HomeMy WebLinkAbout03-1965
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1965
Date
3-3/- t7_3
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmperty OW"", _ . ~lvw G ~J2./)"'1
JobAddress::)Cj ~ . ~ b/v&.
Water Meter:
T.I.F.'s:
Parcel 1.0. "
Zoning:
Oescriotion of Workd-
Energy Code:
s;~ - U~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
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#
Permit Fee ~ ~~
xs;gn.tu'~~~f
Company __
Address
'!relephone# -Z~'2-'- <<y<)?
Valuation or
Contract Price
o uJ J'\LV
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Mete
Final
PLUMBING
MECHANICAL
BUILDING
/J
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
MAR-25-2003 09:32 AM ECO PRO AQUATICS
-D....... - I
I ... .
~ .--.., ...
I ~. ., ."
~ . .
(') \:':1
~. \
. ~.
. ."~
""'" ~
'" \. ~ >
~ . ~
~ .
l.)
~). -j,.
^-
~ t
......
,v .-)
..
~.~ ~
.--
, .
1
\----~
...-..... ,."- .-.'-.-.- - - - - - - ----...
813 645 1573 P,02
,...
oJ
~ ~.
'1
:t:' ,y ""'"
1- ((
\- i, ~
~ -..9 ~
~ .J ____
01 j '> .X V
~. '-.:....::./
VI .
~] i-,
" ..L
~
'7.., "'6
J ;{. ~ 11
~ ::: U. 1'"""
..I
-' ~
~ 1
-3 ~ ~
c; 1
~!j {
'S
""1 J
.... .0
....
oj' V'\
-
/'
, I
_..
"- - --44
("\
, 'wI
,'J >.
\..1. ~
(t,
\j \0 V':'
:;J
":'~ 6"
~"--. -
. (~) .' v
..' ,.)
\_. j .
~ , '/
.... ...J
~ / l','
-.. .. - -.-
.. ..- - - -. --
~ _11'" ~
. "" --......-. 'i'
-
)l.
k
~
~
..,
o
f
I..
/"
...'..-,._...'...........Nolo, .', ~'-_.___.__'M_..
~ -.....
~ .. ~
.-, "
~ ~ :l ~
01 .....
l1. '.J
~ l-.
"1 u ~
3 ';) >- r:l
~ 0 _.
1. J.. 1.
":;,; '2 ~
.:.J ~
~ ..2 0 z ~~
.....,
~ 4: c! -~ ::.J..
<J: ~~ - 1:.
1 .
'0 i
'J " -
~ .,
~ ..:>
~ .........
~ " iii
11 ~
<C """d (~ 1.
- '-. 8
uJ 3 \:S
... VI ..:;:
, 7'--
~.b '\P ~ e J
c?
-
cJ
\1- ?~
...b
.-
""3 \I)
\.D t-
--
--... I 7.
.,..-
0
~
I
MAR-25-2003 09:32 AM ECO PRO AQUATICS
.-.-fa. .....L aJ ...._..__ ___ .
CITY' 01' ZJDPHYRHII,LS paRMI'l' APPI,ICATION
aUIllbJ:lflJ n.PARl'QN'r un stll ITRII'f ZI'HYRJlUrl', ri. uUO
. .hott.1811-780~qo20 ra~.e13-780~Ooal
HA'rR R.r!8IIVln
PI.AKa JUtVIIIW r.. ~-,. .'-., ~:-... -
OWI/RR ' · .IIA"._J4<~_~_~ ~W~~W0 i-::e%~J PIIOII. C1)II1'A,,{J!i7~i:i2~3
,TOB 81'I'R J\t1/JRllJRS .5..9 ~.,-~- ...~.IJ.(.~~B.L.v~. "Z.:..Jfi!{f. 3}$V;L
. ---.- t-. .-. ..-......---....--- -..-.. ..__.. d._. ...., ...._
cdi2uP ,3-.zt--t>3d
813 645 1573 V,Ol
----..UUIU.IUL__,
',B:llI\L ))Il:B("!RIPTJOll: Lo'r (8)
PARr.III, W H.--.lP.:: ~ '" -:.21.:: D02. 0 - 0C000 - 00 30 ("BTAm "ROM '.OP..~y '1"K Ntl."'.'
