HomeMy WebLinkAbout02-1462
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2 1462
(813) 780-0020 Date C; -/1 ~ C1 ~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. ,
Zoning:
Descriotion of Work
:TO~N
5t./~q
s ~ yV'-O h..s
{~ ST.
Water Meter:
T,I.F.'s:
Energy Code:
Up ~~ $.e,yU .
Radon Gas:
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#
30 c:l7
Pe'm;' Fee ~..., ~
,X-Signature:1\.o ~ e €:> ~
Company
Address
~Iephone# g-).,~- t.,-/: Io.-CA to~
Valuation or
Contract Price
Ftr.
Pre SLB
lintel
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Fina
Breakers
Ducts Insl.
Compre
Final
ELECTRICAL
PLUMBING
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) 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.
CI'J.'Y OF 7.d:jIPHYR,HIIJI1S PBlRMI'J' APPI1ICATION
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CClt'lPAHY
S'l'A'f'E) r'rnR~-()R-piiiiHsT ii"---'
(' I'J'Y PR()(.!!!1SS Hlt~ 1/
8Wl11\'I'1 !IH!]
· .. I I. · · * · * .. . I' . ~ I . . * . * * .. * .. . . . , '. .' I .. .. .. . . . .. * * .' * .. * '" * . . 1 . . , * . . . I , . . . . .
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j~, IIUj'lCfli OlJ' D/JlHlfJ HElB'J'RlC'I'IONS
'l'lle IllldesJ.::>I.\JllflulmUeJ;stands that thjs perllllc ln~\, 1m :;'l)i.l;;.,~L 1:0 "deed l.'esl:J.:j(~Ulmsl/ \'IllJdl
1I1C1\' be'lIIou: l.cstLlcLlve I:han CJty J:eglllatioilS, l'h" 'lildt:lL:J!Ulled aSl3llllles l'espollslhll.ll:y for
(Jump] I "lice IIJ th ally i:lppl:!caLl e deesd t:.l:H:itl.'l GUll!!;",
B, IINJ,ICI1INBWU CON'l'Hl\C;'l'()HS ANlJ COJI'l'Hl\C'I'OR RmSPuJI 'JI BI 1.1'l'I8',.:1
If tht:: (llmeJ: has hiJ:;:,d OJ uOlltl:autol: 01.' uOlll:rC:lc!:(HOi to \llld':lttOlI;.. \'/orl" they lI\iity be L'liHJII,j red
) III Ill::: 110enliied Jll iwuordanoe HJth sl:<Jte and locid legl1Lat.iOllS, It the Cloli\:rtlllt:Pr fa 1I0t.
J.Juans!:;ej as l:e(jlllled by law, both I:he OI'lIHH allt! (J(l!Il:.uH;LllL: lIIay be nl tell.! for. a 1II! t:idElIIII:'I ClJJ 0 I:
1/101aLioll Illldfll. sLa!:e J iH/, '[ t the Ol~ller 01." 11l\:!'lIdi:,ej lJollLJautol.' are IIll\JtHtiilll IHl to \Ihal
lJuellSlll<J relJllitelllelll~a lIIay apply tot the lntefleh,d lrod" Lhey au, iHilrlf.ll!Jd to C!olll,a\IL tha
l:IL\, of. Zephydd Lis EHdldJnv Dr:partlllenL, 013-7U[j'6f,lI,
lJ'IHLhillllleH'6, if Lhe ()lllle1~ has h.l.l:ed a uontracl:Dl cr [)Olltl:i:lotors, he JI:1 <idvlsed to have Lite
Cl(lllti'C1c;tOl (al S1gll port.iolll:l of the "Contraotor iJflcl:ions" of LId s appll c.ltltjon tp!: 1/111 wh L11l::lY
Ill)! be J'espolltijbJ.e, If YOII, as the Olmel s.l<J11S iHI l:llfl (j(lllLrantor, yew are .l.lld:\oal:jng \:JlI:at:
YOIl, nll,IHH than tile COllt:r;aotor, anll'espons.ibl e tor the llUll(. J f the (j()IlLnHlI:,uJ: II! ::iile!>
\,"" t:D S:\ \J1l alii oOld:ract:ol t:haL lIIay be all Jnd.l.cCll:lull t1lat he Js not pt:operlyU U<:lllfHHl C\lld ! s
nul ent.! tIed to perllll,t:!:.ing privilegelii tn the UJ ty of Z,ephyl.'ldlls.
