HomeMy WebLinkAbout02-1461
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1461
Date
c;-
tf-o~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: ~ ~
Job Address: 5 d-- d- ~
:s- (p'\vo
I c,-th S-r'
Water Meter:
T,I.F.'s:
Parcell.D. "
Zoning:
Descriotion of Work
Energy Code:
d (p D' ?~CJL-
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
City License Registration ,
State Certified License'
Permit Fee
~ighature
Company
Address
.
~Iephone'
Valuation or
Contract Price
,) 7 c; - 7 C/O g/
_(J kJN/Y
BUILDING
Ftr. Tp. Servo SLB Breakers
Pre SLB Rough In Tub Set Ducts Insl.
Lintel Meter Can Water Compre
FRM. Const. Po Sewer Final
Insul. CL Pool Final
WL Pre-M
Final I
Driveway
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) shaH 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.
C.l.1'Y OF' ZHIPHYRHIJ..IJS PBlRMI'J' APPIJICA'l'J:ON
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A. llU'j'ICE: Oli' DIl1HlIJ RIilB'J'HIC'j'IONS
'I'll}! \llldel:sluueu lllluel;attlllda that Lids pi::nlllL 1i1~~' Ill;; :;ql!:le;JI. to "deed l:esl:l:11J1:IDlIS" \'Ildull
IiICl)l j)f:l IIlOl:e rei:ll:LJcI:Ive I;han CIty reglll"l;loiJS. I'h", undtH::llynE:ld aSS\lllles J.:esponsl.bl1.11:\' fDr
uDmpllalllle I/Jth any tli1pllcaLle deed l:ef.ltdc1d,l,I=.
B. IINLICfilNBIlJU CON'I'HA(J'I'OHS }HIIJ COll'l'Hl\C'I'OR RmS?UHSJBII,I'l'TH:~
1 t the (Jlme 1: Ila s hi I:ed a UOII t 1:01 llt () r () 1: COli t 1:<1 IT,:c 1.:1 t () ll11d,~ r t a I; Cl \'In r II, l.hey llli:l y be l'iI"jll:I red
'/Iu be J.1otlllsed.\.1I iHJOordanoe viJ,t:ll atal.e and 11)Ci~L reglt1al.lollS. It the uOlIl:l:i:luLpl: .16 !lOl.
Ullellsed as tecptl led by ] aw, both l:llb O\'/ller alld :::ulll:C1:tuLor Hlay be ClIl:..d for. a lid tldeHhHllIor
,liD} atillll linder' stat:e 1 a\!. 1 f the OHIH:lr or .1.1I1;t.dded uOlJel:aut:Ol.' are \l\lccuLa.lll lilS I',D Hllal'
ItuellaJIHj relJ\Lirelilellts lIIay apply fot' tile lntendt:d IHnll.. elley are advJf.li;d to f.l(lllLiHl1: t:lle
1:ILy of l?,epllvdd Ll /;j auJldlug Dcpfu,::tlllenL, fJ1.3-c11JIl'6611,
li'IHLllerlllDU::, It the Ollller has Id.J:ed a oOlllraol:()J; or uonl:raolors, he l./;l advlsed 1:0 hav= the
Clmlt!;'ClCJtO.l: (El) aJgll port.ionEl of the "Contraotor lJect:iollSTI of Lllls app,l.1 cHltJon fp!: \/h I 'Ih t:lu:lY
HIll Le> l:f;lSponsJbla. If \'01\, as the OIH1EH Sl(JIIS as Lilt: C1oI1traotol, you are Jlld,lnaUng Lhi:lL
VOlI, nll:IHH than the c:olltr:aotor, ara l.'espons.tblti tOt' Lhe llOrk. it the COIlt:,nwI.:Ol: Illslles
i'llll to f:j,i \.III as oontnwtol. that lIlay be all jndJ.ui~tJfJll l:hat he 101 not ploperly 1.1 uallSfHl alld j OJ
nul allt! tIed to penllll:UlIg pdvilegea Jll [-,he UJl:y of 2,ephYLldl16.
