HomeMy WebLinkAbout03-1910
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1910
Date
3-1-;)-03
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
ul,U" DlMt\ 9~
'3 h" () ~ ~ S'f-'.. Av~.
Water Meter:
T_I.F.'s:
Zoning:
Description of Work
Energy Code:
L>R.i v.e l,)~
Radon Gas:
(0)<0l0
NO OCCUPANCY BEFORE C.O.
FINAL
-,03
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be pertormed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
(/"Jd
Valuation or
Contract Price
I, <) 00
.8..()
..L/o . ().o
Permit Fee ' T
~,..~-
City License Registration #
State Certified License#
--
)(Signature
Company
Address
yrelephone# tgz - '1/21
OwvwV
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Met
Final
SLB
Tub Set
Water
Sewer
Final
MECHANICAL
Breakers
Ducts Insl
Compr
Final
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.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
aUII.~[)nw I>IPARTMBlN'r 5335 sth 8'rRIBl'f ZBlPHYRHIIrI,S, I!'L 33540
Phon.rS13-780-Q020 FaxI813-780-0021
lJA'rJll RIll<H!lIVmo ~_.___ __d__.__ ..___.
PI,ANS RHlVII!lW Jl'mBl
, .
- -'--'~----. .".
UWHER I S llAr'lEl_____WL1_~J.ft~ ?Q6:____________________ _______~ PHCJNF.J 1~()N'l'Ar!'!'___I~~~Lf~ ?L__..
,TOB 8 ITE1 ADlJRElS S _. --3~Q.3-~~-~~_:rh.._J~.~~_____2_~EItY flJiL'-:~ \--f:-f--,,-____33_ ?~~_
IJElCJ1\L IHlJ8CRlPTIC)1l: LOT(S) ______Cf~-lQ.____ BIDC'K ____L~j__ SUBIJIVISlfltl
-_.' _.. ___4'''_'._ _ ,'. _______....,_..~_._,' ___.__.___._
WORK PRO!i'SElIJ I U NElN ('ONSTRlJc"f ION
PJ\RC!EI, III #____Ll.:.~ b-_~__~L_:J?glP__=_L6'~ - ~9~5?_______~_~J~T~~:1_F'_~~~_P~_r.).~=~~~~'.~_ 'l'~~..~~~~??(~_~_~_.
r] ADD ['!, ION
rJ ALTElRATIOH
[I RIlJP1\IR
LJ lNST1\r,I,
[]81m1
[J MOVE:
o DEt10I,ISII
PRO!?08EJIJ USE:: ~S(~I, FAMII,Y DWELI,U1G
r~)t1tJUI'I -. FAt-1II,Y
[]# OF l1Nl'l'S
U MOB TI1El Hot1El
[] CotllMHlRC! 1A r,
[J INDUS'l'RIAT,
rJ SWU'IMING POOL
[] OTHER
8UIT,flIN(3 SIZE!
CJ RBl8'rAURANT & HEALTH DEPARTr~ENT APPROVAL,
-- ~~~uf:~~A-y-LcotJ~&n. TT~--h-L~-l}.fLJ~O~!!_T[:__5_YiB .-.:r;'tc-~~~:~
SQUARE FOOTAGE IIElH3HT
IHlJSCRIPTlON OF NORK
------..--.------..--- -, ..._--_._----~
RES IDElN'I'IAl, I
(!O~1MElR(!IATJ :
A'I"fJ\CH (2) PI,OT PIJA118 & (2) SElTS OF BtJIT,lHNG PLANS & (I.) 8El'I' ElNElRnV F'(JR~1S,
A'I"I'AC!H (3) SElTS OF BUILDING PLANS & (1) SHlT ENERny FORttlS.
PROPERTY SURVEY REQUIRElD FOR ALL NEW CONSTRUCTION.
