HomeMy WebLinkAbout03-1941
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1941
Date J/20/03
'70. o~
BUILDING
pm.t1!~ l':e a(
Job Address: .3 ~...f;;O Let &.( r i' \ V tl. \ \ 12."; 7\ lid II
Parcell.D, # '2'-(,2(,':{ \, OO? o. Ol.,o'u <' "Dt( ~ 0
45. OJ!
PL~BING
MEC~NICAL
Sewer Conn
Water Conn:
ELECTRICAL
G: r (}. rJ
Water Meter:
T.I.F.'s:
Zoning:
DescriDtion of Work
Energy Code:
AJ(l ae( (,
Radon Gas:
.t
f10F"\.
FINAL
C.O.
1- Ii - (.7<j/
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 jjy ()
Valuation or
Contract Price
52 to
oy
Permit Fee flf~ 0'
l" Signature ~ "e;~
Company
Address
/ Telephone# 7r- 1) - ~:> I tJ
City License Registration #
State Certified License#
{)wN ()!IV f'1
BUILDING ELECTRICAL PLU kBING MECHt NICAL
Ftr. Tp. Servo SLB Breakers
Pre SLB Rough In r /C( - V'- 0 ? #J""Tub Set Ducts Insl.
Lintel Meter Can Water Compressor
FRM. i./'(-~- P 3 /fJQ Const. Pole Sewer Final
Insul. CL Pool Final \
6R
fR
WL
Pre-Meter
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
BUIIlDING n111JilARTMBlN'f 5335 8th S'rR1!lIll'r Z1!lPH'iRHU,tlS, P'L 331;40
Phon.IB13-780-~020 FaxI813-780-0021
I>A'rm RII(~l1IVIllD ~;j-::I'7~-05
o'1II8R' S H""E --~tiElJ{E_~J~fJe-(L~_~_~~__ _ ::::: :::,:,:~~'~i1~JQ6_J-
t 4 . ~. .-l4Q11-GL ..I/A('L~'I~J31JIJL6Ri1IJrrd...~ASC~.:.:.._ ;:13~~.~V/~E
I,m Jl?~~fr () , W'r I ill .~..Jl!l~__ SWe" .___.__...~ BIlSO IV I S ION !flA;[ 4 [J:. (JAil: .F:A.f.K-
j.. Jld.;1/,_;U - 3? - . tJ- rJL.L~ 0 (OBTAIN FROM PRoPER'ry 'I'AX NO'I'ICEl)
--r-----.:.tlt!____.Qtl:l9__UL___.___.____....__._.__~.__.._._..______._______...... ..__...._.___...____..._
WURK PRnpSBlfJ I UNHlW l'ONS'l'Rl1CTION MfinDI'rION ~Ul'ElRA'rlnN L1 RElPAIR LJ INSTAIJIJ
[18Iml
[J MOVE
[] DEJ1>10I,ISII
PROP08EJl1 USE: I ~I, FAMILY nWElLI1ING
fJ CCJt1f1ElR(! I A r I
[-Jr111W'I.. FAI>1U.Y
[]# UP mn'I'S
CJS\'llf1MING POOL
IJ MOBII.EJ Hot11lJ
[] OTHHlR
[J INDUSTRIAl,
IlEJSCRIP'l'ION OF
[:J R~8'fAURAN'f & HEJAlmI tJEJPAR'l'f1ENT APPROVAlJ
W-~/1Jl, OE:~jL 9-:-&00 ~---~- .~p---1/t..- .
.;<SOW( 12../KIO!..___ SQUAREl FOOTAGE: tl{f.je., _L'l~()YrI/~IElTGHT __._______0.___.____
ATTACH (2) PLOT PIJAllS & (2) SETS OF BUIr ,DING PLANS & (1) SEl'I' ElNI!IRrn~ FORMS.
A'l"I;ACH (3) SETS OF BU!LfJING PL1\NS & (1) SET ENElR(}Y FORMS.
