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Home My WebLink About94-4082 BUILDING PERMIT Permit N~ C.TY OF ZEPHYRHILLS (813) 788-6611 4082'& 6-7-7'7 ?I? F ~?l. cro Date ~/-> ': IJV ..:?S: ern BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmpe~y owne~g4'!t!;A Vk Job Address: -. . . Parcell.D. # ~ d... :.3 Water Meter: TI.F.'s: Zoning: Description of Work En~.code: ~ Radon Gas: 42-l~ ' ~Z-. .A ~ >>1.~/ ~h~ NO OCCUPANCY BEFORE C.O. FINAL ~ - /~-Cfd DATE C.O. ,f'- Inspector Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordaro::-e with City Codes and Ordinances. :~~~~~~ Company _ __ Address Telephone# Valuation or Contract Price .3 r C7Vi!2. ~ City License Registration # '" ~ State Certified License# ~L~~'~ ~ ~p~-7~MA~ BUILDING ELECTRICAL.;2.s:L /' PLUMBING MECHANICAL Ftr. b-~q-q4 8"J.Q. Pre SLB ./ Unt.'~-~~'!/JJ- FRM. . -S:-_-!.1 _ _lU- Insul.~~",.'6$= Driveway ~ ~~ OOUJ'r\ ~ to.. ~q- q \t &;.lO Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 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. H 0 ~L " '&c;,ri:.D ~'GehV1~V~ .. . ..~"tJt ILLS roncL(J) LUtrn...tL r: ' :~ j'VIbL.D I'JDnrhw - ~3,C" ~,r+ VALUAlloN: 3Q,Doo BuILDIN&- :6f5.DO iLJmBI1II6 - W/1.p ELELTKI<.AL - ~ M(:c.UAN lUlL -N 1ft SU51OTRL-' CRE-blT - 5D.~ 7CirliL &~MIT : 23,.~OX 110 77 Sq. Fa: 1-1 VII\lCO Sq, FT. OTHJ:.~ CONN ~c..110tJ F,=-t..S 51fW~ - WA,~ ~ II ~ ME- TE.(\ - I\J IfJ IOIAL : RADllN GAS. - {Il~ Sf, Fr '1AANSPOttTA"T70J\/ J IVlPtlc.l fEE... ! 10 TlI-L : APPLICATION FOR PERKIT CITY OF ZEPIIYRIIIJ..LCj BUILDING DEPARnIEN'T C-/4I/ /(/E-/~ >. . Q vdy ~ l%-..emfE-f'tJ/rT r;~p-- /J;;<? " -~ OWNER'S lWtE 2 EP) v f( A; ) k j{//ffER. r / OWNER'S ADDRESS 7 7>7 fJ{/I/V~PI 4C/ E. L/JJcJ ;JoT{ ST, CO/?,// . PHONE 78?J-/YS-Y; G-1'fEE/l/W Ie ( ) C-I O??J'O ~ .2 E~/; YRh(~ lis ?"C / J J ...sSLc;1 , / JOB ADDRESS LEGAL DESCRIPl'ION: I.OT(S) PARCEL LD.' SF C 11t7~ BLOCK SUBDIVISION R9E /3 I IN? d~ Sf - :;;< / }: WORK PROPOSED:_Nev Construction _Addition -6.Alteration ~pair _Install _Sign _Hove _Deaolish PROPOSED USE: Single Faaily ~ercia1 _H/F _, of Units _H/H _Indust. _Swia. Pool Other _Restaurant &: Health DepartJlent Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COtDtERCIAL : ATTACH (2) PLOT PI..AliS &: (2) SETS OF BUIIJ>IBG PLANS &: (1) SE'l' ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORIIS. PROPERTY SURVEY REQ1ITRIID FOR ALL NEW CONSTRUC'l'ION. PERKITS REOIJ&CiTED _BUILDING $ s% CfC , Valuation of Total Construction _ELECI'RICAL .AKP Service Florida Power Corp. W.R.E.C. _MECllMlICAL $ Valuation of Mechanical Inst:a11ation _PLUHRING GAS ROOFlliG SPECIALTY TYPE OF CONS'I'RUCI'IOB: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: Fr. IS PROJECl" III FLOOD ZONE AREA? YES NO ****************************************** CONTRAcroR SEC'l'ION BUILDER ~~ COIIPAIIY A '&mER~S {Otf/$.-IRCI~'';;'(;71/J ( ~~ State Cert. or Regist. . COOS-.;2 Signatur . City License Registration , "":.:J ::;2- ***************************************** ~ ELECI'RICIAN 3J. - GOttPANY J,N 'I E7LL OC( c )...::1. "-.