. ,-- -..-...----,..--..--.... .--....--.- ._--_...._-_._-,.._."".__..._-_.,--_.^._.._~.."'.._.._.....---.-..
WORR PR"'.m", UII.W r'ONa'rRIJO'fIOII 11 ">o['nOIl O.t:rm..nON [I RB"IR ~IN81'Ar",
-- '--'---.,.
BI~O(!K
e_..__.__.~~
RIJR/IIV 19 Jot!
._-.,~--.-.......__.,..._-. ......--.-
" I\m
o MOVE
Il DlIlr10I,rSH
PROI,lOf.lEIl UE/a: I [Jam, P'I\MILY f>WEIS,IW"
~OMMIiIR(!rAI'
IJt1lJt,'l'r - P.'AMJ J.,'I
fJ It OP' ON I'I'S
1:1 MOB![,JIl Uor..,a
[J ]'unr'~'1'p_IAr.
f."JawINMINr] pom.,
I:J O"'IIBR
IllllBt!RIP'I'lON OF NOR1<
CJ I\l!IB'I'1\uRAwr & flIDAI/I'H llIllPJ\ATMI!lN'r APPROVAL
--. ~&-0l_LN" ~~f5:\ I O~_Qt:J_ -e,1t!7-{~~_~,r' r(~~_L
QQUA1HjJ P'OU'I'AlUI .__ ___'._.._.,,__ UElJ{)fI'r "'__~___""___,__"
Bl1Il,Uum 9UlBl
.---'...--- ..----......,---.".....
A8!R T f1H1NTJ:.lH..r A'I"t'1\CI/ (2) PflOT (.IblUIH lie (J) SEl'I'S OF BOIl ,(JINI] l'J ,ANS (.. (I.) Bl!I'f J!/Nl!IRrJY p'nR~1B,
(~(JMMBlRr.!IAJ~ I A"",iAmt (,]) SEll'S OP' BUtI,/J1.NG I?LANE:! & (:1) BID'!, ENIilRUY FORMS,
PROPERTY StJRVBlY rUllQHlnlDu POll 1\f.L now COHI3T.RIJCTION.
l'!WUTS RIQUU.'I'lW
[1 Ti lJ U ,In Nfl
$--.----^..----~_._..--_._, VAJ.JUATWN OF TO'I'AL CON8'I'RUC'rIOU
[1 IIl,JII<;'I'RWAI,
.....~-_~_ AM.tI ,glanVIum
rJ p'r.QRlTJJ\ J,>OWIiIR
[I W.R.B,n.
n P J Mt.iB !NY
U I1BJt!HANlt!AI,
[] UAs
L"J ROU,. IN<J
,
$..---.._..~.-.._., VAI,UATION OF,' MBlCJlANCIM, HIS'I'Al,iIA'rTOH
n SPBl(!fAI.'!'Y ,'-:(. O'I'HBlR
'l'VPIi op' <JOHS'l'RtHJ'l' I 011 I 1.1 H!tlJ(.~K
o FRANI!l
Il 8'I'EEL
fJ OTHmR
P'lNIElHHln I.I",()OR 1ll1.,mVA'rIONQ
---.-"'-'--,.., ..
18 J,>,Rl),JEC'I' IN nOOfl ZONE I\RIlI~ 0 Ytll8 [J NO
.J,IOTRIOlAn
~'~**~*~****-*.~**.*.A"*********~**.**.*****...*4*~*~**~'*A*
l.!nMPANY" _....___..._______......_ ___............_._..._.. ....__...___.." '._
BTA1'B1 CI!lR'J' OR Rli10IB'J' 1# '_.._~.___......"..._....,,~___"""_..
C I'l'V PIW(!lllRB ING #.._.._ _ . ._...""_.._.___..,.____.._.. . ~._..__ _...
SIGHA'T'I/ ,
'-.--.-- .,.---
COHPANY _..__._...._.. ^..~__ _._ ..
g'rA'l'E (~I!lRT OR RBlrHrf!' 11
Crry PRO(~F.1,g8nm #
'_'_"'__'~H' _,.~.__. ~..._. __,_, ,....~...