PROPERTY SURVEJY REQUIRElD FOR ALL NEW CONS'I'RUC'I'ION,
BI]ILTlING SIZE
REl8 IDHlNTIA 1. I
cO~'MIllRCrAl'1
~allIr.IJINr~
FERMITS REQUESTED
/}-;)
L~OO~_._.____ VAl,UATION OF TOTAL CONSTR!JC'l'ION
[1 ElLElCTRlCAI.
-------__.___ At1P ~ElRVICEl
o Fr.oRIDA POWER
[] W,R.E.C,
[] P1.W1BINC3
U J.1EICHANICAIJ
$----".---------.~-- VAIJUATION OF MEC'HANCIAI, HlSTAI,I,ATTON
[] (~A8
LJ ROOFING
LJ SPElCJtAUry
[I OTHER
TYPE: UF CON8'I'RUC!TION I [J BLOCK
~ FRM1EJ
[J STEEL
[] OTHER
FIN ISHElI> FI,oOR ElIJEVATIONS
IS PROlTEC''I' IN Flnon ZONEl ARElA [J YElS L1 NO
BUUJIJI!lR
8.1!]NATUREl_....___.~
~_._._~---
COt1 P AN Y ___.. _~.___ ____q __on. __.__ .. .. ________._._
STJ\'I'EJ CFJR'!' OR RElG I 8'1' # ._.._____._.__._.._.___... _____ .__
CITY PROCESSING #______..______.________ ______."__.._
S] mm'l'lJREJ _.._
2* . ***~** *************************************************
~ ~;;~~~N~.;"f ~~;,;,,--#~.~-- .. .-__ ..___ .
... .q-~ - .---------..- -------- CITY PROCElSSING #-.----.--.-- -..------....--...q..
!IlI,B1CTRICIAN
"****************************************************************
.-..-----.______.u. "_____.._ _'.'_. __~__..__...____.__
P J.UMB B1R cnevl PAN Y __.___.___._____________.___....__.__. __ __..____"..._
STATE: CIllRT OR REGIST # _______.__._.~.".._._.__...
SWHA'l'!lREJ CI'!'Y PROCE88ING #
-- .~..~....._-.......-.._.~.....-..._-._- .-.._---_._--~~-----_._-------- ------~~- ..----.--. _.__._-_._----..-.-----~---_.- ._-
*'****************************************************************
MBlC!HAIH CAI I
_._-~~--~---~-~-~----_.____...o._____.____._
CU!vJPANY --------.---_____. ....__.....___... _ 'n_._.
STA'rEl ('HlR'r OR RElCHST #
CITY PROCESSING #
t,
Sl(~NA.1'tJREl
..
- ----- ----..--.~---._- --- -- ______**0 h___ _ . _~..__~_..__.
****************************.*********~**************************
_____.u_____~____ ..____._____.___ _ __"___~_'_,_~
OTHER
.----.-- .__._--------~-- .'-
(~orIJPANY
S1'J\1'E CElRT OR-REGrST -tr---------...----.--..-...-
CITY PROCESSING # --.--.--- -.-..-.-...-.----_....
SWIIA'l'IJREl
-------.---.----------.-----
***********************************************************~*****
_..__..._._~_._--. .------...--_~__.~..._._._ L-.-. '_'__'__'~_'
CONDI'l'IONS OF PERMI'!' AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands th~t this permit may be subject to "deed restriotionsU whicll
may be man: restrictive than City regulations. The undersigned assumes responsiuLlity for
compliance with any applicable deed restrictions.
B. UNLICENSED C:ONTRAC'l'ORS AND CON'l'RAeTOR RESPONSIBILI'l'IES
If the Ol'iner has hired a contractor or contractors to undertake work, they !!lay be required
to be licensed in accordance ~~ith state and local regulations. If the contractor is not
licensed as required by law, both the olmer and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncel.'tain as to V1hat
Hcensing requirements may apply for the intended work, they are advised to oontact the
City of Zephyrhills Building Department, 813-788-6611.
Fur:therll1ore, 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 tor which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the \-Jerk. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhi.lls.
