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Home My WebLink About94-4224 BUILDING PERMIT Permit N'~ CaTY OF ZEPHYRHILLS (813) 788-6611 4224 !3 gr-j / -7''-/ /12>-: cnJ ~~~ Pmpe~y Own",~ JJ~~b'~__ ,/ Job Address: J V Y. ,Lu-. Date ..2.1Y. t'IV ~~~ PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: ~nergy Code: Description of Work~ .4.-l 3/11. ;, Radon Gas: Z;;hj ~~~ ~ L~~E~~.J/r ~ /' I /7> 3/lQ NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordar,=,e with City Codes and Ordinances. DATE Inspector :~;:::';~~~f9 J~ / ~ ~ (J /./ Company Address Telephone# Valuation or Contract Price ;20, f)-tTtJ - o-v / City License Registration # }J tJ Y State Certified License# ,~ R(J.cA1 . /11&04 ~~ ~- . BUILDING ELECTRICAL 7CJ Ftr, 0/-2-7-1'1 ~LL Tp, Serv, Pre SLB Rough In Lintel Meter Can FRM, Const. Pole Insul. CL Pool WL Pre-Meter Final PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site, g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same, APPLICATION FOR PERMIT CITY OF ZEPIIYRlIILLS BUILDING DEPARTMENT OWNER'S NAME h;AI k7<oc.lfJe.;") OWNER'S ADDRESS (<g703 Ch~" dl6 Dr JOB ADDRESS S. Yro ,,(;tJ(f Blue" Lv 1'Z PHONE 8/J.- CfYCf - /7 BY rl "33 SYCf LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D, I (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ~i ---- gn Move --.-- ____Demolish PROPOSED USE: ____Single Family leow..ercial ____H/F ____, of Units ____H/H ____Indust, ____Swim, Pool ___Other ____R~$taurant & Health Department Approval DESCRIPTION OF WORK: ONe. f:blp S-(~,..J ) 7(,.10 W~(( .:5(JrJY ~ Two f),;-('cf-(~~A' 5~~J Square Feet. Height BUILDING SIZE: X RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (31) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED /BUILDING $ 2qocJt) Valuation of Total Construction ~ ELECTRICAL(S(J~ AMP Service Florida Power Corp. ~W,R,E,C, ____HECHANICAL $ Valuation of Mechanical Installation _PUJHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____FrUle ____Steel Other FINISHED FLOOR ELEV~1IONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ........................................*. BUILDER CONTRACTOR SECTION '-,'}} C~MPANY RyAN -MArk/~fJd S(bt'J, C<.~ '" ..,/'J~---0~State Cert. or Regist.I h.. S 00000 ~:;' 0--,~~- ( - ~ City License Registration" " *.***** .****************.***.********.** Signature ELECTRICIAN, ~~' O' . 'COMPANY IfrIlN - MA~(A.vA ~12:'~JJi,dG" ~~ 'r ~te Cer . or Regist, t E.. () "ij>-a> Si211a.ture .' ,. City License Registration f , . ~**ri** *.**.*.*****.**************** , PLUMBER COMPANY State Cert. or Regist, , City License Registration * ..**......*.*.............*.......******** Signature KECHANIGAL COMPANY State Cert. or Regist, j City License Registration , ****************************************** Signature - COMPANY State Cert. or Regist. , City License Registration , .*.*****.**..************..****.**~******* I, r ' !lllIER Signature APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS ' Tbe undersigned understands that this perlit lay be subject to 'deed restrictions' wbich lay be lOre restrictive than City regulations;"fire undersigned assUles responsibility for COIpliance with any applicable deed restrictions. ~".., nl B. UNLICENSED CONTRACTORS AND CONTRACTOR RESrONSI8ILITIES 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 laY be cited for a lisdl!leallor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguirl!leDts laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. " , I I ' FurtheIlDre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the 'Contractor Sections',. 