R n~lU\'l'l1RB "m,. .._.._ .... ......._ .---.--....._m__ '..___..
._-"'.. R___.__.. .,______ .......__ .__. ....._
Pr.tJItBIR
-----O' \ __...... ...._.___.._.__. ....._._........ ... . .....__
..-.--.--........-..-.-.--........---......---.., .---.-.. . ,.. - .----- .
{!OMPAN 'l-..".... ---.----~.__..--.. -__..._._._.._ ~"--'-__A"" ..~.__
S'rATE CBlR'l' OR RlIlOlf.1'r .. ~.___~._______.__.._
CITY PRocmaeIN~ H
eWNA'l'nRIll
HICJJAlU CM,
**.,...*..~*.....*.*~.**.....****...*...***.**.~.****..*******.,**
'-..-..., ..-...--....--................-.---.--.-....--
~_.__......, M____..____...__~, ..~ ._-......d.....__.'.d__......~..
cOMPANY...__._._.._.~_~___._......._. ''''''___._._._..,_ .., ...,.__.._....
8'l'A'rl!l ('II1R'r OR Rl!ll1ts'r # .____........__..____....___....._._.
(!J')'y PROCESS nfO It
SlUNAl'lJRIJI
..**********.*****'****.A.*.***.****..~*.**..**.*****'**'*~'A'***
.--.--..-.--......-.---... ...............--.-.
OTlIlI!l COMPANY __'" ----w__.___.__... ".w_...._
--...-.-...---...,--~-----..-----....._-,- 8T1\1'JlI CERT!JRRI!l<J!9T'" .
~I(nU\'l'\JRBl. . _...._..._____~____..__......____ C!:tT't" ~n(')C!QSFJIN(] I~ ..____.._____.__....
*.**.***.****.~******.**.***~***.**********.*****.*.***~***~*****
..-----.. '....-.....---.--......,......-.-.----........--. -... I
MAR-25-2003 09:33 AM ECO PRO AQUATICS
813 845 1573
p, 03
..~a
SIGHA'l'l1REI OWNER DR AGEN'1'
l;UNU.L'~'HJNB OF f BlRMl '1' AJ'JI'IllAVI'l'
,~, NO'J'ICIll lJlf UIlIlD RESTRICTIONS
'rh. Ulldu81gned Lmdeutand. th"t thh p.rrn1t may be IUbject to "de.d re.trlotiQn." which
"'.Y b. JnOl8 re,l;.riCltlv. than City r.gulat~ion.. '1'he undera.1gned a..tlmes .responsibility fo!.
aOIIlIl.! iIUICJ~ wi th allY appl:t (;able deed rest.t'ictiontl.
B. UNLICI!:NSEfl (~ON'rRAe1'oRB AND CON'J'RAL:'!'OR RESPONSIBIM'UES
If I-he (;WOer ha~ h.ired iii contrl!lt.~t:or Ol! l;lontractnra h', \Il1dertak. WO.;k, they may be ....,Ljl.l,! {'ed
t.o j.}~ :u CI8l1!1ed in ilacC'/rclilJlCf! with 4lt.at.e &ud 100a.1 1:'~gulatj,(,)ns. If the (:ontra(~lor i8 Jlot
lic&nsed a~ requjl~d by law, both Lhe ownet and contractor may be ailed far _ misdemeanor
violli1tion uUlh~4r state la\l, If th~ OWner or tntended COlltr..otor .U:Eit lltlCel:t:.iu..1f to what
:u l.JensllHJ u.quj t'elllentlil IlIay apply for the intended "IQ1:k, they liIre advtsed to cont.lilpt the
C.i.ty of Zephyd1ilh J;uilding DEtpartml!!llt, 8J,3-788-6611.
FlIr.th~J~Il\Ol.'fll, .i f t.ha OWIISI- "".;t hired" I""'ontraotor Ol: oontrQcto1.a, he i8 adVl.sed to have the
oafit~actor(~j sign portions of the "Contraotor SectlonsH of this application for which they
Hill be: reBp'H\lIdble. If you, as t::he OWQet: s.igns ~8 the Dante.etcu:, YQ4 .ore 111dioat:lng that
you, l: at. l14i1l: th~w t.h... oontract.or, u:e l.t.':tlpomlibl e tOl: the work. If the contractor wi..hea
you to sign ~~ uontr~ctDr th~l may be an indication that he 1s not prop.rly licen$_d end is
lwl entj thd to l'etlllittilH} privlleg8s in the CJ.ty of ZephydliJ la.
