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Home My WebLink About93-3244 BUILDING PERMIT ..... '--~ ~ ,/ ~o ~~ CITY OF ZEPHYRHILLS (813) 788-6611 ...- ~ Permit ~324~ 5-11-7:8 N4? Date Property Owner: Job Address: Parcell.D. # ME~ ~~~ 0J~i:ir'~. Sewer Conn Water Conn: Water Meter: T.LF.'s: Zoning: Description of Work Permit Fee Signature Company Address Telephone# 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 -I- 4- .' ,. .- Contract Price. i??I0 City License Registration # ------- State Certified License# ~ ....- Driveway Tp. SeN. SlB Rough In ~-/o 7.=3 ~ Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final ~ ~.;}I-G\ 3 ~ Ftr. Pre SlB Lintel Breakers Ducts Insl. Compressor Final FRM. &'--10- C;3 1313 Insul. Cl Wl 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. .' J.-\ ~\~ ~ f'0"01"(., f. ",-, 5\' \ ~ ...., <- ~ \ h\:\:.... Ezr~l. f- 3" ~~hv..,!~ f3f'J -71, 1u H"/~~~,..J11 ~- .;.:~ - - (~:~~~;'I;i~-t.<J,~j I I I I I i I I I I i I I I i I 1----- .~~ ~Q.o~~~ 1- C~;\.J~I I i i ! . -t0~- ..-c_:/' :),)LJ ~.'" DCl!VJ 1+ If . --~ \ \. I I . .__ ____._ _.{I ///-- /' .::,,, cf .:c....; .-:_1 ! { IfG' ----7f\- (;, ,.. "'2- C/ I ,k-. 6- 1/"-,\ I \ I j [) - / I ('n-, Ki''':':; o I I I I I I I ! I J{--I {}f S;;.;df- fJ f2L f-ht;fll/j14J~/ I ,);/1 r I /<,; ::t? to ~~ I / '::J :tl~' - -\. ._~~~- o 'l!J<!o~..s l.__ , , , I I ! -- APPLICAnOIJ FOR PERKIT OlY OF ZEPBYRllIUS BllJILDIIiG DEPARIIIENT OWNER · S IWtE (~j 14 't IV ~ /1 v. 7ft:: {'I.. i:'~ Ie fi OWER' S ADDRESS . ~ ; .J ; 6-HJ/ 8JpJ. -.J ft '7 J 0 JOB ADDRESS S/J J C-t4- (/ nL vj PIIOD 7J1<j~SY"l 0 Bv.7kf'l..FI~ 1\6 .L~~'-4... LEGAL DESCRIPI'IOII: LOf(S) /1-'2..6-2/ BJ..Oa: SUBDIVISIOII PARCEL J.D.' OOlo-/~S'o<J- QC.JCi 1tOKJ( PROPOSED:_lJew Construction _Addition ~teration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: Single Faaily ~<=<-ercia1 _KIF _' of Units _K/H _Indust. _Swia. Pool Other _Restaurant & Health Depar~t Approva1 BUlLDIRG SIZE: t./ 0 X c., 0 , '1 Y u-o- ~e Feet. .., :.'...' Height RESIDENTIAL: COIttIERCIAL : A'ITACII (2) PLOI' PLANS & (2) SEI'S OF BUlLDDiG PIA.IIS & (1) SEI' ENERGY FORKS. ** ATI'ACII (3) SETS OF BUll.DDG PI.MS & (1) SET ENERGY FORKS. ** **OOPl' OF COKI'RAct RIlQIDIRED. PEmlITS REOOESTED ~BUlLDING -'::::WcnuCAL $ Va1uation of Tot:a1 Construction AKP Service Florida Power Corp. W.R.E.C. ~CAL $ Va1uation of Hechanica1 Inst:a11ation ~PLUKBING Gt\S ROOFING SPECIALTY TYPE OF OONSTRUCTION: _Block _Pralle _Steel Other FIllISHED FLOOR ELEVATI05S: Fr. IS PROJEct III FLOOD ZOIlE AREA? YES NO ****************************************** COlII'RACIOR SECl'ION BIJTT.D'ER Signature C(.}7- COIPANY ~ L/7 J State Cert. or Regist. I 115 LV City License Registration , , **************************************** X:=tareClAN CfoA4A' r OOIIPAH ~. [. ~~ State Cert. or Regist. I ." ,. .< /City License Registration , **;i ************************************ '-./ J3? PUllBER COIPOY / State Cert. or Regist. t --,~, City License Registration , *********************************** 'j... Signature ,~~ KECHAlfICAL OOl!IPANY State Cert. or Regist. , City License Registration , ****************************************** Signature onrF.R OOIIPMY State Cert. or Regist. , City License Registration , ******************************************. Signature " . :.