HomeMy WebLinkAbout03-1871
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
(813) 780-0020
1871
Date
02-,;15--03
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcel 1.0. #
ci~/~ sT
Water Conn:
Water Meter;
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
13~ r Fev,~R-.-
Radon Gas:
FINAL
C.O.
DATE
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.
DATE
Inspector
City license Registration #
State Certified license#
3.c7
Permit Fee ~. tfJ;j) t
X Signature' I.< A' ~
Company
Address
~elephone# 7rrt" .s~Y7
Valuation or
Contract Price
4l.f C. 9D
fJ ~A) retAC!.R.. l-€/.
BUilDING
Ftr.
Pre SlB
lintel
FRM.
InsuJ. Cl
Wl
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sew
Fi I
l
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 ($25.00) shaH be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
1'ne payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
FENCE CONTRACT
For value received, We:
s'- (! 0 e:::-
</7'11 ..rr-4 S7
Zephyrhills, Fl. 33542 the sum of:
-...'^'~:c~..... 4-.... -........... D..,.L1.......n. L"'!A~.....A r.,............................. ,~!:4-... .........-l':^^fi .",4- ,""c,.. DI..~ C.wfo^^4-
1'.".....- "V 1'-,] ... ..""-" ...."'.......'" '",v_.,......] "..... v........."',:, ... ...._,.... ... .u.... ..,... "''''..
rov /2- /-1 t/~ J/2-t!A F cJ /2;- 7 O,v r6'
for fence work described below.
li
- ~9'~ CJ (J
/ 3;2 /2/'__
~"eHAr~ L/~f F6d~
TERMS OF Pt\ThfENT:
We the undersigned hereby agree to the terms listed above and Pasco Fence
Company is autourizeti to 00 toe work as speciiieti.
CUSTOMER: W, Q <Pl-
, !A/~~
SIGNED THIS t.C! DAY OFF4f, 2003.
PARCEL NUMBER /y' - 20 --.d/ - 00/ cJ - u 7)-0" _ 0 U "'? (.I
r.,.,...." f..".,......., ...., f
'"-II I ,"-vr I
---- t
"W"'R '" IIA". -,--.\."" _ ,(',Q.~::_ '..', '_, ... .'.. '...._,_ ',. PHONE {"'N'1' ""I', ',_ .
,TOB SITE AfJlJR!lJ88 --Y2~~------S.$'___S.T~____________ __ _________
CITY OF ZEPnYRHILLS PERMIT APPLICATION
BUIl,nnw DEJi'ARTMElN'l' 5335 8th S'l'RElE'l' ZEPHYRHII,r,B, FL 33540
PhoneI813-780_~020 Fa~1813-780-0021
IJA'I'E RII(1IilIVllID
---._-- -,
InANE! RllIVIl!JW ll'B1Bi
--
LElr]1\L lJEJSCRIP'tIUlI: LO'r(8)
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PAR"E', III "L7'-- .2gf:d!-J..,~_ QJ?-L O~,-,SLJ,SQP:o~~~II':~OM-"~(JP~~1:Y 'I'A' _~,,'I'I,,'I,
W" R' PROP."" t!Xllmw '-'ON.'I'R""T ION rJ A on r T ION CJ AT JI"RAl' r ON /J R, PAt R [j HI","r ,I,
-.-.--.---------.---
BLOCK
__u_..______"._
BUBTJIV I 8 lOll
-_. -_._-.-._--_.._--~.-
[] S rml
[J ~10VEl
o DElflJOI,ISI/
PRO/,lOSEJIl USE) I [Jsm, FlItlJILY nWELJIJIlm
UCotllM!lJRC!IAf,
r-lt1lJUl'I FAMIl,Y
[J # 0 F lJN l'I'S
[J s\<1 !M~lINI) POUL
LJ M08 II,EJ lfotlJEl
rJ INDl.1S'l'RIAL
[] OTHBlR
IlJiJSCRIPTION OF NORK
o RJ:J1S'rAfJRANT & HElALTH DEPARTMENT 1\PPROVAL
/32__(=_~ ~-1L'&~0/~.__i~~.~~.Ji~._____
BUII,TJIN<3 SIZE]
._-_._-_..----~-". ..-----.---
SQUARE FOOTAGE
~--------.-..-------........ __ -.-0._._._. ......__._~.~
RES ItJIlJN'I'IATJ I
r~OI<1MElRC!IAII :
A'I''fTlCH (2) PLO'1' PI"AllS & (2) SElTS OF BtJIJ,DING PI,ANS & (1) BBl'I' ElNEJRrJY FORt,'IS,
A'I"liAr!H (3) SETB OF BUiI,DING PLANS & (1) SElT ElNERny FORtIJS.
