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94-4439
BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788.6611 4439 IS /~ Date /1: ?-9'f ~'i d ELECTRICAL Pmp"tV Owne' ~ft<. Ii:. Job Address: ( ~ ') r) ~.....; Parcell.D. # (J PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: ~Ene;f1Y COde~ .r Description of Work ~ L 1l..~---,~~ ~ Radon Gas: FINAL 1/"" /0"- 91./ DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordart:'e with City Codes and Ordinances, c.o. DATE Inspector City License Registration # State Certified License# ;20<( Pe,m;t Fee ~:-. ~ Signaturrry1 I h'lWtA/!/I J Company Address Telephone# Valuation or Contract Price ~ c1 g...s--- r <:h~ M 4.. 0 A..v~Uvv.-t/YV' BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final 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 ($15.00) 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. ~~ ~,~ ! ~::. i~i ~~ ~ ~ 1; i~ ~~i I ~ ~ i ~~ ~~~ ;'\ ~ in2~ o ~ ~ ;;l ~ 2ill~ II: '" ... ~~~;D~~:~~ ~!~~~;~~~ g'Gillgo::~~~~ ~~~<>>"'.,..~;;l:1 ~!;;;o;I....~-;z: a ~ xY" 2~c;") ~ ~ ~ 0 ~~ ~~~ ~.....i!"" ... C,. 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JOB LOCATION Ar PARCEL I.D. 1# - ALL 1lU8TI1IG & PROPOSBD STRlICTURBS GLVIIfG DDIIlHSIOIIS & SIlTBllCJ\s. .. ., _I ~ i-I).'___l II' -1 ,- - - - . ~ " ~:~~~5~"- ll___, ~ ALLEYWAY ACCESS FOR GARAGE OR CARPORT _ 15 FOOT SETBACK REQUIRED. Et'5i;~3 OWf orl- #J, tns TI1/ rlI/f-t UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. L FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET L-.A-IJIS 'Ptt / C. 1. SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' ..P E_ R X 0 I 10' P S 10' 0 T B I E N D G 20' . 10' 10' EXISTING 10' PROPOSBD 20'SGL FAM 30'DUPLIX 1 0' I'ROB!' PROPBRft LINE FROlft" PROPBR'IT LINB SHJ\U- HWIL- I 0 Ff~ tulJ1J( k.1v,"" BiI-TMhuW /J fi.! &Ii 801UN(,- $Tr2.ULTua.k> 1 0' '. - OCT-13-'94 THU 10:11 1D: TEL NO: 1:*318 P01 APPLICATION Poll '..xT CI'1'Y OP ZBPBYIIB1LLS BUILI)lIC DIrAl1'lllllT /1-d--7Y I/;so A-H _'I IIONlI ( '5 h; r I ey EJi.~ , ,... =-= ~J; 11;;:;; MJf-~' LIGAL DI8CaIPI1OII. J.OT(8) BLOCIL...-..8UIDIVlSIOI 70d-(1JSLf I v- ...t.aur.t " IIea1t1a DtpartMIIt Approval DISc&lPrlOl Of", S ~e& ~e~o'A' IU1I.DIIG SUlI /5 I J ~ . I g 5 Square feet. qt;11 Bel.Pt IISlDBl'l'W.c AftACII (2) FIJJT PWS , (2) SITS OF BUlLDIIG PLQ8 , (1) SIT IIIIGr JOIIIS. ~ I ArrACII (3) IITS OF IUlLD1IfG'LAIIa.. (1) lIT gDCJJ ~. nonan SvavII IIQVIJtBD POI ALL IIIW COUrauonOIl. ~WIIG e PIWIITS RIUHJUJ'Q , . I J. '0 5 r . Valuatioll of Total ooaetruetioa RI..WI!II1CAL AlII' service Plorlcla PwerCorp. II...I.C. .-IIICIIAID"..... .. Valuat:laD of ........1_1 Iut&l1att.l ---1'UIIIDG GAS IIOO'UIG SPlCL\Lft nn O,~; --..81oc:k ---J~----..tee1 Gtbec flIISIID I'LOGR Ia.BYA'I'IOU: 11"1'. IS ftOJacr U ~D 1018 AlIA, - ,III 10 .......................................... m~C'fOl. fiGlIQI ..JTlDD ~ OOIIP~~ -illuml'V)j(l, ~ Stata c:ert. 0.. baiat. t, ('0 Illll'- . 