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Home My WebLink About91-1572 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit N~ 1572/J BUILDING DEPARTMENT / ;;l () - OV 1-813-788-6611 ,/ 7 0 ") - '.2 "/1 Date~7 -- /' - / / .~~it . ex.!> . GTV. ..~~ ~~ C~-->1' -5/ '1, --.S~_, C__~~ ~GUMBIN~) ME~'J.&Z~ .tdn./\1 y7/~ U Property Owners Name; ~/~d2hd",r Job Address: ;7 ~ '/ ~ _ ~~ _ -----.--: ~ (,:J< ;'JL ~~plf) Legal Description: Sub.Div. Lot Blk. :? ..... c1 -- .;:L Zoning CI: .-/...5 - ..s - I ~ Xr;' Description of Work A: <Z ~~ . 1--;7 P- - Cfrf ~-Z<)-~" ~ Complete Plans, Specifications and Fee Must Accompany Application Energy Code Readout: Estimated Cost: /3 OZ7? / c/V Fee' ~(, . ~O ~ SIG~A . ~ CpJ .\~~ COMPANY ADDRESS All work shal! be performed in accordance with the above and all City Codes and Ordinances_ OCCUPATIONAL LICENSE # /JY TELEPHONE # ~ ~ -f?:w~ :i-b.-~.()~ ,,'nvt -, ,,-t!~~~ n~ C B5{LDING.' (/~M~I~~~--~-~LEC~/JG -- ------- Ftr. SLB Tp.Serv. 1 -,d j/ Pre SLB Tub Set Rough Int/~-l -y{n:J"r Breakers lintel Water Meter Can Ducts Insl. FRM.~-I/-'rf ~ Sewer Const. Pole Compressor Insul.CL Final Pool Final W L Pre-Meter Final M~ICAL -------- Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of L_ ClIllI.OO) dollars shall be made for each bIitp.:/r-d.-d.e u..!:,-: Liz) ) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. !I-: B \ No & H ~.".'\. {\ ~' f~ L Yl 724'-1 & 'f\L L ..." ~. t;,:...\1 tJ -4114 51J+, Vvi LufYI (eN 13) 0 DO ~ ~,~& l~oO ~L(crtt I LI4L 2.,. D .., pL...>r1I~ I('J& -, -') r t..-~' ") (") 'lO"..........,. ! j"i)L ' , (idl\.",,~(f:;l ~ vB '1 ty'\ t\l,.... , - "..-0-___ \3\j\ ~~ pJ (; PL~~ tl~v ll=, \,.J ""lh: \) ( 1 1Ir 15. DC) "-. . ''- tv, y-) L , ~ ; Ii r' 1< BU0G-14AvV\ (2.~{tLT''''' 72.1./" GAL-L (5LJj). TARLE A - WORKSHEET CTTY OF 7.EPHYRHTT.LS CONNECTTON FEES ORD. i~395 RESOLUTION 151 & 329 WATER $1.75/GALLON SEWER $6.39/GALLON RF.STOENTTAL (Each Lot or Un it) Residence $ 350.00 $1, 278.00 Travel Trailer Park 131. 25 479.25 C.OMMERCT AT. (PER FTXTlJRE) Sinks 87.50 319.50 Water Closet 131. 25 479.25 Urinal 87.50 319.50 Lavatory 43.75 159.75 Tub/Shower 87.50 319.50 Washing Machines 350.00 1,278.00 FOOD SERVICE Dishwasher 700.00 2,556.00 Sinks 175.00 639.00 Car Hash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. IF WATER SEHER TOTAL PER FIXTURE SINK I ~7,5D 3/Q,50 407. cO ~7t~D 3Jlf,5"O tf07. ,:J 0 _If WATER NETER GRAND TOTAL '107.00 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION 7:2 Lj 1-/ )iJi 8J~l LOT SIZE x APPLICANT ADDRESS OWNER LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family $commercial _M/F _4F of Uni ts __M/H _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: I!i X f.J!-8':' Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ~BUILDING ..LELECTRICAL $ /3 ~ ~ . ~ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL ,.APLUMBING $ ~(5 Valuation of Mechanical Installation ..... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel .Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTMCTOR ~E~~ ^ ~ . ~ . ~ Company . " State Cere or R~ 'st, ,I hr~;.- r;,=- City License Registration IF l~ C&t!'ID1;)3 ****************************************** ?? . [I /J "1 , ET,ECTRTCIAN 'I ~ ~ Company eL/L -t # I~ State Cert. or Regist. IF Sie:nature ( ~-:7_ - W ~- , City License Registration 4F A ****************************************** , { C ~~ J.