C. 'll"MHH'Oh'l'A'J"1 DN I MPAe'l' FEEls AND U'rU"l 'fr l...!UNNI!iGTION FI!lBJS
D. CONtl'l'RlIC'rUION I,UlU LAW (CUAP'l'ER '113, i'LORmA B'fATU'J'I!lS, AS AMENDEI))
1 olil.ttity tIHH. I, th~ liPpllcant, h..ve been })l'Ovlded with a cOlly of "l'lori.da' B CCHultructioll
11 ",n l,rilW II milt: u WIII::lL '.. (> J:oteot!on <;uid&" p.repru:ed by the nod da Depilrtment of Agricul tun
and COHaumer Affairs, Xi the applioJll1t i. SOlneone othel: that the "owller". r a.rify that I
Itave obtaJ.neci a copy of the ahove de.cribed dOdument and p.t:'olllll'l~ in good faith to delivor
i. t;. to the "own~r" pr:101: 1.:0 conlnlencement.
Ii: , CON'1'HAC'l'OR' S/OWNER' S AFIi'IDAVI'r
1 cert.ity that: i111 thl;! information l.n this alll,'li f:!ltl1.on i. aCOUJ:kt;l;: .-nd \:hllt Ill1 wIJl.k "Itll
be dOhe In c;ompUanotl wJth all applicable laws l"egu]at;J.ng constl'lIct:J.ou, zoninlJ, and land
devEllopllIemt,
App1111at:ion 1s hereh.y made t:n nhtA.t.h a per;mlt to do wad, ahd inlllt.cd.lclLj.(Hl as j.nCJ1Cilt:.,L I
':e~.tity ~:hat no wu.rk or inatal1atj on has cOlllrnenceu' }).t::101: to i88ulInoe of a perm1 t and that
!l.11 work \'1111 be performed to meet standards of 6111 laws regulat:1.ng cOllstruotion, CJty
COdfsi, ~oning r.~UldFlt"jt\nB, an.d l.and devolopmenlc cC9ul~t;J.uUtsiJl the Jurill(jlCtton. J also
CElt"t:lty that.1 undeutand that th~ l:egulations of otl.ler governmental ageno!ea may apply to
thet int:tflhded wolll., and that it 1. UIY reapons,1,bility to ident:t.ty what itotioll" I must: bl}ce to
be 1.11 cnmrdi"..oe. Such agenoicD incl.ude b\~t a.Lc: lIut. limlted tOI "'Uepartment ot
l1lnvirollll!el1tal R-9uliltiorl~Cypr&tiUj 8ayheada, Wetlaud ArtUIIM and Emrironmeut.ally Hen.j.tive
J'l:lllds, Water:/Wabtewaler Treatment:
....lJouthw.llt 1l'J.~l:ldi4 W~tc:u: J'o1.na~oll\c:uL lalltrlm:-'welJ.I3, 'CYPJ::es8 Bayhf.llld., Wetland Areas,
AlterJ.ng Watercou.t::ses
*Army Corps of EngJneers-Seawalls, Docks, Navigable Waterways
"')JI:VCll.l.llI"nt: at lll!lAl th & t(lShabl1itat.1.\Ie Servioes, El1Vl.ronrnentaJ. Hea.lth Unit-Wella,
Hastewllter: 'l'l-ellf.lusnt, 6el>tic 'l'anks
"'U, a. EnvirolJhlental l>rol:ec:t.ioll Agency-Asbeetos abatement
I alao cart!!y that, it till material j,8 to be used in Flood Zone ~Au or "A, eta.", it i.
ulldet:atood that a dt:a1n&ge plan addressing a "compensating volume" 'w:l.ll h. iml.lll\ittec:1 Which
18 l)tepa1.-ed by Q pI:ofesdol1al engineer registered in th~ Stat~ of Fl()dda pri tlr i:o penn:! L:.
