HomeMy WebLinkAbout02-1702
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1702
..-
:J~
Ci~ILD~
cJ~
ELECTRICAL
Date
1;1"'}/-02--
.
r
Property Owner:
Job Address:
Parcel 1.0. ,
MEC~L
Zoning:
OescriDtion of Wor
Sewer Conn
Water Conn:
Water Meter: ~ ,.P .'f
10_ Q.~O?
/71
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price
-
~.'tEee.
~IJ~
Company
~A!l!l
~~0~!~~/3 93d1t'5/<
.3),;; 00
City License Registration # .2.7~7
State Certified License#
I .
).. f. j J,E/
OJ /1,p. eo.
BUILDING ELECTRICAL :liPt, I
Ftr. /It) -1('- tJ:L R< '( JIJO Tp. Servo SLB
Pre SLB Rough In Tub Set
Lintel Meter Can Water
FRM. Const. Pole Sewer
Insul. CL Pool Final
WL Pre-Meter
Final
M
ICAL
Breakers
Ducts Insl.
Compressor
Final
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) shaH 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.
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
ISUILUln",
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT .,.
J ~ 0 l \ Ar b (l ,. R '~D !". Ill, J / (.) Z. t 7 02-
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
5 ;"5 ;"' j;" o~ 4- Lt I ( 0 ~ LJG-kr re st.-lw (/ u. { e ;" S Ie c.(.: c '''I
. AFTER CORRECTIONS ARE MADE CAlL
78]WRJ(NSOpk
INSPECTOR
,
\I il unlawful tar any Carpent.r. Contractor. Bulld.r. or oth.r peraonl. 10
co....r or caUM 10 be co....red. any part ot Ih. work wllh flooring. lalh. earth
or oth.r malerlal, untllth. proper Inlpectar hal had ampl. tlm. to appro....
Ih. Inl.allatlon.
OFFICE HOURS 8 - 5 MON.-FRI.
CITY~OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDINO
DEPARTMENT
9,'S I
ADDRESS DATE PERMIT.,.
"3~\l 1-3-0 /'7(J)2-
THIS JOB HAS NOT BEEN COMPLETED. h.e following additiqns or corrections shall be made before the job
will be accepted.
,
DO NOT REMOVE
"'\\0-- 4~ ~-i(YL-'9J1A'~'
AFTER CORRECTIONS ARE MADE CALL
780-0~ECTION
INSPECTOR
--'
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.
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.lTION OR CORRECTION
BUILDING
DEPARTMENT
ADDRESS DATE PERMIT ",.
") ~ 0 , \ Ar 6 . -- R \ cI c. D / / 1 t7 D L I 7 c 1-
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
wall be accepted.
,
Y"c-kr SI,.,.t\ hr s I D~r,t1 per (''/'')'00 u,,,t! fie... s.
DO NOT REMOVE
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
780-0W ~E-INSPECTION
INSPECTOR' /f{ ~Q
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
CITY OF ZEPHYRHILLS PERMI t~ APPLICATION / (!d!-M ! ~ -:2-:)
BUILDING DBPARTMENT 5335 8th STREET mllPHYRHILLS, FL 335~ _
Phoue:B13-7BO-0020 Fax:B13-7BO-0021
DATE RECEIVED -'1- ~,?1:.i!? .2..
PLANS REVIEW FEE
OWNER'S NAME East Pasco Medical Center
JOB SITE ADDRESS 38011 Arbor Ridge Dr.,
PHONE CONTACT 813-783-6189
Zephxr~ills 33540
LEGAL DESCRIPTION: LOT(S}
BLOCK
SUBDIVISION
PARCEL 10 # 35 25 21 0060 00000 0010
(OBTAIN FROM PROPERTY TAJ: NOTICE)
WORK PRQPSED: [)NEW CONSTRUCTION
[) ADDITION
[) AL'J~]:!:RATION
o REPAIR
[) INSTALL
lKISIGN
o MOVE
o DHlil/OLISH
PROPOSED USE: [)SGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
[) # OF UNITS
o fJlOBILE HOME
~ OTHER
o SWIMMING POOL
CJ RESTAURANT & HEALTH DEPARTMI:!:NT APPROVAL
DESCRIPTION OF WORK Installing one pole sign
BUILDING SIZE
5' X 10'
SQUARE FOOTAGE
50 sq. ft
HEIGHT
13'
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (:2) SETS OF BUILIl:[NG PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) mi:T ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CON~I~rRUCTION.
PERMITS REOUES'J']I!:D
f9 BU~LDING
o ELECTRICAL
$ 3,200.00
VALUATION OF TOTAl, CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o w.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHJlli[CIAL INSTALLATION
[) GAS
o ROOFING
[) SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: [J BLOCK
o FRAME
o STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUl:LDBR.
'.' ,t;"- j' .... /' .
SIGNATUREI~0'/'/I' ~
;'
COMPANY_Lt..'IY7lt7 Ct.j('i.$ Ii (~J ;J /"! C .
STATE CHRT OR REGIST #r: ~("~(7d...Oh s-;}...
CITY PROCESSING # ;Z '7 4' f \ ,
ELBCTRICl:t
********************~********************~.***********************
SIGNATURE
COMPANY~_//~/V;- Ekc:.1'n"c. .
-----~ ~----~-- -~------~~~~E;~~~~~N~:IS::;~-t70C/ /~p;rt
* * * * * ~** * * ** * * * ** **.** * * * * * * * ** * * * ** ** * * * *~"t * * * ~*** ** * * * * * * * *
PLUMBER
COMPANY--
STATE CmtT OR REGIST #
CITY PR~)(,ESSINr:; #
SIGNATTJRE
*****************************************i'************************
MECHANICAL
SIGNATURE
COMPANY--
STATE cm~.T OR REGIST #
CITY PROCESSING #
*****************************************************************
OTHER.
COMPANY
STATE C]~RT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undeJ:Sligned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undelrtake work, they may be J~equired
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractox' may be cited for a misdemeanor
violation under state laW. If the owner or intended contL'actor 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 \oi'ork. If the contractor \'~ishes
you to sign as contractor that may be an indication that be is not properly licensed and is
not entitled to pennitting privileges in the City of Zeph~{rhills.
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' oS Protection Guide" prepared by the E'lorida 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 a.pply 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, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Well.s, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army corps of Engineers-Seawalls, Docks, Navigable Water~'ays
*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 viola.te, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a. permit prevent the Building Official from thereafter requining a
correction of errors in plans, construction, or violations of any code. Every perrtlit
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 oj: 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 COMf)/lENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'TEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI CE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT.
SIGNATURE: CONTRACTOR
STATE OF FI.ORIDA
r.OlTNTY OF
The foregoing instrumP-nt wa5
Before me t.his __day of
by
STATE OF FLORIDA
COU}!~y OF ~
The foregoing instrument was acknowledged
Before me this_day of ,l~
by
(name of person acknowledged)
Dwho is personally known to me, or
acknolr1ledged
19
(name of person acknowledged),
Gho is personally known to me, OJ::
o who has produced
(type of identification)
and whoD did Ddid not take an o~th.
Signature of person taking acknowledgement
Signature of person taking acknowl€:dgment
-
Name type:d, printed or .stamped
Name typed, printed or stamped
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2002192610
Rcpl: 639101
OS: 0.00
12/11/02
Rec: 6.00
IT : 0. 00
Dpty Clerk
JEO PITTMAN~ PASCO COUNTY CLERK
12/ 11/02 1",: l!pm 1 of 1
OR BK 516~ PG 1867
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