The URL can be used to link to this page

Home My WebLink About94-4083 BUILDING PERMIT C.TY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 4083/vf Date ~/ 7--?Y BUILDING ;2.6. g7) ~V ::~::;,~s:neS- 'i!:~ / fL ~J/-' Parcell.D. # /J -:1-6 ~ d-; ~ 0 () / tJ j 9 rcJ () - o;u D PLUMBING 30.0'-0 ~ANIC~ Sewer Conn Water Conn: Water M~jer: T.I.F.'s: Zoning: Energy Code: Description of wor::-t!/~, ijC Radon Gas: FINAL c~ .- 7,1-.-q . DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordaro::-e with City Codes and Ordinances. c.o. DATE Inspectm Valuation or Contract Price ,;; 9~'7J . dV City License Registration # ,71 State Certified License# Permit Fee --.5 ().. 0-0 2~ S;grtaM" g---cu. _ Company ~ t Address Telephone# BUILDING ELECTRICAL PLUMBING %~~ MECHANICAL ;W~ ~I Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final (p.. 2-L-C('" an Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Comprpssor Final b-l-'2-.L( If t1h Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ...... - Kinsey Central Heat & Air-ConditiOning 7718 Fort King Highway . P.o. Box- 2209 ZephyrhiDs. Aorida 33539-2209 (813) 782-2300 ~c:> AIlIlRf88 CIlY APARTMEIrr IIilIlE IIOIIB. IfRML 110. IMATE o CA$H o CHARGE NAl'URE OF ~ SERVICE ."., REOlJEST PRICE AMOUNT TECHNICIAN SERVICE PEIIFORMEo / lUTAl p, ,Ie p LI,#Vc /"'/:," f>D"._ ,'I', .=. c:-' /' ~/ ,. ~ :; Ie J ~ I'V dl...c, ~;(f( t9 ~, Ou.IS;)c.l ~ IV; "'L - - ", os,___1 IIo\Tf CIJWlEiiij C' Al.'H ON COIIPlmoII '--' or- . "" ClFWOIIIC ~ TOTAL 0 I/o Cl'_""~'."1J" -~rt"7L~~ i TAX APPLICATION FOR PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME G 14 yr L;/ s-' .IU; Tj, 3 S~ (( ~~~--tIy S;z;t~ /~ ~5~, PHONE 7 f3 C:;.. '7;;'" S- ? OWNER'S ADDRESS p~~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~(J,;{IO PARCEL I. D.' ~ II, ;L ~ -;2.1 - CJ 0/0 - / q 9 "0 (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _DellOlish PROPOSED USE: _Single FUlily _M/F _, of Units _M/H _eo-ercial _Indust. _Swim. Pool ___Other _Restaurant & Health Department Approval DESCRIPTIOlll OF WORk: 5 7e"" J? U,L./ ~C 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. f:;2? SCO- ~ Valuation of Mechanical Installation W.R.E.C. _MEGBAlfICAL _PLlJMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. f City License Registration' .......................................... ~ COMPANY /10 (( -ro ;J State Cert. or Regist. , ;t{, -" City License Registration' .......................................... Signature u 6/00 J('0 1( PLUMBER MECHANICAL ~ COMPANY State Cert. or Regist. , City License Registration t .......................................... COIlFARY ~:.v~ Ca,-.;d State Cert. or egist. f tgeJ:..-y' /;Z City License Registration , 71 .......................................... Signature OTRRR COMPANY State Cert. or Regist. I City License Registration # .......................................... Signature APPLlCAITON APPROVED BY '71'~~~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this perlit lilY be subject to 'deed restrictions' "bieb I8Y be lOre restrictive than City regulations. 'fbe undersigned ass~ responsibility for cmpliance "ith any applicable deed restrictions. ~- B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIIIler bas hired a contractor or contractors to undertake work, they I8Y be required to be licensed in accordance "ith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing requiruents I8Y apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the OIIIler bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for wbieb they "ill be responsible. If JOU, as the OIfJler sign as the contractor, you are indicating that JOU, rather than the contractor, are responsible for the wort. If the contractor wishes JOU to sign as contractor that I8Y be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided "ith a copy of 'Florida's construction Lien La" - lkIIeoImer's Protection Guidell prepared by the Florida Departlent of Agriculture and ConsUll!I Affairs. If the applicant is SUJI80De other than the limmer', I certify that I have obtained a copy of the above described docUIent and prlllise in good faith to deliver it to the lIownerll prior to COIIeDcuent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all work "ill be done in COIpliance "ith all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas CDlenced prior to issuance of a perlit and that all work "ill be perf OIled to _t stanc1arda of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gOYeIlllental agencies I8Y apply to the intended work, and that it is .y responsibility to identify wbat actions I lUst take to be in COIpliance. Sueb agencies include but are not U.lited to: t Departlent of EnvirOlllelltal Regulation - Cypress Baybeada, Wetland Areas and Envirolllelltally Sensitive Lands, Water /Wastewater 'freablent t Southwest Florida Water Mana!Juent District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Havigable Waterways t Deparblent of Health' Rehabilitative Services, InvirODleDtal Health Unit - Wells, Wastewater 'freatlent, septic 'fants t US InviI'OllleDtal Protection Agency - Asbestos abatuent I also certify that, if fill I8terial is to be used in Flood zone IIA' or 'A,etc.', it is understood that a drainage plan addressing a 'cOlpeJl8ating volUle' "ill be sublitted .bieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed "ith the "ork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official fl'Ol thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becDe invalid unless the work authoriled by sueb perlit is COIIeDced "ithin sillODthe of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. one 90 day 81tension of tile, lIy be allowed for the perlit "ith fee charge of $15.00. !be 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the profect "ill be considered abandoned. WAIUIIIfG ro lMIR: YOUR FAILURE ro HlCORD A 10rICI OF COIIIIICIIIBIT MAY RlSUL! IH lOOK PAIIHG "'ICI FOR DIPROYIMIIIS 10 lOOK PROPBRrY. IF YOU III'fDIi 'f0 OBYIDI FUAICIHG, CG.'fSUL'f WID YOOR LOOIR OR All AnomY BIFOHI RICORDIHG YOOR DICE OF ~f DIDIR $2,50011 VILlIlIlO 101' IIIIID to IIIIlllIlD UD POS'/ I "IOIICKIll' CIIIIIICIIIIIII". "- ~~ ~ , SIGlAfORI: fJIIF,~ b:G \~~ ~. 1; SIA'fE OF FLO~ coum OF ~ The foregoing instrument was acknowledged before me this /11 ~. 19 C;Y by .J)~ (J ~ who is p ~~lY known to me or who has 'produced dha~~~~ as identification and who did/did not take ;n~d ~-fL (.Si~Ure) f 'rl-tf _ 0 e i/ ).. l in (Name Typed, Printed or Stamped) NOTARY PUBLIC I'l'""'"'" .fUIT MITt, Jfcrf. of Fror1ltJ ... Com~';'''''''' f,v.-,'." "'~..l. J ~ 1"0,5 p" ~MlIlf:;....r'.., .::....li"-:. S:J ~".""~ tu ,1;., ')' 7 &lQnded Toru T101 f;.:in.. k'~iJ,-';W(:J IiI';.. S'fAB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 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