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Home My WebLink About94-4150 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS rlL' (813) 788-6611 _ .:' 13,.tr ~Q: ~SD..- ~~~ r:u::::> ~~~I~:? Sewer Conn :it7f)-~d!~~ (}~~~:::;:~, _ 41508 1-1/-9'/ ,.. tip J. __..------- ~ ) UILDINr,~ Date Property Owner: Job Address: Parcell.D. # Zoning: Description of Work ~_Energy co~ ' A1 h.1 ) ~ Radod:1 (, ~Ou 8;.J - FINAL /0 - .;l ~ - 9J-.f DATE C.O. 10 -;:). h -91 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordar"t:'e with City Codes and Ordinances. City License Registration # I/O State Certi 'ed License# C{f-{!D D.I/ -:?.t/,fl2 , ei P_V Valuation or d - Contract Price ~ U, or D.'J ' ~ ??2- ?/1R (!hr;dt~ MECHANICAiH .a:3 BUILDING Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final L;.; A-U- ~~~(( SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL i--/O-1'-1 BILL 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. Catholic Church Office 38715 4th Ave. Existing building Build-out VALUATION: $30,405.00 PERMIT FEES BUILDING: 255.00 PLUMBING: 20.00 SQ. FT. BUILD-OUT 2,027 ELECTRICAL: 43.75 MECHANICAL: 35.00 SUB-TOTAL: $353.75 COST/FT: $15.00(1/3) NEW CONST. CREDIT: 0.00 TOTAL: $353.75 SQ. FT. OTHER: 0 CONNECTION FEES COST/FT: $11 .00 SEWER: 0.00 WATER: 0.00 METER: 0.00 VALUATION $30,405.00 TOTAL: $0.00 DRIVEWAY $0.00 ADDRESS $0.00 FEE SHEET $170.00 SQ. FT. UNDER ROOF 0 N/A RADON GAS $0.00 TRAFFIC IMPACT FEES $0.00 99% $0.00 GRAND TOTAL: $353.75 1 % $0.00 APPLlCAnON FOR PERtlIT CITY OP ZEPIIYRH.IUS BUILDING DEPARntENT OWNER · S lIAtIE Diocese of St. Petersburg PHONE 81:5)344-1611 OWNER'S ADDRESS P.O. Box 40200 St. Petersburg, PIa JOB ADDRESS 38715 - 4th Ave Zephyrhills, PIa LEGAL DESCIUPI'I.ON: LOT(S) BLOCK SUBDIVISION PARCEL LD.' WORK PROPOSED:---.A-New Construction _Addition ~A1teration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: Siogle Faaily _H/F _, of Units _H/H do~c1 C)Ffr(.~bther _eo..ercial _Indust. _Swia. Pool _Rest:aurant. 6: Bea1th Deparment Approval BUILDING SIZE: x ~re Peet., Height RESIDERTIAI. : cotDtER.CIAL : An-ACB (2) PLOT PLAliS 6: (2) SETS OF BUILDING PLANS 6: (1) SET ERERGY FORHS. A'l'TACII (3) SETS OF BUILDING PLANS 6: (1) SET ERERGY FORIIS. PROPERTY SURVEY REQUIRED FOR ALL lOl.W CONSTRUCTION. PERKITS REOUESTED _BUILDING $ 22.000 Valuation of Tot:al Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. _KECHAlIICAL $ Valuation of lIecbanical Installation _PLlJIIBIBG GAS ROOFIRG SPECIALTY TYPE OF CONSnmcnOR: _Block G .SHED FLOOR ELEVATIONS: FI'. _Fralle _Steel Other IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO BUILDER COliI'RAcroR SECTION COHPAIIY ~.N" ~/'-<c/C' ~_ ~Z ii.,~ S~te ~ri. or R~gist." C ('''' C C1ty L1cense Reg1strat1OD , .......................................... ~.roc:. eY3 P 2L j/O Signature F.I.F.CI'RI.CI.4R. / /Ji cotIPARY r;r? ( T (/.-., S' \-i/:~~~.(~ ,. c ~~4 b~! (-/' / State cert. or Regist. , /1i-:;//_~ /7 . , " I - ., ... . I ~ 1'- / S1P1'U1t e L ( '. tif '.. <;I"-V/ C1ty L1cense Reg1strat1on' / ,") I 'f_ ~;Q .. . /f ----........*....*..-*..-..-..**..** . . PJ.QII\ER CQ.~~ ......AIIY ~~ fY\~""L ?~ State Cert. or Regist. , , G"f '((g Signature /1/4 City License Registration , J_; ~ "3'~ .......................................... ~, IlECllARICAL . . cotIPARY ". (~..><> ~su.te Cert. or _1st. . 'Signature. ( /';? /" . . City License Registration t < ............................................................... ff 3 . 5~ OTRKR ........... Signature 414 APPLICAUOR APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this penit laY be subject to 'deed restrictions" wbich laY be lOre restrictive than City regulations. !he undersigned asSUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake IIOrt, 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 lisdelleanor violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing reguireaents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the DContractor Sections' of this application for wbich 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 wort. If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HoIeolmer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIeOI1e other than the Downer", I certify that I have obtained a copy of the above described dOCUlleDt and prOlise in good faith to deliver it to the "owner" prior to co.enceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all wort will be done in coapliance with all applicable 1m regulatinq construction, loning, and land develo~t. