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Home My WebLink About94-4581 BUILDING PERMIT Permit N~~ CITY OF ZEPHYRHILLS (813) 788.6611 458111 .2 tJ . C/"V BUILDING crnCTRIC'y PLUMBING Pmpeny Owne" M b ~ Job Address: <.$ 9 /~--:.s - ..3 '^ ~ Q .3 () - cri) Date /,;2 -c1 '9 - 7' t; . ~NI~sewer Conn Water Conn: Water Meter: TI.F.'s: Parcel 1.0. # Zoning: En~ Description of Work A / L ff .f? t~7LGa:: 10/ ~~ ~-/ A~~ NO OCCUPANCY BEFORE C.O. FINAL /-5-95 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 .:3 deaD S;gnaMe -S -<:-<' /. ~~ Company __ t C_,- Address Telephone# ,. Valuation or Contract Price ;2 3 0 () i c.'ID / City License Registration # J7 / State Certified License# JJ!~ BUILDING ELECTRICAL PLUMBING .k,-:'O(j (;~ 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 ($15.001 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 ZEPBYIUIILLS BUILDING DEPARTHENT OWNER I S NAHE 1?,L! ( Su II;v~;v 39/S-"5 '5'il~JL 5'~.P PHONE 7 f3;;( - .3 S;-f5"5 OWNER I S ADDRESS JOB ADDRESS LEGAL DESClUPTI.ON: LOT(S) BLOCK SUBDIVISION PARCEL !.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Jew Construction ~ddition -Alteration -....Repair ,_Install _Sign ---.JIove --->>eaolish nOPOSW~E: ~~eF_ily --J4/F _' of Units --J4/H _ec-ercial. _lDdust. _Swia. Pool _Other DESCRIPTION OF WORK: -....Restaurant Ii: Health Departaent Approval C h ~ro d:l.. VtJ-A) //~p c;J~ BUILDING SIZE: x Square Feet, Height RESIDEIITIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UlLDING $ Val.uation of Total Construction RI-ECTRICAL AID' Service Florida Power Corp. W.R.E.C. ----"ECIIAlIICAL -PLUMBIBG $ ~ "? 6-0_ bV Val.uation of Kechanical Installation GAS ROOFING SPECIALTY TYPE OF COISTIlUCTION: ---Block _Fr.-e _Steel Other FI.RISBED FLOOR ELEVAnONS: Fl. IS PROJEct IN FLOOD ZONE AREAl .......................................... YES NO CONTRACTOR SECTION BIJTI.DRR RI.RCTRICIAII COIIPAMY State Cert. or Regist. . City License Registration . .......................................... Mo;e(O t&1 Signature If, ~ COMPANY State Cert. or Regist. . City License Registration . .......................................... 6 1(fJ, -(t/~ j:J f/ PLUMBER IlECIIAliIGAL Siguature L~' omRR JC/L-- ( COMPANY State Cert. or Regist. f City License Registration . .......................................... COMPANY X;' IV S..4-7 C _a~"o;: ~ State Cert. or Re~t. . City License Registration . .......................................... Signature o CJS--r/.J - COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATION APPROVED BY Y!dh1"~ !J1 "* LJ PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this perlit laY be subject to "deed restrictions" wbich laY be lOre restrictive than City regulaticms. !be undersigned assUIeB responsibility for cmpliance with any applicable deed restrictions. B.UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIOIer bas 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 mmer and contractor laY be cited for a lisdl!leallOr violation under state law. If the 01IIler or intended contractor are uncertain as to wbat licensing requirellellu laY apply for the intended work, they are advised to contact the City of Zepbyrbllls Builc1ing Departlent, (813) 788-6611. FurtherlOre, if the OIOIer bas bired a contractor or contractors, be is adviBed to have the contractor(s) sign portions of tbe "Ccmtractor Secticms~ of this applicaticm for wbich they will be respoosible. 