HomeMy WebLinkAbout02-1665
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
(813) 780-0020
1665
c:R1
1/-44-02
Date
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
i ;;J... I€, . c,.c
I
350. /9'C
P,aperty Owne' .J.j~ ~;",
Job Address: <3 '75;;l Lf ~~ ALle,
ParceII.D.' 3if-~5 - ;;l. (-Oi!/IO --V;;;l~tPt) - % 3
Radon Gas:
Zoning:
Descriotion of Work
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,
DATE
Inspector
(.{So
City License Registration #
State Certified Li se#
36?{; '1
Permit Fee ~
.>-Signature ...{...t -4'L.~
Company
Address
>Telephone#
Valuation or
Contract Price
rJ n;tJ. tf/<-)
(
4
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp, Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final b,/ c1-If? - tl3 (100
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB Breakers
Tub Set Ducts Insl.
Water Compressor. ,
Sewer Final,,/ d. -/ r-~ 3 ~
Final / .2 - / ~- d 3 .f't 'f.,t //Jo
Driveway
(P J--;)7- () 3 i:30 jhp- If
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,
CITV OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEP~RTM.ENT
DO NOT REMOVE
ADDRESS DATE PERMIT."
''37,24 4"1 ,,()" t\.ll 2.1 i 21 c) 3 / fc.(p S
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
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It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other matenal, until the proper inspector has had ample lime to approve
the installation,
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
4l1-/ ,~h
INSPECTOR ' j( O~~
. -/ /
~ITY OF
ZEPHYRHILLS
IINOTICE"
OF ADDJTION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
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It is unlawful for any Carpenter. Contractor, Builder. or other persons. to
cover or cause to be covered. any part of the work with flooring. lath, earth
or other material. until the proper inspector has had ample time to approve
the installation,
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR ,RE-INSPECTION
/7 i / .I 41 /JL/.
INSPECTOR !.A'V / L L.;: ~. f.. ....''"'
I / /
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT ."
~ 7 5" 2-'1 L~ ",{ ~ l\vt' , -:; !llJ/d t ! ~ (;,S
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
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It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation,
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR /Jltti'f( 4./w
.' / /
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEP~RTM,ENT
DO NOT REMOVE
ADDRESS DATE PERMIT +
'"3 '7 'i 2 Lc,.11 I S" ~ 2./ ,1, D 3 / to (p S
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
.
~A\\ (O(lA."",,,'~ I.\/,d e..^Gkol'~f 5""-l\ b-€ U".,.,,-..:);)eretJ -Co"
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It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON,-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR ~ ~ qih
. CITY OF
. ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS PERMIT .".
37 1 ~/\J; s Av-e 110 ~
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections sholl be mode before the job
. will be accepted.
,
A \ \ Co \ \).,..,,,., s ~ kc,.. \ \ be UY\ Lovered
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It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR E-INSPECTION
<r.p
OFFICE HOURS 7:30 AM - 5 PM MON,-FRI.
INSPECTOR
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
DATE PERMIT +
L~"J; ~ Ave, J lalo'1 . '5-
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
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ADDRESS
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation,
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR /ft/.,f[ ~
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c'J~'Jr~\I'r~()YS O~' ?'?~?:,V~~_r~.' AF~~"':}A\r~4r~..,
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit way be subject to "deed restrictions" Hhich
may be, more restrictive than City regul<ltiofls, '1'11<::1 llnd'~rsi9ned assumes responsibi..U.ty for
compLiance w~th any applicable deedr,~strict.i:.>tls,
B. UNLICENSED CON'l'RACTORS AND CONTHACTOR HESP:J~IEiII3ILITIES
If the owuer has hired a contractor o~c c:ontract:'>1':3 to undertake Hork, they may be required
to bl'! 1.icensed in accordance with state and loc:11 regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeallor
violation under state law, If the owner or intended contl:actor are uncertain as to Ivhat
licens.lng requi.rements may apply for the inten(h~d ,./Ork, they are advised to contact the
Ci ty of Zephyrhills Building Department, 813-783- 6611,
F~rthermore, if the owner has hired a contractor or contractors, he is advised to have tile
contractor(s) sign portions of the "Contractor SectiollS" of this application 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 si.gn as contractor that may be an indication that he is not properly li.censed and is
not entitled to permitting privileges in the City of Zephyrhills,
C. 'I'RANSPOR'l'A'1'ION I MPAC'l' FEES AND U'l'ILI'1'Y CONNECTION FEES
D. CONS'1'RUC'I'UION LIEN LAW (CHAPTER 713, FLORIDA S'rA'l,'UTES, AS AMENDED)
I certify that I, the applicant, Ilave 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 commencement,
E:. CONTRAC'l'OR' S/OWNER' S AFFIDAVIT
r 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.
Application is hereby made to obtain a permit to do work and installation as illdicated. 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 constr\lction, 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 intended work, and that it is my responsibility to identify Hhat actions I must take to
be in compliance, Such agencies include but are not limited to: *Department of
Environmental Regulati.on-Cypress Bayheads, Wetland Areas and Environmentally Sens~tilJe
Lands, Water/Wastewater: 'l'reatment
*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawal.ls, Docks, Navigable Waterways
*lJepartlllent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
"'IJ,8. Environmental Protection Agency-Asbestos abatement
I aJ.so 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 Hhieh
is prepared by a professional engineer registered in the State of Florida prior to perlnit
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 Hork authorized by such permit is commenced Hithin
six months of issuance, or if Hork authorized by the permit is suspended or abandoned for a
period of six months after the tlme the work is commenced. One 90 day extension of tJme
Inay be allowed for the permit Hith fee charge of $15,00. The extension shall be requested
ln wrlt1ng to the Building Offlcial. An approved inspection must be logged during each slx
month pertod, or the project will be considered abandoned.
WARNING 'ro OWNE',R: YOUR FAILURE '1'0 RECORD A NOTICE OF C0M11ENCEMEN'l' MAY HESIJ.L'I' IN YOUR
PAYING TWICE F'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'l'END 'l'0 OBTAIN FINANCING, CONSULT
WITH YOUR LE:NDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
$2,500 IN LIJE DO NOT NEED '1'0 RECOm~::~l:eS7;)~Y~~-]~~dMMENCEMEN'r".
SIGNA'l'U RE : CON'l' RAeTO R
S' ATE OF FLORIDA
COUN'I'Y OF ----_
The fotegoing jnstrument was acknowledged
Before llIe this __ day of ___, 19_
by
(name of person acknowledged)
[J who is personally known to me, or
STATE OF'FLORIDA
COUNTY OF__
'rhe foregoing instrument Has acknowledged
Befote me this ,__5iay of-.-----, 19......:......
by ____ ____
(name of person acknowledged)
[},lio 1s personally known to me, or
[] who has produced
( type
and WllO[] did Ddid not
of identification)
take an oath.
o who has produced___.._,______._
(type of ldentification)
and who Ddid DUd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Hame l:yped, printed or stamped
Name typed, printed or stamped
C>\ACAD\DWGS\GRAND\95101CON WeeJ Fr~b ~j 22 41: 19 1~J97
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