HomeMy WebLinkAbout02-1447
BUilDING
Property Owner:
Job Address:
Parcel I. D. ,
Zoning:
Descriotion of Work
BUILDING PERMIT
Permit N~
1447
CITY OF ZEPHYRHILLS
(813) 780-0020
Date
9- /f- 0:(
,
ELECTRICAL
MECHANICAL
Sewer Conn
Water Conn:
PLUMBING
71 rt It VYC,", () ~ r;, 0" ~
3 Cf L( l{ 0 1-: t'\ CJ\I tI. Av -e .
5~(n.fs
Water Meter:
T.I.F.'s:
Energy Code:
U r ~,,-(L
Radon Gas:
S Q.yl/ -f-t) -z.-oi) IIn-p 5~1I.
FINAL
C.O.
Q-23-02
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.
Valuation or
Contract Price
Ifii/E
Inspector
3,5" tHJ
9~:G2-
City license Registration #
State Certified license#
Permit Fee
)(Signature..
Company
Address
,X'hlephone# .R 13.- 6/ 0
3~ 3c'.
BUilDING
Ftr.
Pre SlB
lintel
3c>~~
?ovY(~ t-(e.<. r~fo(s..
elECTRICAL
l
Breakers
Ducts
C pressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Me~r
Final/ '1--2- 3 r 0--2-
?li.f"V
ffJ 9rOlY-o.1- J :L(5 /!U55~'-~ c:t;;
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 ZBlPHYRHIIJI.S PERMrr APPIJICA'l'ION
BlJ[LnINl~ UElPARn-iI!lH'r 5315 el:!' S'fRElI!l'r ZlllIi'IIYRHtI,LS, FT.3J64!l
Ph01H!lIB13-'f80'[)020 1I'a'0813-780..0021 0,
IJA'rm RlIOBIVmD ____.L~II-O 2
PLANS RlIVIBW FSB
J OI'lNBlR I 9 U']U.1El .r ("I J. A /;" ct b27 'S ;!;! s ~ PHONE!
-,_._~~-~.__._-_._..__._-,--_..., "-'-j;' - --"'-'-- -----.----.- -...---- -----",
.IOB 8I'l'BJ J\DTJREIS8_3.9__'f !i??_ ?J..iJ ~_(J"!.!c{___~!/~._.___.____.".____
l'ON'I'1\CT
I.E1l31\L nHlS(~RIP'l'IOlll 1,0'1'(8)
BLOl'K
,qU81l1 V I S TOIl
-------_._--~.._---+~-... ._'-----.-~.-.-~-.-_.,-
PARCH1I, III #
IWRK PFHJP8b1IJI [IHEM CON8TRUCTION
-~'-..---_..<----~--~.~.:._--~--_.._-_._.__.~.__v__..___.~_.___________.____."_~__________ _.______________.__ _...__.______~._._..__~__~_______._.._
(OBTAIN F'R(Jr>] PROPElRT'i TAX NO'r'U!El)
[] l\1l/JI'I'IOll
[J AI /I'ElR1\T I ON
[J REPAIR
IkfJlS'J'AT,I,
l]SWN
fJ WJVEJ
[J IJElWJJJJSII
PRoposrnn l1em I [Jsm, Fl\lvJIL,Y fMEll,I./JlH3
[1',1111 i1' T - P'1\r 1I J, '{
[]# OP' IIlH'I'S
U t.ln8I1,E IIrJt.1ID
LI ('<It'''~1ruRC 1l\I,
[] INDtJ8'l'RI1\[,
[I SNmMTNG POnT,
I] (J'['IlElR
UEJSCR I P'I'lOll' rF NOR[<
BtJIl.J!JIN<~ S I ZEI
C-:'l lUllS'l'l\tJR1\lIT & HElAUl'II DH:Pl\R'fl-1HlN'l' APPROVJ\1, fit; k
:v E~Gz_q.,~_ _-&.?.,~~_~___ ((~..,~~ c2_2P-.__~-~t?~i!Jk._,. _III
........-.-"--.-.-.-------.-----
SQUARE) F'OO'I'J\rm
FIEI IGIIT
RElSIDRlN'I'IAT,I
C'()Mt.1BJR(~ I 1\1, I
]\'l"I'l\CH (2) PJJOT PI,J\1I8 & (2) SElTS OF BmI,IJHm PIJl\NS & (1) SET ENERG'i FORt.18.
l\'I"T'l\l'lI (3) BElTS OF BUIIJIllJm PIJAHe & (1) SElT ElrlBlIHW FOHNS.