-d.~ .~ PLUMBER V 1/. C. f ~ ,rt... r Company 'i /? .C. (P ~ ~'~ ! .//1 ./? I State Cert. or Regist. 4F+--:-_ ~ ~l!>3 7 l1'7? Signature ~ c.y/ ~ City License Registratioo II V - . ****************************************** Company State Cert. or Regist. IF City License Registration 4F ****************************************** MECHANICAL Signature Company State Cert. or Regist. 4F City License Registration IF _ OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to Hdeed restrictions. which lay be lore re5~rictive than City regulations, The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the .Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection Suide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SOIEone other than the Howner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the .owner. prior to cO.lencelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent, Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perfor.ed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies indude but ~ie not lilited to: I Departl~t of Envir~n.enitl ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departaent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abateaent I also certify that, if fill aaterial is to be used in Flood Zone .AH or HA,etc.., it is understood that a drainage plan addressing a .colpensating volule. will be subaitted which is prepared by a professional engineer registEred in the State of Florida prior to perlit issuance. A perlit 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 perlit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued ;hall becole invalid unless the work authorized by such perait is coamenced within six lonths of issuance, or if work authorIzed by the perlit is suspended or abandoned for a period of six lonths after the tile the work is coa.enced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15,00. The extension shall be requested. in writing to the Building Official. An approved inspection lIIUS,t be logged during each six lonth period, or the prc.ject will be considered abandoned. WARNING'TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P~OPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST. A II NOT I CE OF COMMENCEMENT ". . [:t. ' __ SIGNATURE 7 t?}~ ,^ () (1 , OWN~~ CO~~~~- ----------- DATE_____ _____~_~iC~~L___________________ DATE L ~.J/- 9 / ______fl_________J_________________ NOTARY AS TO ~ _ OWNER OR AGENT~~jq~~-~~~~-- ....otary publiC. State OflJl!4r1i1d.,." Expires Jan. ,... .. MY COMMISSION EXPIRES~!:~~~~~~_____________ NOTARY AS TO ~_ CONTRACTOH_~':!-.tL-~~~. Notary Public. ~i:l,,~tf MY COMMISSIOl\1 EXPIRES_~~~~~~~~!.:"~~s.!~n..::.~~994 I h ZEPHYRHILLS FIRE DEPARTMENT Zephyrhills, Florida 33540 38410 6th Avenue (813) 782-8184 FINAL BUILDING INSPECTION Assistant Chief Robert Hartwig ;J;/~i4~ OCCUPANCY: J;,q/ ~'skk DATE: /:/,;"rQI ADDRESS: 7 ;J i L.f t1-o II ~f / vc:/ BUSINESS PHONE: 1 ~tf- j /:r9 OWNER/MANAGER: t:<J'- 0. II ~~ r. Fire Chief William T. Fenton This huildjn~ has been inspected by the Zephyrhills Fire Department under the codes and regulations of the NFP A ~jnimum Standards and other local fire safety codes. ~VED NOT APPROVED CO~1\1ENTS: cJ. 1< .;;~ fj, cJ. I NSPECTOR.{/,r 6-....t ~ DATE: TIME: O~, ?,..-, ~ JJlr- SIGNE TITLE: 06/ 17/86 als