I:. 'J'H/IHBPUH'J'}\.'l'ION 1t1PAC'1' FlllmS I\IIIJ U'j'ILJ'l'Y COllllme'l'IOII Jj'hlHlS
n. ClJIIS'l'RIlC'.l'IlHHI LTI1lII }Imv lCllAP'l'I!JH '113, WI,ORIIJJ\ ,'j'l'A'l'lJ'['mB, AS lIt10:NDB:n)
I oerU ty that I, l:he GlppI.JrJalll:, halla hafm (ir(')\fl.'~ed 11U'h a oopy of "jj"IC>.I:'hhl't:I C:onstt'llfltl'lll
11fill LOlli . !InlllfWI'/lli;U;' ij I?roj;eation Guide" prepared by the B'.loJ:lda lleparl:lllt:lnl: of 1~\Jl,1 Gllll:lUill
~lld CUllf:lUlller Ilttajrf:l, If the applicant is SOHliwue ol:\tcn: that the "[Hiller", 1 uer.lty Lha!: J
halfCi (,)Ill:alued a (jopy of tile ah()v~ delilClribed domunent aud proll1ise In good t~.Ith t.o d/iiilj 11tH'
j L to l.hl;l "u\'Illel:/f pd,OJ: to OOllllnenU61ilellL.
n:. CON'l'H/IC'j'OH' S/uWIIIlin' S Jlli'H'JIlJ\Vl'l'
I (JeLt,j ty Lha!: /:I] 1 the informaUon :In \:Ills appUcat.l on .liS aneuraLe and Lhal', all \/Cal, 11111
lIe doue I.IJ uOlllp1 lance Hi tll aU, applioabla laws reglllatiug (lOnstrllol:l.nl1, zon1.ny, alld ll'\lld
deve loplllelll:,
j\ppl..loaL.J.oll Is herehy mClde to obta,in a permlt: 1:0 do Hod, anr1 Jnsl:Clll.aLloll as indinitted. .I
ce1:l:Jfy \:haL 110 Ilarl~ Ill' installaUon has oomlllenaed pr.1.p\.', to il:lIi\li:lIWa of ~ penrdl:. and Lila!:
all vlol.lr Hit I IH:l pel:fonned to lIIeet at~ndar.ds of all laws t'egllJat.:1IlU OOllsL1:IlLll.loll, (:Il:y
(lodes, :i:ollIllU reYlIlaU.olls, and lClud developllumt rtlYIl1.\l:.!.olls in the JI11:J"dluLlon, T allijo
celL! fy I.llal: '[ 1IlHleli:iLalld tllat the u,glllal:lolll:l of other goveUlIl\enl:al agentlles llIay I:lppl II to
lilt. lnttHlClcHi vmJ:!., fwd l:ll~t l.t. .j.a my l;'il~PP1HI.u~,Uj,ty to ldelll::1fy \'1h~t aotJollS I lIIlIst l.al;e 1:0
llt: l.n clllllpl.1 tllIOIil, 8lWh agencies 1n0111de but al.e liD\: ll.nd,t.ed to I ~ Depar.tment: of
E:nvlnllllllelll:al HE:\JILI atiOll"CYfJl:et.lS BRyheads, Wel:lalld AL'ei:l1':l i:llldl~nvjrollmelll,alty t:lells.lt::IVtl
Lallr,ls, Wj;tLeL'/Wi:lSl.wal:er 'j'1:ealIll611t
'i:l()1I1:1l\~t:/;i1: li'lodcla ~vatel' Nqna~HllllellL lLl.std ot-WelJs, Cyp1'el:ls Bayheads, ~VE:ll.lalld 111:61:16,
}\IIt:lr.llJ\j Wcd:enJOI1J:1iI6S
'l,rIllY Cor(l9 Df IlillgJlleer.a-Seal'lalls, Docila, Navigable Waten'lays
}'}Ji;';pcHlulent of lIeallh & RehabJlltcll;lve SeJ:viues, li:nvL:Ollllleutal Health IJnH:---Welll:lf
WC:ll'Jl:e~laLi'Jc 'j'J:f:EtLmelll:, Sefltic 'l'anJ,13
I'll, S. llillvJ 1:011Hlenl:a.1. l:l!:CJtEiCltioll }\gency-'Asbestos abatemelll:
'I i:illiO clel.I.IEy that., if f.l.JllllateeJal:16 to be IHllIfH.t.1n I!'lood Zone "A" Dr. "ll,eLn,", JI. :Is
11llde:UiLood Lhat a dtaJlIage piau addressing f:l "oompensat.i.ng VOlllllle" \-'/1.11 be allllllll U:lld VlhJ.uh
Is pJ:epal.er! by a 11lofesl:d.oual englnfHll, .t:egJstsred in the SI:at.e of /J'lOl':I.da pllu!:' 1:0 penlllt:
,isallallU~ .
