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Home My WebLink About93-3438 BUILDING PERMIT Permit 343815 % -/:1-93 CITY OF ZEPHYRHILLS (813) 788-6611 ..:l.t-: c:TD :;L t:J. VD 02 (). ~ ~T9.L ;;B~ MECHANICAL ~:.lle.e.:.~::n.n.: Pmp"wOwn" 0f!i~(J ';;l ~t!l~ ) wa":M,,,, Job Address: ~ / f T.l.F._s: N~ Date Parcell.D. # Zoning: Energy Code: D."';pt;on of WO"k'~~'" ,~ "'5-C-~nAtf/P-r_ Radon Gas: /7~ ~~ , r 1;;J NO OCCUPANCY BEFORE C.O. FINAL 12-28-93 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector City License Registration # ;11.3 State Certified License# Permit Fee ~.....s-: t["'C) Signa,"" {j/C- I (~____ Company (__ Address Telephone# 18 2 -~ '2-.2..4 Valuation or Contract Price /.<--.s-n, u-v , ~e ~ ?S1tJ J1 MECHANICAL Tp. Servo Rough In /o.I(~7~ Meter Can Const. Pole Pool Pre-Meter Final u- . SLB 9-~-9- 3 ~ol- Tub Set 10"11 fJ M Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. ~"~/1..q3 5~ Pre SLB q - r-r -~ =i {3 J.l Lintel FRM. jD.{(-i1? f/J 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICAnOIl fUR PERllIT CIIY OF ZIl;mIKHIT.TS BUlI.DDG DEPAImIRNT OWNER I S RAIlE kJV1 \?(""! kc.l 'Z bOlA \'~- PIIDIIE 7f18 -5...5,1$ W OWNER I S ADDRESS JOB ADDRItSS L,f q 11 0cd I B t ud LEGAL DESGRIPl'IOII: wr(S) ~SUBDIVISIOII PARCEL LD.' 1i'ORK PROPOSED:_lIev Const:ruct:ion ~t:ion Y/Alt:erat:ion _Repair _Insull S. - 19J1 _lIove _De.olish PROPOSED USE: Single Fam.l.y ,,/ ec-ercia1 _"'F _' of Unit:s _"'H _Indust:. _Stria. Pool Ot:her ,,/ Restaurant: 6: Hea1t:h ~t: Approval. BUILDING SIZE: x ~e Feet:, Height: RESIDERTIAL: alItIIERCIAL : AlTAaI (2) PIDI' PLAIIS 6: (2) SEIS OF BUlLDDG PI..AliS 6: (1) SEt ElIERGY FORItS....... ATrAaI (3) SETS OF BUlLDIIiG PIAIlS 6: (1) SEI' ERERGY FORIIS....... ......ropy OF roRTBAct REQmlUlD. Pll:RllfTTS REOllRc;TED ,/ ~BmLDING $ Val.uat:ion of Tota1 Coost:.ruct:ion V F.J.RCl'RlCAL AIIP Service V' Florida Power Corp. W.R.E.C. --.JIIDL\IUCAL $. Val.uat:ion of tlecbanica1. Installation .....JL::PLUKBING GAS ROOFIIIG TYPE OF roNSTRUCTIOlI: --..Block .,/' FraIIe _St:eel SPECIALTY Ot:her FINISHED FLOOR ELEVATIOIlIS: FI' . IS PKOJEct IN FLOOD ZONE AREA? / YES NO .............................................................................................................................. RIJTTJ)RR COIII'I'RACIUIl SEctION W!lPMY W \AJ i I \ In .:~ Ho.l'~~ tg ~~~-=-. _ /----siate Cert:. or Reg1St:. , L B c C) LL I 1 q Cit:y License Registrat:ion , q3 ............................................................................................................ Signat:ure t/I/? ItT..F.CTRICIAR WllPAlIY EHRMA.0 S~ SorE-t{1 ~ =::~ ctSO_ ~ Stare Cerl:. or Jtegist:. I Si ~ Cit:y License Registrat:ion , liD I ........................ ................................................................................................ PTDlRER CUllPAIIY So I) I R..cJlJ tY1 t:=.J.J .,-,4 L ~ cYJSJ. ~ St:are Cerl:. or Regist:. I Signawre ........ \:' Cit:y License Regist:ration , ........................ ................................................................................................... ~JUr; qto ttEalANICAL CUllPAIIY St:at:e Cert:. or Regist. , Signature Cit:y License Registrat:ion t .............................................................................................................................. OT'IIRR COIPOY St:at:e Cert:. or Regist:. f Signature Cit:y License Registrat:ion f .............................................................................................................................. APPLICATIOR APPROVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit aay be subject to "deed restrictions" which 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 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, (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 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 Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOlleneelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation 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 perforled 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 governlental agencies lay 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 lilited to: f Departlent of Environlental RequIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f 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 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, caneel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cO.lenced 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 cOllenced. 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 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 I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COK"ENCE"ENT. JOBS UNDER .2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCE"ENT". SIGNATURE: OllNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc,re me this STATE OF FLORIDA COUNTY OF The foregoing irstrument before me this was acknowledged , 19_ by who is personally known to me Dr who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOT ARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLIC . [Zr / .$"'CA~ ~ /;" 3d . ...---.----. -~--- ~ /~" ..,,~~~ y ..!IS a . ~ (' .:r t:J ;J r~.:1/ ~ (\l~ u. UI 0 , " ~,~ I~ ~ \~~ ~ " " ~~\ Cb ~ ~{(\ ~ --lJ 't .. \ -4::l '\ - 1+ '\ ~ ~ \ .. ~ \ ~ "- ~ ~I ~ . ~ I () '\ } 6'l - ~ 0>. ~ \+ . C) 1.1' I' .. ~ ~ ~~4 ~ ~ ~ ~ " I ~. " ~ ~ () ~ ~ ~ ~ '" 1,1 ~ ~ ~ ~ '" "6',/' .\ ~ ~~~~ ~ ..!!J.S: a . .>>b ~~~ .. ~ '" GI, ~ HJ;V K ~. ..::I 0 / -.t:?<:J'~ -- - - . ~"""3""~ "-...h'~ ~ ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name / / / / ':, i /. ;/ //--/"\ ,'" , I !-' __~ Classification Address (~-~. /- (''' / / r (,'V,. f ( /,/. . .'\ '<\..,': (. {.-'.....-> ."", Owner/Manager (,:,;"':' /; .. .Ill I " (( (. ".- //', Business Phone Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ~.FINAL 0 ANNUAL ORE-INSPECTION 0 OTHER -~ APPROVED 0 NOT APPROVED l -c o COMMERCIAL CHECK OBI-ANNUAL Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS 'i~ 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. ,/ ..< !olt~t)/<. ( ........-.i . Lj. .., ,~) ,--'? Inspect. Date ',' ,;I- ~:.. . ,~~-;.. Inspect. Time / i../I~"7 C); r Fire Dept. 10 #._, _: ,_::' ... " //, /",.... _ - , f, I (,' Rs-Inspect. Date '..._- __. 1 '.nspectors Name / d,~' L,''';..::'......:::.--...... i / I.A._.r ,:----,,..-.. OwnerlManager SI'gnature ...1-..->,_.- \. -. :-.::---'-------.---------,..-- ., .,J;... .'- - ~-' Title Co nt' c:z.. ..., \ c\" ! I.. 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. White Copy .. File Yellow Copy .. Bid. Dept. Pink Copy .. Buslness