HomeMy WebLinkAbout02-1607
BUILDING
Property Owner:
Job Address:
Parcel 1.0. ,
Zoning:
Descriotion of Work
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
(813) 780-0020
1607
Date I(}v-;;J,f -0 d...
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Ui
;::!:/tiE, ~
,j b.
Water Meter:
T,I.F.'s:
J Enerij,Y Code:.
~ ~usn
Radon Gas:
Sr'
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
DATE
J ~5D' eo
I
30 II
Inspector
City License Registration #
State Certified License#
Permit Fee
,.ksignature
Company
Address
'X'('elephone# ~/3- 7/L/-~3/r
BUILDING
ELECTRICAL
s~ st:Xi ~" c~j
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
SLB
Tub Set
Water
Sewer
Final ~//()--'~'i- C2
Tp, Serv,
Rough In
Meter Can
Const. Pol
Pool
Pre-Me r
Final
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.
-....,... ..
u.. ......... u ... "'\.u +. .w~, P /:" .c."'Lv.I...L.I.. .t\.t' .t' J~ l,l,;P,,,,1.' ,1 UN
milJilAR'I'Mllll'f'.I' !53:J5 ~\:l, S'l'Rllll:ll'l' ZlIJi'HYRUIJ,I,f:J, 1"1, 3:.i540
l?honilllll:3 ~ 'ltlil- 0020 1"1;0:11: I BU.. 7 f:I (), no::: J
lJA'.l'1ll iUilCl:llIVIllD
~1,Am;l RlIlVIIllW JI'lillll
:aUn.Dn~(i
I , 'k'" "AI'" /' ,Ii 'J1 <d iU Ifo PI/<,>". CO"'J'A"'!.7fJ'''0?~2',_._.
I i II b; . " .J..2!l-?.1V.\.__L.L. ---fL..-'~__~_J1\(S_________,_.__ ____.n_..__'____._.
,TUE a T'fjj; hDDREas (p;}J2 ...JJ20.Qc~..E elt1..Dc'-___ .____..__ .,. _n..n____
J,hil~AL Dhl:3CldP'rIOLJ; LO'I'(S) ___...E3n__._.__
BLOCK
f.:lIlB/JIVISIOU
Slve. .
n._ ~_~___. ~_'__"____
~1(Jk1( iJf/lJHIW/J;
J:'iHtl:liIL ID # 03~ ~::;;/7_-' - ,00 -voF3 (lJb'rAIH F'ROM r-ROPhlR'l'11 'VAX HO'j'Inw)
--- ,-.-.--"-.Jl:.:.::.-,,;2f_..._C!.;2 --.... .-----.-...----h-___.____h..._ ____________,._..__,_.. _'__'_ '_.'.....___. .'.______...._
[]AL'I'ERNI'IDN [J RhlPAIR ~JHS'l'MJjl
I ~l~ It T ,<JL,
UNE:\'I LX;NS'l'RlJl"!TION
f] AnDJ'J'IOl~
IJtiJWJ
[J IVl(N E
CJ fJEI10LISIl
PRlW, JIJEI) (Jf:jE; flJ8'"L F'AIIJIL!( DI'/BlLLH1G
[J/-'ilJI/j'I.. F'AIIJILY
[l# (JB' {JNn's
[JSWINI'IJING \;JOCJL
j] M(J!:j ,nEJ lIW1EJ
[j (J'l'HI:iiR
fJ COj11f'iEJRC JA I,
[J HWU::i'I'R J AI.
CJ lu:s'rAURANT & H.IilAl/1'll fJEI?AR'l'M.IilN'I' Alll?RCJVJU,
j)jjJ S CR J E'T 101~ OF' I^lOR 1\ .J rl(2 ( G pr(7f!i._.Y../ '.::> 1 JkJ..E.Tlo~______ u__ __.______._____ ..__ ______,_ __ ..'.___.__....
BlJrI,nnm SIZE:
-~-____h__~. ___._._____.-..
SQUARE F'OUT AGE
FtI:iiSm.lilHTIAL I
I~OI'1/1'lEJR(!IJ\I, ;
....----~------.~--.
III!JWIl'j'
ATTACH (:.&) 1'1,0'1' I?I"AllS & (2) SE'rs Of' BUlliDUl(] i-lLJl.Nt:J f< (1) f:lEJ'I' EJNlJ1R(~" F'otH.iS,
A'L"I'ACH (j) SETS OF BU1LDING I?LANS & (1) Sij'L' ENI:iiJ-t(3Y FOHMB,
PROflERTY SURVEY REQUIRED FOR ALL NEli COHS'l'RUCTIDN.
u._._."._ ._~....,'__~_......_...__.
FERMIT~_RBlQnEB1'En
[] bIJJI,lill/l]
~_..-._--------------------- VALlJA'T'ICJl.l IW 'l'U'I'Ai. CONS'l'RlJ(!'ncJ!)
[J E:LhJ(~'J'k WAI,
'-'-------.-_ AM1" tSERVICE
[J F'J.(lRUJJ\ t'ljWER
[J I'l.fI.hl,C,
[/Ii'JjlJj'lbllk~
[j HhJCIlJ.UH CA],
! j2f-t tfJrATto(\J :DJ?-sV
9,-____
VALUATION ()fi' IvJECHANCIAI. UlS'I'AI,I.A'l'IIJN
[j I~A8
[) ROUF'nm
[J SI?ll;(JIAl/!'Y
[] O'l'lIER
'J":..'PbJ l-Jl" ClJIH:l'I'RUCTIOl~; [] l:lLUCK
[j F'RAjljE:
I] ::l'I'EEL
[J 01'1I&:R
t"HllSHE/1J F'j,(J(Jk ELBiVA'l'IOHS
-----------.
