HomeMy WebLinkAbout03-1945
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1945
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(813)J80-0020
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Date
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Sewer Conn
Water Conn:
J71J:1;:-
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Property Owner:
Job Address:
ParceII.D." 03- ~h-':}j-D~/D-2)OlJ?:n- O/;;l..[)
Zoning: . . Energy Co~e: ~ '"I Radon~: -L
Descriotion of Work '-/J7 p//.1 (~ ~ Q - 0~ -
, Water Meter:
T.I.F.'s:
r;. t i) t.f !ft,l/rr,u ')T
r
FINAL
C.O.
DATE
Inspector f-L'f J- I-/fo
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.
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final l/Y r 2- - 0 " p- \.. L1 _
tf 4-0 v
/f/" {,JRE ~ l.\-3 -03 cr. S ~ shLwv,'e tJ;7--
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:
Valuation or
Contract Price
City license Registration # .-----...-
State Certified license# ______
~
(;PL ei, ~~
BUILD~
&g,oz~
ELECTRICAL
Ftr.
Pre SLB
lintel
FRM.
'nsul. CL
WL
Driveway
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.
6-~b7
YM~~~/1
PLUMBING
SLB
Tub Set
Water
Sewer
Final ~.............. '-t ~ 2 - '" 3/? ( y
J 1--1 -:)0
Breakers
Ducts Insl.
Compressor
Final
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD_ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
}O = J...f7
PERMIT + I
S-5-Q 3 /94f~
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
~j.~~~~-
~o;t~~\~
~~ ~ t<r- JrL~, ~Lb'\. to (l,O.
ADDRESS
b'2lf2.. &cJ.1 ~i
DATE
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the worK with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICg HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR ~
millE! R I 8 IlM1El_E>L.10.Ec...f"<;:;:J.::.J!l. (Le, Lb..Jj~:}:1f.__ 8i1:.K __~.::.'::ij26tJLL;il.J.c-PHON rn C(JN'l'Af~'!'__Kl3_-:][d:_::c" fJ..L Pl-
,TOB B t'l'S An!JRSBB~O';J~_-I/tuJ^ tf'_t -Siu,eL..oz:~J.1'jo )iJ/s... __.
LElrJ1\L i)ElSCRIPTIUN: LOT(8) rI /01... BUK'I( OOOC'(/ SlIBlJIVI81nN -(j.VQ__h____..______
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUlllDING l).IlJPARTMElN'r 5335 8th S'fRl!ll!lT ZIlJPHYRHIr,I,S, P'L 33540
Phone 1813 -780 -0,020 FaxtfH3 -7 80 "OO~~trJ:ll RB(1IUVID ~= 2-l::.P:2_
PI,ANS RIllVIBIW 'EIll
..
PARr.!BI, ID /t_OJ_~:l ~__~_2_I_~~!!.31_~_~c:.._f;JOOO:___OI ~ ~_..~_~~TA~~l__!'RO~_=_~~!_P!.~I:_~,tI~~__ N~:I~_r_~~~_~._
WURK PROPSEltl, [)NEW CONSTRUCTION [] ADlHTIOll [JAI/I'ElRATION [J RI!JPAIR I~T1\rJI'
[J 8 I~
PRO),108EJll lWEi I [~I, Fl\tHIJY DWElLI,Hm
o ~10VEl
o DElMOI,rSI!
[h-1tJIiI'I.- FAlvtJl,Y
f/-]/t OF mH'l'S
[JSWH1~HNG POUlJ
I~BII,EJ I1(J~1EJ
fJ CDt1MEJR(! IAI,
[J INDUSTRIAl,
IJ OTIIER
CJ RJj)8'fAURAN'r & I1EAlml DEPARTr1ENT APPROVAL
IlEJ8CRIP'l'ION OF HORK ----!--l1-do-lL-MCJ-bk..dJ4.1-t:....
I. ) 1
BlJILFlIN(J SIZE] .__~y~__..______._
- -- .-.------>--~.., --"_._--_..~...-~ .~----~,._----_._.__.-.