FE~TS REQUESTED
54 BllI LUT Nl3
$___L. S._oo .~____. VALUATION OF T01'A1, COHSTRlJC'I'IOH
I] ELElC'J'RlCAl,
-------_________ At~p SERVICEJ
o FI,ORIDA POWER
[J W.R.El.(~.
[] PJ,tJt1BING
[J HBIC!HANWAT,
$---~--
- VAl,UATION OF t-1ECHANCIAI, HIS'I'Al,l,A'I'TOl\f
[] GAS
[]ROOFING
[J 8PEDIAL'l'Y
[] OTHER
'l'YPEJ OP' CON8TRUCTION I [J BLOCK
[J FRAttlE:
[] STEEl!,
!Xl OTHER
FIN rSHElll F],(JOR BlI,EVATIONS
IS PRIXfEC'f' IN FLOOf) ZCJNEJ AREA. n YIllS 0 No
BunnlllR
81.rJNATIJREJ --._UL~L____._____._____
~ll'!jWi::'t
\,!I~I;f3i~
COHP A NY ~__. _Q ~~___________._
S'I'ATE CERT OR REr3IS'I' #_ ___ __.____
CITY PROCESSH1G #..-----____uo_________
***** ~ ***** * ** ** *** * ******** '" * *** ******* '" '" * '" *** * ******* ** * *** * *"'* *
Hlr.mc'rRIdIAN
S J<311A'I'IlREJ __
COl1PANY _ ____n___ ____ ___ ______________.__._____..
STATE CERT OR REGTST #
CITY PROCESSING #
*"'*********"'********"'*************"'*******************************
0.-.-.--...-...-.-..- __. __._~. ___.______. _ __,_._. . _'___"___.. ____...___
PI,tJMBl!IR
I ~(JM P ANY ---.----u-~--------.________________.__.__.__u______.______ ._.__
STATE CBJRT OR REGIST # ______________.___.___.____._______.
CITY PROCESSINr3 #
S I(1N/\TIJR Rl
----.~.-.....-.- ---~---~~-- ..-- -- .-____~ __..__ --0.'-
MBlC!HANI QAr J
****************************~*********************************"'***
-_.~--+---~_.__..-----~~--_._---"._._--,._._----
cor'~PANY __________________...
STATE] ('PoRT OR RPoG I s'r #
CITY PROCESSING #
-'~-'--'---"--~.--.--.-.,.--.- -'-'---"-'~ -_.. ...---..-
SlGNA'I'lJREJ
_.~ -------.-----.----,.--. "-'----...-.--.- - '-..---...--
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OTIIBlR
_w.____~___________________..___.._._
C'Ot.1PANY
S'J1A 11EJ (!IDRT OR REG I ST fr-----------..------..--------.- .un -.-... ,-~- .-
CITY PROCElS8INr3 # -------~-------------_.---------
..----.-...-..---....---.--.-----.--------
S WH/i'l'UREl
*****************************************************************
--~._----- -- ~.- .-.---....--.----- ._-..-.. -- ---. .---- ----_.~---<
CONDI'l'IONS OF PERNl'I' AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The~Jundersigned understands thijt this permit may be subject to "deed restrictions" wbich
maY be more restrictive tllan City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'I'IES
If the ownel- has hired a contractor or contractors to undertake \-lork, they may be required
to be licensed in accordance Hith state and local regulations. If the contractor is not
Ii oensed as required !Jy la\-l, both the ovmer and contractor may be cited for a misdemeanor
violation under state 101\'. If the owner or intended contractor are uncertain as to \lhQt
licensing requirementl':l may apply for the intended work, they are advised to contact the
Ci ty of Zephyrhi1ls Building Department, 813--768-6611.
Furtberlllor:-e, if the owner. has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
vdJ 1 bt= respol1si ble. If YOll, as the 0\1I1e1. signs <IS the contractor, you are indicating that
you, rather- thQl1 the contractor, are responsible for the Hork. I f the contractor' \vishes
you to siyn at:! contractor that m",y be an indication that he is not properly .licensed and is
Hot entitled to permitting privi.leges in the City of Zephyrhi.lls.
