~} .'":' .I?~~~),;~'~ '.~ ':\ A'5'~l'!: ~}A.V :.;, t~~
..-___. .__ ._____..__._.___u ._.....___ .__.__._,.~__...____._._~_...___.__._.............__
S IGIJA'1'UHE: I OWI/ER un AGF,tI'J'
-...._--_.,._~-~-~---------...---~ - --...._-, ..-.--...., '" ~"".'-'-~~----'~-",
SI(3NA'l'UHE:: CON'l'R1\C'1'On
S'j'i\'I'E. o Ii' E'j,ORlIlA
COllll']' Y 0 E' ___... __.__._..._____'..________________.___
']'ha foregoing Justrmnenl: Vias acknovl1edged
BetuLe lIIe 1:\11 iii __._..__._ day of."._________, I~L._..
b V _'_'_' __'n ___ _.__,... '_,_....._ '..'_ _...._._________.____________..____._
(name of. persoll acknowledged)
[) I~ho is personaLly knoHn to me, or
fj'rfl.'l'E: OF FLORIDA
C 01 J N 'I' Y () v~ ___.. ..______._.__ _.________ _"___"_'_
'l'he fOLego.ing 11Isl:rl1lnenl: W;j5 aclUlo~lledgsd
Before me tlds ___J,iay of------.----_.__, 19
by _.___.__________________...._..______.______.,..,
(name of person acknowledged)
[JJho .is pe1'sonal.ly ImoHn to me, or
II Hilo lias p I:oduced____,______._______.._..__.___
(type of JdelltJfJcatJ.olIl
alld who[J cUd I]cltd /lot take an oatil.
[] I-fho has prOd\lO~d__u._________._.____..__. _...._
(type: of Jdelll:JfJoal: 1011)
and vll\o [Jell d []Ud not take an oa"l:ll
.~ "~...-.~_._.__._.. .__.._---~---_._-_.- .---~-_..._._.-_._-_.
... . .~.. ----------,~.-.--,-.-------.-, ....-..--_..._. ___..__.h___~__.__..,_._.__.~
Sj gnatnre of perso/l tak.illg ack/lo~/ledgement
Signature of. person takLng acknolJledgmentl
Name typed, pdllt:ed OJ: stamped
. ....~_._-. "'-.-..-..._.~ ....-.---...-..-.--------,..----...-..,.-. .~..--_....~._-_.-."
_._-.----,._--._.._-_._-~---_. .-... "'-"_.~---_.,.----_. .~_.. ._-_.~_.-.-
Name typed, Pl)nted or sl:amped