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Home My WebLink About94-4528 BUILDING PERMIT Permit Nz<<! CITY OF ZEPHYRHILLS (813) 788.6611 4528B Date j.}-y -;7Y ~ ELECTRICAL PLUMBING Pmpeny Owne' ~21t ~!- Job Address: '-- 5 -Z--~ _ __ ~ Parcell.D. # :;L - J-t-:LI - / --s U MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: EnZ Code: Description of WorkJ/ ..L4I-1 . ...r/lJ-c--l-~r~/)A41.. Radon Gas: -<~ ~.~.-#.-~ _,/.,CA~e~l ~ NO OCCUPANCY BEFORE C.O. FINAL i,;} - ,cy - CJ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.o. DATE Inspector Permit Fee Signature Company Address Telephone# iit .~ ---~ Valuation or Contract Price ~;Z? 0 ;' G-L) City License Registration # c2~ State Certified License# 151:LL..4 t1.f3 ~JU ~UL~'n.. BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 PERKIT CITY OF ZEPHYRBILLS BUILDING DEPAR'l'HENT //;JvrL M,c/~(UfJ,P/rH#! .r/<"?f~~~ 'I; ()(( 1'>1.,......./ JOB ADDRESS HONE 7Z:J -- [JO.~5 OWNER' S OWNER' S ADDRESS r-K- LEGAL DESClUPTlON: LOT(S) BLOCK SUBDIVISION PARCEL LD.' --Addition ----Alteration --.Jlepair _Install WORK PROPOSED: _Sign ---"<>ve -DeIIOlish ! PROPOSED USE: _~e Faaily ~/F _' of Units ~/B _ec-ercial BUILDING SIZE: '-- x RBSIDBIITL\L: COHKERCIAL : AtTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET DERGY FORMS. ATlACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~UG $ .. . W PERMITS REQUESTED I d 1 () ~. Valuation of Total Construction RT.RcrIUCAL AIIP Service Florida Power Corp. W.R.E.C. ---1IECBAIIICAL $ Valuation of Hechanica1 Installation -YLUHBIBG GAS ROOFING SPECIALTY . TYPE OF OOIISD.UcnOR: ___loclt _Fraae _Steel Other FIllISBED FLOOR. ELEVAnORS: FT. IS PROJEct III FLOOD ZONE AREA., YES NO .......................................... BUTT.DER . .' CONTRACTOR SECTION . .' · . &b' .} fJ1 I W ~: .. . oociPAIIY . 1""> . VrY) IVJ,U YV) ~ . State Cert. or Regist. . CDC'B~ fY77 . ~. . . City License Registration . 5 ~" , ......~........................... ~ Signature RI.RCTRICIAR COMPANY State Cert. or Regist. . City License R.egistration . .......................................... SiRIIAture PLUHBER COKPANY State Cert. or Regist. . City License Registration . .......................................... Signature IlECllARICAL COKPANY State Cert. or Regist. . City License Registration f .......................................... Signature OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this peIlit lay be subject to 'deed restrictions' wbich lay be lOre restrictive than City regulations. !be undersigned assU1e8 responsibility for COIpliance wIth any applicable deed restrictIOO8. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake IOrk, 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 lisdeJeaDor violation under state law. If the owner or intended contractor are uncertain as to ..bat licensing requir8leDts laY apply for the. intended IOrk, they are advised to contact the City of Zepbyrbi1ls Building Departlent, (813) 788-6611. FurtherlOre, if the OIOler bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the OlDer 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 IPlorida's Construction Lien Law - lDeoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUll!I Affairs. If the applicant is 8CIII!OIl8 other than the 'mmer', I certify that I bave obtained a copy of the above described c10cUIent and premse in good faith to deliver it to the 'mmer' prior to co.enCeleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is-accurate and that all work will be done in COIpliance wIth all applicable lall8 regulating construction, loning, and land develoPftDt. Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no IOrk or installation bas ~ced prior to issuance of a perlit and that all work will be perfOIJed to Jest standards of all laws regulating construction, City codes, loning regulations, and land developlleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlleDtal agencies lilY apply to the intended 1101'1, and that it is IY responsibility to identify wbat actions I lUst tate to be in COIpliance. Such agencies include but are not lilited to: I Departlent of Invirol1ll8l1tal Regulation.- Cypress Baybeads, Wetland Areas and InviroDlentally Sensitive Lands, Water/Wastewater !reatlent I Southwest Florida Water Managl!l8llt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses I ArlY Corps of Ingineers - Seawalls, Docts, lavigable Waterways I Departlent of Health' Rehabilitative Services, InvirODll8J)tal Health Unit - Wells, lastewater !reatlent, Septic !anb I US InvirODlelltal Protection Agency - Asbestos abataent I also certify that, if fIll Iilterial is to be used in Flood Zone lA' or 'A,etc.l, it is understood that a drainage plan addressing a 'cOlp8D8ating vol_' will be sub8itted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. . . A perlit issued shall be construed to be a license to proceed with the IOrk and not as authority to violate, caDCel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIJit issued shall beeme invalid unless the IOrk autboriled by such peIlit is ~ced within sillODtbs of issuance, or if IIOrt autboriled by the perlit is suspended or abandoned for a period of sil IODtbs after. the tile the IIOIk Is ~ced. One 90 day 81tension of tile, laY be allowed for the perlit with fee charge of '15.00. !be 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth PeriOd, or the project will be considered abandoned. WARlfIIG TO omR: YOUR PAILURE !O RJa)RD A. IOIICE OF WlMllCIIIBIIf lilY RlSULT II YOOR PIYIIG NICE FOR DIPROVIIIDIS !O YOOR " . ,. .... . PROPIR'lY. IF YOU UTIIID 10 OBIAIJ.FiIlllCCIIG,.. COISUL! WID tOUR LlllDBR OR D AI'IORDY BBPORB RICORDIIG YOUR JIO!ICH OF ClJIHBICCBHm. . JOBS UlCDBR '2,500 II VALUE DO lor IUD !O RECORD DO POS! A leICH OF COOIDCIIIIM!'. 81~~ ~7l1~ srATB OF P1:; coum OF . seo The foregoing ~st. rument was acknowledged before me this ec. c:L , 19 ~ by ~~ ({{!~ .o/l-A?/l P/V who is e Iv own to me or wbo bas produced as identification and who did/did not ~o.~ ( 19na ure) (Name Typed, Printed or Stamped) NOTARY PUBLIC STATB OF FLORIDA ~ coum OF . S; ro The foregoing instrument was aCknowledged before me this 'J)..... c. d-.... , 192L by ---fLJ It~ ~.JP/1-/ldr-,v !tbo 1s pers ally own to me or wbo has produced as identification and who did/did not ~(l~( 1 a ure) (N8IIe Typed, Printed or StiUllped) NOTARY PUBLIC ' JAMES A. STONE Notary Public, State of Florida My comm. expires May 16. 1995 CC110274 ~.. ." JAMES A. STONE Notary Public, State of Florida Mycomm. expires.May 16,1995 CC110274 .' _1' WE SPEC'AL1~E '/II (8J31 i82.35J3 1682 Fine Appalachian Hardwoods 18J3) 782-4778 A-a.E I SALESPEASQ\l: BAHR'S -- 1 ALUMINUM S HARDWARE, INC. CUSTCMER ORDER r-.o.: I 0A11 / ;JS/ 19 37827 FOUNTAIN RO, ZEPHYRHILLS, FL 33541 TAX EXEMPT r-.o,: , , J~M ~ONE R v M H SUPPLIES RANDY BAHR . /'vrE HE~qHE DOlT YOURSp)ERS ,K\/ SOLD TO: . '-'V" l/, 1'\(''' '--t .. '., ' , y /~ r7-)c? I ","P fY\ OY0J f JOB NAME: OELNER TO: "5lpoN ~;(\ IT !~~.J FtO\E; I; ~ ) \JogS I , CASH .~l c.on ;1 ~E REf I VISA !\ MC, I DEUVERY I P.O, # '..J (4;~ 1";-/ & OTY. STOCK NUMBER DESCRIPTION UNIT PRICE AMOUNT ...., " i " - VI ,1,;/ \./ I . 'J -~ - /J1 , .' //l / ' ..';, '.' '. , -,' / . .J ..,{. ./ .: "'.i .' !- LI/ J/pj' ,:.,- / I ./(~(' ( (/1 :,tt '~.-i/ .I ) I 'f j .1, ") h , 1,'1' , " I. ;.UI\ ' 1.,')4 .; {:.- ", /,./ ~ ,. , / ~ K;./~lO I ! ./\'l~, , \ .', <'/, t \Y , ^ , j \ I f" ('1' ) " . ;' .1 /J >rJtJ . i/ I ' , .. \ , .~t_. '. I, ~ ",.I/ , l.,o} ,', .,...... -- J I ! I I , I A ) -. TJT ~I/) - idl.JiJ1J j cJ:; ~~ SUB f. " -_.I ."-_._----~.~---, ----.-- ,---- TAX . . ~ - . . DEP CUSTOMERS SlGNATUV ..I. ~~_.~ ~ \;Jr:, ~ ~~ ^ & TOTAL fa,9o ~) ! , ~. . .