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Home My WebLink About94-4233 BUILDING PERMIT CiTY OF ZEPHYRHILLS (813) 788-6611 P . N'o ermlt '. _ 4233;{ R""- / 7- flj Date BUILDING ELECTRICAL PLUMBING ~H;:NI~9 :~~:::,~,:~e~fw--?!tt.;f JJi::rT Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # ~ ~;nrs: (J~ ~ 9~ / ;:: \~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordart::'e with City Codes and Ordinances. Zoning: Energy Code: Description of workc..J ~ ~~..; NO OCCUPANCY BEFORE C.O. FINAL DATE c.o. DATE Inspector Permit Fee ~S-; u-zJ Signature Q)~~ J~eJ . Company Address Telephone# (I~g"b) 1!;J:J....7C;.s~ Valuation or J Contract Price Y c77J.. t?iJ / City License Registration # J: <'-7 State Certified License# BUILDING ELECTRICAL PLUMBING n1~ MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. C;"ii:.ELl.\ES FOR SUBMiSSION OF iiTE PUNS P.4.GE 13 GUIDELINES FOR SUB:\UTI:"'iG SITE PL4'iS: ShU10 Jr-..:: :1.:r.-=unliing !:Ink'sl. includinl: aU adjoinin~ prnpen).lines and disun~ bell'~n the UDJ>IS) ana ~::"~~:struCIUr=expnsures. Idenlil)- all buildings on the pl:ln. P!:IOS!:lUS[ ~e submitterl i.n ]cc~n::::::: '" ie: L? G~ Dh-ision guidelines. NAME OF FACLrn': }-lAc I-l AC/S RE.s+ UG:":SE :\'0. ADDRESS OF F ACLI1T: STORAG;;:C.l.PACITYOF :-O'EW T.\''''K(S14-4Co TOT.~DJR.\G;;:C\p.\C!TY: 4- 0 0 B tiLl\: ?LA. '\ 'T DIS?E:'iSD"G l":lTI c."L:\~E.-=:' ='~C-:r.\.\'GEL~1T G2'-[E.~L SITE PIAN OE7U\II:\"E :\'ORTH l-i A ..<P' Ii '2cL _w J lto i() j,CJ o 0000 ~ o ~ ''''lilieS e> oooo~ C:~'Uh POL.ES N:une oC iDsbJ1u-: SY "(UBj GAS' L:= ~umber: Addr=: ;;Z;;2 ;;~ E. . MAIN ~~. LC<.. k I. ~ I This site is 10 be constructed and tn.2U::t:Iined in :aCl:onbnce '>>it!: :'>T?\ :\'0. !8. :and other :approp. "":ul:atioDS. I unde=nd th:at Ibis C:lcilllylt:lnk =y not be put ::::" o;><:r.>tion until rUJ:I1 inspection. appro.,al by", Di.,ision oC Liquefied Petroleum Gas rryreseot:ltire, Sig=tu...,: ~..,\'") J ~.o G-? SEND TO TIIE FOLLOWING ADDRESS FOR APPROVAL O:ate: 8- t 7 - q 4_ Revised !in ci\ ~d( 4?:-llzj APPLICATION FOR PERKIT-::::::::==- CITY OF ZEPRYRBILLS BUILDING DEPARTMENT '" of> e A... 1/ ~-. { R~ (J14IVf r1 fl:) ;{ '" iT OWNER'S NAKE I{ f1 6 - 1-1 po Ill' sr At,( ([ 4'\/"'- PHON(i, ?) 7.3 7 - / 'f" ( OWNER'S ADDRESs--.::J7JwN f/'-ei4/ ~ ~ uA1t.6" [;4 of/,' h.' Ctl-'I~/L JOB ADDRESS "'1l 'I~ C-~J-.t- IJ II/d ~Ol { 2 :t'~k(./d. p'L S e <.HJ 3,S "1)ly.v 'i.l. 'f Z S; CI'-' I I'L 7 /,;-.+~ LEGAL DESCRIPTION: LOT(S) ~ BLOCK SUBDIVISION L-ef"''fJ.lJ/J (0/(/7 C.''''I'';/ PARCEL I.D..--P/~"T ~ .1.fjf sr) pJNr ~~.k- l-j. U-'(COBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ")CNew Construction -----Addition -----Alteration _Repair .1s::::...Install _Sign _Move _Deaolish PROPOSED USE: _Single FSllily ----li/F _' of Units ----li/H ~~ercial _Indust. _Swia. Pool _Other c ,''''' It" , 1=-'\tof!.;I, I (.v4-rt'''t 1-f~.~re/L BUILDING SIZE: X Height 'dA-,z/J.....(/./Pd, I G-~,ut '-rur~ I{ rc/ Il-j~ ""'~, RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS~. / COttKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ I g' 00 Valuation of Total Construction _ELECl'RICAL AHP Service Florida Power Corp. W.R.E.C. ---1fECBAlfICAL] $ J ~() iJ . / _PLuttBING V GAS TYPE OF CONSTRUcnON: ~lock Valuation of Mechanical Inst:allation ROOFING SPECIALTY _Fraae _Steel Other YES ....