PROPERTY SURVEY RElQUIREJD FOR ALL NEW CONS'I'RUCTION.
-.--. -----. ~---
HEJII)HT ._.~(_~_.~____
(] BtlILlJINr3
t._..Y.1:!~Q__ __, VALUATION OF' 'roTAL CONS'I'RUCTION
I>ERMlrs REQUESTED
[J ElI,HleTRICAl,
[J P WtlJB ING
o HB:(JHANI<JAT~
--------.----_ l\t.1P ~ERVICEl
o FIDRIDA PONER
ON. R . EJ . (l ,
[J GAS
f.J ROOFING
$.-....---------- VA1JUATION OF t'1ECHANCIAI, UIS'I'AI"I,A'I'TON
fJ SPElnIAUry [J OTHER
1'YPEJ up' CONSTRUCTION I [J BLOCK
[J FRAtIJEl
[] S1'EElL
[] OTHER
FIlHSHElIl FJ,()(),R ELEVATIONS
-----------
IS PRO,TElC'I' IN FLOOD ZONE! AREA. [} YES
o No
llII,lIlCTRldIAH
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C'OtIJPANY~5Czn_~ .-_E.&~~~e._~_
STATE CER'!' OR REr3IBT # ___no _.._..___
C I'l'Y PROCESS ING fL.._.__. ____ __
BUIUJI!lR
",""ATUR' .~>>...1..2:f: t________~__._____
..... . --------- ---...-.-.-.....-.---.----.-..- --...------.-------
cor1PANY --~----_______._ -.--------.----__h_____... __
STATE CERT OR RE~IST #
CI'I'V PROCESSING #
..------ --. --" "..--. ._.-.,_...,-~._-_....-
8 TmT1\TUREJ ___
P """".. {)( ," PAN Y ___ ___ ..___.__.___.__._ _'_ __.__ ______.. '__ . .'__,_.__
STATE CElRT OR RElI)!ST # ________.._..__~.__..____._.
SIl3NATIIREJ CITY PROCESSING #
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--...-- - -.--...-- ".- ------. -. _.. - _._---,-_.,~.. -- &,------,--
MBJC!HAl'1ICAI,
-.- -- ------.. h___.___.___ -..--- -----------.-.-______ __..__..__ h____..____.__ .___..._.__..... _____ ___
******************************************************************
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CO/'ll P ANY ------------------_.n. _____ __h. ....__ .____.__
STATE C'ERT OR REr3IS'I' #
CITY PROCESSING #
._~~---~--._---..__..__. --....----------. ..._-~-._._-
8 TrJNA'I'tJREJ
-----.------.....-.------........------.-------
~.- ----...------------. .---.--.--.-- - --.------..--
8 rml1\'1'tJREJ
..----_._~..._----._-_.~.__..._------_._-----_.---
*****************************************************************
(!O!'1 P ANY
---_._-._~-----~--.------- --.----". "--,_.. ~-~.--
S1~TEl CElRT OR RffiGIST #
CITY PROCESSINI) #
~--------~--------~_._._------
~-_.~-~ ----- --.____H____.____._.....__ _. ___
-~---.---~-_._.__._-------------....._--- .- _-.._--._~.-.-.----.
CONDI'rIONS OF PERl',lIT AF'F'!Jl!WlT
A, NO'l'1CE OF DEED RES'I'RIC'fIONS
The \mderslgned understands thqt t.his p~r:Il\it may b." subject to "deed rest.ri.otions" vlhich
m~y be more restrictive tllan City reguldtions. ~he undersigned assumes responsibility for
compliance with any applicable deed restrictions..
