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Home My WebLink About93-3439 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 3439/3 R"---/9-7'3 / 6-0 * 00 all. 7S- ~IN:iV G~~ :::::;,~,:n"731v~ ~ J:YI Date PLUMBING bLO. 0-0 ~~~ Sewer Conn Water Conn: - J-./I )l~A~ /l ' Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Worr:-- !?J-- ..A'I~ 7t~ Radon Gas: .4AL 62J?A. i1 ~ I' / Permit Fe Signat Company Address Telephone# :3 NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Valuation or :J / Contract Price 1.7'-') no. QL) City License Registration # / r State Certified License# - /~ ELECTRICAL' ./ PLUMBING Breakers Ducts Insl. Compressor Final Tp. Servo Rough In ~ '.';)..'1. 'G ~ Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. <?-Ll..q3 f:> t.Lt '- 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. -7t/~' f-~wtt~D~ -r::-V->N v/t:..W 61" U/'H'l E- VAL\JATlON ~ "2JjODO 4/'5.00 'I /400 Sq. F-r. 1-1 VI N(o' Sq. FT. OTH~~ BulLDING.- /1D. CD tLJmBH\!6 - :ffi- ELELT((l <.A L ..- HI M(:c.UANl~L- l{),DO S u j?)'1Q'rfl L ~ (Rl=-D\T . 30. DD ICfrltL &~fVHT : CONN t::.LTioN S~wAA- WAif5/{ .- fV\F--~ - 70IAL : F,=-~ N/A KADVN bAS - N/A Sf. Fr '~J\N5porzIAT70j\J I IVlpAc'L FEE- N/A I077tL : APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT Lo~C.\'f't... t.<t..~~f S- 1 ):\0~ . - ADDRESS ~~3 S Go..\..\.. ~ \ vd. i=t ~ OWNER C.- O'f..J ~ " ( L. c..- 't.. \0\.ce f ~ 'r ~c....,; ./ ~~ O_L\ _00-\ \ ~\ \j &.. LEGAL DESCRIPTION: LOT(S) ~,?,^-O't, \ 01\ BLOCK APPLICANT PHONE ('101.\) S<O 1- ~~1:L LOT SIZE_X AREA SQ. FT .J~60 SUBDIVIS ION ~ o\.U~ 'U\ ~ <.U Si u....~ <L JOB LOCATION PARCEL 1. D. # WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family -Lcommercial ____M/F ____4F of Units .____M / H ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x 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 /' ELECTRICAL /MECHANICAL ~LUMBING $ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECT~ Company ~J.~ \:)~UE.\a f. \'kf.tU~ C.(j~fo...kJ~) "t,..c. State Cert. or Re ist. lF c..~C.6l0ct~3 City License Registration 4F **************************** Signa ET.F.CTRTCTAN Signature ~ 7J... Company ~ 0..('\ \ ~ t l t e..-\. '\- \ c.... ~ l State Cert. or Regist. #I.:RoQ II11 0 - City License Registration 1F I Sf *****,J*********************************** Signature .1St. City License'Registration *************************** Signature Company go~vu~\ ~ State Cert. or Regis # City License Registration # ********************************** -# ";).- OTHER Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED BY ****************************************** '/1/1-1A~~d _#~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay 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 say 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 IaN. If the owner or intended contractor are u~certain as to what li~ensing requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advis~d to have the contractorls) 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 NorK. 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 Depart.ent 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 prosise in good faith to deliver it to the "owner" prior to cOllencelent. 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 cospliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no Nork Dr installation has cOllenced prior to issuance of a perait and that all work will be perforsed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is IY responsibility to identify what actions I aust take to be in cotpliance. Such agencies include but are not lilited to: f Departsent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatsent f Southwest Florida Water KanaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environtental Protection AQency - Asbestos abatetent I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be subtitled which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit 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 frot 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 pertit is cot.enced within six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six aonths after the tile the Mork is cOltenced. One 90 day extension of tile, tay be allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be l~gged during each six tonth period, Of the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR YOUR NOTICE OF COK"ENCEKENT. JOBS UNDER $2,50 I LUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCEHE " was acknowledged , 19_ by STATE OF FLORIDA {) COUNTY OF \' a.~ ~ C> The foregoing instrument before me this ~~J 11 "'YE\OW\E.. w, Qa'fKt\ who is personally known to me or who has pH.duced Y\J c) - as identification and who dL('did not ") ta~e~~~~~~~ (Slgna~~~~ -:s- 'e.o.-.0 C\:\ -tor--J (Name Typed, ~nted 01- Stamped~ NOTARY PUBLIC - was acknowledged , 19~ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this 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 BETTY JEAN TIPTON . : . _ MY COMMISSION fI CC 233547 ~. :,.'fl EXPIRES: Octobor 6, 1996 "'~.~f.,r..~' Bonded ThN NolaJy PllbIic UndeIWrilllll ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION d ,4 I Business Name /1 ^ u" t.:.' I)/A ki JrtIS ...., - (L.. II ill." ,,,). Address / 3 0 Lf- ~ 4- IJ ""--0'1' Business Phone "",7'}f-j -' C)r7 r Classification Owner/Manager Emergency Contact Phone Occupancy Load Alann Monitoring Co. Phone # o QUARTERLY ORE-INSPECTION TYPE OF INSPECTION CONDUCTED EYFINAL o OTHER o NOT APPROVED o ANNUAL OBI-ANNUAL g-'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. ( S/.."/,,. Iv,t ~ 1/ 1/ {J~'hl'<') t"'{..... A.(). 4(~j) Qt( ,'! ^ .?;; J!oJr( /",,. .r!." Ii , ! , I /t) I ! / / 91" ~ /./" '.i ~ 1'/4!" Co h, .,., I., . y i/ ( ,'( (i r.. It) r 'I J (-,/ Inspect. Date 9/='_/d, Inspect. Time /tJ"tJ t' ," F"Depl.ID# 1'5'" Re-Inspect. Date Jnspectors Name ../ C<~) ,! </..4( Owner /Manager Signalure \ t..: \f.,':, ',.\. 'fh:"'-. ) Tdle This building has been checked by the Zephyrhill~ ~ire Dept. ~~~er 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. Depl. Pink Copy . Business