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HomeMy WebLinkAbout02-1452 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ 1452 (813) 780-0020 Date 9- /3 -Or/l BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn ~ /1. 78''' #0 Water Conn: 3,<;0' @O Water Meter: / J1P" I"'D T.I.F.'s: I.. ~ i-tJ. ~ J"rYJ " ~. - /Rt:7 ~ ,.0 fr'J' t!A-n11 . /75" or oiJ Property Owner: Job Address: Parcel 1.0. , Zoning: Energy Code: Description of Work ~ . s.a- ~ -'" J (yV\ ~ 31~~~ i<e1oc. ttA. :5 ch V .. +t~A ~ Ave. Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 9'-23- 02- DATE /"(7.2. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector yo City license Registration # State Certified license# Jf~ Permit Fee . 1.8'/8"' ~ ~ignature (,J ~5~Y~ Company Address ~elephone# 7 -;.J - ,s;-.... .s-d Valuation or Contract Price -- t3r..Tttefh~d's 'B.,-n:~fl~d.I, 1ft! PLUMBING A~ #1 f..-., MECHANICAL BUilDING f1CL ~Y5 ELECTRICAL Breakers Ducts Insl. Compressor Final~ qr Z ~-O Z HTo /1'.70 SlB Tub Set Water Sewer Final&-/ 1,23~O'L Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final../ '1' t 3 -0 l- I/:JIJ Ftr. Pre SlB lintel FRM. Insul. Cl Wl Driveway rP Cj_,;JJ(-CJ2 ?.-L/5 /1J.I.yj~ LY 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. , OWNER'S NAME -;::J, Wl ~ (2[ (? E Cc It .:;:(.-/-1 L/ I T ~/!2I:L LTOB BITE ADDRESS :1.'75'"3 2-- LO~N'A IJv'E CITY OF ZEPaYRHILLS PERMIT APPLICATION BUILDING DBPART~BNT 5335 8th STREBT ZBPHYRHILLS, PL 33540 Phbrt.1813-780-0020 FaxI813-780~0021 DATa aBa.IvaD _______ PLAN'S RBVIaK rBI_____._. PHONHI CONTACT 'J f 2-1 ~ l( --------------- LEGAL DESCRIPTION I LOT(S) __/3S-_ BLOCK PARCEL 10 # '3y -?-'5 - z..t --; (90 I D - ozro 0- 0 I :3 5 WORK PROPSED, [JNEW CONSTRUCTION SUBDIVISION CRA#t? J..I..61l' ZM/ (OBTAIN F'ROM PROPERTY TAX NOTICE) o COMMERCIAl, [] ADDITION o ALTERATION DREPAIR f!:rfNS'I'AJ~lJ ~VE D DEMOLISH OMULTI-F'AMILY On OF lINI'rs ~BILE Hor,un o INDUSTRIAL o SWIMMING POOL [lOTHER DSIGN PROPOSED USE, ~~ FAMILY DWELLING D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL DESCRIPTION OF WORK ... (Y108U I:: BUILDING SIEm 7'1 '1< S-t;""' I-!Dff}/:: ~;:;T U/ SQUARE FOO'rAGE -...!..!hf'.~ HBlIGHT RBlSIDENTIALI COMMERCIAL I ATTACH (:2) PLOT PLANS & (2) SETS OF BUIl,DING PLANS & (1) SET ENBlRGY FORMS. ATTACH (3) SETS OF BUIJ,DING PLANS & (1 J SET ENERGY FORMS. PROPER.TY SURVEY REQUIRED FOR ALl, NEW CONSTRUCTION. ~mRMITS RIOUmSTID [!(Bl1IUJING ~EC'l'RICAL $ (; 2- 00. 0 0 ISo VALUATION OF TOTAL CdNS~RUCTION AMP SERVICE ~JORIDA POWER o W.R.E.C. 13'PLtJMB ING ~CHANICAL $ (p 00 . .:>.0 VAr..,UATION OF MECHANCIAI~ INSTALI,ATION o GAS [] ROOFINC1 o SPECIALTY [J OTHER 'l'YPE OF CONS'I'RUC'rION I 0 BLOCK o FRAME o 8'I'EEIJ o o'rnER FINISHED FL90R ELEVATIONS IS PROJECT IN FLOOD ZONE ARmAo YES ~. BUILDBR lGNATURE . 0J~~7 COMPANY BurrEll-Pi Fl.-a {fJb01if !-/Dnt;; '>1f"/2V1CE INC. STATE CERT OR REGIST # ~__ CITY PROCESSING # r'.g ******************.,.***.,..,.***************~************************** PLUMBBa JlLICTRIOIAN COMPANY 4c is' I-5'L~ C , ILL (, ~~_ -r:z. Jl f) f' STATE CER'r OR REGtST # 1Ji~--" aIGNA'J'tlRB -/d<- ,~t"-" e11'Y PRtle.aaING # 7~ ~ ._' ./" / 't!-1=-' * * * * * * * * * * * * * *.,..,. *.,. * * * * * * * * * * * * * * * * * * * * * * * *.,. * * * * * * * * '" * * * * * * "-<!....* *~;F;, ~b .... COMPANY 13J rTeli.... r-lcLO mtB'Le jJDI1t: .5~{lVICf ~. STATE CERT OR REGIST # CITY PROCESSING # B.ln..N.