PRUPEJRTY SOitVEY REQUIRHlD F'OR Al,I, HEM CONS'fR{J(~'rIotI.
PERMITS REQUESTED
------------- -----
[] BlJII,liIl1(~
$.-------..-.---.---,__~ VAr,uATIOl-! OF '['O'l'AT. COl1e'l'RUC'fIOIl
LI HlLIlJC'l'RH'J\[,
r I Pl,{Jf:JB J llrJ
2-0f)
Af.1P SEJRVJcE '
[tV FT.uRIIll\ PrjNER
[)
W , R . rn . (! .
,-.--_.. '"...._~-._----._-- "-.'--,. .....
LJ t'lruCII1\lHC1\I,
$_..._._.._____._____ .--.-. V1\I,Ul\TION OP' 11E1CHl\NCI1\J, Ill~'J'1\J,I,ATlnn
LJ (31\8
LI ROOF Ull~
LJ SPEC [AUf'i
I] OTHER
'I'YPIlJ (IF ('UllS'l'RU(!'i'] ON I [J 81neK
[) FRl\l.1fl)
[J S'I'EElL
[J D'l'IIER
F llHHIlEin FJ,UOR HlIJElVA1'IONS
__u___________.
IS PROJElC'l' IN F'I,()uf) ZOlTm AREJA(] YIlJ8
Ll NO
BUlI.lJSR
COMP A tl 'l_~/-" --.------____'__m______________, __'__'___'_,
STl\TE CERT OR RHJ(H8'l' ,,________.________.______.____,.,.
CITY PROCEl8S1Nn "
81t~m\'I'lJRE I ./" .
V-..--__ ____~___~_..__..:..._.._.._______..__._..____~.. _".______
t*"***"****""'**""""*',*",*****,*"""",*"""'*"***'
ELBPIRIU!J\N ~ D Cot.1PlINY fb~ fC a, t:--t cL''ca/ ~7za'ck
~ ~ . STATE CEP'l-;-' OI~--REi~~[s'rie~ -~~;-7 () :S--i;7' , . - .--
S .1 "';~'1'IJR' --~-----~~--______ :________ "J 1'Y PRo"mBS [NO #_ 3f>'~R.-~-~_~:~~
--'---_._-~._--.-_._-~- -.._-._._~------,.,..._----*... .. --.
*'**"*****'******"*'**"'*****************1*********"**'*******
P l,tJMBBlR
-_._-_.__._--~--------_...- -._._._-~-._-, -- _...~~ .--------.
r !OHP1INY -----.--..--.._____" ___ -.---_____u_, _.
S'1'1\'I'E: ('ER'I' UR REJ(H8'1' II ------___u..____,_,
C'n'l{ PRUCHlSSIN<~ It
8 J WIA'I'lIRHl
MBlCHANHlAI,
"'**'*'*""'*****'***'**""*"'*"""'**"'*'*""**"'*****"
---~- -...--'----------.--- ...-....---.--.-. ---. --.
_._---~-----_._------._-. -_.~..----_._---._-~-~----
C0f\1P l\lIY.____._,____._". ___.___,____.._. _'__ .___._ ._..,
8Tl\TIlJ (!HlR'r OR f?El(~ IS.t' II
CI'l'Y PRUCElSS nm It
_. ----~-_._-.~-_._-._-._- .-.--.......... '.-."