'J11i;n elt., Lt"'l IIItltoU... . ~2 .......................................... RI..I!II'ItT~ ..a.. 1 L COIIPAIY State ~ert. 01' ...l.t. . Oity Lic... ....i.tl'.tioo. w- .......................................... af-t...... JlR'"I7"f 1 ~J.~R OOIIPAIY State Cel't. or bai8t. . City Lic.... ___i.tration . .............................,............ .......tw:e _ n II I. 1IIrr.IIU:rl'..a. COIIPAIfI' State Cert. or ".let. . City Llc:eu. ".i8tratloa. . .......................................... 81pature ~ OOIIPAIfY State Cart. or "alat. .. City Ltc... Beai8tratioo . .............*............................ '. S......ture -., -~--;-'..--' OCT -13- '94 THU 10: 12 I D: TEL NO: 1:t318 1"02 "" CONDITIONS OF PIRMIT AFFIDAVIT A. .sICS 0. D.DD 'trTRICTIOI!I ' 11II .... ~ ~t, . penit ., bi IVbjlCt to ..l1Iuletl.w lbJu .., .. .. rlltr1ct1" tIIIII Cltr r~lt_. .............. rttpOIIl1biUt, for CGlpUuc:e 11th D, .ppl1C1bJ. .... tIItdcUaIe. . a. UJfLI~Q, ~COH'1'RAC'1'OU ,~ND COl.~MCTOR RB8PQN81BILI'J.'IU . If .. .... . Ill.. atrtctoc or CClItrlCtor. to undIrtMi .., theJ. III lie noull'lll to .. U.... II ....... litA .tate ~,1KI1 .,u.. If till coatrktor Ja lOt UctrlIlIlu ntUir. by 1., JIoUl tile.. .. atrIctor., .. cited for, lilli_IDOl' ,lollUoa under 'uti 1... If tilt 0IIIIf or IDbDded CIIItrlCtor an UACUtIJa u to .t llaa1l... npt,..ta.., .,,1, for tJae illtaded IOrk, tJJer are 14'i_ to CCIIStact tII8 cnr of IIpbrrW1t ..U........, (eU) 188-6611. '. rurtlllnort,.U u. .. ... ..in4 . COIltractor or contractor., lie I' IlIviHCI to .... tM ClOItrlCtor(.) lip ,..u.. of * 'c.ulCtGr "I..~ of t111IIppUQUOD for ldIi~ _ all be r..,.Sble. If rou, . tJIe --lip u tilt..., JOU III WtcaUag tlat JIll, ratller tJaaa till caatrlCtor, 11'1 r...lble for tile IOd. If tile ClIItnctar .... JGI to 11.. II CIIItnctar tMt ., lie III Ia4lcatlOll tblt lie it DOt properl, llceutd ID4 11 IlDt aUtlIIt to JIlIIttllg lid...... Sa . CUr of ......111. ' , -, C. TRANSPORTATION IMPACT FBK8 AND, UTJLITY COMNBCTION ,... D. COtf8'1'NION LIBN LAW (CHAPTBR 713, FLORIDA STA'l'U'l'U, AS AIIIIIDBD) 1 caUl, talt, appl1C1Dt, Ute heu pmldtd ,itb a copy of ',lorida', CGutncUOII Lt. .... . ~'. ProtIeu. GuJc1tl pnpIrlll br tM llorld1 DIpIrtIlent of Agriculture and COaMu Alflin, If till IlIP1Jcut It __ otIIIr tMD tile ...., I c:ert1tr tllat I JIlt. Dbtllled . COPJ of tbe abotI ducdW t10QIIeat ., pr... iI ... fd~ to GeI1- Jt to tJII 'OlRIIC' prior to ~Dt. B. ~R'8/OWHBR'S AFFIDAVIT I CltUfr tut dl tM Iafonitloo Iq till, application i. accurate ad tIlIt alllOrk will be ... II __ .l~ all eppllClbl, 1. ..tIDg _trKtioa, acmDg, . land da'll_t. 1pp11caUa1 H .., .... to obtain. pera1t to do IOrk IDd lntull.ttoI u IDcUcatlll. I cert1fr tat 10 .1,. iDltlUIUcII. .cc__ prior to IIh1DCe of I pea1t lid tbit 8UIOlk .w III JIl'fOtlllJ to.. ..... 