1aUlUauce.
A pelllllt ifUlUdld t/hal1 bfs construed to he a licetlse to proceed wilh the work and not iUl
aut.hority to violate, C"lIcel, allIlH', or. IHe\: aside IHIY prnv:tSions ,)f the t.80h111cal oOdall!l,
nOl:' Shiill iSSIIAnce at a peL'm:\t prevent the Build;! n9 ofticia.l from thereafter requJ.dng a
cor,reolJ on of anon 11& J..llans, aonS~l:uction, or viol~tion8 of any oode. Everv pel'uU.t
is.ued aha l.l beuome i n'Ual .1 ci \Inl'!uIB . th. \J~.a:k' Inltho~i lIIcd by "t~oh peunll. lit uUllun8ncliilcl Wlth1n
sJ,x montha of J8slIllnc8, or: if WOJ;k authorized by th& petnnit j.. stl8pended or ilIlJlltU.\01l8ct for a
plISd.od ot SlJI month~ e.ft::er the tJJl\e the war), 113 oommenced. Olle 90 UfaY eUltensi.on of t,tll\e
may bEl lidlnwad fnt. t:he p6l:rnit. with felC~ t)hiOlrg8 of $15..00. Thtl ~ltLt!l1l1110n 8hall be l:e'JUliili~8c1
:t u wr1 t.1 rig to the l3uUdIng Official. An approved inspectJ.on rnu"t he logged during eaoh ,d"
lIIonth ped oil, or the projept wIll. be considered abandoned. .
WARNUW 'J'O OWNIi1R, 'tOlJl\ I'AU.U1l.m '.['0 RElCOR1) A J'fO'fICIt OJ!' r:OMt!J!!lNGl!lMIliN'l' MAV RI!IBUL'l' IN YOUk
PAYING 'l'W1CE FOR TMPRove:MEN'l'S 'ro YOUR PROJ:lB:Rrty. U. YOU INTI!:ND TO na'r}\IN ll'INIUIGIWq, .pqw,UL'j'
Wl'l'H YOUR J.END.II:R OR AN A'l"J'ORNEY BEe'OR/!: RECORDING YOUR NO'l'ICIIJ OF (;(>MMENCEHIllN'l'. JOBS UNDER
$2, Suo HI V/\LIJ.l!l 1)0 NO'l' Nlllllll> 'J'O RECORD AIiID POST A " OTI\.:E UI!' (;OMMJi:NCEMll1N'1'''.
c~
"\
---.-....-......
~ ~
tv~. +~
Il'J'A'I'l!l ()Jj' FLORI J)I>.
C()UN'I'Y OF __"~_.___.__
'l'he tCH;'egolng j nstr:U1nt!lIL WaB I\nknowledged
BeforE> roE! thJ.1;; _.__~_ day of __..___..__..__, lL,
by ~__.___.._.. __.________
(lIallllll of pet'sou Aoknowl.dqed)
[j who Is personally known to 11le, or
CI wh() has produo@ri._._. __._~__
(type of identiflcat.ion)
and whoDdld [JdJ.d not take ah oath.
sr ~'b: OF FLORIDA
CO\JN'I'Y OF __._____
'I'he foreQo.1ng ilHI h:tlrnlllllt Wi"l al:lknowledged
lJl!1fore me tld ~ ...._._JJay of--___, 19 _:_.
by ._.'____,_..
(nanu!! ot l''''l:I.JDll iloknc>wledg.c.l)
f-1ho :l. pe.rsollally known to me, tJt;"
n who has pJ:oc~l.Iced_ , ..___
(type of id.ntifiQationj
and who Odld OUd not t.ska an o~th
----------.--....----,-.--....
8.i gnature I)f. p.r.on til~1llg ...,.,know~eclgemEoII\:
8igl'ult:ureo oJ! pel.:lilnn t.t1kiIl9 aoknowl..dgRlelnt
'I~-;;iiie-ty'i~~';i:.'p~i~;l t ;d~-~~ l~;;~p'~d~---'-
-N am;- t YJle=(r,--~~irl t8d~'~:.-;.tilJnpf1fj---""'.'._'----