B. UNLICENSED CON'I'RAC'l'ORS AND CONTRACTOR RESPONSIBILI'l'IE:S
.1. f the O\.;IH::r has hired a contractor or contractors to undertake Hark, they way be required
to be l1censed in accordance with state and local regll1at10ns. If the contractor is not
licensed as required by law, both the owner and contractor: may be cited for a misdemeanor:
violation under state law. If the owner or intended cont.ractor are uncertain as t.o vlhCit
Ii censing requirements may apply for the intended WOl.k, they are advised to contact the
city of Zephyrhills Building Department, 813-.'188-6611.
ll'llr:thennon=, if the owner: has hired a contractDr or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor: SectiansN of this application for which they
vdll be .responsible. If you, as the ovmer s1gns as the contractor, you are indicatlng that
you, LCithar than the contractor, au:: responsible for the vlOrk, If the contractor wishes
you to siyn ae contractor that ms.y be an indicatiun that he 1s not properly licensed and is
not entitled to ptHmitting privlleges in the city of Zephyrhills.
c. 'l'RANtlI::'OR'l'ATION IMPACT Ii'EES AND UTII.ITY CONNECTION ~~EES
1). CONS'I'RIIC'l'UION LIEN LAW (CliAPTER '713, FLORIDA STATUTES, AS AMENDED)
J certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law _ Homeowner's Protection Guidelf prepared by the Flori.da 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" pri.or to commencement.
E, cON'rRAC'l'OR' S/m,mER' S AFFIDAVI'r
I certify that all the infor:mation in thls application 1s accurate and that all work will
be done in compliance with all applicable laws regulatlng construction, zoning, and land
development.
Applioation is hereby made to obtain a permit to do work and installation as indicated. 1
ce-!=tify that no Hork or installation has commenced prior to issuance of a permit and that
all work will be perfonned to meet standards of all laws regulating construotion, City
codes, zoning regulations, and land development regulations 1n the j\lrisdiotion. I also
certify that I understand that the regulations of other governmental agencies Inay apply to
the intended wOLk, and that it is my responsibility to identify what. actions I Hlust take to
be in compliance. Such agencies include but are not limited to: *Department of
EnviLOllH\ental Regulation-CYP1:ess Bayheads, Wetland Areas and Environmentally Sensltive
Lands, Water/Wastewat.er 'freatment
* Southwest Ii'lorlda Water Hanagement Distrlct-Wells, Cypress Bayheads, WeU and Areas,
Altering Watercourses
~Army COLpS of Engineers-seaHalls, Docks, Navigable Waterways
*Department of Health & 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.lf, it is
understood that a dralnage plan addressing a "compensating volume" 'will be subrnltted wh.h:h
is prepared by a professional engineer registered in tile State of Florida prior to permit.
issuance.
A pennit 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 Of(icial from thereafter requiring a
correction of errors in plans, con~truction, or violations of any oode, Every permit
issued lOhall become invalid unless the \.;ork authori:z;ed by such permit is cOl\unenaed Hithin
six months of issuance, or if Hork authorized by the permit is suspended or abandoqed for a
period of sUt months after the time the work is commenced, One 90 day extension of time
may be allowed for the permit with fee charge of $15.00, The extension shall be requested
in \.;ri ting to the Buil ding official. An approved i.nspection must be logged during each si x
month period, or the project \/ill be considered abandoned,
WARNING 'fO OWNER: YOUR FAILURE 'fO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE FOR H1l?ROVEMEN'l'S 'I'D YOUR PROPERTY. IF you IN'rEND TO OB'fAIN FIHANC;'ING, ~qN@UW
WITH YOUR LE1WER OR AN A'i"roRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r, JOBS UNDER
$2,500 TN VALUE: DO HO'l' NEED '1'0 RECORD AND POS'1' A "NOTICE OF COMMENCEMEH'J1/(.
~..__.._--,._-_.." ----------.------------------
S 1 GHA'tURE; OWNER OR AGEN'l'
S I GNA'l'URE : CONTRAC'l'OR
acknowledged
., 1!1-
STA'J'E OF E'LORIDA
COUNTY OF
Thf' foregoing jl)strument. was aoknowledged
Before me this -------ijay of-------, 19 -:..-
by
(name of person acknoHledged)
C1ho is personally knovlO to me, or
8TA'I'ID OF FLORIDA
COUNTY OF-
The foregoing instrument was
Before me this __ day of
by
(name of per:son acknowl,dgedl
Owho is personally known to me, or
o who has produced
(type
and whoLJ did [J did not
of identification)
t.ake an oath,
o who has produced__________.____
(type of identificatiol
and \-/ho Ddid DUd not tal;e an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
----..-------------
_._----~,_.._-~..._.._.._._----~-------
-------
Name typed, printed or stampt:ld
~_._-.~.,_.~.-""-"_... -~_.._'-
Neoma typed, printed or: stamped