011111_ regullttag COIItractlOll, eitr cocIu, lonlng regullUOlII, aDd J. de'w.-t ngalaUou III till jarhact1.. llllo tertii, tMt I ...... tJlat tbe reguJaUont of otJItr goy_bl 1IIDCl.. III appJr to till JatIIW ..a, ... tMt It II II r..,..sbllltr to tdlatlfr .ut leU. I _t ttb to be ID CCIIpUuce, 811d11lJ_III Incl_ lilt In .. lllltlt to: · ~t of 1Dri.........1 _IIUon - Cyprlll BarJludl, lieU_area lIIIlIlomoa.atl11, -au" ~, Mlter,......ter __t · IoatMIt flodOt IIItIr IfIataII!!t DJatrlet . 18U" CJpr... ..,...., IfIUIIId 1rUI, llterlqg ..-.- · . of . '-111, Docb, lI'lgabll IItma,. .. of ItUbUltaUYI Blnl_ IDYlr_tal lleilth UIlit . WeUt, IllateRtIt r__t, ",c lab · DI ~ ~ a.cJ - "'tOl.Iba~t I I a1Io cert1ff tIIIt, rill ..W11 to be _ ill flood loGe .1' or 'l,.te.', It i. undIntooll tJaat . __ ,lea IdGnM1Ig · ......UIg wol.' will be IlIIlIittef Jhicllla ptepared bJ a profudllll1lDgiM1r ngutlna II tIIIltItI of Plod" prior to _t 1aIuuct. I peq!t ..... 11III1 lie CDIIItrued to be . UC1D18 to proceed .l~ tIMlllOrk lAd DOt U IUtIIor:ltf to ,"te. .... liter, or lit aide ..., ,,"Wou of till tlldmical c:adee, nor _II ihUlllCle of . p8rIlt Pth'IDt tJlllulldllt OffloJal fa. tlllnlftlr repJrilg I eornotlGI of error. 11 pl., CGDIUuCtJOII, or YlollUCIIII of IIIr co4I. I9trt puIIlt ... aWl __ Jm114 uaJ... tM .. akIHll br .. ptl'Iit 1a ~ tltbin ,II _u. of b!lUMCt, or If _k 1UtIlor.... " till penlt 11 IUIpIIdId or .... for . perloel of ail -till after tJae ti.. tJIe ..111....s. OBI to .., .... of u.., III III aU_ for * patt tltJa f. dIaqe of t15.00. !be fltllllloa ...11 be nQUIIt8l111l UIUDg to tIaIldWlg Offlc1a1. II lppfM1lupact1oD _t .. Joggl4 4urlng Neb 811 atll period, or till projlCt ,Ill be c:ou.ItInI .hn.... .- 10": .. 01_ !O IICORD A JOIICl or ~ III IlSULr II 'fOUl ,une; !IICI .. ____ to .. PIOPIm. l' 11II II!III) 10 CIWI nlllCllG, aJl8ULf ifill fOUl LDDIII 0111 &mIIIr ... .... ..IIICI or CDIIaCIm. .. ilia 12,500 II VII.UIIXJ lOr _ to .. UD P08f I 'IOrlCl or aIIIDIIII.. .~~ ~~ mft or ~ aIII'f or - s (!() 'be fongolag 1utI'uMDt .... acmowledged befon _ tbia (Jet. 3/ , 19..2.l.. by , ~I2.J!I-<RP/V ~o 1. 1 J ao. to _ or wbo baa PI' u i_UlicaUoa 8D4 _110 did/did Dot ~tl~ , II i :--. JAMES A. STONE (I fJped ~lariaB IIO\'~ lVlIric . ~x ay 6, 1995 CC1102l4 BUfI or ~ CCIIIIIY or '-.t~ Tbe foretoiQ, 1Datru.at ... aa__ledged before _ thil 41'::1; 3/ , 11971' J)y ~~A';?,<1l"'" itbO JaaOWll to .. 01' . .... produced .. idllfttiflcatioD aa4 vIIo did/did DOt ~;d~ (S.>)lture) .. ~TONE __ '. PUQlic _FloridA (N_ Typed, Pr. rR.'9xJt 6,1995 HOT.! PU8Ll~ . CC110274