8 J GN1\'1'Ilnm
* * * * * , * , '" , * * * * * , * * * * * '" * * * , * *' * * * * * * * , * * * *, ." , * * , * * * * * * * , * * * , *. * * , , *, *
._-~-----_._----_.. ------- ~---- .~--. .-. -
O'l'HSJR
-----.-.__.._-_._-_._-_._----_..~--~~_._._-------- ---. --.-.---..--
----------.---.---------.-....--------------.----------------.--
Cm'!PANY
STATE cHlRT"r)n-nEoIEFf"'ff'-------... ..-----...--.--.--~,.-_..--. .-.-
(I ITY PROCESSING #-- _u__.,____.____.
8 I Gl-lATIJRBl
*****'**********'***'*****'*'*'***1**'*****'**,*********'*'*'*'**
.. - -------.__._--~.. --,' -..
----..--
,
i
-'
1,.. HUl'rem OIJ' DillEn RElB'l'RIC'I'IONS
'jibe undersigned 11l1del:stands that Lll:a p",nnJ ~ In,~~' bt~ SII)l.l,eut to "deed restL'lcttone" \~ILlch
IlIClY be IlI0l:e restLlat:l ve than CJty n~glll" tiolJs. I'll., llildtHslyned aSSUlIles respolls !.bl 1 J l;y for
complIance \llt.h any appllcable deed ulstrlctlon:o.
B. IIHI,ICElNSEU CON'l'RA.G'l'ORS AND CON'I'HAC'I'CIH RlTIS!?<JH 9 BII.I'['U!:,S
J f the O\lIlel: has hll:ed a uOlltl:actDr OJ: CDlltJ:acl::oJ..:l to Illldertalte \-Iork, l.hey IIlay be reqll:! red
10 be .Iloensed.l.lI accordance vdtb st.ate and lOCHl legll.laLJolls, If the eontractorls not:
lllJensed as re<}ul led by Jaw, both the Ol'llle1: and contulctor may be cited for a Ildsdemeanor
"J()latioll llndel: stal:e 1aH. If the OHnet OJ:: .1.lltf~ncled uOlltl:actor' are uncertain as t.o \/hat
IJcelisJllg requirements llIay apply fut l:Iw Intended \vork, they are advised to rJolltaul the
r~lly of Zephyddlls BuIlding Department, 013-'/[10'6611.
Ji'I.lLLhermcJl:e, if the O\'lIIer has hlrecl a COl1tractol: or contractors, he is advised to have the
cOlltrac;to.t (e) sJgn port.ions of the "Contraotol Sections" of lids applloatlon tor \'Ih10h they
\1111 ue responsIble. [f you, as the DI'Irler signs as the contractor, you are ind,lnating l:)lat
you, rather thau the contractor, are respons.ible for the Hork. If the contrautO); I/lshes
you to si gn as cOlltractol that llIay be an ind1.catloll L:hat he j s not properly 1.1 censed and 1 s
not ent.l t:1 ed to permil:Ung priv1.leges Jll the CIty of Zephyddlls,
C. 'l'RMISPOH'l'l\.'l'TON IHi:'AC'l' FEElS AlIj) lJ'i'ILl'I'Y CONI1EC'l'ION If'EEIS
n. COIIS'i'RIIC'I'UION I,TEll LAW (ClIA.P'I'ER '11.3, FI,ORlfJA .'3'I'A'I'IJ'I'EB, AS AHE:NDElD)
J oer.tI ty that: T, the applloant, halle been proviqed \11th a copy of "I!']orlda's ConsttllctJon
.I Jell I,all - !IomeOl-mer's Protection GuIde" prepared by the B'lorida Department of Agl.JcUlt:ll.t"e
and ConslIlI\e!: l\ffaJrs. If the app.llcant 1.'3 someone other that the "o~me.t", J uecl fy that I
have ohtaJ lied a copy of the above deaorJbed dOClunent and promlse in good :faIth to deli ver
J I. to the \\o\-llleL.fI prJor' to oommencelllell t:.
