HomeMy WebLinkAbout03-1995
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Property Owner:
Job Address:
Parcel 1.0. ,
~~~ -?t;~rt3 CT
1995
Date
'-/ - ,S -03
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
OescriDtion of Work
s~e:
Radon Gas:
Permit ~e~ ,&0 ~ ~
.x:$ignatu~. --^----I
Company
Address
~ephone# '7 g'k < (Q~~ ~:3
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or ~ f. --=< C (. ( 0
Contract Price l \....Q ".) l ' l
FINAL
Inspector
DATE
,j ;.-lTO
City license Registration #
State Certified license#
1) EN N'/V
BUILDING
L
Ftr,
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
I
Pre-Metef'
Final
SLB
Tub Set
Water
Sew
Fin
Driveway
HANICAL
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.
OWAJI2(L
56'22 /.tkNv!t c +:-
l cu1~tf /f-t'l-()3
-
9GU 1~)~17~
SQ.FT,
PRICE
Main
Other Area
Under Roof
Vaiuarion: I. '_'21:: ''fC>
J r;rf7 I
Building: ~~ ~, 0'"
Electric:
rJ!tr
~17fV
'J ,,,
/f(), ;:)V
Plumbing:
Mechanical:
Radon:
~.'chOOiilnpacr I
~ees: N I fr
Connection _ II
:;-ees: j\J I JfI
Troms. Impact ^ ( l.
F~: IV /19
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING IlI:1:I?ARTMElN'r 5335 8th S'rRElBl'f ZElPHYRHILI.S, P'L 33540
PhoneI813-780-n020 FaxI813-780-0021
IJA'rm RJlCIIIIVSlD_~_"..,
PIJANS RBlVII!JW rJllBl_____lL___.
011".8' B "M"_CJJjj~_~B.&c-C..iCc..._._..____._. PHo"S CO"'J'ACt7.2Z.=~3:3
.TOB SITE! ADIJRBJ8~~<3~'KI:iQ&,Q.k)__~_.LI-______._____,._____ -.--------'--_n _.__.... ___n_
I".GAL IJE.CR T p'r lOll, f,(J'r 181 Qa"lit ~ .~ _8,!"Kd.D.l6'-I!.€ 3,jflJIvr 8] oll ~d.B1!:.L....4:S~4i
PARr!ElIJ W #,)0-::-;( ~-:d.J.--~,l221~OOOfjQ.::- ~-C:Lqd.~~TAIN _:~Ro~~~~p~~~'.~.'I~~_~:~~r.c~~ a-
WURK PROPSBlD I ~NBlW CONSTRUCTION 9( ADlJI'l'IaN 0 AI/I'ERA'rrON [1 RllJPAIR 0 INSTAI.I,
DeIGN 0 MOVE 0 DElMOI,ISII
PROJ:.lOSEn USE I [JSGlI, FAtULY DWEJLI,U1Gl
[h1tJUl'I.. FAt-1Jl,Y
0# OF l1l~I'rS
[] MOBII.El HOf-1El
IJOT!lI!lR
[] Cm-1MElRC!JAI,
[J INDLJS1'RIAL
[J SN HIMING POOL
o RBSTAtJRANT & HElAI,TII D~PAR'l'r'1ENT APPROVAL
))EJ8CRIPTION OF 110RK -UTI L_i' I ~ --~.5 C. ()J:LE;DJ-_________.______._,__,___._______.
BtlIl,IlIN" BUE l.'....-.XJ.!:L'_..._ BQUARE FOO'rAGE .II "^ _~, IIBIGH'r _'7.'..~__...._
RHla IDBlNTIAJJ I A'I"I'lWH (2) PI,OT PI"AllS & (2) SElTS OF BUI! ,DING PI 'A1:-/I & (1) BEI'r E1NElRnV FnRMS,
CO~1MBlRCIAI, I A'I"liAC!H (3) SEiTS OF ButI.IJING PLANS & (1) SEl'I' ENERGY FORMS.
PROPERTY SURVEY REQUIRlilD FOR ALL NEN CONSTRUCTION,
Cl 8lJII.IJINf~
FE~TS REQUESTED
L-Lb.:39. ~_-" VALUATION OF TOTAL COH8'fRlJCTION
--.---,--- AriJP sElRVWEI 0 Fr.oRInA POWER [J W, R , E. n,
L1 BlL!!JCTRlCAI,
f] PI,tJt-1BING
o 1-1B1UHANIl!ATJ
$,----~-------- VALUATION OF tiJECHANCIAI, U1S'I'ALI,ATTON'
[] (JAS
L.1 ROOFING
[J SI?EOIAUry
[] OTHER
'l'YPBJ OF COH8'1'RtJC!TION I [J BLOCK
o FRAJ-1El
[J STElEL
[] OTHElR
FINISHED FJAJOR EIJEVATIONS
--------
IS PROlTEc'r IN FLOOD ZONEI AREA 0 Yale 0 NO
::'::~~4
*****~*****~****************~****~***********************~******~*
IlIUIC!TRICIAN
S J GllATIJRE _h__,_
--_._-,~.- ------ -----..--.....- -..------- -.._._-'~------
CO~lP ANY _.__________________ ____.________..,___. _____
STATEl e'ElRT OR REGrST #
CITY PROCESSING #
----- ._~.--_._~..,~ .--------.__..H_.._______.. _.._._
*~*~~***********~~******~*~~~*~**~*******************~***~********
--.-.--------.. --..- .--..----- -"~--" -....-.-. .--...-.----..---
PI.UMBBlR
.---'-----~-_...._---....- -.
