HomeMy WebLinkAbout03-1841
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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
(813) 780-0020
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PL~ MECHANICAL
1841
Date d- 13- d 3
ELE~L
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel 1.0. ,
~W~~u1l~~'
Water Meter:
T.I.F.'s:
Zoning:
OescriDtion of Work
Energy Code: Radon Gas:
r 4- e {)crL (z..) O~
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C,O.
- --tl3
NO OCCUPANCY BEFORE C,O.
DATE
DATE
Inspector
Permit Fee
C-in~t';;~e
Comp'any
Address
~~.~~~.g2
Valuation or
Contract Price
-b bS ()
City License Registration # ..2 ~ q "7
State Certified License#
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BUIIJ)tNG
~
E 1..f.G1'R ICA L
~G-
Gn~~
H-~ 7<1'7 J
MECHAN(CAL
Breakers
Ducts Insl.
Compre5J?r
Final./' ,;J~/t-t)f ~ V
,
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
C,.{)J/~ 1~.I;r
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.
UPLlCATIOlI roa l'DMti'
CI'ft or ZZPIIDIII!.L8
BUXLDIlfG DRPAll'NlDft
D&ft NCl:IVZD
PLaJlI UYUIf I'D
OWN~R' S NAME U PTC\ w ~
JOB ADDRESS, 5q63 GIlLL.-
LEGAL DESCRIPTION: LOT IS)
0H~F
BL.-Vb
CD(CP
PHONE :362 - Lilt 7,- '2 '1'1,2-
ZEPHVRJ.hLLS I ~.
BLOCK
SUBDIVISION
PARCEL 10 .
WORK PROPSED: ONEW CONSTRUCTION
OSIGH
IO".,..a.TN rRnM PROPJP.RTY TJU( NnTT~F.'
o ADDITION
OAL1'EAATION
o D~LISH
o REPAIR
o INSTALL
o MOVE
PROPOSED USE: (JSGL FAMILY DWELLING
~COHMERCIAL
OHULTI-FAMILY
o INDUSTRIAL
011 OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAUw.NT , HEALTH DEPARTMENT APPROVlU.
DESCRIPTION OF WOIUC p~ ~R.. :L) dV€:tJS
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH 12) PLOT PLANS, (2) SETS Of' BUILDING PLANs, III SET 1!:NERGY FORMS.
ATTACH 13) SETS OF BUILDING PLANS, III SET !'.NERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
wu.UATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PL\JH8ING
o HECHMllCAL
AMP SERVICE
o FLORIDA POWER
o W.ILE.C.
$
VALUATION OF MECHANCIAL INSTALLATION
J1! GAS
o ROOFING
(J SPECIALTY
o OTHER
,. liS-a QQ.
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AAE.AO YES (J NO
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COMPANY
STATE CERT OR REGIST .
CITY PROCESSING .
BUltoD
SIGNATURE
......................................................**.**....**.
pI.tJIGD
COMPANY
STATE CERT OR REGIST .
CITY PROCESSING .
J:LZc.raIC:IAH
SIGNATURE
........................................
COMPANY ~~m~'T&~ ~~~ '
STATE CER'r OR REGUT . fi '1/&,5
CITY PROCESSING . '27 9'1
SIGNATURE
WBCJIAlf%CAL
COMPAN'lt'
STA%E CERT OR REGIST .
CITY PROCESSING .
SIGNATURE
..**...*.........................................................
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING .
0'1'IIIm
SIGNATURE
.................................................................
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CONDITIONS Of PERMIT AFFIDAVIT
A. NOTICE or DEED RESTRICTIONS
The undersigned understands that this perMit may be subject to ~deed restrictions. which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
a. UNLICENSED CONTRACTORS AND CONTMCTOR RESPONSIBILITIES
If the owner has 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 not
licens.d a. required by law, both the owner and contractor ..y be clted tor a misdemeanor
violation under state law. It the owner or intended contractor are uncertain as to what
licensinq requir...nts ..y apply for th. intended work, they ar. advised to contact the
City of Zephyrbills Building Departm.nt, 813-788-6611.
