HomeMy WebLinkAbout02-1691
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BUILDING
BUILDING PERMIT
. NO
CITY OF ZEPHYRHILLS Permit -
(813) 780-0020
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PLUMBING
1691
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ELECTRICAL
Date
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MECHANICAL
Sewer Conn
Pmperty Own.. ?~t! r:li/! &r
Job Address: Sol( _ m ;, c:;f.
Parcell.D. ,
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
-J?1nef! Code:
. , S-a- -A~~
Radon Gas:
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL J Pl ~;2 (, '= 0:2..
DATE
C.O. ---/- --2 _0;L
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
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Permit Fee ..d ~. p.;t)
)<Signature ,~--.t7 m~"'"
Company
Address & t' y-' <;; /4/ I/. ~Q ,to I />" /: /l-r
)(telephone# "7 J' J'.y- S- 7.r
Valuation or
Contract Price
City License Registration #
State Certified License#
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Breakers
Ducts Ins
Compr
Fin.
BUILDING
ELECTRICAL
PLUMBING
SLB
Tub Set
Water
Sewer
Final 1/ 1'2 -::1& - o-Z
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final 1/ I.? ~)..f:. 0 "I..-
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
'KL If ~
j.LJD
it'l.llfl>
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Driveway
FP / 'J. - :2 7 - (] 2-
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:
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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.
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRBILLS BUILDING DEPARTMENT
C. )/ L,I/ -0 have read and fully understand and
provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, inCluding reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
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OWNER'S SIGNATURE
ADDRESS J L'?> ..,
PHONE
DATE
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WITNESS
])~j (~PJt-
,'~ave Codella
\. v:J ~y Commission 00052865
Of Po:; Expires August 26, 2005
PERMIT #
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L'G~L D"O"..."ON, Lo'rlsl ~ BLacK _ S\lBUIVISION ~------------
p~"CBL 10 ~ laB~~IN ."01'1 p"OPE"~Y TAX NOTJC~I
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~a"K p"OPS"U' ONEW CONST"UCTION 0 AUUITION o At,TE"AT IoN 0 REPAIR 0 INSTAI.L
~----------"~-~--
__ p~ONE CoU'r~C'~~~
o MOVE
d DEMOLISH.
DSIGN
OMUL'l'I" FAMILY
o It1DUSTRIAL
O~ of UNITS
o S~IMMING POOL
~ MOBlllE HOME
o OTHER
PROPOSED USE \ OSGL FAMIlJ'i DWELLING
o COMMERCIAll
nESCRIP'rION OF WORK
BUILDING SIZE
RESIDENTIAL I
COMM'BlRCIAL:
c:J "eSTAURANT . REALTR UEPARTI'IENT APPROVAL
_010\0\.\ $c{V\~
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-----
HElIGH'r
SQUARE FOo'rAGE
PLANS & (2) SETS OF BUILDING pu..N8
OF BUtlJDING PLANS & ~ 1) SET ENERC]'{
REQUIRED FOR ALL NEW CONSTRUCTIOt1,
& (1) BET ENERGY FORMS.
FORMS,
ATTACH ~2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
~JRMITS REQUESTED
o BUILDING
~ ELECTRICAL
~ PLUMBING
~ tv'IECHAN I CAl"
$
VALUATION OF T
OTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E1,C,
$
VALUATION OF
MECHAl'lCIAL INBTAl,LATION
[J ROOFING
o OTHER
o GAB
o SPECIALTY
TYPE OF
CONSTRUCTION
: 0 BLOCK
FINISHED F
1.OOR EIJEVATIONS
o FRAME!
o STEEl"
o OTHER
18 PRO,1ECT
IN FLOOD ZONE
AREA 0 YES
o NO
SIGNATURE
Cm>lI?ANY
STATE CElRT 0 -
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