HomeMy WebLinkAbout03-1832
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1832
(813) 780-0020
Date
~-/I-CJ3
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D. ,
,~~'J - 3?~"b.J C-.,
.t1c.1 e .
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code: Radon Gas:
11".w 5e w u I~' Y\.O. S t <; "
(C"K
DuD/~
I
NO OCCUPANCY BEFORE C.O.
FINAL ? ~.26-o '3
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
;)9 V V
Permit Fe~ . 19'0
---\:Signature I .Jkt..al~
Company
Address
~Iephone# 'R/,j- 99J-7ttIRO
Valuation or
Contract Price
City license Registration #
State Certified license#
)75 <;t:?tA.;' J~..<Q
'j1vn.,J,,...
./
Ftr,
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Mete
Final
PLUMBING
SLB
Tub Set
Water
Sewer ~/ cl- ;;< fJ-O ~I2Vf Final
Final ,r f-/f1)
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.
CI'rY OF ZEPHYRHII~I~S PERMrr APPIJICATION
BUIl,DING I>BJI?ARTMEN'l' 5335 8th S'l'RElBl'l' ZI!lI?H'iRHII,I,S, FL 33540
I?honeIB13-780-n020 FaxI813-780-0021
IJA'flll RB(1mIV1!JD ______.. _ __ ._.
PI,ANS RIllVIBIW rill!
---.-. --.-~-- --
0l1"8R' B llA"B _lYl():. r--'/.-.J}!'f!-JS_,_ _, '_'._,.' _. ".,_ _._ PIlON' CON'l'WL, _'.,
,TOB 8 l'I'El ADIJRE188.-?[tJ. 3..2f-3..8.--1J...33____~LW.._._.C a.s_~__b~_ .__________..., __. _____
JJElGAL DESCRIPTIONI LOT(8) BU)CK SUBlnVISlON _____._____.._______.._._________
PARCBI, In 1t__.O;:;;L - 4_=~_=_11i2..~9 - _~~ / ()O_~_q s-S ___~~~~~_~:~__~~ROM _~~.(~~::..~2~~__'I~~~..~~~~.=.:~~__
WORK PROPSEJfJr [JNB1W l'ONS'l'RtlCTION [J ADDITION DAL'I'ERATIOH [J REJPAIR IB1NSTAJ,I,
[] SIGN
[J MOVE:
o DEI'lOI,ISII
PRCH-'USFJIJ USE: I ClSGJ, FAfvlILY DWELIJIHG
Ch1tJW'I.. FAfvJn.V
0# OF UNITS
[J SWn-IMING POOL
(] MOBII.El BOf1E
[] OTHER
[) Cm']~1IllRC! JA I,
[] INDlIS'l'RIAr,
IlEJ8CRIP'l'ION OF t10RK
D R);l8'I'AURANT & HEJAlmr DIllPAR'l'I,1EJNT AP.PROVAL
-..I t) ~ + ~fL_JJ_~.uV __ ...;se:..~ ~_..LI._h~______.____
-_.._--~._-_._._--~- ~ --.._.~---_._-- .-.---..--.
8lJnrnNC~ SIZE
"'------------.. ---------
SQUARE FOOTAGE
- -.- --.-------------.----....,.---
11m r ml'r
REl8IDElNTIAJ'1
COMMIllRC!IAL, :
- -----.._--~- --------.------
A'I"rACH (2) PI,c)'r PLAl1S & (2) SE'I'S OF BlJII,lHNl3 PLANS & (1) 8E1T ElNElRl1V FOR~1B,
A'l''!'ACH (3) SETS OF BUILDING PIJANS & (l) SElT ENEfH3Y FORMS,
PROPIllRTY SURVElY REQUIRED FOR ALL NEW CONSTRUCTION.
FERMITS REQUESTED
{] BllILlJnm
$
VAL,UATTON OF TOTAl, CON8'l'RUC'l'ION
[J EJIJBJCTRlCAI,
-------____ AI'lP SEJRVICEJ
o FIDRIDA POWER
[J W.R,El.C.
{.::y'p I ,Ul'l8 ING
LJ I1B:UH1\.NIC.~AIJ
(] GAS
r.J ROOFING
,
$--.-".-------'------ VAI,UATION OF t-1EJCIIANUIAI, UISTAU,ATTON
[J SJ?E(!J.AUl'Y [J OTHER
'l'YPE OP' CONSTRUCTION: [J BLOCK
[J FRM-1El
[] 8'I'ElElIJ
[J OTIJElR
FIN LBBETJ Fr,UOR ElI,EVr.TIONS
------...-------
IS PRO,TEC'l' IN FLoon ZCJNEl ARElA 0 YElS
[11'10
BUILI1I!lR
******************************************************************
CClt'lPANY..__.___________ _______.__________________ _ __._..._____._____
STATE! CFJRT OR RElGlS'!' # ._______._._________._._.____._._.__
CITY PROCESSING 1t___._____.__._________.___.___.....__
SIGNATURE
_._--~.- ~~'-~.""'----~-------------------
B1I,B1Cl'fRICUN
S] c31lA'l'IJREJ __..
. .-.-.---.-.....- --'~._~-_._-~-_._-_.. ..._._--_.~----- --.--------
COI1PANY____.___________.___________.___ _____~. __ _______
STATE CERT OR REGTS'!' #
CITY PROCESSING #
'--- ._-. -_.-~-~ ~ .-.-----.---- ~--_..__._-.. -- ....~..
