HomeMy WebLinkAbout03-1736
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~ 1736
(813) 780-0020 L- ~-O.3
Date _ v
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel 1.0. ,
Zoning:
DescriPtion of Work
<<:v,J e'Ja:z
- tJC(( fJ.
Water Meter:
T.I.F.'s:
Energy Code:
5JU)./l-Y
,~Gas:
~'VfJ~WV1..
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
City license Registration #
State Certified License#
375
""'m;' Foe ~. "" ~
~~:::u~: ~ ;:~:!}!- :~~
Address .1)1'0 7u /9 t-/' ~ I
-
yrelephone# f"/3 7-f?:J ]1'/ t, b
Valuation or .---
Contract Price
5oMUS4" Pfv~hr.
J
Ftr.
Pre SlB
lintel
FRM.
Insul. CL
Tp. Servo
Rough In
Meter Can
Const. P. e
Pool
Pr
nal
PLUMBING
SLB
Tub Set
Water
Sewer ../ /- rJ-()3
Final
Breakers
Ducts Insl.
Compresso[
Rut #.T'1=inal
BUilDING
REINSPECTlON 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.
CITY OF
ZEPHYRHILLS
JlNOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
3 7~~~ f 4r k t) r . I r: I 0:5 PERM'; ~h" I
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
,
100 % 0 ~ Se~E.J/ , ", '" t'
i " s de <--\-'\ u ^
#
Si\Cv l \
t1e
~
o to'e/1
I
fur
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780WRE-INSPECTIQN
INSPECTOR A 01~
I
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.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUIJ,[)ING IHIlI?ARTMElNT 5335 8th S'rRElEl'r ZllIPH'lRHU,I,S, trL 33540
PhoneI813-780-~020 FaxI813-780-0021
lJA'rBl RBC1l!lIV!lIn
......:o......-.___..;.,~.. _........'"'-~;_____4___
PLANS RHlVIElW rSIIJ_._,- '-_'-.' u_________,
ONNEJR / S HAHEl____/)rt-..Y..~.f?.____(j./L I fLG:.._~~.___.___________._____ PHONE CONll'Ar!'!'_'__"_C___;~_.__n_.___
,T08 BITE lU1DREl88 .--3:l.Q..'d.L____L~~k___-.!2e_____.________. ._._______________________.._____
LEl(]1\L DESCRIPTION: LOT(S)
BID(;K
SUBllIVIS]Ot!
---------....... ..---_...__.~.~, .-.----
PARCEll, ID I~
--. -._--_.._-_..~._-- ----~...~ ._----------------~-_.._._-----_. '.--..-.---....-..-----....-..... ..- _...... .-----.--.------..-
(OBTAIN FROM PROPElR'rV 'I'AK NO'I'ICEl)
WORK PROPSHllJ I LJ NBlN C'ONS'!'RUCTION
[J AnIH'l'ION
DAI/I'ElRATION
[J RElPAIR
[J INSTAl,!,
[JSHm
[J ~10VE
o DElt-101,ISII
PROt'OSEJIl USE: I [1S(.;I1, FAt-lILY DNELI,I11G
Chmw'r. FM1II,V
[]# UF UNITS
o S\1 HiJMUlG POOL
LJ MOBII,El Hot1El
[] OTHHlR
r] CClt/lMBlRC' I1\{,
o INDUSTRI AI,
11BJSCRIPTION OF NORK
o Rw'8'fAlJRANT & HEAUI'II DBlPl\Rn1E1Nlr APPROVAL
.-. " 'SF tv t!' t2 ..1kf.kLtc <-"7 /YI./:;..1L..."C_____._..__
......_--~~--~--_.".-.,---_..,. h,.____~
8UILfHN(] SIZE
----~._--..~-------
SQUARE FOUTAGE
IIElWHT
RES IDBll'l'rrAL I
COit1MBlR(~IArJ :
A'I'TACH (;;]) PLOT P1..ANS & (2) SElTS OF BUU,DINI] PLANS & (1) SEllr ENElRnV FDRMS,
ATIl'AC!H (J) SETS OF BUll,DING PLANS & (1) SEl'!' ENElR(lY FORtIlS,
PRUPBlR'I'V SURVElY RBlQUIRElD FOR Al,L NEN CONSTRUCTION.
iSBlIWlTS REQUESTED
Cl BIIILI.JIN<~
L_._________. _, VALUATION OF TOTAL CONSTRUC'rION
1.1 Bl1JEIC'I'RlCAl,
------_______.:... AtiJP ~ElRVICEJ
o FI,oRIDA POWER
[1 W . R , El , (1 .
f;>{ P I.tlt18 I NG
[J IiJElUH1\.NIC!1\I,
,
$----..,----- VALUATION OF MBlCI!}IJ.'TCIAL UISTAi,i,ATTON'
[] (3A8
L1 ROOFING
[J S PEGtAUl'Y
[I 01'HElR
']'YPEl OF CONSTRUCTION: [J BLOC;K
[J FRAJiJEl
[) STEEn,
[J OTHER
FIlUSHHlll FI,OOR IlJI,EVATIONS
IS PRCXTElC'I' IN FLOOD ZmTEI AREA 0 'lEls
o Nt)
BtJunBlR
_..,.._----'---'-------------_.----_.__._---~~-
CotiJ PAN Y _ _____________ __________ ____'__'__. ._. ________. __ ._.
STATE! CElRT OR REGIS'!' #I .____.____._____.____________
C I'l'Y PROCESSING fl_._ _________..______ ____ _'__'-0______ _._
atGNATlJREl
""""""""""""""""*""*"'*""""""""""""
1I1,BlCTRICI1lH
S l<3llA'I'UREJ __...
