Loading...
HomeMy WebLinkAbout02-1691 I ". qfJ {JO' BUILDING BUILDING PERMIT . NO CITY OF ZEPHYRHILLS Permit - (813) 780-0020 l ~ li}-'C TO' ~ PLUMBING 1691 ...A} ,/0' ~- ELECTRICAL Date /,Q -c2-t?.;{ 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 'Z-'/ /IU" ~ 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# [1;~ [JvJAif ()vJ/J~ 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> I 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: J;J i uv0- /0: oC 1<:+ 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. ~/-~ 'C,.t!',o'"r'?'Jv ,(Jo 'Z)"* //.)" /.p f5f~.5' 2. 3. 4. 5. 6. 7. 8. 9. OWNER'S SIGNATURE ADDRESS J L'?> .., PHONE DATE /J? ~ -z-- - ....-z- WITNESS ])~j (~PJt- ,'~ave Codella \. v:J ~y Commission 00052865 Of Po:; Expires August 26, 2005 PERMIT # 'l~\l.1. 1..1..9 1?l1iU'\1.T 1'>1?1?1.. l.C" 't1.u" C1.'t'l al!' oz.~~~ .", .'" s~"""~ ,,,p~,,,,nLLS, fL ,,040 'U1LD1"G D"p~"~~.' 1.0 001' p"0"...,,.1'0.0,010 f.""'" . D~~" ""C1!1VBD -----~--' ?l.~a 1l.1'11'\!W~ r.I....c----~->--- 0"""'" S NIIM' b~' Ji'..e JoB B'" ~DD"'SS 5''''<1'1 /'!J";RL /;. ,;r ....:c.--- L'G~L D"O"..."ON, Lo'rlsl ~ BLacK _ S\lBUIVISION ~------------ p~"CBL 10 ~ laB~~IN ."01'1 p"OPE"~Y TAX NOTJC~I -~ ~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\~ ~\ .. lJ r ----- 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 - ************* CITY I?ROCESSRr REGIST # ******* NG # .[..CTUCIAN ... ......... ' ~ ******************* SIGNATURe' ............. , _ ~ COMPAN' .. _ STATE CERT 0 .. .. . .. .. .. . _ C In PROCES R REar s'r ij *********** SING # .--. ******* ----- *********** A! *************** S WNA TURE '-' .. .. .. .. .. c,vr""V'7 ~~ COMPANY- STATE CERT - ************* CITY PROCESOSR REGIST # *********** ING # ****** 81 ~ \ ************** GNATURE AY ...... ~ ~~ COMPANY ................ STATE CElRT *********** CITY PROCESOR REGIST # ******* _ SING # ******-fr*** ****** ", * * *'-1< -I< * * SIGNATURE Z4 -1<****-1<*******-1<********* . ~ ~......:.- COMPANY STATE CBlRT OR ",*********** . CITY PROCElSSINREGIST # **********-1< G # *-1<-1<******** *******",******* ****-1<******** *** -~ ~ ~~ BUILoma PLtIMBBR MIIlCHANICAIJ OTHER -:-:--- -' ,..-.' .... ~'"' ,- ~.J -. . ~ :i ~ /.~ ::--. .;:: 'i~ ,ic '- r' :#''<:J --...... '..-: ... \I~- ~ 'l~,_ '~ " '. -' .; .-.. ~,\ ......: i ---- """" -----.; --......; ):; 1,~ \=-= 1\ - Ii - :!, , ,I ' i\-r- 11..i- !,~ '11.-:. , ..... :/ :1 -, ,.......,- .,.... ""'; i L I~ {~ II , ! i I ." '.------- _. -------. .~. ,..-'" . ./ ...-- ,/.... __ fo:-" ...._--~ .' '--"-e ~ ~. --- . '-"' ----- .; ~f r -______. -=::"-'-' . - J; ~/-:! ~ --