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Home My WebLink About94-4431 c,7 15~ ~ ~ ,J.1 BUILDING ELECTRICAL PLUMBING MECHANICAL ::::::,~,:~"%~7!l' 9r Parcel I. D. # -:5 - ~ to -.,,1./- DO / D - D:3 aDD - 00 10 Zoning: (fnergy Code: ~a~as: .I 0"<';0';0" i~; ,-ri7D.t.~~ ~<lf,____,9< NO OC~ NCY BEFORE C.O, FINAL BUILDING pERMIT Permit N~ CiTY OF ZEPHYRHILLS (813) 788-6611 1~ Date - 4431~ 1/- /-71 - c2S Sewer Conn 6g9' Water Conn: /7':;-' Water Meter: / ~ ~ - TI.F.'s: ~ {..156..3-6 ~ /1-11-91 , I~ _/Jrt";~f.aL Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. c.o. J-~LJ-9 DATE i - ~()- 9'5' DATE o () V I. ~ //7 000' -..'L) a uatlon or /. - Contract Price ~") ~ ti / f} . :.. ~--- Ftr. Pre SLB Lintel FRM. 12~/-'ic.( City License Registration # -.!L!i State Certified License# C7 eo ,,'39' 019 c-----~E~. ~. . _ C~~. 'TPin ~~= If (7 :~. V~7 _-= g;!;..==- 0 ELECTRICAL_ _ PLUM~ 7 M~~ Tp.S."', SLB /i/-/6~~ ~iL B,.ak." Rlo~~~n /2--I-'1v &b Tub Se~ lJ.-G -fi( OIL! Ducts Ins!. Meter Can Water Compressor Const. Pole Sewer Final Pool, Final Pre-Metert./lI"I.c-'T'Sj)~ Final Telephone# 15iU- 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 ($15.00) 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. K'" ::;!P I I I I I I g ~ 5 g] :> Z ~ G) , r rt1 G) rr1 Z 9 " .' .', ,t.>-:-, -> c I I ~ @ I / Z t ' , c n- '.'J I .." C : ~ :: : f.:=. :~ eel I I ~ " ,', ,', I z ~ J______ f' '.,' .', ~'J.,' ....."" 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'" 1": ~ I 1 A I [, III~ . 1 8 W -" II 0 I I ?; II Z I I (A , I (A I I Vl I l:r I I I I II 11 I 1 "I 1 N I 1 1 1 1 1 1,.,15 I I ,., I I '-1 n~ I I' 1 I 1 1 I 1 I 1 I 1 I 1 I 1 I 1 1 1 I 1 .....0 II II I' , I " ~ ~ ~~ o ..." ::!J () rr1 II II II II II 11[> II II II II II I I IL______ L_______ I' t"t' ,?d rd N ~ 0 ~ ~ '~ ~ l( ~_1 0 ~ " ;;0 .s:--1f.~r Q, .. -' 'tJ-: C' ~, ...> ,. } c;. >-. .. '" ~'t "1 "2 "'^: ~) r; .~ \c;; :~ I ~<:. ~~ ~t "V\ I- \\\ ~ I' . . I I ~ 'P '-0 .... ~ " --\..,. I -v 0 v. ~ \' :I: ~ ~ ~ t ~ .~ -% ~ ~ 'C' r" t: ~- <. ~ crJ "i;, -. ~ q- ~ ~ a- ~ $ (' '"'f)- () ?: 0' ~ I t1 I:, c .. ! '\7 . (\ "- ~ "\ I) ().~ ~11\ t () ~ ~ -.:::) ~ ~ ....... '- ~ (\ i1\ IlJ Q \:) ..... ~ () ~ ~ "11 j'.. 0 I\l ~ r n 1\\ ~ ''1\ 'C 'X ~ , \J\ ~ '1 ~ \ ~ '^ 1\ 0 VALUATION: SQ. FT. BUILDING COST/FT: SQ. FT. OTHER 11 'i /1 ) I, J j' . _' nn ~- PERMIT FEES BUILDING: PLUMBING: ELECTRICAL: MECHANICAL: SUB-TOTAL: CREDIT: TOTAL: 1 ,270 $23otOO o COST/FT: $17.00 CONNECTION FEES SEWER: WATER: METER: TOTAL: VALUATION DRIVEWAY $29,210.00 $0.00 ADDRESS $20.00 FEE SHEET $165.00 SQ. FT. UNDER ROOF o RADON GAS $0.00 TRAFFIC IMPACT FEES 99% 1 % ~(; $0.00 $0.00 $0.00 ?.b I ~5b.?- \ / ~#r- ~DT.JO 45.00 37.00 2 5 . 0 Q.----... $374.50 0.00 $374.50 639.00 175.00 165.00 $979.00 GRAND TOTAL: $1,353.50 TABLE A -' WORKSHEET CITY OF ZEPHYRHILLS CONNECTION FEES ORD. #395 & RESOLUTION #312 WATER $1.75/GALLON SEWER $6.39/GALLON RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $1,278.00 Travel Trailer Park 131.25 479.25 COMMERCIAL (PER FIXTURE) Sinks 87.50 319.50 Water Closet 131. 25 479.25 Urinal 87.50 319.50 Lavatory 43.75 159.75 TublShower 87.50 319.50 Washing Machines-Commercial Size 350.00 1,278.00 Washing Machines-Domestic Size 87.50 319.50 FOOD SERVICE - Dishwasher 700.00 2,556.00 Sinks (3 Compartment) 175.00 639.00 Car Wash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. 