--- NO FIRISHED FLOOR ELEVATIORS: IlJ FT. . IS PROJECT IN FLOOD ZONE AREA? .......................................... CONTRACTOR SECTION BUILDER Signature COMPANY St:ate Cert.or Regist. . City License Registration . .......................................... ELECTRICIAN SiDnAture COMPANY State Cert. or Regist. . City License Registration . .......................................... PLUHBER Signature COMPANY State Cert. or Regist. , City License Registration , .......................................... KEGBANICAL Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... OTRRR COMPANY s: VI\! lfl1~Y U-1J Co It /JOlt '1-770"/ St:ate Cert./ or Reg st.' If- 0 f<'ICJ City License Registration' .J1.?S7 .................................... Signature APPLICATION APPROVED BY PBBHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to 'deed restrictions' whieb laY be lOre restrictive than City regulations. Ihe undersigned assUles responsibility for cOtpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired 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 OKDer and contractor tay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireteDts laY apply for the intended work, they are advised to contact tbe City of Zephyrbills Building Departlent, (813) 788-6611. FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sectionsl of this a~plication for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating tbat you, rathertban the contractor, are responsible for tbe work. If the contractor wisbes you to sign as contractor that tay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the 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, bave been provided with a copy of IFlorida's Construction Lien Law - HOIeOWDer's Protection Guide. prepared by tbe Florida Departlent of Agriculture and CODSuter Affairs. If the applicant is sOl8one other tban the .0KDer", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the .ownerl prior to cOllencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bak cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber governtental agencies laY apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: · Departlent of Hnvirontental Regulation - Cypress Bayheads, Wetland Areas and Hnvirontentally Sensitive Lands, Water/Wastewater Ireatlent · Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health' Rebabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlen~, Septic lanks · US EnviroDlental Protection Agency - Asbestos abatetent I also certify tbat, if fill laterial is to be used in Flood ZOne "AI or "A,etc.l, it is understood that a drainage plan addressing a ICOlpensating volUlel will be sublitted which 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 with the work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOt thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid unless the work aqthorized by sucb perlit is colltmced within s1xlOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sillOnths after the tile the work is ~ced. One 90 day l!Itension of tile, tay be allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eaeb sil IODtb period, or the project will be considered abandoned. WARMING TO OIUfER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCIHINT MAY RESULT IN YOUR PAYING TIIICE FOR IMPROVIHINTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR KOlICH OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A INOTICE OF COMHDCKIIIlNT". SIGNA1'URE: omR OR AGENT STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY 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. 