HomeMy WebLinkAbout03-1870
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1870
(813) 780-0020
Date c2. - cJ 5'-. 0 3
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Ow..,. G,~+ '1 ~ 2r!:Jl~:/15
Job Address: ,3 tit.. 00 -~ &J 50 A.,e....
Water Conn:
Water Meter:
T.I.F.'s:
Parcel 1.0. #
Zoning: Energy Code: ~adon Gas:
DescriDtionofWork ~ s;f€-.lN8'~( fbph~ ~- -r ~S
-Ii rf1 1~;4 3 /0;'-13 AII,elf ~
NO OCCUPANCY BEFORE C,O. FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
(J/cf&,7fr,f?
Permit Fee
(signature
Company
Address
..nelephone# ~(}-b ~ y -l{ q 6\
Inspector
Valuation or
Contract Price
g t) {J. ()Oo. ~
,
City license Registration # cJ7t.f I
State Certified License#
Wr Crn.a:t: (' ~It/e {lee.
-III ~ ,::J-
BUilDING ELECTRICAL
J/t~tr~~ y-2'i -- 0 J RUfd" /tfg. Servo t/'Y-.).f-{)3 (zty SlB
2t,Pre SlB l/ Y-h --[.'3 I2L~_ROU9h In / Tub Set
lintel '"J tJMeter Can Water
FRM. Const. Pole Sewer
Insul. Cl Pool Final
Wl pre-M/eter ?,-\..pi! (- 1_ e ~1 Ut~./" ') - /.s -<" 3 //Tu
Finall jJ; ,1'_1 .- t:. . . C-' (' 0."
Driveway (ke ~ ISI '3 t..J..J -'>/7/['31<(,/ ttPJ>/6'/l.1? ,Ej.Ei!, .9~-;<; &3 )!J.f
1-1t)/}C~ L~/) ~~ frl'1 (/) '-;:/';~d-r J<~:'II Elec .-- 0(;(03 /<Crt.,l!IIO
I~ 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:
.ij-;<I-tJ3 Cu1.c&r s~J--, n /. ~ _ /ZTr.
a. Wrong Address ./ L.~~ (TV V'
b. Condemned work resulting from faulty construction. 17 -~ ~
c. Repairs or corrections not made when inspection called. c2S _ ~itiY- '5 ~ ~J/ - 5( ~r 3 KI '1.;-I/Tt.'J
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.
SOUTHWEST FLORIDA
WATER MANAGEMENT DISTRICT
NOTICE OF
AUTHORIZATION
TO COMMENCE CONSTRUCTION
2003 T-Hangar Zephyrhills Municipal Airport - Phase II
PROJECT NAME
Government
PROJECT TYPE
Pasco
COUNTY
12,13/26S/21E
SEC(s)ffWP(s)/RGE(s)
City of Zephyrhills
PERMITTEE
APPLICATION NO.: 44004850.002
DATE ISSUED: February 4,2004
ae@~
Issuing Authority
THIS NOTICE SHOULD BE CONSPICUOUSLY
DISPLAYED AT THE SITE OF THE WORK
~..j4.(lO-()7S (10/92)
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUII.rJING nEPARTMBlN'r 5335 Sth STRElBl'r ZBlPHYRHILI,S, P'L 33!!i40
PhonElIS13,780-0,p20 FaxI813-780-0021 -;'. ...'_. .3.
lJA'rBJ RllImllIVllIO .~/R~ ="0. _ ___
PI,ANS RHlVIIDW Fill -'--._____L' ______.