4t WATER ,. SEWER TOTAL PER FIXTURE Sinks 50 0 0.00 0.00 0.00 Water Closets 75 1 131.25 479.25 610.50 Urinals 50 0 0.00 0.00 0.00 Lavatories 25 1 43.75 159.75 203.50 Tubs/Showers 50 0 0.00 0.00 0.00 Washing Machine 200 0 0.00 0.00 0.00 Washing Machine 50 0 0.00 0.00 0.00 Dishwasher 400 0 0.00 0.00 0.00 Sinks-3 Comprt 100 0 0.00 0.00 0.00 Car Wash-pI st. 1,000 0 0.00 0.00 0.00 $175.00 $639.00 $814.00 " 3/4" GHANIl TOTAL $165.00 $979.00 WATER METER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT /;? It t /, / ~bU 11,9 ,,' '0.... \ APPLICANT _r-==Cl~~ ~'SCD ffiE:d'\ Co.."", Ce.n-\-e.r ADDRESS La l5l ~n.. \ \ ~\ \lri. t2e~~FhiJ1; ~1.... PHONE OWNER U('. ~nl1l 1f. L~-~ I:::. h4J ~a..rte L ~[;'rd: y- ~1. De Ijadn JOB LOCATIONlol~\ Ga.\\ 6\vd,-z.e,;h\.J.r~ LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT (S) f)() \ 'D BLOCK D~d ~SUBDIVIS ION (') () l D PARCEL I.D.,~ '03 ~~~-~\- aOI D-o~CD- C ~I 0 WORK PROPOSED:____New Construction _Addition X Alteration ____Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _,~ of Uni ts __M/H .LS:...commercial _Indust. _Swim. Pool Other \. ----Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ~BUILDING ,LELECTRICAL :r L-MECHANICAL ~PLUMBING $/~..Z(jC) ~ , Valuation of Total Construction AMP Service ('~~ $ / h ,:;Ld .~ Florida Power Corp. _W.R.E.C. Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ('\ 0 0\ ~TRACTOR SECt!!JN () _ _ BUILDER \.." \J de.. \:)("ofueA:S ~-6 Company velP ~rl")~ e..rs ~.{..ro C;{; OJ /} d State Cert. or Regist.,~ Ct>LD.'SqO'-lq Signature e::.~ t':.~ AL ~City License Registration # l-H~ ****************************************** ELECTRICIAN ~ 0 ~ N 1(, c.k r\~ ~SoN, i.... Company J 6 h 11 _ Qil_ ---.LJ' J I-~ State Cert. or Regist. # Silmatur~~' /\.. .J..L~--J City License Registration tt '1.,_ ****************************************** PLlJMBER~' C. pllh&t. !J';r-l1kk: O~~pany /J .c. r'1u--.j,,~ /p_ / State Cert. or Regist. # Signature ( ..A' f_/ c ~..... <-~ City License Registration i~ 617 *********************t******************** j C I \ \ flECII!BICAL .~...r,v I( ~ Company _"'> 0 '" IV V' i), ,. c" "A:! If IL t d~ r ~ ~ State Cert. or Regist. 4F Signature . m 5 City License Registration it tI 2..- ********** ******************************* OTHER Signature Company State Cert. or Regist. # City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAV~T A~ NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it.ay be subject to 'deed restricti~ns" which aay be aore restrictive than Cjty regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is nnt,. licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If,the owner or intended contractor are uncertain as to "hat licensing requirelents lay apply for the intended work, they are advised to'contact. the City' of Zephyrhills Building Departlent, 18131 798-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the "Contractor Sections' of this application for which they Mill be'responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor~ are responsible for the Mork. 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 pertitting 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 - HOleoMner'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 prolise in good faith to deliver it to the "owner" prior to cOI.encetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no Mork or installation has cOltenced prior to issuance of a perlit and that all Mork will be perforled to leet standards of all laMS regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies lay apply to the intended Mork, and that it is ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Nater/Wastewater Treatlent f Southwest Florida Nater "anaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health l Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks f OS Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone 'A' Dr "A,etc,", it is understood that a drainage plan addressing a 'cotpensating volule' will be sublitted which is prepared by a professional engineer registered in the State of F.lorida prior to perlit issuance. A