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 (Signature) (Name 1yped, Printed or Stamped) NOTARY PUBLIC w Jor'; 0;;2\ 4-' l o Fi:ESIDENTIAL COMMERCIAL EQUIPMENT LEASE AND GAS SUPPLY AGREEMENT Customer Account #47l)~138140 AGFEEMENT, Made this.d.A 40~ , day of MA'1 1~etween SYNERGY GAS CORPORATION with its local office at dJ~ 8 E. MA\ N ST. LAI::;.l.1 F { . hereinafter called "SYNERGY", and Customer's Name ~\AL) \-\AO \ 5 Ch\ nese i?es+. hereinafter called the "Customer". Installation Address: 'TlJW N V\EW SHDPP(N6 CE.1JTlEl? (z:. HILLS, FlJ Property Owner's Name: R~n-\- Property Owner's Address: R €n-t- SYNERGY agrees to lease to CUSTOMER for the term of this agreement the following Gas equipment: EQUIPMENT RENTAL I MAINTENANCE ~"er R'l5Rtl'i per year I per month per year I per month per year I per month Tank(sj(1) 4- Quantity (2) (3) (4) .~5q CUrren! Rate ~--~...~_{~er:J /A I ~.s I L. L.. D-O_ A I I PYfC2 ~ "'9 4,20 SIze Serial II L ~o $ _1- $ 0 $-e- $ -e- Deposit $-.fr n lle r(l.rJ.s~ Lo..l.,or cOCJ.- Manufacturer He CUSTOMER agrees to purchase from SYNERGY all of the CJSTOMER'S reqUirements for C;as for use at the installation addrl~ss dunng the term hereof State law prOhibits the filling of :hls eGc,lpment by anyone other than SYNERGY GAS The '.erms and conditions of the AGREEMENT are set forth above anc upon the reverse side hereof In Witness Whereof, the parties hereto have caused thiS AGREEMENT to be executed th By: _ SYNERGY GAS CORPORATION <-W. Countersigned by: o . J. -- ~S 1 Signat r 5-d4-q~ Date Form" SY 276 Rev. 8191 -:COMMERCIAL AND AGRICULTURAL CREDIT APPLICATION J . . ~ "1t ,,,,.. . ., 1 Branch No.~4- location LAKI. I 1= l . Date S- 24....:.94 Storage Size Lf - Y 2.... 0 5?? Qedit Lile Requested /' 0 () C .fiD.!.4-<J I~ (,L.; 1/', . ;5 e. C! c .. j)' - ~ Business 'b . Name==--t-:i.AO HA~ S C Jne~e. Re~.J. "JypeotBusiness REST. Billing Address t/lo II 11o/!o UJJ"yRd P4a-l dly t::.~~iP" r...,. s :r=z. 1'31&7 v' . z. J/;/Is I-:!!r.' .. PhoneNumber oJ -/~ Type ~f Owner~hip Corporati~n 0 Partnership C $ngIe Proprietorsh 7 n - r; 7 7 2- . PRINCIPALS I SC(U ~iVE' ~. --./ 1. Name : 2. Name Home hldress no.vn o Rent Pfme ( ) r. Rent 2. Name . ~ , ~{i-7 f\1~xf lNhPA- ~ (jry Food Lo.)hJdress ( TFt~~ ) . TRADE REFERENCES PJ 1. Name DOd qOb:J Phone{ \ hidress Phone( BANK INFORMATJO~ Bank Name SUnSAine S-Ia.fe ~qnk Officer W 11 / U) j in Charge aM-e Yl DO({ Type of Account ~eckin 0 Savings Address . Date Account Opened I" f If loan list Balance AGRICULTURAL INFORMATIO .!'" . , I - -1.. Number of kres Type of Crop(s) and Acres for each 4 Cultivated · Uvestock a. of Houses Grower Contracts with -: '~~.;:t-~-~ - ~--: -: ~ ',-:r=::-' - Other :tt~~~~l:jt;:_. _.~~~...:~..:~:<~.~ .:'"u" .' ... _._.-;...~_.. _"coc . ,,'~~~(~~~';i~~~~~~ ~ ..