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 aB contractor that laY be an inllication that be is not properly licensed and is not entitled to perli~ting privileges in the City of Zepbyrbills. ,- C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBNDED) 1 certify that I, the applicant, bave been provillell with a copy of "Plorllla's Construction Lien Law - lIcIIeoImer's Protection Guide" prepared by the Florida DepartJent of Agriculture and COnsUI8I AffairB. If the applicant is 8OIeOI18 other than the "owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to co.enCl!IeDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 certify that all the infoIlation in this application iB accurate and that all work will be Ilone In COIPllance with all applicable law. regulating construction, 10ning, and land develo~ent. Application iB hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or inBtallation bas C31eDced prior to issuance of a perlit and that all work will be perfomed to Jeet staDc1ards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understanll that the regulations of other govB1'DleDtal agencies lilY apply to the intended work, and that it is IY responsibility to identify wbat actions 1 IUBt tate to be in coapliance. Such agencies include but are not lilited to: . Departlent of Bnvironaental Regulation - Cypress Baybeads, Wetland Areas anll Bnvironaentally Sensitive Lands, WaterjVastewater 'l'reatlent . Southwest Florida Water Managellellt District - lIells, Cypress Baybeac1s, Wetland Areas, Altering Watercourses . ArIy Corps of Bnglneers - Seawalls, Docts, Havigable Waterways . Departlent of Health & Rehabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic !ants . US BnvirOllleDtal Protection Agency - AsbeBtos abateaent 1 also certify that, if fill aaterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a cJrainage plan addressing a "COIpeII8ating voluae" will be Baitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit iSBued 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 sball issuance of a peIlit prevent the Building Official fa thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued &ball becme invalid unless the work authoriled by such perlit is COIIeJlced within sillODtbs of iuuance, or if work authoriled by the peIlit is suspended or abandoned for a period of sil IODtbs after the tile the work Is lDIeDeed. One 90 day 81tension of tile, lily be allowed for the perlit with fee charge of $15.00. !be 81tenslon shall be requested in writing to the BuilcUng Official. AnEapproved inspection lUSt be logged during eaeb Bil IODth period, or the project will be considered abandoned. WARRING TO (MID: YOUR FAILURE TO RlCORD A IIO!ICI OF OJIIIBICIIIIIIf ItAY RESUL! IN YOUR PAYING !VICI FOR lIIPROYIIIBftS '1'0 YOUR PROPBIm'. IF YOU IIIDIID !O 0B1AIJ1 PIIfAIICIIG, COISUL! IUD YOUR LBIIDIR OR AI AnoRDY BIFORI RBCORDIIG YOUR IIO!ICI OP COMMBIICBIIBII. JOBS OlDER '2,500 II VALUE DO 101 IIBBD fO RBCORD DO POS! A -HO!ICB OF ClIIMBICBMm". SIGIIA!URB: COII!RAC'fOR SIGIIA!URB: OIIIBR OR AGm S'I'ATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19 by STAR OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or wbo bas produced as identification and who did/did not take an oath. who is personally known to me or wbo bas produced as identification and who did/did not take an oct,th. (Signature) (Namp. Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Sta.ped) NOTARY PUBLIC rO,"- . , ~'--""'- 1.- _..~ ......---. ._ ....~r..Mt.l Kinsey Central Heat & Air-Condltionlng 7718 Fort King Highway 0 PrO. Box 2209 ZephyrhUls, Aorida 33539-2209 (813) 782-2300 ~-5 DATE _SED IIMIE APAImIENT -- CI1Y ... IIIOIlEL _110. STIMATE o CASH o CHARGE NATURE OF ~ SERVICE Lw/ REQUEST 9.,Cf)() ~tt! .- 3~~ l1UAN. PART NO. DESCRIPTION PRICE AMOUNT T; II FE- ~ -r- ,;l. o,o,OV I :~ ...... ~,.-.{. lRVlf!- PEr::-~,; I ~ A S~,J2 "/&y ~ ~;~;/~ j3/~ 7~. 7h r- ::;14-.# Vlf//~/ C~ V/V . (1,410,""'; 7'--' *-/ DATECOMPI.mD CASH ::-m*-+ TOTAl lM_ TECIIIlCM. IlEIMC( TIlE '\ TAX mAL TECHNICIAN CUSTOMER'S SIGNATURE ~J~ ..,,";0