per.it 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 the 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 pertit issued shall becole invalid unless the Mork authorized by such per.it is cOltenced within six tonths of issuance, Dr if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced, One 90 day extension of tile, lay be allowed.fDr the penH with fee charge of $15.90.. The extension shall be requested in I!riting to the BuildingOffirial. An approved ins~ction lust be logged during each six tonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR, FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY 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 NOTICE OF CO""ENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", ~-"~ ~, /)~~ ..P?T- SIG ATURE: OWNER 0 AGENT \ STATE OF FLORIDA COUNTY OF PA~ 0 The foregoing instrument before me this OQ...T il was acknowledged , 19...2::L by I--~ON o~ De L-Gft DO who is personally known to me or who has producedbR\\J G"fC's t---\(8NS~ (~s identification d who did~~ ~t e an oath. a ,VJ,- (Name Typed, Printed or Stamped) NOTARY PUBLIC EEVERLY G. BAR1H Notary Public, State of F lor ida My comm. expires July 15. 19:.;; CCa~7150 e c---R- Q Jd SIGNATURE: CONTRACTOR <.2-_ _. STATE OF FLORIDA COUNTY OF P-A~co The foregoing instrument . befc,re me th i s Ot!..,- II ~Ias acknowledged , 19~ by Q,A-RL.- ft. q.t.u>e:- who is personallY known to me or who has produced as identification and who did/did not ~ JJ-~ (Signature) ~VERLYG.BARTH (Name Typed, Printed or Stamped) NOTARY PUBL I C BEVERLY G. BARTH Notary Public, State of Flo~ida My comm. expires July 15. lh~.G CGG/150 DR. DELGADO OLD HENRYS OFFICE SUPPLY 6751 GALL BLVD. TRAFFIC IMPACT FEES RETAIL SALES: 1,691.00/m - SQ. FT. TOTAL 1,691.00 X1,270 2,147.57 MEDICAL OFFICE: 2,759.00/ SQ. FT. TOTAL 2,759.00 X1,270 3,503.93 3,503.93 2,147.57 TOTAL DUE 1,356.36 , . - 'f " ~ Tn ~~ N f) '\.) ~ -\ ---J, ^ ~- '" -0 F- \Y-;5 - ~ \:)} - .J. ("\ t "" Q ! j (\ T.~ ,. - 'f.. -~ ... -- ... V' tTJ 4- I. s , c_ -y) 0- r ( ~ ~J < w '. < ~ l' ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name ' , Classification /' /' /"./ >,' Address ~ ." ,/ Owner/Manager /." ( Business Phone Emergency Contact Phone 11 ~ /'.1' ,r'l./ Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL <0 OTHER '-~. ,'/ ;/ o NOT APPROVED o ANNUAL OBI-ANNUAL _-,.._c / ,.. ~.' { . ./'C. "('./ /;. ,"-.~ ,/ /. ';,-,~ r~ /;/ /,:~I ,"/. /1 ,. 'i.. ,...,/; 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. " /, ~.... ,,' ,~, ... / fV./7 /;./! 1/ ~:"J/'/.. I~ 1../" /Y i > ,~' ./ ' / .' -; '~,f' ! / /" , ,..l.. /"." " ,") ,/ /~./ ." , / " ~ Inspect. Time I,/"' Inspectors Name . " /S .-r-; /r /' Fire Dept. 10 # / - -/ Inspect. Date Re-Inspect. Date Owner/Manager Signature /" \.. 4 . _~,., .,./J,.~. --<- -. Title // r ~(_<-::...'-_,_...... ,"- ,:"'>1"-:;--- ......~. r-"---'-"'~ , . 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 - Business ~ ... ~, .. ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION /', Classification /..-' to"~ /,- /"'~-' Business Name / Address / I Owner/Manager i'( /,; / ; ./'>;>~: ~-~/ ,,',. Business Phone >(1 Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION (j) APPROVED ex FINAL 0 ANNUAL 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. C.:- '/' / /--, ... (, .c:/ / I '.-,::'/1.//" l> /'__- I~/ /, /,'1.- i;' /. .:.; / :'i / ,.1 /1 ./ II /e:) . I ;. ;' __ J.,', -----~ ,ft.,"- ~/ - ',' '-- /,/ / . / Inspect. Time />-t"J,;~? Inspectors Name Fire Dept. 10 # .., Inspect. Date Re-Inspect. Date . / ..' ...- -r ,...... ~ / ri'~.'?""" OwnerlManager Signature -"'- "'--'~ "J ';k",,",'-r-~-"'~ - 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. Depl. Pink Copy - Business