C. 'l'RANSPOR'l'A'rION IMPAC'l' IfEES AND U'I'UITY CONNECTION H'BBS
D. CONS'I'R\JC'I'UION IJIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
T certify that I, the appllcant, have been provided with a copy of "Flori.da's Construction
Uen Law -- Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Conswner Affairs. If the applicant is someone other that the "owDerU, 1 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'I'RAC'l'OR' S/OWNER' S AFFIDAVI'l'
I certify that all the information in this application is accurate and tllat all work will
be done in oompliance with all appli.cable laws reglllating constt-l\ction, zoning, and land
development. .
Application is hereby made to obtai.n a permlt to do work and installation as i ndioated. 1
certify that no \lark or installation has conunenced prior to is:>uance of a permit and that
all work V1ill be performed to meet standards of all. laws regulatlng construction, City
codes, zoning regulations, and land development reglllations in the jllrisdiction. I also
cert1ty that I understand that the regulations of other governmental agencies lOay apply to
the intended work, and that it 1s my responsibility to ident1fy what actions I mlH:it take to
ue in complianoe. Suoh agencies include but are not limited tal *Department of
Environmental RegUlation-Cypress Bayheads, Wetland Areas and l!lnvironmentaUy Sens1.tive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health IX Rehabilitative Servlces, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
1 also certify that, if fill material is to be used in Flood Zone ~Au or "A,etc.u, it is
understood that a drainage plan addreSSing a "compensating volumeu 'wlll be submitted whicll
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 codes,
nor shall issuance of a permit prevent the Building Official from thereafter requlring a
correction of errors in plans, construotion, or violations of any oode. Every permit
is~u~d shall become invalid unless th~ Hark authorized by such permit ia oOllunenced Hithin
six months of issuance, or i.f work authorized by the permi.t is suspended or abandolled for a
period of si.. 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 extellsion shall be requested
in writing to the Building Official. An approved inspection must be Jogged during each six
month period, or the pt'oj ect will he considered abandoned.
WARNING TO OWNER: YOUR FAILURE 'l'o RECORD A NO'nCE Ol!~ COMMENCEMENT MAY RESUL'I' IN YOUR
PAYING 'l'WICE I1'OR I11PROVEMENTS TO YOUR PROPERTY. IF YOU IN'I'END TO OB'I'AIN b~INANC;INq, ~qN~UI.'r
WI" YOUR LENDER OR AN A'l"I'ORNEY BEIfORE RECORDING YOU NO'l'ICE OF COMMENCEMENT. JOBS UNDER
,5 0 IN VAW' DO NOT NEED '1'0 RECORD AND POS" A " aT .'E OF r'l'" '______._.____
CON'I'RAC'l'OR
S'!'A'I'E OF FLORIDA..-c>
COUN'l'Y OF .....r~~LtJ
'l'he foregoing inst#ment was ackno.vledged
Before~, this J.;l..~ day of me:v.ct.-.. , __~.3
by __~'lerre..., ~fa.r;&
(name of person acknowledged)
CJwho is personally known to me, or
~ho has produced V L. .. ___
(type of identification)
and [J did not . ke oa th.
STA'l'E OF E'LORlDA
COUNTY OF
The foregoing instrument w~s acknowledged
Before ITib~his ~ay of./'Y)d,'~c:.~ , 19~3
by I lerre ~
(name of person acknowledged)
[1ho is personally known to me, or
~S&}__________
S1 person taking
,,'~.W.w"11 Su~~e Bahr
J.i~-I~~-tY'p';~1~~~~lR~~I~E~~~~6~
'I,"~ . . f\.O~,,:: Bonded Thm
II"~~",,, Atlantic Bonding Co.. Inc.
~IO has produced__p.:...L-=--______.____
(type of identifioatlonl
and '~did [}lid ~th
Sigri'~tu~ takir;g acknowledgl~ll;~~'
,","," Suzanne BahT
,":\~Y..c:~/....... . . .
-'I-j ame t: ,t~'~tt~~llfPlJ~i~ tmnm1 J)e~.r-----'--'--'-"'-
~'!l..--''';)..,..~ xplres. ov l'3~fOlJb
11;~~OFf\.O~~" Bonded Thm
"1111" Atlantic Bonding Co., Inc
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