C. 'I'RANi:lI:'OR'l'A'rION IMPACT Li'EEi:l AND UTILITY CONNECTION !!'EES
D. CONS'I'RIIC'l'UION LIEN LAW (CIlAP'I'ER 713, FLORIDA STA'rUTES, AS AMENDED)
I certi.fy that I, lhe appli.cant, have been provided with a copy of "Florida's Constrllction
lien I.aw - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is sOllleone other that the "owner", I cerify that I
Ilave obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to cormnencement.
E, CON'I'RAC'l'OR' a/OWNER'S AFFIDAVI'l'
I certify that all the information in this application is accurate and that all work will
be done in compliance with all appli_cable laws regulating construction, zoning, and land
development.
Application i.s hereby made to obtain a permi t to do work and installation as indicated. I
certify that no work or installation has conunenced prior to issuance of a peunit. and that
all work will be performed to meet standards of all laHs regulating construotion, City
codes, zoning regulations, and land development regul aU ons in the j llrisdicti on. I 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 actions I must take to
be in complialw6. Slwh agencies include but are not limited tOI *Department of
Envirollll!ental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
LQnds, Water/Wastewater 'I'reatlllent
*soutllwest ilorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
"Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*j)epat-tment of Health lie Rehabilitative Services, EnvironrnentaJ. Health Unit-Wells,
Wa8tewater Treatment, Septic 'l'anks
*U.S. Environmental I?rotection Agency-Asbestos abatement
1 also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc.", it is
llnderstood that a drainage plan addressing a "compensating volume" 'wi1.l be submitted which
is prepared by a plOfessional engineer registered in the. state of ff'lodda pri.or to permi. t
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 provi.sions of tile technical codes,
nor shall issuance of a permit prevent the Building Off,icial from thereafter:- requi.dng i:l
oor~ection of errors in plans, con~truction, or violations of any oode. Every permit
is!,iUed shall become invali.d unless the Hork authorized by such permit is cOllullenced Hithin
si}{ months of isslli:lnce, or if work authorized by the permi_t is suspended or abandolled for a
period of si>t months after the time the work is conunenced. One 90 day e}{tension of time
may be allowed for the permit with fee charge of $15.00. The exterlsion l':lhal1 be requested
ill writi.ng to the Buildi.ng Official. An approved inspection must be logged during each six
month pel:iod, or the project Hill be considered abandoned.
WARNING '1'0 OWNER: YOUR FAHURE TO RECORD A NOTICE OF COMMENCEMEN'I' MAY RESUL'l' IN YOUR
PAYING 'l'WICE FOR IMPROVEMENTS 'I'O YOUR I?ROPERTY. IF YOU IN'l'END TO OB'rAIN li'INAtH:;INq,~qN~UI/l'
WI'!'B YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'I'ICE OF COMMENCEMEN'I'. ;fOBS UNDER
$2,50() IN VAW!!: no NOT NEED 'I'O RECORD AND POS'l' A "NO'I'ICE OF COMMENCEMEN'l'''.
S T GHA'l'lJRE I OWN ER OR AGEN'I'
SIGNA'l'URE: CONTRAC'l'OR
S'l'A'l'E OF FLORI DA
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
STA'I'E OF nORIDA
COUWry OF
The foregoing instrument was acknowledged
Before me this _------slay of--------, 19 __:__
by __"__
(name of person acknowledged)
[1ho is personally knovm to me, or
D who has produced
(type
and who!] did []di_d not
of identification)
take an oath.
o who has produced _________
(type of identification)
and \,ho Ddid DUd not take all oath
Signature of person taking acknowledgement
Si.gnature of person taki.ng acknowledgment
Nclllle typed, pdnted or stamped
Harne typed, printed or stamped