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Home My WebLink About93-3207 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 3207/3 ol (!), c:::ro ;LO - o-V ~~/ GECTRIC0 p~ ::::::,~~ ~-JrJ /JLJ, Parcell.D. # 7'AtftR . Zoning: Energy Code: Radon Gas: DescriPtionofWo~O~,,~I~/7 LF4 O~A ~- /7 / /' Date y~:;L9-93 MEC~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. 3 Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Signa Company Address Telephone# Valuation or Contract Price 91!J?). c:J-D City License Registration # / r State Certified License# /.S-~ L Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. 'S ./7-13 r3> I ( Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) 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. APPLICATIOl!ll FOR PHRHIT CI'IY OF ZEPflYRHTt;l;.S BlriIJHl!llG DEPARTMENT OWNER'S NAItE c () r..) c. \ ('~ J r r-JC- PRO~ (qD~) ~ (3 ....~i 9d ~~~:RRS%i{35C~~~l~\U~\U~.~r~~c(t<<~~~~\: I n~ LEGAL DESCRIPTION: T.m(S 6f^ <:' t: \ \ Lt ~BWCK SUBDIVISION ~, lJ . ~i ll~ ( ~ ~ S\.o~ VU) C ~ (, PARCEL LD.' B:~'-"-~ ~ WORK PROPOSED:-",--l!llev Construction _Addition _ ~teration _ epair _Install _Sign _Move _Deaolish PROPOSED USE: Single Fallily /' ~rcial _KIF _, of Units _M/H _Indust. _Swia. Pool Other _Restaurant &: Hea1t:h Departaent Approval Square Feet, Height BUILDING SIZE: x RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT PJ:..MllS &: (2) SEIS OF BUILDING PLAINIS &: (1) SET ENERGY FORMS. ** ATI'ACD (3) SEIS OF BlITLDDlG PL.Ml1S &: (1) SET ENERGY FORKS... ..COPY OF CONTRACT REQ1JJIRED. PEmlITS REQUESTED _BUILDING $ VaIuation of Total. Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL s Val.uation of Mechanical. Installation _PLUMBING GAS ROOFmG SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr~ _Steel Other FIl!llISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ***..*******...**.***.........*........... BUILDER COnRACIOR SECTION cmlPANY Signa ELECTRICIAN orll!iP,ANY ~o.f~.\ ~ -yJ () . 1 J 1- ~ L State Cert. or Regist. :/# Si~ture ~ b( ,~~. City License Registration , ***..~~**...*..*.*......**...**.......*.. ~ \E c.\. -( \ c.-- E~ooll(tO /S-P PUDKBER Signature COltPMY State Cert. or Regist. :/# City License Registration , -A-.*~~*~-e:~~~~~'!::'."::~~'~:'::'1f::~.e:~~~~~~'!:~'!:~~~'!. -!:~-!:~~~~ HEC'.IIANICAL r;mr'i\NY State Cert. or Regist. , Signature City License Registration j .....*..*...*.*....*..**~:**.~*........*.. OTHER cmlPANY S~ate Cert. or Regist. :/# Signature CiLy License Registration , .*..*.*............... "'*.:ltil-:lt............... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject tD 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuaes 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 may 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 may be cited for a aisdeaeanor 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, (813) 788-6611. Furtherlore, 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 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 permitting privileges in the City of ZephyrhilIs. 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 - Homeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is someone other than the 'owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it tel the "owner" prior to co.aencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVII I certify that all the information 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 per.it and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: f Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways _ _ f Departlent of Health! Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks f US Environ.ental Protection AQencv - Asbestos abatement I also certify that, if fill material is to be used in Flood Zpne aAa or aA,etc,', it is understood that a drainage plan addressing a 'colpensating volume" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A per.it 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 pertit prevent the Building Official froD thereafter requiring a correction of errors in plans, construction: or violations of any code. Every pertit issued shall becote invalid unless the work authorized by such per.it is cOIDenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six Bonths after the tile the work is com.enced. One 90 day extension of tile, lay be allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six month period, or the project will be considered abandoned. WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYIN6 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE INS YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A aNOTICE O~ COMH CEKEN #;:: ~ or who has STATE OF FLORIDA COUNTY OF The forego i ng i n~nHr~e\-lt \fJas ac knO\fJl edged befcl\-e me this. H?\\ l , 19 q ~ by Q (ttt \-\ <Lt'0 Q~ do STATE OF FLORIDA COUNTY OF \-\<t. (' 't\)0 10 elc, ') The foregoing instrument was acknowledged befcl}-e me this ~\>fil , l~by \fiho \'lho has and who did/did no~ pro u as identification and who did/did not take an 0 (Name yped, Printed NOTARY PUBLIC ~ BETTY JEA~ 'r1PTON MY COMM:SSION II CC 233547 EXP'I~S: 0c:I0ber 8, 1998 Bonded n>m Notal) Pui'Ao ~ BETTY JEAN TIPTOt.f MY COMMISSION' CC 23SS47 ir fXPIRES: 0cI0ber 6, 18 !; IlOIIded TIIIu NollIry I'uIlIc lJncIliIW!t:''- . ZEPHYRHILLS FIRE DEPT .~ Zephyrhills Florida 33540 FIRE CODE INSPECTION Business Name $; fll?-c L F - 5 A Address 7 J., 4 LJ U/t-LL & , ,0 75?o-7V7V Classification f1JcJ< /~DE# OwnerlManager Business Phone Emergency Contact Phone Occupancy Load TYPE .9P INSPECTION CONDUCTED o QUARTERLY ~NAL ~ANNUAL 0 BI-ANNUAL ORE-INSPECTION 0 OTHER % APPROVED 0 NOT APPROVED o COMMERCIAL CHECK Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. 0/< /CY/? C. O. /JJ U 5/ pC,) r ~712e-&r #- 01-1 LJOcJ~ Inspect. Date ,S- - /7-7..3 Re-Inspect. Date Inspect. lime I~~~ F"Dem~~6 ~ d:/i - OwnerlManager Signat Title This building has been ch eel by the Zephyrhills Rre Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes. -