-CT A ( c... <- State Cert. or Regist.' ~A..Oo /00'11 Si~ture~. ~ City License Registration. dl619 **************~************************** PLUHBER COIIPARY State Cert. or Regist. , City License Registration , ****************************************** Signature MECllANICAL cottPABY State Cert. or Regist. , City License Registration t ****************************************** Signature m1IF.R . COIIPANY State Cert. or Regist. , City License Registration f ****************************************** Signature APPLICATION APPROVED BY PERllIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT ((~ - A. NOTICE OF DEED RESTRICTIONS rile undersigned understands that tIlis pel1lit JaY be subject to .deed restrictions. wbich Jay be lOre restrictive tIlan City regulations. Ihe undersigned asSUles respcmsibility for CCIIpliance witll any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tile OImer bas bired a contractor or contractors to undertake lIOrk, tbey JaY be required to be licensed in accordance witll state and local regulations. If tile contractor is not licensed as required by law, botll tile ower and contractor JaY be cited for a lisdf!ll!illlor violation under state In. If tile owner or intended contractor are uncertain as to wbat licensing requirelellts JaY apply for tile intended lIOrk, tIley are advised to contact tile City of Zepbyrbills Building Departlent, (813) 788-6611. FurtbeIlOre, if tile OImer bas bired a contractor or contractors, be is advised to bave tile contractor(s) sign portions of tile .Contractor Sections. of tIlis application for wbich tIley will be responsible. If JOU, as tile OIIDer sign as tile contractor, you are indicating that JOU, ratller tIlan tile contractor, are responsible for tile lIOrt. If tile contractor wishes you to sign as contractor tIlat JaY be an indication that be is not properly licensed and is not entitled to perlitting privileges in tile City of Zepbyrhills. 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 witll a copy of .Florida's Construction Lien Law - lDeoImer's Protection Guide. prepared by tile Florida Departlent of Agriculture and COnsUller Affairs. If tile applicant is SOIIeOI1a other than the .00000erR, I certify that I bave obtained a copy of the above described docuJent and pIOlise in good faitll to deliver it to tile "01f1ler" prior to C~Cl!l8llt. E. CONTRACTOR' SlOWER'S AFFIDAVIT I certify that all tile inforaation in tIlis application is accurate and that all work will be done in COIPliance witll all applicable laws regulating construction, loning, and land developlleDt. Application is bereby lade to obtain a perlit to do lIOrk and installation as indicated. I certify that no work or installation bas CDleDced prior to issuence of a perlit and that allllOrk will be perfol1lecl to Jeet standards of all laws regulating construction, City codes, loning regulations, and land develo(lleDt regulations in the jurisdiction. I also certify tIlat I understand tIlat tile regulations of other gGYeI1IJeDtal agencies JaY apply to tile intended lIOrt, and that it is IY responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to: I Departlent of EnviIODlelltal Regulation - Cypress Baybeads, Wetland Areas and EnvirODJeDtally Sensitive Lands, Water /Wastewater Ireatlent I Soutbwest Florida Water Managl!l8llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArIy Corps of