h perml \; j saIled aha 11 be construed to be a lJoense to ptooeed IIi th the vwr)t AlId nol: as
i:llIthor:lLy to vlCllate, canuel, alter, or set as.l.de any pl'ov:la:lons of Lhe teohn.lnal OOdCiS,
nor shall lslHlance of a peJ:IIlll' pr.eveut the Bll,UCU1H] ()ffl.nJal fnJIlI Lhe~f':lafLiH' 1:111]1111;1119 1:I
noneuUClII of errrns ill plalls, uon~t;!:uQtjOl\, or Vi.ul!!ll;iollli of anv QuUe. Illlli,ty lHu:l/Ii.t
Jijijllllld lilli~ll henorne invdh\ IInl~a(j th~ woX;!< iHj~hor:J~.d by suah ptH'OI:1 t Js 1I01llllltilllOEHi Id l:ld II
f;l.111 1II11lltllti of iaSlIftlWe, Qk: Lf. Heir.\{ allthodzed hy the petlult 1.s suspeuded or aballdnned .tot' a
ped,od of sll> lI1DlIl:hs attar the LJllle the Harle is OOlllIllenuBd. One 90 daV el,l:elllil.iLJll uf tIme
may ba a'llo\'/ed tOt thel pennlt vlith tae cJharge of ~15.00. 'l'he Bletenslnn sludl ba l,eque;sl:ec\
.III w:iL.1n\j to the BllJ.ldlny otfJcJll;ll. An approved lnspeuUon mua\; be JO\Jy=d dllclng e<lnll i:lJ11
1II0nth pedIJd, OJ: the proJeot: I,d!! be l1011sJdared alJf\IHloned.
\tOlmlJlI1.3 'J'O OWNIilRI 'to\JH b~.A[IoURIll '1'0 RlllC(JRD A. Hunchl OF.' CONt1BlNCHiI'IHHrJ' N/\.Y HIiiHIJI.'I' III YlIllfl
I?l\YHIG 'l'WICli: UUH U1PHOVH:lvlIDN'f','3 '1'0 YOUR PHOli'IW'l'Y. TH' YOU IJI'l'fi:I/D '1'0 UB'I'I\HI Il'HIAlllJlIHa, COIISII!.'I'
\lOTII )'OIIH l,HltWIDH OR I\H A'I"j'DRI'lF.lY BIlJIl'DRl:l\ RIDCORDIHt3 YOUR IHYI'ICm Oli' COlvlNH:NCfl:lvlH:H'I'. ,mUH IJI.JIJf!:H
~2, 500 HI VAJ,lIfi: DO I'IO'J' NUiIDD '1'0 RH\CORD AND I?OS']' A "HO'l'TCU: Ol!' cm'1l1/.i:lICn:HU:U'l'/I,
'-,'_'nUL J,.'LI.;)l"Uj !)).~. ,':',~~~~,"'\~!:j:\ l\El~"~:::)A'VIT'
091 GlIJ\'l'lInt!i I CJWNlllft oH 11(30:tI'I'
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'J'lle tClJ:.e:gu.1119 iUIj\:1:\Ilnanl: Has aaknowl.edged
BeEole me tills.., """ day ot,_..,..____......1 l!t.....
by. __, .. _....... .'__'_" ., ..... _.._,. '......, .......,.,., ._._..,......._._...,...__"_ '_ .....'.._.,..__,_..,...,.
' (nallle of parson ilLllmo\'llelliged)
J 11110 1s pel:soncdly kllown 1:0 me, Ol'
fl'I'J.\'I'1ll Oil' Ii'LORIlJA
CnUN'I'Y DI!' ...__..__. ,.._......."......,_. '.........,_,..... ....,..._...,
'J'he toregoing insl:nuflent Has au)moHI edyiul
Bflfore me Udli _............J,tay of...,......,....._, HI_~...
b V .,....,_.._,.........,_,_................,..,......___, _ .....'........'...,.'..'__..".............,....,....
(namEl of perSOIl aolmql'd IiilC.tU~u.t1
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<) !let S P r.odlloed.... ....._....__..........,._.._,..~........._._...,
(type of JdenUEloat!onl
"I L1dld not take an oath.
[I ":Iho lIa El p todll(Jed__"..._..__,___.._....,.._~..._.
(type of Idtlll\:LHmil.lnn)
and ViIIO []dJd DUd nol: ta)~.. om oath
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La Id.ng 'f.iulmovlLedgemen (,
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Sl.gnat:\lt'e of persoll ted, l.uIJ <101"10\1 1 edglllent I
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