...----.--.-- .----~._---~._-._-,_._~.-----~ ----- -_._----_._-~--
C()~1P AN '{ ______ ._______ _...____. ._____...._..___.__..__. __.___
STATE CElR'I' OR REl~TST #
CITY PROC;ElSSING #
_._---~- ---".'- ...._-~-------_...- .._~.._,_.._-. - ..-
"""""""""""""""""*""""""""'"""""""
-.----..-.-.-- "'"--- -.._.~-- --.- _...._. - ----.-.. -~-,.._._-
PI,UHBBlR ~ (!Ot-1PJ\Ny..-5t!_~5...t:r.-___&tlP!-..dL/f.LtC. _______
ho /- STATE CERT OR REGrST # ...c.L2;.--d'.~..tf..ZI...2__,_
SWNA'l'IIREl .__.. ~1..t!tL~ CITY PROCEl8SIW3 # .--3-.75'____._____.._..__.__._.._____
*",*7:~~" ""'****'*"'*"""**'*"""*"""'*"""""'"
HBlCHANICAl, (;O!\1PANV ___________._________________.__._ '_n._..__..
8TA'n CIllRT OR RElGI8'r #
CITY PROCESSING #I
S IUNA'I'IJREl
---~.._-_._--_.~--._- ~----_. .-----..-
._-----~------~-_.-...._--_.._---
"""*"*'*"***'*"*"*"*"'*"**"~*"*'**"'*""""""'"
------_..__.-_.._--_.,._----~-
OTUElR
cor.1PANY
STATE CEJRT- OR- RElOIST #--..----.--..--------.......-
CI'rY PROCESSING # -----___h___._.__________
.._~---_._-------.._------_._-----------
S WN1I.TUREl
*****""***""'****'*'*'*'***'*'*"***'*'*"**'**"**"*'**'***
-~---'----' .._._-_.~---~---~"-~-- -.__.~-_... ---.
COND.I'rIONS OF PERNI'r AFFIDAVIT
A.. NO'fICE OF DEED RES'1'RIC'fIONS
'1'he undersigned understands thqt this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. TIle undersigned assumes responsibility for
con~liance with any applicable deed restrictions.
B. UNI"ICENSED CONTRAC'l'ORS AND CONTRACTOR RESPONSIBII.I'1'IES
If the owner lias hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is Ilot
licensed as required by law, both the omler and contractor may be cited for a misdemeanor
v~olation under state law. If the owner or intended contractor are uncertain as to wllat
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephydlills Building Department, 813-768-6611.
Ifurthennore, 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 whiell they
will be responsible, If you, as Ule owner signs as the contractor, YQ4 are indicating that
you, l'ather than the contractor, are responsible for the wOl:.'k. 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 privil~ges in the City of Zephyrhills.
C. 'l'RANSPOR'l'ATION IMPACT t~EES AND UTILITY CONNECTION FEES
D. CONS'fRuc'rUION LIEN L.A\tl (CHAP'l'ER 713, FLORIDA s'rATUTES, AS AMENDED)
r certify that I, the applioant, have been provided with a copy of "Florida's Constrllction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "oHner", 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 COllUllencement.
E. CONTRAC'l'OR' a/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and tllat all work will
be done in compliance with all appU.cable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indiaated. 1
ce~tify that no Hark or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construotion, City
codes, zoning regulations, and land development regulations in the jllrisdiction. 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, Wetland Areas and Environmentally Bensttive
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 IJnit-Wells,
WasteHater Treatment, Septic Tanks
*u.S. Environmental I?rotection Agency-Asbestos abatement
1 also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc.H, it is
unde.t:stood that a drai.nage plan addressing a "compensating volume" 'will be subrni tted 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 li.cense to proceed with the work and not as
authority to violate, cancel, alter:, or set aside any provisi.ons of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, con~truction, or violations of any oode. Every pe!mit
is~u~d ahall beoome invalid unless thel work authorized by liuch permit is oommenced within
six months of issuance, or if work authorized by the permit is suspended or abandoij@d tor a
period of ai.l{ months after the - time the work is conunenced. One gO day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
ill wri ting to the Building Official. An approved inspection must be logged during each ldx
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE 'fO RECORD A NOTICE OF COMMENCEMEN'I' MAY RESUt'l' IN YOUR
PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPER'ry. IF YOU INTEND TO OB'fAIN li'INAN(1HHf. CqNljUL'I'
WITH YOUR LENDER OR AN A'I"rORNEY BEFORE RECORDING YOUR NOTICE OF COMNENCEMEN'r. ,JOBS UNDER
$2,500 IN VALlIE DO NO'l' NEED '1'0 RECORD AND POST A "NO'l'ICE OF COMNENCEMEN'f".
-~-------
,
SIGHA'I'lJRE: OWNER OR AGEN'I'
SIGNNl'URE: CONTRACTOR
S'rA'rE OF E'LORIDA
COUNTY OF
'1'he foregoing instrument was acknowledged
Before me this _,__ day of , 1!:L_
by _____
(name of person acknowl~dged)
Dwho is personally known to me, or
STA'I'E OF FLORIDA
COUN'rY OF
The foregoing instrument w~s acknowledged
Before me this ----.Slay of---, 19-.:-
by
(name of person acknowledged)
[J.,ho is personally known to me, or
o who has produced
(type
and who[] did [)did not
D who has produced__,___________
(type of identification)
and Hho Ddid nUd not take an oath
of identification)
take an oath.
Signatul:.'e of person taking acknowledgement
Signature of person taking acknowledgment
N-~-l~-t-~;p-~d~- p r T~l t ed~-~-s t amp'ed
Name typed, printed or stamped