~..S E (){~ MaJJANlcAL SIGNATURE *******************"'**************************************~******* COMPANY IJL E. tit 12-' C.oNL/ j STATE CERT OR REGIST # CITY PROCESSING ~ ;&'7 ~ Ac {0f~ ***************************************************************** OTHla SIGNATURE COMPANY STATE CERT OR REGIST # CI'l'Y PROCESSING # *"'*************************************************************** ---L-_ CONDITIONS OF ?ERMI1' AFFIDAVIT --A. ND'rICE OF DEED RESTRIC'rIONS 'rile undersigned understands that this peinnit may be .3\lbject to "deed restrictions" which may be more restrictive than City reg\llaltions. The '.llldel'signed assumes responsib:\1.ity for compU.anae Hith any applicable deedl'Bstrictionei. B. UNLICENSED CON'l'RACTORS AND CON'l'HAC'l'OF. RES,?ONSIBI1JI'I'IES If the owner has hired a contractor 01: ccntractors to undertake wor)" they may be requi.red f to be licensed in accordance with state and local regulations. If the contractor 1s not licensed as required by law, both the owner and contractor may be alted 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 \-.rork, they are advised to contact the City of Zephyrhills Buildlng Department, 813-766-6611. Furthermore, if the owner has hired a contractor or contractors, he is advlsed to have the oontraotor(s) sign portions of the "Contractor Sections" of this applioation 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 s1gn as contractor that may be an indicatlon that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRAHSPOR'l'A'l'ION IMPAc'r FEES Al~D U'1'ILITY CONNEC'nON FEES D. CONBTRHC'fUION LIEN LAW (CHAP'I'ER '713, FLORIDA S'rA'1'UTES, AS AMENDED) I certify that I, the appllcant, have been provided with a copy of "Florida's Construction 1 ten Law - Homeowner's Protection Guide" prepared by the E'lorida Department of Agriculture and Consumer Affairs. If the applJcant is someone other that the "owner", I cerify that I have obtailled a copy of the above described document and promise in good faith to deliv~r it to the "owner" prlor to conunencement. E. CON'l'RAC'rDR' a/OWNER' B AFFIDAVIT 1 certify that all the information in this application is accurate and tllat all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. AppHcation is hereby made to obtain a permit to do work and installation as indioated. I cerU.fy that no work or installation has commenoed pripr 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 jurisdlction. I also certify tl~t'r understand that the regulations of other governmental agenoies may apply to the 1ntended work, and that it is my r~spons.!bility to identify what actions I must take to be in compliance. Such agenc1es include but are not limited tOI *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 Wateroourses *Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways "'Department of Health & Rehabilitative Services, EnVironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U. s. Enviromnental ProtElOtion Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "AU or "A,eta.", it is understood that a drainage plan addreSSing a "compensating volume" will be submitted which is prepared I)y a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to pro~eed with ~he 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 con:eotion of errors in plans, construotion, or violations of any oode. Every permit iUlled shall beoome