HomeMy WebLinkAbout03-1842
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
(813) 780-0020
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Property Owner:
Job Address:
Parcell.D. ,
~~ t.lt!/.~~ ~~
. 6~ e It:/(.. .
1842
Date
0<, /.3-- 03
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriDtion of Work
. ~9V Code:
/: LLa'-r Owe-y
Radon Gas:
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
p:i)
~ignature .
Company
Addres
.0'elephone#
~ ~tl.(~'lCa.q.
~~W ~L~ ~'v,,-.
1t~-6t({Ji
~, 17"
City License Registration #
State Certified License#
FINAL
C.O.
DATE
DATE
()t,.Jf\.J/f'
BUILDING
Ftr. ;/ LI-/~-C3 (lOt rH:jv
Pre SLB
Lintel
FRM.
Insul. CL
WL
ELECTRICAL
PLUMBING
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Met
Final
Driveway
MECHANICAL
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.
,
O\'lNEJR 'S IlM1E --)-L~L~t~_~_~Yic__~_~~___ .________ PHONE] (X)N'l'A(~'!'._.11S:~(?''''J>-''-_
.TOB SITEl ADlJRESS u._:L~-~..-Ue~~__~_\l~__k:~J~ lh-~.Ib!---~~-ra-. ~!No_._
l,Blr]AL DBlSCRIPTIONI LOT(S) ..O..D....1:tL__ BU)CK .MlQa.. SUBlJIVI81ClN ---..DOJ;U::L__..____._._._
PARC!ElI, In #_~ 2t./_u_L.~ 12.. ~~__,______~~)~TA~:I,._~,RO~_~~r.~~~~:~~_.'I~~~..~~~~~,~~~~._
WURK PRnpSEltJl UNIl:\'I C'ONS'I'RUCTION [J ADDI'I'IdN [JALTERA'TION [J RBlPAIR ~ IUSTAl,!,
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUII,DINC1 DBJI?ARTMBlN'r 5335 8th S'rRElBl'I' ZHlPH'lRHILI,S, P'L 33540
PhoneIB13-7BO-Q020 Fa~1813-780-0021
lJA'rBl RBOIlIIVllIn . ,_.. ,_"_. .__h
rnANS RIllVIBJW J1'BlBi_....____._ !.:
[J s mIl
[J MOVEl
o DEH10r,r 811
PROI,lU8E11J USE: I [JSGIl, FAfvlILY DWElL,l,HlG
~cm1~1ERt! IA f J
Ch1UW' I 'FAI"in,y
0# OF l1NI'I'8
IJ MClBTlrEl llot1E
LJ OTllBlR
o INDUS'l'RIAI,
[JSWIMMING POOL
o REJ8TAURANT & HEAl,TH DEPARTMENtI' APPROVAL
IlllJSCRIPTION OF 110RK ___~~ "--._.-~.!L -r~___.____.,______._..___.__._____.__ _'__....__.
' , I
BtJILfJINrl SIZEl ---J-/t;.Jf--1-~._~~ SQUARE FOO'I'AGE_______ H8JIGH'I' .".JJo.__,____._.
RES IDElN'I'IAr, I $A'I'TJ\CH (2) PLOT Pf,AllS & (2) SETS OF BunDING PLANS & (1) sEI'I' ElNElRrH:' FORI1S,
COMMBJRC!IJ\f,: A'f"liJ\CH (J) SElTS OF BUiLDING PLANS & (1) SBI'!, ENIllRCN FORfilS,
PROPERTY SURVEY RBlQtlIRElIJ FOR ALL NE~I CONS'I'RUC'rION.
~\J ~ IT'TV) w:J/ ~/l, h ,,,,,At ~€4>"!~ RL..-~ ,
l'ERMIl'~ REQUESTED
[] BtlILIJINc~
$
VALUATION OF' 'I'01'1\f~ CONSTRue'nON
Ll ElLmC'I'RlUAI.
_._----_._-~.~._--
AfilP SERVICEl
[J
FLORIDA POWER
[J
W,R.E.e.
[] PLtH1BING
o IiISIUHJ\.N WAf,
,
$----_.
VALUATION OF MEeHANCIArJ IHS'I'AIJI,A'I'TON
[J (lAS
f] ROOFING
[] S I?ElrJ1AI/I'Y
[J OTHER
'l'YPI.il OF CON8'I'RtJC'I'ION I [J BLOCK
o FRAME
[J STEEJJ
[J OTHER
FINISHElJ FJ,()()R ElIJElVllTION8
--------
IS PRo.me'!' IN FLOOD zemEl AREA 0 YES
[J NO
aUILJJBlR
COfilP AN Y ____________'._._______.__,.. .'."., ____. _ __'..____.
~ A ~'~~~. P~~;~~S~~N~.~I"I' #: ::-_ -_::_
.. ..Z~........................................................
COf1PANY _'__.._______ _._____.____.._.
