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Home My WebLink About94-4155 BUILDING PERMIT Permit N! CiTY OF ZEPHYRHILLS (813) 788-6611 4155 !3 Date ?-J ?-.9y , . .y (). t7z.J BUILDING ? E -: CfC;J ../.~ ELECTRICAL 35-:tJCJ PLUMBING (;l O. t/i) MECHANICAL Sewer Conn ::~:;:,~s:ne6' ~~~~ Parcell.D. # Water Conn: &~ Water Meter: T.I.F.'s: Zoning: ? ~~r~~ Code: ~~Rado Gas. Description of Work J1l d~~ f.t7'Y'V'L..P ~ ~ ' . ~- :.' FINAL NO OCCUPANCY BEFORE C.O. 7~2'2--? DAT9~ '1--~~ -- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordart:'e with City Codes and Ordinances. Inspector City License Registration # State Certified License# LS'5b Pe,ml' Fee 1:1; t1 - ~ ~;~::u::7f-- ~ 2, -- Address Telephone# Valuation or Contract Price .'ilr BUILDING rJ~~ 'ELECTRICAL 3f(' )Jr+~~ PLUMBING /!(TLtA- ?~v/# MECHANICAL~7 jf~7~~r4:T~ Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter FinaI7..../tj. qc.f Ftr. P~e SLB ~~~\ / ot= ~~n~~' ~ InSUI.~~~:tJy SLB Tub Set Water Sewer Final "7 ~ 2JJ-qt..l giLL Breakers Ducts Insl. Compre~~or Finarl-/V'cH PJ, I4b . Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. 1 APPLICATION FOR PERK1T CITY OF ZEPIIYRIIILLS BUILDIBG DEPARTKENT OWNER'S NAKE ~4~Le5 k721e... ADDRESS ~0.39 ~a~. 57. ~~ PHONE ?F2-2Z7' - CJ;4KSltJe' /)tt). ;jL(). ~ OWNER' S JOB ADDRESS LEGAL DESCRIPT'ION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' WORK PROPOSED:~New Const.ruct.ion _Addition _Alt.eration _Repair _Inst.all _Sign _Hove _D~lish PROPOSED UJSE: Single F:mily _H/F _, of Unit.s *H/8 _~ercial _Indust. . _Swia. Pool Other _Restaurant. 5: Health Departaent. Approval BUILDING SIZE: 1-'1- X 3b' . Sb c.f Square Feet., I S--~IJl~ Height. RESIDENTIAL : cotIPIERCIAL : ATI'ACH (2) PLOT PL.MiIS &: (2) SETS OF BIJIILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUI.LDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY RIl'.QtllIRED FOR ALL NEW CONSTRUCTION. ~ PERKITS REOUESTED .$BUlLDING ..:t-ELECTRIGAL ~MEClWilCAL 4-PLUHBING $ .;111 f jV~ . Valuat.ion of Total Const.ruction I ~O AIIP Service * Florida Power Corp. W.R.E.C. $ I ?>oo " Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCl'ION: _Block. _Fr:me _St.eel Other FINISHED FLOOR ELEVATIONS: .~ FI' . IS PROJECT IN FLOOD ZONE AREA? YES NO tttttttttttttttttttttttttttttttttttttttttt CONTRACTOR SECI'l.ON BUlIJ)ER ~~ <ntPMIY 1./.. it ~ Stat.e Cert. or Regist. , Signat.ure Cit.y License Regist.ration , .3 Sb ~ .......................................... COHPANY rY i Ii. .,ToILO ~ s t..f:::C-TlLt--z- Stat.e Cert. or Regist.. , Cit.y License Regist.ration' .#-3 ;119" ...........................~.. PLUKBER ~ COKPMiY Ni,h...J ~ "111J' Stat.e Cert.. or Regist. , Signat.ure (f~ Cit.y License Registration' /i) p-- tttttttttttttttttttttttttttttttttttttttttt ImmAllICAL ~ ~ <ntPAIIY €:!"'"^~ iL tJ4>-'i. C-e-r · ~ . . . \ ~ / State Cert. or Regist. , Signature ~ 8~ ~ Cit.y License Registration' 7 ~ tttttttttttttttttttttttttttttttttttttttttt OTHF.R GOKPARY Stat.e Cert.. or Regist.. , Cit.y License Regist.ration , tttttttttttttttttttttttttttttttttttttttttt Signat.ure APPLICATION APPBOVED BY .~,:t"',lOl...,,". '.';'\"l<.','.';:,: lftGi... PERlfIT 0F$~~1 ~'1 I' """~"'''''''~'1' ,;, ......,.. ~ f C~?<i),,""'l...Ml'f_'........... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that this perait laY be subject to Ideed restrictions I wbieb lilY be lOre restrictive than City regulations. !he undersigned assuJeS responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired 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 .ay be cited for a .isdelleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireElts laY apply for the intended work, they are advised to contact the City of Zepbyrbi11s Building Deparblent, (813) 788-6611. Furthemore, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the IContractor Sectionsl of this application for ldIieb they will be responsible. If you, as the lJII1er sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to peraitting 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, have been provided with a copy of IFlorida's Construction Lien Law - lIoIeoImer's Protection Guidel prepared by the Florida Departlent of Agriculture and COnsUller Affairs. If the applicant is SOII8OIle other than the lownerl, I certify that I bave obtained a copy of the above