9f, thi~ ,~wlication for wbich they will be responsible. If JQU, as the owner 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 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 with a copy of 'Florida's Construction Lien Law - lkJIeoImer's Protection Guide" prepared by the Florida Deparblent of Agriculture and ConsUler Affairs. If the applicant is soaeone other tban the 'owner", I certify that I ba~e obtained a copy of , the above described dOCUleDt and prOlise in good faith to deliver it to the 'ownerl prior to COIHDCele1lt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all theinforlBtion in this application is accurate and that all work will be done in cOlpliance with all applicable lil1ls regulating construction, laning, and land developent. , ~ Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a perli t and that all work will be perfoIled to .et standards of all laws regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also certify that I understand that" t;he regulations of other gov~tal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lillted to: t Deparblent of EnvirollleDtal Re~lation - Cypress Baybeads, Wetland Areas and EnviroDlell,tally Sensitive Lands, . "" . '''', Water/Wastewater 'Ireatlent, , " t Southwest Florida Water Hanagl!leDt District~ Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Entineers - Seawalls, Docks, lavigable Waterways t Depart:lent of Health i Rebabilitative ServicQ$, EnvirOJlleDtal Health Unit - Vells, Wastewater 'freatlent, Septic .'fws t US EnvirOllleDtal Protection Agency - Asbestos abatl!leDt ' I also certify that, if fill IBterial is to be used in Flood Zone 'A' or lA, etc. ", it is understood that a drainage plan addressing a 'cOJpeDSating volUle' will be snbllitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. . A perlit 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 shall issuance of a peIlit prevent the Building Official frol thereafter reqlliringa. ~~rr~ction of errors in plans, construction, or violations of any code. Ivery perlit 1ss1Jed sball.be~ invalid unless the work authoriled by such perlit is COlleDced within sil IOIltbs of issuance, or if wort authoriled by the penit is suspended or abandoned for"a period of sillOnths after the tile the work is C08eIlced. One 90 day utension of tile, laY be allowed for the perlit with fee charge of $15.00. 'fbe utension sball be ,requested in.riting to the Building Official. An approved inspection lUst be "logged during eacb sillOllth period, or the profect will be considered abandoned. WARMING 'fa ovJER: YOUR FAILURE to RECORD A NOIICE OF COIIMBRCBIIIlNl' MAY RESUL'f IN YOUR PAYING filCE FOR DIPROVEIIINl'S 'fa YOUR PROPERlY. IF YOU IIIDIID TO OBlAIN FINANCING, COlfSUL'f WID YOUR LBNDER OR 11 AftORDY BEFORI RlCORDIKG YOUR NOIICE OF COMHENCEHKNl'. JOBS UNDER $2,500 IN VALUE 00 NOI ,HIED to RICaRD AND POS'f A 'NOIICE OF C<IlIIINCBIIIlNl'I. , f21Z---A~ ~iGIfi.: ClHITHIC ,"/Y/-- ~ <) ~~ SIGNATURE: OIIJlBJr'OR'~ "I , - STAD OF FLORIDA coum OF "1:>\\')1--I ~ ' The foregoing ins~ent was acknowledged before me this \?J ~ ' 19~-:- by H'~m S'. who i rsonay to me or who has produced as identificat.on and who did/did not ta th. STATE OF FLORIDA coum OF -:f)Y1)N ().:r{ The foregoing inst~ent was acknowledged before me this \~ ~l~' 19~ by w~~BOD~~~ to me or who has produced as iden . " tion and who did/did not t oat h:b Iu Y (S' (Name 'l'yped, printec:i"'or Stamped) NOTARY PUBLIC (Name 'l'yped, Printed or Stamped) NOTARY PUBLIC $-$.~~~ NIC~L~~,',I,A~J,.,ILGAN ;*tl:; ;';~' <;.",,,1' i"". ;.,,- (\6-28-97 ~~f1$'AU.." ';r~~;f,~~;~;~~~0iCES CC ,2982,201 !l ! I ~~~"~ NICOLE HARTIGAN !*l"1;'.".~*~ "OFFICIAL SEAL t~~~':<1E My Comm. Expires 06-28-97 ~:'::'6rf\.e~" BONDED THROUGH ,~ ALAN, INSURANGE SERVICES CC 298220 A'''':' 'G:" 1 1 - .::;. 4 T H U I , " , 1 I , I I 9 1:3 F-: "=' o. n - t'l ':0.. r k I 0.. n c:I S I G t-.J SIn c.. P. '10'2 . ~~ g-:..~:,~..t-~:::.:~..,-;, . _6 .J~r ,.-7-,." /' " '," '..' j11~ '-y _, ::"-J f _: .:, , ...\ .......' _ ',":':: :. --:-.:.:.../ . I : ".. ~,,:::.:;;::;._... (..~. II. '1..I.ij~~D"';b . \':u ~7(h~f,,~(~"''7~~'''.Y) ," ',.. . C~"_""'..IPI"___ ... .... ~/~''f. ... '-l'-."~- ~ .' '--.'1 ({~ III,',')' I ". II" I,-.;-..L_."... ! "... . -,". ".. '., \ .._.,J ._' ".... ,__"___ --='~ . ',,",'., "'i~"".'7=" -, r-'''~' ..' lE~ '~~...,... I'-'#'~'a'''''='.'' ~b'..'''~ . _~:,'I"J' .~... _.,....;..-_!--".:.~:,- '-"-"1 ~;'~n)~m~t;~fiFI.l. ~ "..)~' " n\@/))r.mJrQ10~ , '--lfq~'~'. ;.~~~~'~~~!r ~:vtJ~~~i'~.~-" !I"':~:'~:'~~"~~-"'''l''''l~~-'''''''''. '~',~ ..~.... I }-1 I I '" .L"ll'!to .." 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