~ C
:::": :'~m"::::~;;~~l(d~q~t~:itI~~~_..'~~;~;"(;;-Z;~~~4~~~3=~"
Ld31C3AL DESCRIPTION: LO'r(S)
BUX'K
SUBTnVISJON
---.._--.._.-.----~-
- .__._---,~...... .~----~....._-_. -.'.- ---._.--
PARr~BlI, I n II
HURK PROPSBlIJ I W1l31N l'ONSTRUCTION
----------._._~-_.~-~,~-_.._--...._-----~
--_._-_._-.-~--~._-._-_.__._-~_.__._~_._._._~......~.....--.--.--. .....-
(OBTAIN F'ROM PROPElR'l'Y '!'AX NOTHHll)
[J Arm t'r IdN
[J AL'I'ERA 1'1 ON
o REJPAIR
LJ INSTAY,I,
[) 8 IGN
o MOVE
o DEltJfOI.ISII
PROPOSEIl USE: I [ISG!' FMJfILY DWELI,U1G
pJ;r]m1f\1BJRC fA I,
Ch1UW'I.. FAMU,Y
t:s(INDUS 1'R I AI,
01# OF lJNI'I'S
lJ MOBIr.m HotJfE
(] OTHHlR
[J SNIf.1MING POUL
o REI8'rAURANT & HElAUl'II [)ElPART~1ElN'I' APPROVAL,
"mSCRI"rION OF NORK ~~r1.7-diJ!UJl "JP.. AS:f Up~1)<y -r~(f't?cf;",J.f;e!.1 <"U'i-zS
BUn,fHN(~ SIZE 2~ (f 'X" 5:Q.__ SQUARE FOOTAGE J~f J f 0 HElJGH'f Jd~_.______._._
RESIDHlNTIAJ,1 A'I"rAcH (:2) PL,o'r PI.AllS & (2) SElTS OF BUII,DING PLANS & (1.) SEl'r E1NElRGY FnRI'lfS,
COMMElRCIALl A1~ACH (3) S~'rS OF BU!LDING PLANS & (1) SElT ENElR<JY FORM8,
PROPElRTY SURVEY REQUIRED FOR ALL NEW CONS'I'RUCTION.
~ERMITS REQUESTED
UBtIILIJIN<J
L_S??'O,OQ<1 -~~.__, VALUATION OF
-~Q-()___ AtJfP SElRVICEJ
v1/A
(1'/ A '
v /1 $-- -'--
TO '1' Al, COH8'I'RUC'I'ION
M BlLElCTRl(J}\I,
o
F!rCJRlfJA POWER
[J
W.R,EJ.n,
[J PUltJfBING
VALUATION OF MECHANCIAI. INSTAr.L.ATTON
1/0- ,.-]
,~ r; 3 I
U 1.1HlUHANICAfJ
(] (ms
LJ ROOFING
[J SPErJIAl!l'Y
[) OTHER
TYPEl op' CON8'1'RUC!TIDN 1 (] BLOCK 0 FRAt'lEl
FIIHBHElIl Ff,OOR HlIJElVll'TIONS ~':.S~___
U STEEl;
[) OTHER
I S PROlIE(~T IN FLOOD ZONEl AREA 0 YI!lS
o NO
19UI1.0IllR ~ ^ C()t1PANY---.----fC----~(\5_h::~c.1td.~-..r--t---------
STATE CElRT OR REGI, # ~!t:.~-(.:1\1..Q_\1y~_.._L~_____
smllATURm u_ - __ ----'----_.._u_...___ CITY 'RocmSSINa #----Z~_____ ___..~_~
..,..,....................................................,....... ~cf~ ~.
C -~ e -'_l . fJr-'~ Iv
B1I.!1IC!TRICIAN~. , ~. corJf.PANy_._u:cl ~----~4IJ1."-L_.__~~________
.. /. G STATE CElRT OR R GIST U
SlIlllAJ,[)Rm'f ". ' . - . CITY 'ROCESBlNe' ~Jlf?-==:===u:::===:
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PIJt1MBBlR
--.~--_..-..~_._...~__w__
COM PAN Y ----_____.____________________...__.._....__._ _._~__
STATE CElRT OR REGIST 1# _________._____..___..._
CITY PROCESSING #
S WliA'l'1 JR El
MRlCHANICATJ COMPANY ___.._______..__.._.__..__......_.______.__
STATE CE:RT OR RE<318'r # _____.......__._____.______.____
SIGNA'I'OREJ CITY PROCESSING 1#
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._-.__...._~.._._--_._._-_._-_..~-~._---~-~
"""""""""""""""""""""""""""""""'"
-----_._----_....._---~-- -----_...__._._-----_._._.__._-,._~_.- --"--"-
OTUBlR
------------_._~
C01"'PANY
S'l'A 1'E ciiiRT OR -Men 81' -tj-------------------.---
CITY PROCESSING 1# --------------_._________.