described docUIIent and prOlise in good faith to deliver it to the lownerl prior to COlll!llCl!IeDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoflation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, loning, and land developent. Application is hereby lade to obtain a pemit to do work and installation as indicated. I certify that no IIOrt or installation bas CDlenced prior to issuance of a perait and that all wort will be perfomed to .et standards of all laws regulating construction, City codes, loning regulations, and land develo)llent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies IlaY apply to the intended wort, and that it is ~ responsibility to identify wbat actions I lUst take to be in COIpliance. Sueb agencies include but are not laited to: t Departlent of EnvirOlllelltal Regulation - Cypress Bayheads, Wetland Areas and Envirolllelltally Sensitive Lands, Water /Wastewater freatlent t Southwest Florida Water Jlanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways t Deparbent of Health i Rebabilitative Services, Envirouental Health Unit - Wells, Wastewater freatlent, Septic fants t US EnvirOlllental Protection Agency - Asbestos abatellellt I also certify that, if fill llaterial is to be used in Flood Zone IAI or MA,etc.', it is understood that a drainage plan addressing a IcOllP8D8ating vol.' will be subllitted wbieb is prepared by a professional engineer registered in the State of Florida prior to pemit issuance. A perait issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a pemit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becoIe invalid unless the work authorized by sueb pemit is COIIeDced within sillOnths of issuance, or if wort authorized by the pemit is suspended or abandoned for a period of sil IODths after the tHe the wort is COIIeDced. One 90 day l!Itension of taa, IlaY be allowed for the pemit with fee charge of $15.00. !be l!Itension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned. WARMING !O omR: YOUR FAILORI !O RECORD I lIorICI OF COIMDCIIIIIIl' MAY RESULf III YOUR PIYIIG ftlICI FOR IMPROVBIImS !O YOUR PROPERft. IF YOU IIl'IBIID !O ODIIB FIIWICIIG, COJISOLf WIR YOUR LBIIDBR OR AI AnoRm BEFORE RICORDIIG YOUR DICE OF COMMDCIMIIf!. JOBS UKDBR $2,500 III. DE 00 lor lIDO !O RECORD AIfD POSf A "MorICE OF aJlHDCIIID'l". ~q;:r~ SIGIA'fURI: COIl!llAC'f()R Sf An OF FLORIDI coum OF f?A c; C-p The foregoing instrument was acknowledged before me this ~, 19..:l.!:L by SfAfE OF FLORIDA coum OF fJA:S(7/) The foregoing instrument was acknowledged before me this , 19~ by G who is personally .pr _Q1Ieecf -as identificati9B and whocdidldid not tal~....~ . .6.-b,~ (Signa ure) ~ k 4T7-1L ~ E AJ cT. RRcrWAJ (Name Typed, Printed or Stamped) NOTARY PUBLIC EL. who IS personally pl'sd.........d a. id__lif1eatien and who~did not take ~ath. . ~ -.. ~..--Le~ -#. 'Jun A r.J (Sign~Ure) AIfI L-GcAJ' "<-7- J~eo-z..JAJ (Name Typed, Printed or Stamped) NOTARY PUBLIC KATHLE: ' S~z,.; Uu Comm. '-, .." Comm.II cc t.;5". 1 'N ,~& t', ~.' .,-,~ 'OJ .':8 I :TEi.";: p.LA N. - (~Edl'8'~:NT;AL;'::G'SE' ONLY) Pnl<...t..j;LNum UP... tI --.-;v..-::::::::: SUBDIVISION OR OTHER LOCATIONDESCRIPTION: (,IJAKSI,(J& 1"0'" .4'~ PHAS E It UNIT. ,'.' . -- -.- J I - .. J .,-- _.. -- --. ------'- . . .-,-" ---. -- .--.-- I ~J t- l!1I ! ~~I III I ~~ ~ .. jrll :bl 1<< II l~J ,rh -j-H- ++- r +H-~ ffr I - *~'T' . TIT ...... .~:+ .... d~ - - f++1- . i - . -(., - -- - ,-I -+ --" f!t I - .-- . :..~.. - ~=IIJ - tj:N;' - - - - - n~ - - ~r.r:"t.. - - - - 1-' ..; -~- =:t I J 1 j ! - -t-1""11 T ] rrli .. -"ri"- ~I' II .. 'rl ""-in Tri1-!-r I _..~~-.=t~~:i-~,{--rT- L_+ . "I' H · T i-I.--l -~i" +-.-+. ... r _U - ~- -f j I --!- i .. I .-,-r~ -r I titt~H-T : .. I I .. -r-r~t .---.---- -- ...---+- '++_'-+_ '~i ~r- T , I~ -L I I I I I I I . -----T--.. .- I \ TERt'l ID: TEL HO: JUL-19-'94 TUE 09:44 P-9'399 tv'lESSAGE CONF I Rt'lAT I ON -----:J DEPT CODE I 813 I .. ID ST. TIME 09:43 _, f3 Ji/!:;u CITY OF ZEPHYRHILLS Building Department 603 8th Street (813) 788-6611 .~ ~ TO: Florida Power Corporation or W.R.E.C. Zephyrhills, Florida NAME d~ ~~ ADDRESS &,'tJ3c?rh~ 4T DATE 1"-; J - 9 '-I Electrical work at above address has been inspected. This is your authority to proceed. Const. Pole Temporary Service Completion II ,....... .\"\\~ 1.... ~,! ."- OK \~:l 01 00