invalid unless the work authorized by suoh permit is oonunenced witldn 8iH months of issuance, or if work authorized by the permit is suspended or abandoned for iI period of slx months after the time the work is conunenced. One 90 day extension of thl1e may be allowed for the permit with fee charge of $15.00. The extension shall be request ad in writing to the Building Offioial. An approved inspection must be logged during eaah sil[ month period, or the project will be considered abandoned. WARNING '1'0 OWNERI YOUR FAIWRE TO RECORD A NO'!'ICE OF COMMENCEMENT MAY REBUT,'I' IN YOUR PAYING 'l'WICE B'OR IMPROVEMEN'rS TO YOUR PROPER'l'Y. IF YOU IN'1'END '1'0 OB'!'AIN FINANCING, CONSUL'l' WI'rn YOUR I.ENDER OR AN A'l"l'ORNEY BEJfORE RECORDING YOUR NOTICE OJ.!' COMMENCEMEN'l'. JOBS UNnER $2,500 IN VALUE no NO'l' NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'r". SIGNATURE I OWNER OR AGENT SIGNATURE I CONTRACTOR S'l'A'l'E OF FLORIIJA COUN'l'Y OF 'l'he foregoing instrument was Before lIIe this _~___ day of by acknowledged , lL-. STA'l'E OF FLORIDA COUN'rY OF The foregoing instrument was Before me this --Slay of by acknOWledged 19 (name of person acknoWledged) lJ who is personally known to me, or Dwho has produced (type of identification) and who[] did Ddid not take an oath. (name of person acknowledged) [1ho is personally known to me, or o who has produced (type of identification) and who Odid OUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment I Name typed, printed or stamped Name typed, printed or stamped .I ~ 1<- -, . >1 7tJ I h I, ;3 ,fVC-c - ;' 33 I 33 '. ... 7.> ., <: I ;;. I'"" 7, -' ~ ,. ~ 05 , I II J mo bile ;..lame II' I I )7 ;? ,It 1/ ...I. :~ 1/1 V yt. " '1\ C ::::.J \ sH~d ,fOOm' I?A/scd ;' .1 IJ. ~ ~?~ 'II JO '+: , (!I+tf;o~ T , >1< -- 13 lif 7.5- ~ lit ..... . - I " " / ;g J() " ;' 'rE. r- /IS .... .... ;'1 - - ..... -- . 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' Centf6l Description of Improvement {YItJ5U....f= f-/D/VlE C; Ct l./f Ol/ncr IIl{orn'6tion: H6me ~ fV\ ~ IZ[,) CCL,4- &./~vIT{3:.,vl11- (,duress"'$']'532- LOfll.:';V!f A"'~ City z/EPIIv/!..!fIU5 St<lt~ FL 555'+ ( In~ereSl .in Pr.operty: t'/6lne ot fee Simple Titloholder: (II other th6n o....ner) City, S t.:l t c Address n ~,~ ~on t r 6C lor: N.:lme J~L.JrTE lL H ELO tYJO/}t L-E ).lomE l! t.^0dress3frl3D 'Bu,Tf;t?..HEUl L/Wf- CLty2EfJlfY!LI.f I L..L:> SelZI/ I (E / /l/C- . S t d t ~ FL. "13 5 40 ), Su~cty: N.:llne Address City Stote M'OUflt 01 Bond: S 6. L..~nder: Nelme Cit)' ~ t <.l t c AdIJrcss 7 , Persons ....~thin the StAte ot FloridA nOl ice s or other documents m6Y bo 71),:)(1)(6)(7), floridA St6tu!:es: desi9nOlod by O....'n;:r ,-,p,:>n --c"^ served liS prOVIded u'/ Sec', ,C~ , ",) (TIO City S t J L '~ ^c10(C60 8, In Additio,n to himselt, Ol,./ner oOliqnAtes o ( lor 0 c e i ve " CO" )' c : " - e Lienor', 1'I0tiCe AI prov1ded 1n Sect10n 71).1)(I)(b). flor.dll Slo~.,',,'~ '), r.p",nl.jrJn dn\.c oC H(,Il.ico .OL COfllmoncom:n;",tl.he explcotlCJn CJll.! L,; ),<,,~ lr?~ the UJlO u! rucordin9 unless 6 di!terent dele is speci!lec, J """;:-'010""'" ~:-</~ J,.:iJ.-.-/ - i3 F G<..A ..s::~ 1-1 u { r;;:,.vz /'f S--c ~ n l od!'\d subsc ribed be f ore me thi 5 17 da y of ~FJl{ePlIJ...f.J?::__ 'J.o~' HOLJrY!'lIblic: ~fl.~ hI Co""n, '; S Lon Expirc': ~.... '" Bruce A AsbeI \. ~j My Comml5lllon 00116710 Of '" Expires June 22. 2006 , ~ , ).J l ; J. I