U:. CON'l'HAC'I'OH' B/OWUffiW S AFI!'IDAV1'r
r cert] fy Lllat all tile informatIon ill th1s applicatIon Is aCCllrate and thal". all Horl. HI11
be dOlle 1.11 uOlnpli,C\nce 1-/1th aU. appliaable laws regulating construotion, zonl.ng, and land
development.
AppLloaLJon Is hereby made to obtain a permJ.t to do work and JnstCll1at:lon as indioated. l
cel:l:Jfy that 110 \lOrI. or installation has oommenced pr.1.or to issllance of a pennJ\: and l:hat
all \e/otk \-/111 be performed Lo llIeet standards of all laws regulaUng OOlJstnlCltJ.OlJ, (;11:y
codes, zonJng reglllal:.1.olls, and land development regll1atJol1s 1n the .l\ll:JsdlutI on. I also
cert:ify Lhat: '"[ IllHiersLalld that the regulations of other governmental ageneJee may apply t:o
Ihe In\:euded vmrli, and that Jt is my r~spons.u:)ilj.ty to Jden\:ify \./ha1: actions I IIII1S\: [-,ake l:o
be in COIllIJllanoe. SlIch agenc.l.ea include bllt are not limited to: *Depi1r\:lIIent of
R:uvinllllllelltal ReguJ,\l:ion'-Cypress Bp,yheads, Wetland AreCls and EnvJ1'onmenta1.1y SensJtlve
I,ands, Wa Le L /Was teHa t:e1' 'I'tea LllIent
* SOli Llll'le/::l I: 1f'lorlda Water Managemenl llistri at-Wells, cypli"ess Bayheads, Wetlalld l\J:eas,
AI tedug Wate1'oollrses
Al~J:IllY COLpS of Ellg.illeer.s-BeaHal1.s, Docks, Navigable WaterHays
~'})epartlllenl of Health & RehabJUtaLlve Sel:vices, Envl.l:onmental Health \lnlt-Wells,
Wasl:e~lal:er 'l'reatmell\:, Septic '.l'aul.s
All. S. EnvLrolllnental Protection Agency-Asbestos abatement
1 also cerLl ty that, Jf fill materlal Js to be used In B'lood Zone "A" or "A, eLc. fI, l.t 109
11IHlerslood Lhat a draJnage plan addressJng a "compensating volllme" wLl1 be BI.lbml Ctad Hhlch
is prepared by a plofesl:dona.L eng.Lneel: reg.1.stered in the State of fj'lodda prior \:0 permit
issuance.
1\. permIt jsslled shall be construed to be a lloelllse to prooeed \-lith the work and not: as
allthod Ly to vloll:lte, oancel, alter, or set aside any provlslons of t.he teohnloa1. oodes,
nor shall issuance of a permH. prevent the Bulldlng offioial from thereafter requll;JlIg a
corteuU all of el"lors in plans, construatiOll, or vic)lations of any oode, Hlvery permlt
laslled ahall become invalid unless the work authorized by 6uoh perm:!t :Is oomlllenoed Hil:ld n
sjlt lllollths of issuance, or Lf ~wrk RllthorJ.zed by the parmI. t: is slIspended or abandoned for a
ped,od of sll{ months after the time the Hork. is commenced. One 90 day eJ.tens.lOIl of t lllle
lIIay ue aLloHed for the permit Hith fee charge of $15.00. 'l'he e){tenslon shall be requested
.Ill Hrittng to the BuJldi.ng Offic~ial. An approved inspeotion IIIUSt: be logged dllrlllg eElell !:Ita
month perfuel, or the projeot: \'Iill be oOllsIdered abandoned.