..---------------
S WI lA'l'UREl
"""""""""""""""""""""""""""**""**"*
----.-'--0 .._.____.____._____. ____'_____~.____
CONDITIONS at' PEPlvlIT An"IDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands thqt Lh:Li3 pl'll:Illi t roa}' bt3 SU'l)J eel 1~O "deed restrictions" which
may be more l:estrictive than City rt:qulctt:ion!!l. 'I'lli:: unJ,:rsigned assumes responsibilit;y for
compli,wce with any applicable dE:E:drlilstrictiolHi.
B. UNLICENSEDCON'I'RAC'!'ORS AND CON'l'RACTOR RESPONSIBlr.n'IES
If the ovmer has hired a contractor or contractors to undertake Hork, they may be required
to be licensed in accordance Hith state and local regulatiuns, If the contractor is not
licensed as requi red by IavJ, both the ovmer and contractor lllay be cited for a mIsdemeanor
v~olation under state law, If the OWner or intended cuntractor are uncertain as to vrtlat
licensing requirements may apply for the intended work, they are advi.sed to contaot the
city of Zephyrhills Building Department, 813-788-6611,
Furthe.nllol'e, 1 f the owner has hired a contractor or contractors, he is advi.sed to have the
contractor(s) sign portions of the "Contractor SectionsU of this application for which they
will be responsible. If you, as the owner signs as the contractor, YQ4 are indicati.ng that
you, l'ather than the contractor, are responsible for the work. I f the contractor \-lishes
you to sign as contractor that may be an indication that he is not properly licensed alld is
not elltitled to permitting privil~ges in the City of Zephyrhills.
C. '!'RANSI:'OR'l'ATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONS'l'RlJC'l'UION LIEN LAW (CllAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
I c.ntify that I, the applicant, have been provided with a copy of "Flori.da's ConstrucU.on
li.en Law - Homeowner's Protecti.on Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owneru, I cerify that I
Ilave obtained a copy of the above described document and promise in good fai.th to deliver
it to the "owner" pri.or to commencement.
E. CONTRAC'rOR' S/OWNER' S AFll'IDAVI'r
I certi.fy that all the information in this appli.cation is accurate and that all work will
be dOlle in oompliance with all appllcable 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 vwrk or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulati.ng construotion, City
codes, zoning regulations, and land development regulations in the j\lrisdiction. J also
certify that I under'stand that the regulations of other governmental agenci.es may apply to
tile intended work, and that it is my responsibility to identify what aotions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Enviromljental Regulation-Cypress Bayheads, Wetland Areas and Envi.ronmentally Sens.j.tive
Lands, Water/WasteHater 'rreatment
*Soutllwest Florida Water Management District-Wells, Cypress Bayheads,'Wetland Areas,
AJtering Watercourses
"Army Corps of Engineers-Seawalls, Docks, Navigable WatenJays
*Depar.tmenL of Health & Rehabilitative Services, Environmental Health Hnit-Wells,
Wastewater. Treatment, Septic Tanks
*U.S. Environmental ~rotection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc,U, it is
understood that a drainage plan addressing a "compensating volume"'wi.ll 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 violate, cancel, alter, or set aside any provisions of the technical codee,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors ill plans, construotion, or violations of any code, Every permit
iSl!ued shall become invalid unless the work authorized by such permit is oOllunencf;id within
six months of issuance, or if work authorized by the permit is suspended or abandol!ed for a
period of six months after the time the Hork is oommenced. One 90 day extension of tillle
may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
in writing to the Buildlng Official. An approved inspection must be logged during each SlK
month period, or the project vdll be considered abandoned.
WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NonCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING 'rWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OB'l'AIN E'INANc.:;INC~1 ~QN~UIJr
WI'!'H YOUR LENDER OR AN A'l'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l', JOBS UNfJER
$2, SOO IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'}lII,
SI8NA'l'URE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STA'I'E OF FLORIDA
COUNTY OF
'l'he foregoing instrument w~s acknoVll edged
Before me this -----Slay of.-..-_u_-, 19
by
S'rA'fE OF FLORIDA
COUNTY OF
The foregoing instrument Has acknoHledged
Befotc Hie this __ day of , 19_
by _____
(name of person acknowledged)
Dwho is personally known to me, or
(name of person aoknowledged)
Qho is personally knoHn to me, or
of identification)
take an oath.
o who has produced__
(type of identifioation)
and v/ho Ddid DUd not t,ake all oath
o Hho has produced
(type
and who[] did [J di.d not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
HOlme typed, printed or stamped
Name t:yped, printed or. stamped