Engineers - Seawalls, Docks, lIavigable Watenays I Departlent of Healtll & Rehabilitative Services, InvirODJeDtal Healtll Unit - Wells, Wastewater lreatJent, Septic lanks I US InviIODJeDtal Protection Agency - Asbestos abatelellt I also certify that, if fill Jaterial is to be used in Flood Zone .A. or .A,etc.', it is understood that a drainage plan addressing a .CllIpeDSating volUle. will be saitted wbich 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 witll the work and not as authority to violate, cancel alter, or set aside any provisions of tile technical codes, nor sball issuance of a perlit prevent the 'Building Official frOl tIlereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid unless tile lIOrk authoriled by such perlit is co.enced witllin sillODtbs of issuance, or if IIOrk authoriled by the perlit is suspended or abandoned for a period of sil IODths after tile tile the work is CDleDced. One 90 day utension of tile, Jay be allowed for tile perlit witll fee charge of $15.00. !he utension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODtIl period, or tile project will be considered abandoned. FAILURI to RlCORD A IIO!ICE OF aJIMBIICIIIDI MAY Rl8UL! III YOUR PAYIIG twiCE FOR DIPIIOVIIID!S !O YOUR OB'IAIII FIIIDCIIIG, COIISUL! WID YOOR LODER OR 111 AnomY BIFOBI RICORDIIG YOUR JfO!ICE OF 00 III VALUE DO 1101 mD to RECORD AID JOSH · ICE OF ClJIIIIIfClMm-. 81AD OF FLORIDA coum OF ~~..u The foregoing instrument was acknowledged before me this S.~ , 19 q \.\. by ~\",)\ ~ \:.. C\...." '::,.s,~_ who is personally known to me or who has produced t:$)~,6.'A $(\l''''~ \~~~ as identification and who did/did not tak\~~\ ~~(...}/Y.~ (Signature) \- <::.\<.,;...,' .--s. C.\~~'::, (Name Typed, Printed or Stamped) NOTARY PUBLIC LEIGH :J. CLASS NOTARY PUBLIC, STATE OF FLORIDA ~ commission expires Mar. 21. 199/ . ~ommission NO. C C 2 7 0 3 ~ 1. srAD OF FLORIDA coom OF y<:.W;~~ The foregoing instrument was acknowledged before me this S:""-- , 19-TI- by Q-v\.<:. (" \\\.\.J\'\ c",-,". who is personally known to me or who has produced \=-\G)(\JA WI \0,1"',,, ~ as identification and who did/did Dot take ~ ~~.~ \ (Q.0J}- ~ (Signa,~~~)~:, -S c \,..,\(o,'J (Name Typed, Printed or Stamped) NOTARY PUBLIC t:EIGH :J. CLASS NOTARY PUBLIC, STATE OFFLO,RI?^ My commission exp:res 1\1.". ,,- 1, .,,) I . Com~;scjOI1 NQ. C C 2 7.0 :;) .8 .I. ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name ZB (.(.,1 - /3lou ~ ,-y') c /J) Address t..( 330 .;JD '7.::lf ~. Business Phone 7 J 3 ...... J 9 ;..$- 9 Classification T^,dJ5J~: 19L Owner/Manager Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone #I TYPE OF INSPECTION CONDUCTED o QUARTERLY % FINAL 0 ANNUAL 0 BI-ANNUAL ORE-INSPECTION 0 OTHER o 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 a"ention 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. r ,~/ ,...,C IE "iJ~ -;-0 ; N~A-" I (1 r. J::i<.:,,, C. FD 'IA L(o tB C. . ~J'NJ 0 u/ SI/c.JC ,J Inspect. Date ~ jJ,S /~~ Inspect. lime Re.lnspect. Date ~: ,( ,Cf~ I~. t':ors. ~ N~ame Owner/Manager Slgnatur~ ~ Title 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 . fie V.low COpy . BId. Dept. PInk COpy - BU81ne88 /Dcn S~.\:) h Fire Dept. 10 #I S-..s- _~ )j~nJbJA~