TS f'ROdEC'I' IN Fj,DOn ZONliJ AkhlA[l ~E8
[j IIlJ
:QIl.llJCJ'.l'RICIAll
'I. 'I. * ... /. 'I. 'i. ... A. AI. 'I. " * · *^ * * */; Ii '/, * * .. 'I. A 'I.' * ... * .. '/, '/,' k* 'I> * '/, 'A 'I. '* * ;I 'I. '" 'i. . 1\- * * '/, .. .. * '/, * .. * " :A ;I /.
. ,. it;""; I
::'ff'I'("
Hirl
C( JI'I] I? AN Y,~iL./-.LSia.iL-L.a..i1d'sCtLf'~I.(Y_____ ________
S'I'A'J'E CEIt'I' Uk RElnS'I' #I h. . __________.....__.________._
CITY I?RO(!li)S::iING #-3QLL_____,_______________"....___
blnLnjjj~ '../"')
~ ' \'!t-
811~lJA'I'lmb; .'::l~~--i_L_jli;lJJ()-~~:=-
---. '---. -.----.. ---+---.-.--"-----.. ----.-----. -_..
C()11P AI1Y _.____________ _____._________
,sTATE CliJ}t'I' OJ{ Rll;(1J,s'l' 41
CI'J'Y PRCJCl!:BBINl~ II
.. _._...,._--~..._._--. --. - -~._----
B J 1~1lA.T'1 Jltlii
---.-.,.... -_ ._ _0.__ ___ __..__..~___~.._._,,____~_~. '___,." ___._
i' h(JWIHUt
· J. 'I. .. * * * * . * A * 1\ . 'i. 'I. . 'I. 'I. * I.' .. * * 1l . * .. *. . * . 'I. 'I.. * 'I. * .. 'I. * * * .. * * * * * 'i. .. '/: * .. > .. ;, I. '" * * . > ;,
_'__'._,~~---.,-_. '--'---~.._. -"-"-~' - ._~.._.__._._- .-_..._~--~-
.-~ .._'------~-- -- ._------~._--_._---- -----.-_._~-------_.~---
(:01'1 I? AN Y h_..,___._________,_-.-____ ___ _____._ _.. "'_' ..__________.. __._..__.
STATE: CER']' OR f(E:rns'r II __,.__'____~_.._________..,'_.__.__....__
CITY PROCEJSSIllG #
f:jJ dl1A'l'llkB:
Ml:ilCHAHICAI.
jAj""",j..>*******>*,..*****************>***.******',,*,,*.,*,*
.----------- ----.---...----------...---..-...- ~'---.. ..-.--.-.----
--~._---------_.._-_._-----_...._--------
COIV! I? ANY ---____h .._________....,
STJ>.'I'E CElR',f' Dk RI:iKHS'L' II
CITY PRO~&:SSIN(1 #
...--.- --. --~._. .-...~~-_.- ._.__.__.~_._.__._---_..- .--. --.
SIGllATllkE:
O'fHlilR
'***,..,....*,..,*.,..,'i..*.,******.,.'i.*****".**.**,,*,""*>I.A*'*
-_. ---_.~-----_....-.._-~ --~-... ._------~-
----._-_._-._~---------_._- .~--
----.----.---
(YJf!ll?ANY
STATE: CERT OR REGIST #
CITY PROCES~lNG II
SItmA'J'URli:
---- -_..._-~----------..-_.-.._-- -....-----.---- ._---_.,.._~- .----
_...._.~'-_._--------_.__.-..,_. ...~~._" --- .-..-."
*"*.,...*"'******...**.,*,,,.****.*,;,**,>***.****.***A;,*A*;",***
-'-.'~~"_"'h._ __._.__..._~____._._
CONDITIONS OF P:SPM'.:' AFF'.T.'AV::",:"
A. NOTICE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be subject to ndeed restrictionsH which
may be more restrictive than City regulations, '1'11.'= und,=rsi9ned assumes responsibility for
con~liance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they May be required
to be licensed in accordance with state and local regulations. If the contractor is not
l.icensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law, If the owner or intended contractor are uncertain as to what
iicensing requirements may apply for the intended work, they are advised to contact the
city of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contr~ctor(s) sign portions of the "Contractor SectionsH of this application for which they
will be responsible. If you, ~s 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 sign as contractor that may be an indication that he is not properly licensed and is
not etltitled to permitting privileges in the city of Zephyrhills.
C. TRANSPORTl\TION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FIl)RIDA STATU'l'ES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CONTRAC'l'OR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior 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 jurisdiction, I also
certify that I understand that the regulations of other governmental agencies may apply to
the i.ntended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: "Department of
Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater T.reatment
"'Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Arrny corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc,", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the 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
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six rllonths after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'fAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMHENCEt1ENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF-
The foregoing instrument was
Before me th.is _____ day of
by
acknowledged
19
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Owho has produced
(type
and whoO did Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and who 0 did DUd not ta ke an oa th
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stan~ed
Name typed, printed or stamped