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or installation bas COIIenced prior to issuance of a perli t and that all lIOrt will be perfol'lecl to leet standards of all 1m regulating construction, City codes, loning regulations, and land developlel1t regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended lIOrt, and that it is IY responsibility to identify wbat actions I lUst tate to be in COIpliance. Such agencies include but are not lilited to: t Departlent of EnvirOllllelltal Regulation - Cypress Bayheads, Wetland Areas and Bnvirol\leDtally Sensitive Lands, Mater/Mastewater 'l'reatlent t Southwest Florida Water Hanageaent District - Mells, Cypress Bayheads, MetIand Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Xavigable Waterways t Departlent of Health' Rehabilitative Services, BnvirODleDtal Health Unit - Mells, Mastewater 'l'reatlent, Septic 'l'ants t US BnvirODlelltal Protection Agency - Asbestos abateaent I also certify that, if fill IiIterial is to be used in Flood Zone DAD or DA,etc.D, it is understood that a drainage plan addressing a 'COJpeJlSating voluteD will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to penit issuance. A perlit issued shall be construed to be a license to proceed with the lIOrt and not as authority to violate, cancel alter, Ii. set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official fIOl tbereaf~ ~ reguirinq a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless the IIOrt authorized hy such penit is COll8llced within sillODths of issuance, or if lIOrt authorized by the penit is suspended or abandoned for a period of sil mnths after the tiJle the lIOrt is ~ced. One 90 day extension of tile, laY be allowed for the penit with fee charge of $15.00. 'l'he extension shall be requested in writing to the Buildinq Official. An approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned. IIARMING 'l'O 0IfKBR: YOUR FAILURE '1'0 RECORD A XO'I'ICE OF C(JlMlJlCBIIEII'I' MAY RlSUL'I' IN YOUR PAYING !IIICE FOR IMPROVBHBI!S fO YOUR PROPBR'I'Y. IF YOU III'I'BKD 'l'O OB'l'AIX FlKAKCIXG, COISUL'I' 1I1'I'H YOUR LDDBR OR lK AnomY UFORI RICORDIXG YOUR IIO'I'ICE OF aJUlDCEMBlI'I'. JOBS UKDIR $2,500 IX VALUI DO NO'I' NEED fO RECORD lKD POS'I' A "NO'I'ICI OF C(JIIBKCIMD'I". ~"6Y1~ S 'fURl: OOIR OR lGBK'I' ft (!!g:qature) A Y /f-r-[l-/,/t!-Iff tL V 11 (Name Typed, Printed or Stamp NOTARY PUBLIC "C ...~l'-lire State o! Florida ~olffi u IE~" Sept. 3, 1594 My. comm. y ~Z~ SIGKl'I'URB: COK'I'RAC'I'OR S'I'A'I'B OF FLORIDA/.') coum OF fT a xI~ The foregoing instrument was acknowledged before me this :Lci~t , 19~ by (;012.00,0 -r;() ~ ~ ;tVt who is personally known to me or who has produced ~L. L.t:. fS/6 -,292, Y"7- 703 a . t. ication and who did id not ate atb. C (S~ature) J' -r 1 r.-1Tt!...j C 1111 ,,-/ _:Z:.R v J1}l (Name Typed, Printed or Stamped) NOTARY PUBLIC :Notary Public. State of Florida lItX CArom. fxp Sept. 3. 1994 /) p~ 7fi5'r;P-~ ZEPHYRHILLS FIRE DEPT / Zephyrhills Florida 33540 . (813) 782-8184 FIRE CODE INSPECTION ;._. Business Name L~H i h.4~ c....- C',.?I'/c t. ':7 Address 3 g'~} I ,:..,- 1.1 ./; H (/'e. Classification rr-:-:' ... /' t..? 1':/ -0 / /'V p~ ~ '; Owner/Manager l~. ,..t,~ 'f.. ,{:; /... .c,/c... ", . Business Phone Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION ~) APPROVED @ FINAL 0 ANNUAL r o OTHER o NOT APPROVED OBI-ANNUAL 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. /,1", r~ if; t1>' /)A//, \ / A ..(" f2' /L/ iJ // I:~ Ill; '5 //1,1<-1r.-hi /A/ '6u,6 C' ,1~. //" /i:- -;;. U:./h / /:-. .L; h ./"'I,?"€-:_ Inspect. Date I t/'h "." IT <,I / ' #-<.. /' , , Inspect. Time //,<:[1 , Fire Dept. 10 # / / ~._~. 'j,/7 h'/" ,.- ", /' ,/j?':; '-- / "::'~) / Re-Inspect. Date Inspectors Name Owner/Manager Signature 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 - File Yellow Copy - Bid. Dept. Pink Copy - Buslness