~urthermore, if the owner has bired a contractor or contractors, he is advised to have the
contractorls) sign portions of the .Contractor Sections. of this application for which they
w111 be responsible. If you, as the owner signs a. the contractor, you are indicatin9 that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to s1gn a. contractor that may be an indication that he is not properly 11censed and is
not entltled to pe~tting priVileges 1n the City of Zephyrhills.
C. TRANSPORTATION IMPACT P'EI!:S ANI) UTILITY CONN~ION FEES
D. CONSTRUCT11ION LIEN LAW (CHAPTER 713, FLORIDA STATU'l'!S, AS NtENDED)
I cert1ty that I, the applicant, have been provided With a copy of ~Florida's Construction
11en Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and ConSUMer Aftaira. It the applicant is someone other that the ~owner", I cerify that I
haVe obtained a copy of the above described document and promise 1n good faith to de11ver
it to the .owner" prior to coemencement.
E. CONTRACTOR'S/OWNtR'S AFfIDAVIT
I certify that all the information in this application 1a accurata and that all work will
be done in compliance with all applicable laws regulating construction, zonln9, and land
development.
Application 1s hereby made to obtain a pe~t to do work and install.tion as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be perfo~d to ..et standards of all laws regulat1ng construction, City
codes, Zoning regulations, and land development regulatlons in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it 1s .y reapons1bility to i4ent1fy What actions I must take to
be in compliance. Such agenclea include but are not 1~te4 to: .DepartmeDt of
Environmental Regulation-Cypreaa Bayheads, Wetland Areas and Environmentally Sensitive
Landa, Water/.aatewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Area.,
Altering Watercourse.
*Axmy Corps of EngineerS-Seawalls, Docks, Navigable Waterways
*Department of Health , Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
.U.S. Environmental Protection Agency-~bestos abatement
I also certity that, if fill ..ter1al is to be used 1n Flood Zone .A. or ~A,etc.N, it 1s
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
iaauance.
A permit issued shall be construed to be a license to proceed with the work and not aa
authority to violate, cancel, alter, or set aslde any provisions of the technical codes,
nor shall is.uance ot a permit prevent tha BUilding Off1cial from thereatter requir1ng a
correction of errors in plans, construction, or violationa ot any code. Every permit
issued shall become invalid unlea. the work authorized by auch pe~t is commenced within
six months of issuance, or if work authorize4 by the pe~t is auspended or abandoned for a
period of six months atter the time the work is commenced. Ofte 90 day extension of t~me
may be allowed for the permi~ With fee charqe of $15.00. The extension ahall be requested
in writing to the Building Official. An approved inspectlon muat be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO UCORD A NOTICE Of' COMHENCEHEIn" HlI.Y RESULT
PAYING TWICE FOR IHPROVDCENTS TO YOUR PROPERTY. IF YOU END TO OBT FIN
WITH YOUR LI!:NDER OR AN ATTORNEY Bl!:f'Ol'! I\tCORDING YOUR NICE 0 C
$2,500 IN UE DO NOT NEED TO RECORD AND POST A "NOT E OF
lZ
.....,
-....,
5i nature of person
't~-- ~u~~~ "~':~n 1
JUUE A. TAYUlIt
My~ r:r~ lOl ON
~ IJo.:Lf:
STATE OF rLORIDA~
COUNTY OF
The tore going l~~ent w~~n ledged
~~fore ?,i~~a~~~~3
o(..i (n.... of person acknowledged)
~ is personally known to me, or
Owho has produced <-
~~type of identificacion)
and did ~d not cake an oa
o who
...
Na_
re ot p.reon tak1ng ac owledqment
\.ld/1 A- 'n,Lf )lJr
typed. printed or stampe
SlllHHAHd3Z ;0 A11~
JULIE A. TAYLOR
~~. 2119105
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