SQUARE F'OO'rAGE ---Uf2______
)
HEl r GHT ___Ld,.___ _____________
RESIDElNTl1\I"
(!O~1MI!lR(!IAll :
A'r'I'ACB (:2) PLO'l'
A'I''I'AC!H (3) SETS
PROPERTY SURVEY
PIJAllS & (:2) SElTS OF 8UII,DING PI,ANS & (1) SEl'I'
OF BUtLfJING PL1\NS & (1) SET ElNEROV FORt18,
REQUIRED FOR ALL NEN CONS'I'RUCTION &, 0 -:
~ERMITS REQUESTED ~3
ElNI!lRnY FORMS,
~IJILIHNG
I~LElC'I'R 1 CAI,
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[~I,tH1BINf3
C)lCJ
L_____2J oo_:......_._c VAt,UATJON OF TOTAL em'
-~
7/~ofo7
---/--.S:p.____. 1\t1P ~ERVICEl
~ F[,(HUDA POWER
[J W.R,EJ,(7,
LJ 11BIC~HAN IC!ATJ
/!t4 ~!'l(!~Ar,uAT~ M="'~AL"AT'"''
[] <JAS
LJ ROOFING
[] S PEC!T.AL'l'Y
[] OTHER
TYPE UF CON8'I'RtJC!TION I [J BLOCK 0 FRAME n STElEl,
"a.,bClv-:/ 7J
F !lnSHEIJ Fr.oOR EI,ElVATIONS __;l. ~-'----.:./J )\(..j'-l.PR(XTE(~'r
0)TIIER if/!d)" ~ ';;;JV1 e.
IN FLOOf) zemEl ARE1\ [J YElS ~.
BtJI U)!!lR
-~._---~_._--------------_.._----------_._._--
COflJP AN Y _._..____.....______ _______ _____...__ . __ ______________
STATE CElRT OR REGIST # .___.__________________ __h_
CITY PROCESSING L. -________n_______________.__..____
81GH1\'I'tJREJ
PI,UMBIlJR
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'. - -.". ..12 . " / "CI'ry PROCSSBINO >> 0/'
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"" '*' '**' '*' '*" "* ""* '**' *' *'* *""
COl1PANY .&..J!tER!!'If)~~____~6..__.___
, AT" CERT OR RE(nBT~BQ[)l2151lq./_
CITY PROCEJ88IN(~ # YfI" V .
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_...._-_.._-----_.._----_.-...-.....__.~-----
CO!vIPANY -----------~-------___n_________ _..__
STATE ('E1RT OR RElGIST #
CITY PROCESSING #
_._--_._._".._~-. -, ------ -.------------ -. --..------
8 HJNA'l'{JREl
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-r- STA1'E ~~ OR RElGlST # . _~_~\
CI'rY PROCEl88ING # ---~-io&'-U_w._ . ______
- .----.-------- -------------------------- -.----..----..-..---...
---~_..._--------_._-_._--_.__.,._~ --..-------
********'******'*******'******'**'***'**'**********'****'*'~**'**
CONDI'l'IONS OF PERNI'l' AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands thqt this pl'lrmit may be subject to "deed restrictions'; '~:\'J'ch
may be mure reatriative than City regulations, The ~ndersigned assumes responsibility for
complicwce wi t'h any applicable deefi restrictions.
B. U1nIcENSED (~ON'l'RAC'l'ORS AND CON'fiAC'I'OR RESPONSIBIlJI'l'IES
I f the o\vner- has hired a contracto'J: or contractors to undertake work, they may be required
to bl:'l U censed in accordance Hith state and local regulations. If the contractor is not
licensed as requiLed by law, 'both the ovmer and contractor may be cited for a mLsdemeaoo.t:
violation under statl:'l IcnL If the owner' or intended contractor are uncertain as to Vlhat
licensing requirements may apply for the intended work, they are advJsed to contact the
city of Zephyrhills Building Department, 813'-788-6611.
Furtheuliol:e, j f the OHner 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, YQY are indicating that
you, rather than the contractor, aie responsible for the work. If the contractor wisll6s
you to sign as contractor that may be an indication that he is not properly licensed and is
not elltitled to permitting privJl~ges in the City of Zephyrhills.
C, 'fRANSPOR'l'ATION IMPAC'!' FEES AND UTUITY CONNECTION nlES
D. CONS'l'RllCTUION MEN LA~J (CHAP'PER 713, FLORIDA STATUTES, AS AMENDED)
J certify that I, the appli.cant, have been provided with a copy of "Florida's Constructlon
lien Law - Homeowner's Protection Guide" prepared by the Florlda Department of Agriculture
and Consumer Affairs. If the applicant is someone other that: the "owner", I cerify that I
llave obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conm1encement,
E. CONTRACTOR' a/OWNER'S AFFIDAVI'r
I certify that all the information in this application is accurate alld that all work will
be done in compliance \-"dth all appllcable laws regulating constnlCtion, zoning, and land
development.