~ APPLICATION APPROVED BY PERKIT OFFICER~: ..' .,......:..4 CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" Ilhich lay be lore restrictive 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 lIork, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by lall, both the owner and contractor lay be cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to Ilhat licensing requirelents lay apply for the intended Ilork, they are advised to contact the City of Zephyrhills Building Departlent, 18131 788-6611. Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections" of this application for Ilhich they Ilill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Ilork. 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 perlitting 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 Lall - Ho.eollner's ProtectiDn Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "ollner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "ollner" prior to cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all 1I0rk Ilill be done in cD.pliance Ilith all applicable lalls regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no Ilork or installation has cOllenced prior to issuance of a perlit and that all Ilork Ilill be perforled to leet standards of all lalls regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended 1I0rk, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not liaited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastellater Treatlent . Southllest Florida Water KanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterways , Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks , US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be sublitted Ilhich 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 Ilith the Ilork 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 fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoae invalid unless the Ilork authorized by such perlit is cOltenced within six lonths of issuance, or if Ilork authorized by the perlit is suspended or abandoned for a period of six .onths after the tile the work is cOllenced. One 90 day extension of tile, lay be allolled for the perlit Ilith fee charge of $15.00. The extension shall be requested in writing to the Building Official. ~n approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKEMCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT". ~ / I /' _____ t!;A ~.-/tf SIGNAT : OWNER OR Asfr> SIGNATURE: CONTRACTOR STATE OF FLOR~ COUNTY OF -V:4S CA', The foregoing instrument was ~~nOWledged befc.re me th i s \'i\LL-\ I"'; , 19 by ,- /'i (~ , ) . )t~-\~ v /lr,Q who is ersonally known to me or who has produced . +(f\Jl ~J f""~\ ,'''''' ~ ~" a identificatio and who 'd/did not t k;.9 ath. ,!lv, STATE OF FLORIDA COUNTY OF The foregoing instrument befc'l-e me this was ackoc,wledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC 'nted or Stamped) CINDY BOOKER -.: ~." MY COMMISSION' CC 192026 '. ~ EXPIRES: May 19. 1996 . Jif.:., ~." 8MIIId Thrn NoIary Pubic tlndIIIwritln ~'~~.:'':'.:.'':'~,=:::_.. ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 FIRE CODE INSPECTION Business Name l3 [" fie 1- .r e.. I c./r~ Classification Address J./ , I {~a 1/ I Owner/Manager Business Phone 7~o - 7,YO 7 Emergency Contact Phone I Occupancy Load I TYPE OF INSPECTION CONDUCTED o QUARTERLY @"'f'INAL 0 ANNUAL 0 BI-ANNUAL ORE-INSPECTION 0 OTHER o APPROVED 0 NOT APPROVED o COMMERCIAL CHECK Usted 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. cJ ./1 rot-- C. ,) Inspect. Date t/ I) Ii ki3 I 'I' Re-Inspect. Date OwnerlManager Signature This building has been checked by the Zephyrhills Fire 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.