('OM P ANY -----___________~_______. .______~..__.__.. ___.. ________".
STATE CERT OR REGIST # __________.__.________.
CITY PROCESSING #
8 Ic3NJ.\'l'lJR El
MBlnHANICAI. COlviPANY__________,______,.________._____.___ "'__"_'___
STATE (!I:!lR'r OR RI:!lGIS'I' # ______._____._________..._._ ___ ._.
STUNA'1'tJREl CITY PROCESSING #
***********~******************************************************
._-_._.~..._------------- -----.._---~--~_._------
-----'----.,--.--..--.--- ------.--._h.___._..._____. '_________.
******~***********************************************~**********
o'rUIlIR
S WllA'l'UR Bl
------.--.----.-
(~ot/lPANY
STATE CElRT OR RiGiST-r-----.,-------'-.------
CITY PROCEJS8ING # -----.---______________
._-_._---~--------------~------
*********************************************~*************~*****
----.-'-'- ~_.._-_._~-----_.~.,_._---~-~--.-
CONOI'rIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'1'he undersigned understands thqt this pelrmit may be subject to "deed restriotions" whic:h
m~y be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED bON'l'RAC'l'ORS AND CON'1'RAC'l'OR RESPONSIBILI'1'IES
If tile owner has hired a contractor or contractors to undertake work, they may be required
to },)e Ii censed in accordance ~~ith state i;lnd ,local regulatlons. If the contractor is not
licensed as requj red by lav~, both the ovmer and contractor may be cited for a misdemeanor
violation under state laH. It the owner or intended contractor are uncertain as to Ylh~t
ljcensing requirements may apply for the intended work, they are advised to contact the
,ci ty of Zephyrhi1ls l3uilding Department, 813-768-6611.
Furtbennore, if the owner has hired a contractor or oontractors, he is advised to have the
contractor (B) sign portions of the "Contractor Sections" of this appli.cation for Hhiah they
will be responsible. If you, as the owner s.igns 'IS the contractor, YQl,\ are indioating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly liaellsed and is
not entitled to permitting privil~ges in the City of Zephyrhills.
C. TRANS I? 0 R'l'A'!' I ON IMPACT !fEES AND UTILI'l'Y CONNECTION FEES
D. CONS'!'RUC'l'UION LIEN LAW (CHAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida 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
.i t to the "owner'l prior to corrunencement.
E, CON'l'RAC'l'OR' S/OWNER' S AFH'IDAVI'r
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Applioation is hereby made to obtaln a permit to do work and installation as indioated. 1
certi fy that no \wrk or installati_on has couunenced prior to issuance of a permi t and that
all work will be performed to meet standards of all laws regulating construotion, City
codes, zoning regulations, and land development regulations in the jllrisdictlon. I also
certify that I understand that the regulations of other governmental agencies lOay apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Benettiva
Lands, Water/Wastewater Treatment
*Southwest rlorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Arrny Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Departmenl of Health & Rehabilitative Services, Environmental Health \Jnlt-Wells,
Wastewater Treatment, Septic Tanks
*11.8. Envjronmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone qA" or "A/etc.", lt is
understood that a drainage plan addressing a "compensating volume"'will be submitted Y/hich
is prepared by a professional engineer registered in the State of Florida prior to permit
jssuance.
A permit issued shall be construed to tie 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 permlt prevent the Building Official from thereafter requi.ring a
correction of errors in plans, oon~truction, or violations of any oode. Every pe~~it
iSIIUed shall beoome invalid unlel9l:j the work authori:z.ed by such permit is cOllunenced ~i1ithin
six montbs of issuance, or if work authorized by the permi. t is suspended Or abandor~ed for a
period of alx months after the time the work is conunenced. One 90 day extension of time
may be alloHed for the permit with fee charge of $15.00. The extension shall be teques~ed
in wri ting to the Building Official. An approved inspection must be logged during each I:d H
month period, or the proj ect vilill be considered abandoned.
WARNING TO OWNER: 'tOUR H'AILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY REBUL'!' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'!'AIN FINANC1INq,~'~N~UL'!'
WI'l'H YOUR LENDER OR AN A'l'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMENT. ,JOBS UNDER
$2,50D IN VALUE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NO'!'ICE OF COMMENCElV1EN'r".
~
----
SIGNA'l'URE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
of i.dentification)
t ke an oath.
STA'l'E OF FLORIDA
COUN'rY OF
The foregoing instrument WaS aoknowledged
Before me this ----------Pay of--, 19......:.._
by
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type of identifioation)
and Hho Ddid [}Ud not t.ake all oiilth
STA'rE OF FLORIDA
COUNTY OF p~S~O
The foregoing instrument was acknowledged
Befot;:e me this U~ day of A-PRI L- , )'9.,1D0.3
by _ CI.hl\lRLEf.$ CBR.D6K.
(name of person acknowledged)
Ohvho is personally known to me, or
Sign t O;f} person taking acknowledgement
_1'flM<LkH trJj)LtlliQ_~ ..., I< ,"".......
Name typed, prInted or st! . MyCornrniMlOnDD0808lll
~Or"';/ Explres Febn.IeIy 10. 2Oll8
Signature of person taking aoknowledgment
Name typed, printed or stalllped
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