I:, 'I'HlIIIBPOH'I'Nl'l(JNIHPAC'l' FIDlJlS l\llJJ U'J'ILI'l'Y CONIIIJ:C'I'lOIl lJ'Ei/JJS
n, C(JlIS'1'HlJC'1'Ul011 l,Tliil1 l'}~W (CIIAI?'l'l!JH '713, H'I.oRIIJ}~ 13'I'A'l'll'l'Ji:B, A.'3 Al1aaWa:ll)
I oerLj ty that 1, I:he ~pplJoanl:, hal/e bef:1Il Pl:ovlcled \11th a oopy of "Jj'l')l'.J.di:l's I:OIlSt:l'lIul:.J.n/1
I J.~ll 1.011/ - llolllfW\'/Iler' f;l P.t:pj;eotion GI1Jde" prepared ))\' tlte E'.lor.ida lleparLllltmt of I\Vl 1 GlIlLlllta
~lld COIll:HlllltH: llffaJr's. It the applJ cant: is S()lIHWlle Otjle}:, Llull: the II[H/lull,r", T fH'H,\ ty that: ]
halfe old:allle:d a uO[lY of LIlia Ailov~ de13nrJbed docml\sllt and proll1.l.ae III good faith to deli Vdt'
j I l:o (-.ill:! "UWlet" lld,[n to OD10lnelluelllellL.
I]:, COII'I'WIL:'l'OH' /:l/ut'JHfilH' B J\Ii'Il'IIJl\Vl'I'
I uertJfy LhaL /:111 Lha illfonnaUol1 ,ill Lllls appl.loaUoll Js aocII1:aLe and Lhal', all 1101:1, llill
be dOlle III UOlllplJanue Hith aU, i'lpplJuable l.aHs reglllatillg uonatrllol:\Ol\, zonlllg, alld Ilfllld
delfeJuplllf::llt: .
jlppJ.luaLloll Is luneby Illq.de to CJb\:aln a peullJ.t l:o do l/Clrl, allti illstC'lllatlCJn as llldlCla\:ed, I
(Jl;i;J'U fV l:hilt: IIn l/DrI, Ol.' ills\:i:l.ll.aUon lIas UOmmEHlOfi:d flr.1.pt: to JI:l!:il!oUlCJt:! of Fl peUllU: and thaI:
all IICll,l\ I~L1I be peLtotll\ed lo llIeat aLli\udllr.d6 of all 1011'/6 U:HJlIllltJIIU ()OIlSl:J.llUtJoll, C:l t:y
(;od<:lil, UJll.lll\J l:c\JII[ClI:.l.ons, and lalld developHlent l'egldf\l:.t.onS.l.n the JllJ:JoSldluUol"l. T all:io
Gel 1:1 ty Lila!: '[ 111HleLs!:and that Lhe l:ElglllatJons of other govenllnen\:al nVl::lllcdes lIIt1y l:lppLy 1:0
I I a;; JIlI~I:Hlllt:j(i \'lorl(, filld that: 11: ,j,r!j my r;ill:!ppnI:lU~.ilj,ty to JdelltJfy \'Iha\: iwl:JolIS L 1I\11tlt: Lal.a l:o
be 111 clllllpll'lIlCJli:, Blwh agellulea .i.nclllde hilt- are no\: Jinl1,ted lOI tDepart:lllf:lnt: of
H:nvl !:lllllllbnl:al He:~J\t1<tl:illll'.CYrlUi:f,lS BFlyheC:ids, Wl;ll:lC:illd !\t;eaf.l 1iI1le.:! li:nvJU)Il/1I6n\'OILJ y tlellsJl:Jve
l.C:lllcls, Wal.el/WtltlLfHlal:et' 'I'reallllenl-
A f.hml: hl~el:> I: li'1 0 r Jda ria tel t1ii111ageml:nl. [lJ s t r ,\ (J t: .-Wel.1 s, Cyp l'e S oS Ba ylle adf:l, ~~e 1.I II nd 1\ Lea /i;I,
1\ I ttlrl IIV Wal:elWJllJ:ses
^IH:III\' COLI'/;I of HllIgineer.s'-Se<iI./alJs, Doclis, Navlgi:lble Wetten/aYfJ
I'JII::[J/:lrllllenL of /leal\h & RehabJlll'.Il:Jve Sl::iJ;viues, E:nvJJ:Olllnelltal lIealth IJnJt-'Welll:l,
WOltJl:eHiitl:t:ll: 'l'reatlllellt:, BeptJu '['anI,s
J.IJ. s, !Jilll/:! torulH:Hltlid PJ,;Ql:eCltJClll J\gellcY-.Asbestos abatcllnelll:
'I i:d,lO oel.Llfy that" Jf f,Ullliatflr.lal:1s to be lH':lsd in jj'lood ZOlle "A" DJ:' "A,eLu.", lL:I..
Illlfll:ll:al:ood Lllat a dralllage plan addu,;liisJng a "compensat.1.ng VOllllne" 1-11.11 he Iilllhllll !:I:Ell! HllJ,r:ll
is pJ.'epated by a lllofes.sl.onal englnf,:lf,U' reg.1.s1.:eUld in the Sl:ate of lJ'lorJda prlo!:' 1:0 panni!:
.iSI:l11Clnelc; .
