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Home My WebLink About94-4398 BUILDING PERMIT Permit N.t? CITY OF ZEPHYRHILLS (813) 788.6611 4398 /'1 PLUMBING :2S~. (:;--v ~~ Date /L1-~{l-7Y BUILDING c1 (3 . crv - --.., GCTRIC~ Sewer Conn Water Conn: Property Owner: if..t ~ ~~I.AA.L~ Job Address: 6/:l '/ m-t;u/)~ '~?~J Parcell.D. # () ~ - ~t.? -.:< /- 0010- I /~ t')O~D 4/ Water M~jer: TI.F.'s: Zoning: Energy Code: Description of Work '-/1_IA./J A- / ~ Radon Gas: FINAL JP - Z-l .cr DATE NO OCCUPANCY BEFORE C,Q. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordarce with City Codes and Ordinances. Inspector yr Perm~t Fee ,-A~/!:.~' tnJ /VJ.. . D. Signature ~ 8t{.A'L.-V Company Address Telephone# Valuation or Contract Price /, c.., -.s-!'" - c7D / City License Registration # State Certified License# r-^~ ~uf.JI'J.Y() (lJ,t4?~~+A/C- BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 10-21- ttc./ '~ Breakers Ducts Insl. Compressor Final lo-?'-l...qt./ {6-e- SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER Bahr's Pr~ pdJ1e. G-t.,$ ~ Ale, 444/ 4-1/0 Rtt ~I ~(hjlls.l Be tiL Pax- tttUn eJ !he F l.-. 33.541 PHONE 183 - 574:;" P,Ylwrest ParK LOT SIZE_X (<613) 1f'J. - 6lJ /.3 APPLICANT ADDRESS JOB LOCATION (p / ~4 M In~ AREA SQ,FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I,D,4F WORK PROPOSED:____New Construction _Addition / Alteration ____Repair /Install _Sign/Temp, PROPOSED USE: '~Single Family _Sign _Move ____Demolish _M/F ____4F of Units _____M / H ____Commercial _Indust, ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, 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.** **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W,R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION Company State Cert, or Regist, # City License Registration # ****************************************** BUILDER ELECTRTCT AN ~ ( /",4/2.J;) C/2/ftl./.(JALL company~ 'Me /.J C/eAdA-?L ,Fb'c'Ul'c~<- [dA./7A!AcfuK ;('7. tJ /' /). _ / State Cert. or Regis t. 4F Signatur;.//wJ~ . U~~ City License Registration # ..2+"C' ****************************************** Signature Company State Cert, or Regist. # City License Registration iF ****************************************** PLUMBER Signature Company Ba.hr's Pro pa.ne 61..$ ~ /fIe. !vi6 /II) A " J. .. ~ _ (J _ State Cert, or Regist. # CAC()43~48 '<:1t/\...VYlAiL- /dtl..fV\; City License Registration # '[9 ****************************************** MECHANICAL Signature Company State Cert, or Regist, # City License Registration # OTHER APPLICATION APPROVED BY 'Y;'~=~"'JA';:':C;;'" .......... .. PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to "deed restrictions" which may be lore restrictive than City regulations. The undersigned assuaes responsibility for coapliance with any applicable deed.restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contracto~' or contractors to undertake work, they aay be required .to be licensed in accordance with state and local regulations, If the contractor is not licens~d as required by law, both the owner and contractor may be cited for a tisdeteanor violation under state law. If the ONner or intended contractor'are uncertain' as to what licensing requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611, Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is! sign portions of the "Contractor Sections' of this application for which 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 work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting 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, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the 'owner' prior to coa.enceaent, 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 cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby aade to obtain a pertit to do Nork and installation as indicated. I certify that no work or installation has co.aenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlllpliance, Such agencies include bllt ~iP. liCIt liilited to: * Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlllentally Sensitive lands, Water/Wastewater Treataent * Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks . US Environaental Protection AQency - Asbestos abatement I also cedify that, if fill material is to be used in Flc.od Zone "A" or "A,etc.", it is understc,(,d tho!. a drainage plan addressing a .colpensating volute" will be sub.itted which is prepared by a professional engineer reqisteiud in the State of Florida prior to perlit issuance, A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid unless the work authorized by such perlit is cO'lenced within six months of issuance, or if work authol Ized by the pertit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tEnSJOil of tile, may be alloNed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered dbdi~oned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ~AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ~OTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NE::ED.TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ OWNER OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE --------------------------------------- DATE___________________________________ NOTARY AS TO OWNER OR AGENT ----------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES MY COMMISSION EXPIRES ---------------------- BAHR'$ PROPANE GAS & Ale INC. Sales. Service & Installations 4441 Allen Road ZEPHYRHILLS, FL 33541 (813) 782.5013 Fv i a..-rY\ SOl-D BY NAME "['DRESS -CiTY 10 00 J DATE (ya _ F(J!..1Jd/A I V &: I ;.j....i H I net Va" l-jlj{"crfS+ 10 -/ J' r II'v~!" 19 r-r PIfONE 11 (',z. r- 'f' /.I .--- If ... ..... -r e;oI-- 0 CASH OCHAl:'!(JE O. .. , " , . , ~,o.\~.. r.p:o ., Oc.o.o. 0 . . , Op'Q. oN. ,Atef-. '., PAID ?~1: , .. l' ) \ ~ . .'. /, .\ QUAN. OESCRIPTION PRICE AMOUNT --". E. .:1 I h v11 e' - 1 ---.... .- 2 :2 ;-2 .- h ~; I; 77r- 3 -ror-J J t rl 7/;J .s -r- ~1 iE' 00 4 j'j , , 7 / 'Z."r;- 00 It; ,I::. t,j .-1 e: ~ ....- L-,--~::5-I_ 5 ., 6 ;:JAh~ .0 ( pi , - ...._.~...-_-.~- ..- 7 ==fr~ -,'.-. .-....... 3() 00 ~ ,,,.. I ,. ,"'" I ,'--'--' -- 10 .....-.-. -.", 11 U../ J-f! IZ r ::> .~, ( .~- 12 I - 13 -"_....-. .~- 14 .-. - .-_...... 15 I ------.- ~-. ~ - 16 I TOTAL - RE'E.\I~O ItV r8-- f?~~____ J -.. , ,- 'tI!MP87&:1. IIf~llf<l a~d COOIIl'f "">duo!> 10.d ':;.Z6v88L:Z: 18 ~cyf)W 1 3/~ ~ S~~ S~H~a W~ :Z::Z::60 nH~ v6-0Z-~30 ,..