STATE CERT OR REGTST #
SlmlATIJREJ -..'..---.....-.-'--'-_____._.___,____._____ CITY PROt!ESSING #
._-_.__.._..._--_._----~_.._-~--_.._--- _. .--.-
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--'-___'___._n___ __"_~'_._ _____... ._._.__.____.._________
Pl,tIMBlllR
--------_....~,~..._...._~- ._~-_.-......
COMPANY --.-___.__._'______._.___...,__.._. .._____.____..._
STATE CERT OR REGIST #
CITY PROCESSING #
-..-----..---.-------....
SICmATl1REJ
MIIlCHANICA1.
******************************************************************
--'-_.._.,._._---_._-_._._--.._~---.~._-~-
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cotvJPANY,__._
STA'!'E C@RT OR REGIS'!' #
C I'I'Y PROCESS ING #
.--.,. -----------~-_..._----_._--.- "-'-'--
S H1NA'l'tJREl
._--~._-.._-----_.__._------~-,----_.__.
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_.__..._._----~-_._--,--"_._-----
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Cm'IP1\NY
8']'A TEl CBlRT OR -M~#----------_.----'_.._-._.-
C I'rY PROCEl8S ING # --.-.'----.-___....___,_._____
S [(mATUREJ
-~~--------_._---_._~------
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CONDI'l'IONS OF PERMIT AFh'IDAVIT
1\. NOTICE OF DEED RESTRICTIONS
'l'he undersigned understands thijt; this perrni t may be subj ect to "deed restrictions" which
may be more restrictive than City regulations. 'l'he undersiyned assumes responsibility for
compli~nce with any applicable deed restrictions.
B. UNIJICENSED c'ON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBIJ,I'l'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 reglllations. If the contractor is not
licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
violation under state laH. If the owner or intended contractor are uncertain as to Vlhat
licensing requirements may apply for the intended work, they are advi.sed to contaat the
city of Zephyrhills Blli.lding Depar-tment, 813-788-6611.
Furthenllol:e, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Secti.ons" of this appli.cation for which they
Vlill be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
you, rather than the contractor, al:e responsible for the work. If the contractor- wishes
you to sign as oontractor that may be an indication that he is not properly licensed and is
not entitled to per-mitting privileges in the City of Zephyrhills.
c. 'l'RANSI?Ok'!'ATION IMPAC'!' !fEES AND UTILITY CONNECTION FEES
D. CON S'l'R\JC'l'U ION IJI EN LAW (CHAP'l'ER 713, FLORI DA S'rA'l'UTES, AS AMENDED)
j certify that I, the applioant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida 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" prlor to commencement.
E. CON'rRAC'l'OR' S/OWNER' S AFli'IDAVI'l'
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.
Applioation is hereby made to obtain a permjt to do work and installation as indicated. I
certify that no Hork or installation has cOIlUnenced 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 tIle jurisdiction. J 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 identi_fy what aations I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environlljental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensj.ti ve
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads,-Wetland Areas,
Altering Watercourses
"Army Corps of Engineers-SeawaLls, Docks, Navigable WatenJays
*Department of Health Ii 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
under-stood that a dralnage plan addressing a "compensating volume" 'will be submi tted which
is prepared by a professional engineer registered in the state of Florida pdor to penni l
llilsuance.
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,
nOl: shall issuance of a permit prevent the Building Official from thereafter requlring a
correction of errors ill plans, oon,fjtruotion~ or violations of any oode. Every pel:mit
iSoSued ahall become invalid unless the work authorized by such permit is commenced within
sjx months of issuance, or if work authorized by tIle permit is suspended or abandoqed for a
pedod 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 reques~ed
ill writing to the Buildi.ng Official. An approved inspection must be logged during each six
month period, or the project Hill be considered abandoned.
WARNING '1'0 OWNER: YOUR FAIIJURE '1'0 RECORD A NO'rrCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING 'rWICE If'OR IMPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND TO OB'fAIN E'INA.NqINq,CqN~Ul}I'
Wl.TH YOUR LEHDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'r. JOBS UNfJER
~UO~N VAW' no 'NEEI> '1'0 RECORD AND POS" ~ICE--\!J~C'M'
SlGNA'l'URE; SIGNA'fURE: CONTRACTOR
ST.ATE or FLORIDAI')
COUN'l'Y OF @,!,(..O
The foregoing instrument was acknowledged
Before l~ this 13""'" day of f'c1t,ro.r,/ ' M{Y.3
by ~ l).. {,Ji/l:4wt 1IJe11"~
(name of person acknowledged)
~who is personally known to me, or
Owho has produced
(type of identification)
Od d not take an oath.
STATE OF FLORID~
COUNTY OF f> c-O
The foregoing instr~ment w~s acknowledged
Before IJ this ~~Y 0;';' FeIo,..",A"7 , ~ ...2/)0.-
by . Wi/I'-A"" m~" r-..I
,.J . (name of person acknowledged)
~ho is personally known to me, or
JOSH lWAFIOOSKY
. My~#g~~
EXPIRES: January 28, 2006 -
Bor1dlld Thru NOlIty PWIic llndolwrlIets
Name t
Signatur
Sign