Wl\RNJlW '1'0 OWNERI X'UUH FAII,URIiJ '1'0 RFJCORD A NOTICE OF COMMENCElMEN'l' Ml\Y HfflfilJJ/I' HI YOll!t
PAYHIG 'l'WICEI BUR H1PHOVEMENTS '1'0 YOUR PROPER'I'Y. IF YOU IWl'END '1'0 OB'I'1\.TN Ii'HIAIH;lJ.ll3, COllrS111/I'
WITH YOIJR I,HaI/JER OR AN A'I"I'ORNFJY BEFORE RECORDING YOUR. NO'I'ICF. OF COlv1l'1ENCf.;t1EN'I'. dOBS IJlWF.:H
$2 r SOU [N VAI,UE DO NO'I' NEED '1'0 RECORD AND POS'J' A "NO'l'IeEl OJ!' COMl1E:NCfiJMfl:N'I"'.
\~tJJ:'J.I)}'_I_'_,~r,;,':~)S O,t? .J~~?,?'-~I'J.\ AE'WIDA'VI'f
S I GNA'L'lI Rill: OWNER UR AGEN'f
-<-" '-'-'--~"'-_._~--~--- ..-. --..._-_._._--_.-."'~~---
w_,..... -__~...__.___A.~..~_._'______._.._...___._..
S I GNA'l'lI RE: CON'l'RAC'l'OH
., ~ --'~--"'---"-----. -.'...----.--.-.-.-. ~
S'l'A'1'1lJ OF E'I,ORTlll\
COB WI' Y 0 E' .____,____ ._._.__.______.___.____,~_...__
'J'he torego.ing Jnstr\lment was acknOWledged
Betore me tltl.s _......._ day of ,.___"_.____.__, l!L...
by ._____.__,_.,____.._..,._._..__ ,_.____ ___.____.__'___..____.______,_
(name of perSall a(jlmol~ledged)
[)\-Iho 1s pe.rsonally known to me, or
B'I'A'l'E OB' FLORI DA
COUN'I'Y OF.' ____.__.__.__._._....__. '. ._._..__..__._..,..___
'l'he forego1ng ins\:r\llllent \"Ias aclmovlledged
Before me this ____r.iay of.---..-...----______, 19 _.:..._
b'l ___._.......____.__..__.___._ ___. __..___'..__.,...______,.._..
(nallle of person acknowled9~d)
[Jvho Js pEu'sona 11y ImO\m l:o me, oc
LI Vlho has p tod\lGed______._.___.__~__.___.___.,_
(type of idenUfloatJoll)
awl who[)d1.d []dld lIot take an oath,
[I Yiho has prodlloed___...,__..__.__._.._______._......
(type of 1 delll:lflcaLJoll)
and who [Idld [liid not take an oath
SIgnatllre of person takIng 8nkllo\-lledgement
. "', .-_.~..._-- -._...__.__....... n.' .,._____._._____....,___,_._~._..._.__.___~_
Slgnat:ur'e of person takl.ng ackllO\lledgmentl
...--._.*....._--_._--_._..~-_.~..._,,--,--,- ~.- --.-..-.~---- -....,. --_......-._-~_.-.._..- '.'-...------..
)~~ Il{~--l~- Yl)'~ci:" [l ~-i~;-i:_;;;l-;;~:. .~-t;';~;~.;i--..------.
-'-'--'-.- .,-~ -'~-" '~-~----"--"---
lIame typed, l-n.lnted or stamped
-.. .......-..--,---...'~_...._. "'04_ ,.... '_'''__''''
(
i
I
I
i
I
I
e. STATE OF FLORIDA AC# 0 1-45 .3 0 Go 1
" . DEPARTMENT OF BUSINESS AND
.. PROFESSIONAL., REGULATION
..,
ER0007057
06l~2.la2 257766694
REG ELECTIUCAL CONTRACTOR
PARRA, GERMAN'. , .
PARA ELECTRICAL CONTRACTORS
(INDIVIDUAL MUST'MEET ALL LOCAL
LICENSING REQUIREMENTS PRIOR
TO CONTRACTING IN ANY AREA)
HAS REGISTERED und"r th" provisions of ch.489 FS
Bxpirationdat". AUG 31, 2004' SEQ # L020H200a05
~