HomeMy WebLinkAbout02-1671
BUILDING PERMIT
. NO
Permit -
CITY OF ZEPHYRHILLS
(813) 780-0020
1671
~1.50
BUILDING
Date /1-~5--tOf2
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
",ope"" Own.,. YJ;d't'" fJ A .dip
Job Address: _~8 7 {p ( \l~ c~ &A.
Parcel I. D. ,
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
~)Lj;
fa
Radon Gas:
,,:2. 8"8
NO OCCUPANCY BEFORE C.O.
FINAL -;2- d~
DATE
C.O.
DATE
Inspector /-IJ?J KL- .
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee ~ e ~
YSignature \-. ~- . ~
Company
Address
yrelephone# ~ t3-- J~ ~~ d.~ \1L
Valuation or
Contract Price
City License Registration #
State Certified License#
b
/-)/ u VV" 1J
.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp, Servo
Rough In
Meter Can
Const. Pol
Pool
Pre-
Fi al
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Com pres r
Final
Ftr,
Pre SLB,/ 1/-.J.5~P). /I:1(}
Lintel
FRM.
Insul. CL
WL
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,
APPLICATION FOR PERMIT
CITY OF ZEPRYRRILLS
BUILD:ING DEPARTMENT
DATE RECEIVED Ij-- ;}.,'J.. -tJ ~
PLANS REVIEW FEE
OWNER'S NAME R D elf) C,e"
JOB ADDRESS J ' 7" I
{J lI-lF L (J..5
,
V l./ t. (' Il1 ,;V
PHONE 1/J- 73 J ..rJf.:,lfp
CIR.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION U{ 1/
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK P~rlo
BUILDING SIZE fa.- 'X J-.LJ SQUARE FOOTAGE I~~
HEIGHT
~'
r
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
$
~ yod, tJ(/
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
>"1"
~t
~
COMPANY At! t7 II t i./ WlIIVII "'"
STATE CERT OR REGIST # C/fCa3v"5()
CITY PROCESSING # Cl3
BUXLDER
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUHBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MBCHAlUCAL
**********~*******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CvN1JLJ.'J_\.h~..J VJ; f:J:.JKt".U.J_ .M...e.r:J.f..Jl"1.V_lJ.
A. NOTICE OF DEED RESTRICTIONS
The,undersigned understands that this permit may bE: sub:iect to "deed restrictions" which
may be more restrictive than City regulations. The u::ldersigned assumes responsibility. for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESE'ONSIBILI'rIES
If the owner has hired a contractor or contracto:n, to undertake work, they may be required
to be licensed in accordance with state and local regula.tions. If the contractor is not
licensed 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
licensing 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
contractor(s) sign portions of the "Contractor Sections" 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 sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, 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 commencement.
E. CONTRACTOR' 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 intended 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, Wet~and Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army 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 months 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
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT OF ENC
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT~a OF CO CEMEN
s~ ~~~ . CONTRACTOR.
STATE OF FLORIDA
COUNTY OF pAsC'n
The foregoing instrument was acknowledged
Before me this~ day of rJ{)J~I--fBc1t., ..:1~
by ~D G.~ . ELP~
. (name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF f> A'SCO
The foregoing instrument was acknowledged
Before me this ~day of fVlJ.Je>t6i:iR, :1.1O..Q)-
by --r<.A-'I D A-N ,0.-S
(name of person acknowledged)
~o is personally known to me, or
D who has produced
(type
and whoD did D did not
of identification)
take an oath.
D who has produced
(type of identification)
and who Ddid []:iid not take an oath
~i. &o=J>J
Signature of per n tak1ng acknowledgment
k kn-li KE t-.j \..T ':Bf:.ov\lN
Name typel';"-''Pr:rtt'\':e'1:tor. stalt\.~c"-')
~..,.YPu"(f> KA,;",)WN j
~ ~s1 MY ( . _ C'( :,::';469
,;~:~;:~,"..F',', '.. "...... .~;,~~~,
l-Z..AT1-I ~-z=:.rJ . J,"1:::RvvJtJ
Name t yp.ed" y ~rfnte(1"""o'f'wSt~1fiI:le'd
I ~,,"\ uO(r KATHLFTN J BROWN .
" ~~.'._. '1',' ('(.1 M M'. ;<:'W # CC R2,~m i
. ~'ta;',.".':' rXP'f !
. __ 1-8(lr.<i-",,()!'/\i-:; Co ,f
3B525 2nd Ave.
Zephyrhllla, FL 33540
ACE
ALUMINUM & 'CONCRETE, INC.
~~~ {~f~~/~
4s-r-v~
/ I / c2 () /07..-
/ / .'
f
Job No,
Phone: (813) 782-2616
SOLD TO
ADDRESS
SHIP TO
DATE
PHONE
PERMIT
PRICE
TAX
TOTAL PRICE
DEPOSIT
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MAXIMUM TRIBUTARY WIDTHS OF BEAMS i
EDGE BEAMS AND CENTER BEAMS LEONARD G. .GEDF"F'e WODD
ENGINEER
BEAM SPAN CURVES - 1 to MPH WIND VELOCITY l.-.r'lII Go Vaae,. PE.. H 7377
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