I\. petllllt j flslled shall be ClOIl.;lt.rued to be a 11cellse to pt:ocead Il1th i:he I-/()rlt iilnd no\: as
CllltllO,r:j \.y lo vlo1aLe, canuel, alle1:, or set: aside allY provJS:!OIlS 01' l'he teohlllnaJ oodl:li:l,
nor shall JIHlIlance of a pennll prevent: the BId ldlll9 OifJuial frolll Lher~~ft:IU: niljlll.t;Jng i;t
c:oneuLjoll ur enDre in plans, uonsl:ruc.ltj,p/I, or vit~l!=d;JQII5 ut <iIlV CJOQCI, 1II11i.t:y Pfil1;lIIit
ltil:;llled aha! I beoume invdh\ unl~BIil tha wor.~ au~hod,zed by slIoh perfilj t: .is nOlllllltllloilHi 1I.1L1l1n
ill u lIIulltha of iaaUaU(H:, or U: IHH:k Rlltho.rJ zed hy the pennJ t: is suspended or aiJiwdnllitc1 tor Ii
pedod of stn Illollths afLe!: the lime the Hork is lJOIlUllenoed, One 90 day eJ,lelllidoll of. L IJlltJ
lIIay be a'llo\'led fo!: the pe~mit Hith fee ohiu:ge of ~15,O(), Tile B<ttenstnn shaLl be l,l!lfJlllilsl:ed
.Ill ~nit,1lHJ 1.0 the BuJldlny otfitJiAl. An approved illepeoLlon IIIl1St: be JD\J\Jed dllLIl\9 E:I<Jrill t;lJH
month pedod, 01 the pro:}eot: IlJ.l.l be l10nsJdered abandoned.
~ilImlJl/G 'J'{) uWNLilRI youn IfATl.IJHID '1'0 RIiJCORD A. IW'l'ICl!l OF.' CONI'1H:tH:HlI'1&~N'J' t'Il\Y HliifHlJ,'(' III y'Ullf\
P.AYHIG 'I'Wlcl!i HUH IHI?HOVli:J4/JJN'I'13 '1'0 youn PHO!?IlH\'l'Y, IH' YOll I1/'L'I!:!m 'J'() UB'l'}~T" li'.JIIAlI\Jlllli, COI/BlIL'I'
~H'J'II l'OlIH l,llllWlliH DB 1\U A'1"1'DRHF.JY BI:!iI!'()Ra~ RECORDlJll3 YOIJH NU'I'ICl!i OJ!' CCl/'1111!:JH:flll-lffiH'I', ,JUBS IJllIlft:H
$2, SOU 11-1 VAJ.llH: DO llu'l' HHililD 'l'n RJl:CUHlJ AND 1:'08'J' 1\ "H()'l'TCli: UIJ' cmn'lli:I/Cii:tHia'l'l'I/,
~'-""l'fJ..q .L'J,.\;J,','Uj f\),~' .~:~._~<q,-~lL~I.~\ l\~\~"~::-)l.;.\' JI}l
Bt GII}\'I'()rH!ll OWI/WH OH 1\C3bltl'f'
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S Hllll\'l'IJ HI!: I CUII'I'RAC'I'UH
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'J'116 toreyo.l llV I list rlllllan t ilaf.l aokllol-ll edged
Befole llIe Uds_, .',_, dClY of ....._, l~._,
bV. ,..,_._,~. ,.,..,_.., . '_"~.~h. _......._'_,.__,~__....~ ___ ''',.___,.~,..
(ne\lIlS of illHSClIl OILllmo\~ladg@d)
11/110 Js peJ;solHdly kllol~n to llIe, or
fj'I'A'l'l!: OlJ' fj'f.(JRIlJA
C(Jl!!I'j'Y U Ii' ., ,......._.....,....,__, '. '_..~,.,...__,~. '''_.,,__,
'I'll.. fon.going lnsl:t'lllllelll: I-/fl,!j aUIOlO\./1 edgad
Bflfore llIe t~ldB -_,___J.lay of.-".,.......,....._, 19 _~...
b 'i ..,~...._'_~..,_.......,.,,_..,~,__, _ .... .....__'..'..,._..,.......,.._.,.,.,..... ....".... ._.....
(name of pat:soll aolmClI.illil(.l~i'll
LJil10 I a pelsona Uy Iml)l'm 1:0 11I=, ell:
II/llo lIas p rorhlnfHI,_n__...._...._,_...,.,,~_~_,..._,__...,
(type of JdenUfloaUon)
awl \JllOlldJd [/clld lloL tala,: an oath,
[] I:lho baa p rodl\rJI!Hl_...,_.._,.___"__,__~..,'_.~..., __...,...,_"
(type of I d~l": UJm~ Umd
and "dID I]dld [IUd nnl: I:~/(e _Ill oath
SJ<jni.lt:ll1e of pel:son l:al;1,1l9 i:lUkII01/1edvemsnl"
. .-----.-...-... -.. '-.- - .. . --"'~'.'~'-"'-.._..., -.--,.....-.
,._" '-'. ". _..~......__._-.,...__..- ... ...-....-
~.."._-. ,.......__._*.... -..o.- ...."...~._
.'jJgnat:lIL'e of persol1 tal.1.1I9 aulcllOll1 edgllltlnt I
HaJIlt:: t:Y[led, pl: 11Il'ed III sLalllped
.. .-.._._..'-~--...-.,....-...._-~._~. . .........~_...-.-...._...,... . .--... ....-..
1If\IIlB t.yped, prlld:ed () r el:<lllI{li:ld