PIJtJMBBJR c(JMPANy-.J?Sf2g"d~ci_ P/~~L.t:5._.____._.______
~ I STATE CBR1' OR RBGIS'':2#~ r:.E:,t;o'iP.~~
SWHA'!'IJR _,_____~~,.--_- Cpry PRoeBsS THO ~ ____.______.,_..,.,_____._
" I< * * * * * * * * * * * " * * * /I * * * " * * * .1< * * " * * * * " * *. * * " * * * * * * " * * * * " * * * * * * * '" * I< * * I< " *.
* ** * *** * * ** *" **** * ***** ** * * * I< ** ** * ** *** * ** ***** *** ***** *" * ********
.
.----..-..---- ..._'._--_.~_.__...__._. - -'-.--'-.--..--.-.-.--.-
MBlCHAIUCAI,
--------_.~--------_....._--------
COlvfPANY _____
STATE CElRT OR REGIST #
CITY PROCESSING #
. .-......--.-- --.-.--__ ._.__'._'h__ _ .____ .___._~
8 H.HIA'I'IIREl
------..-.-....----.-- ..-.-.--..---.-.----..-
**********'***********************************************.******
-_._---.-._-_...._-_._._----~ ..- .-.---
OTlIllIR
-----------.---.---.-----
COl..IPANY
STA'I'Bl ciiiRT OR-REGIST W--------.-----------.-.
CI'ry PROCESSING # ---..--____________
----'_._-_......._---'-~.__._~---_._---_.--
SWHATIJRE
************************************************************"****
----...-----.:.--..-..---.---------..-.-...-..-..--------..--
CONDITIONS OF PERMI'I' AFInDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands th~t thi~ p~rmit may b~ subject to "deed restrictionsH whicll
may be more refltriative than City r:egulations. '1'1Ie undersigned assumes responsibility ror
compliance with any applicable deed re~trictions.
B. UNLICENSEDc'ON'l'RAC'l'ORS AND CONTRACTOR RH:SPONSlBII.I'l'IES
If the owner has hired a contractor or contractors to undertake work, they I1lay be required
to be licensed in accordance with state and local regulations. If the contraclor is not
Ii censed as required by law, both the o\lmer and contractor may be cited for a miademeallor
violation under state laH. If the owner or intended contractor are uncertain as to \llhat
1.i censing requi rements may apply for the intended weak, they are advised to contact the
city of Zephyrhills Building Depa:t:tment, 813-788-6611.
Furthennon:, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH of this application for which they
will be responsible, If you, as tile owner signs as the contractor, YQ4 are indicating that
YOll, rather than the contractor, at-e responsibl.e for the work. If the contractot' \-lishes
you to sign as corltractor that may be an indication that he is not properly licensed and is
llot entitled to permitting privil~ges in the City of Zephyrhills.
C. 'l'RANSl'OR'l'A'rrON IMPAC'l' fEES AND U'i'ILI'I'Y CONNECTION FEES
D. CONS'l'R\Jc'rUION IJIEN LAvJ (CHAP'l'ER 713, Fl,ORIDA STATUTES, AS AMENDED)
1 certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I eerify that I
have obtalned a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CONTHAC'rOR' S/OWNER' S AfFIDAVI'r
I certify that all the information in this application is accurate and that all work will
be done in compliance \-lith all applicable laws regulating construction, zoning, and land
development.
Applioation is hereby made to obtaln a permit to do work and installation as lndiaated. 1
certi fy that no \lwrk or installation has cOllUnenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulatlng construction, City
codes, zoning regulations, and land development regul a tions .in the j IIri sd.icti on. I also
certify that I understand that the regulations of other governmental agencies lIlay apply to
the intended work, and that it is my responsibility to identify what actions I must Lake to
be in compliance. Such agencies include but are not limited to: *Depa.rtment of
Environmental Regulation-Cypress Bayheads, Wetland At'eas and Environmentally Sensi,tive
Lands, Water/Wastewater Treatment
*Soutllwest Florida Water Management District-Wells, Cypress Bayheads,-Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*LJepartlllent of Health & Rehabilitative Services, Envi.ronmental 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 ~AH or "A,etc,H, it is
understood that a drainage plan addressing a "compensating volumeH 'will be submitted which
is prepared by a professional engineer registered in the state of Florida prior to permit
jsauance,
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
aor~ection of errors in plans, oon~truationr or violations of any aocte. Every permit
iSf,iUed shall become invalld unless the work authorized by such permit is oOllunenoed ~d.thin
six months of issuance, or if work authorized by the permit is suspended or abandoqed for a
period of six months after the time the work is commenced. One 90 day extension of tillle
may be allowed for the permit with fee charge of $15.00. The extension shall be requeated
in writing to the Buildlng Official. An approved inspection must be logged during each.aix
month period, or the pr'oject Vlill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NonCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN li'INANqWq, ~(4N~UL'l'
Wl'rH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. JOJ3S UNDER
$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'l'''.
S I GNA'l'lJRE : OWN ER OR AGEN'l'
SIGNATURE: CONTRACTOR
STA'l'E OF FLORIDA
COUN'I'Y OF
The foregoing instrument Wi:\S aoknoHledged
Before me this ------Jjay of------, 19
by
(name of person acknowledged)
Diho is personally known to me, or
STATE OF FLORIDA
COUNTY OF.
The foregoing instrument was acknowledged
Before me this __ day of ___, 19_
by..___,._
(name of person acknowledged)
Dwho is personally known to me, or
o who has produced
(type
and who[] did Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and Hho Ddid DUd not t.ake all oath
Signature of person taking acknowledgement
Slgnature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stampt:ld