Applloation is hereby made to obtain a permit to do work and installation as illdicated. 1
certify that no vwrk or installation has commenced prior to issuance ot a permit and that
all work Hill be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jllrisdiction, I also
certify that I understand that the regulations of other governmental agellcies may apply to
the intended work, and that it is my responsibility to identify vlhat actions I Hlllst take to
be in compliance. Such agencies include but are not l.imited to: *Depar-tment of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive
Lands, Water/Wastewater Treatment
'Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
AlterJng Watercourses
'Ar-my Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health Ii Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Aabea~Gs 8batement
I also certify that, if fill material is to be used in Flood Zone ~A" or "A,ete.H, it is
understood that a drainage plan addressing a "cornpen~ating volume" 'will be submitted whic)!
is prepared by a professional engineer registered in the State of Florida prlor to permit
issuance,
A permit issued shall be construed to be a license to proceed Hith the work and not as
authority to violate, cancel, alteL, or set aside any provis1ons of the technical codes,
nor shall 1ssuance of a permit prevent the Building Official from thereafter requJring a
correction of errors in plans, con~truction, or viol&tions of any oode. Every permit
iSliued .shall become invalid unless th~ work authorized by such permit is oOllunenced within
six months of issuance, or if work authorized by the permlt is suspended or abandoqed for a
period of aLII month5 after the time the work is commenced. One 90 day extension of time
may be alloVled tor the permit with fee charge of $15.00. The extension shall be requested
i n ~vri ting to the Buildi.ng Offioial, An approved inspection must be Jogged during each. alx
month peri.od, or the proj ect will be considered abandoned.
WARNING '1'0 OWNER: YOUR FAILURE 'I'O RECORD A NO'l'ICE OJ!' COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE B'OR IMPROVEMEN'l'S '1'0 YOUR PROPER'n. IE' YOU INTEND TO OB'PAIN li'INANqNq, ~qN~UI!!'
WITH YOUR LENDER OR AN A'l"rORNEY BEB'ORE RECORDING YOUR NOnCE OF COMMENCEMEN'I'. ,JOBS UNDER
$2,500 IN VALUE: DO NO'I' NEED '1'0 RECORD AND POS'l1 A "NWrICE OF COMMENCEMEN'I'It,
e /52L ~ _____
OWNER O{~~
SIGNA'l'URE:
CONTRACTOR
S'l'A'PE OF F1O~DA
COUN'I'Y OF C\. ~_O
'I'he foregoing in~frllment WEed${~d-
Befor~ \lIIe this ~~ ~y ~.~ a _ ' ~...3
by _ \:.,:\ -e~ '" N-..:-\- " \
_ ~ame of person aoknowledged)
L~10 is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument WqS acknowledged
Before me this _~ay of.---, 19 __:...._
by
(name of person aoknowledged)
Qho is personC:llly knQ~m to me, or
of identifi~ffl~hRn~
take an ~~ R. PE.,lj!~ and Hha Ddid
/" '* o..() ........ '/M.~
~~<<,v..~~\SSION ~~..;'[p ~
:'11IIO. ~.. ~ ~ . ' ~ _____"
Signature of person taking ack~w{~~me'nt.. 't>\ ~signature of person taking acknowledgment
. -*- .... .*=
~~_to..l..~ffK j' r\~ \~.. ~.962~80 t? .~ii-.----~---
Hame t\1ped printed or stamped ~"P'",.~'t>I,p1'~onded:x'~~~";:$l~ Name typed, prlnted or stamped
:t , ~?r'... "'UblicU",.,e;...<..~ *'
~'" ,oUS........"-o'\ ,::S
'o'11t. ZlC 51 [1.\" \\,.....
IIIIII/i" "'''\\\
o Hho has produced____ ____
(type of identification)
CJJid not t.ake ,UI oath
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ALL WORK SHALLCOMPL Y WITH ALL
PRE\! AlLING CODES. FLORIDA BUILDING
CODE. NATIONAL ELECI'RlCCODEANr
OTY OF ZEPHYRHILLS ORDINANCES
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