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Home My WebLink About95-4592 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 459aA Date / -~S--9~- @ Pmpeny Owo", i{f?i;;i"_'-#~7 Job Address: ~ - ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy 2e: Description of Work.........:/ ~ ~ ""';-"'1.. Radon Gas: NO OCCUPANCY BEFORE C.O. / \/q7 0/1 FINAL DATE ) Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. c.o. DATE Inspector P~'~;tFee ~~ Slgnature--/;i __ Company Address Telephone# q t4 ZJjJO 2# ( Valuation or Contract Price City License Registration # -$13 P State Certified License# tJdAr -;e~ 0.A r \ BUILDING ELECTRICAL fPttTi"L- - .' '1''') Ftr. j -l~-:c.:;B'J]t~ ~u.:rp. Serv, Pre SLB Rough In Lintel Meter Can FRM. Canst. Pole Insul. CL Pool WL Pre-Meter Final ~iL I ~/1'(.i) .f? ~j", ~~ eP/ PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway p~~p\" '-Lc.f L.) &~<..- r~-\4t..7 t -, REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. " ,..-........",- APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPAR1BENT OWHER'S ADDRESS l6" efl.~1 Ell- ~UP '1--~O CA-- ~1~tP6G FcYI;1 vJ()(l;11+- T; JOB ADDRESS 4-??O2-0~ 5-rJlel:1" / :::terUV"M IlL.s. I Fe... .~ ~4o LEGAL DESCRIPTION: LOT(S) 1 ',-'1-, 1'3, 14/J~B'ii:CK SUBDIVISION PIIONE 8'1 354 {;€flO ,S'S OWNER' S PARCEL I. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition ----J\lteration ---.Repair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single F~i1y ----1l1 F _' of Units ----1l1 H _ec-ercial .$-lndust. _Swia. Pool _Other Restaurant . Health Depar~ent Approval - 1 DESC1llPTI0N OF 1IOIlI,---=:/'w'._J<! se €ir."P<n S rei{ ~,i2~ . I BUILDING SIZE: X . 150,000 Square Feet. 2.1.- Height <t. {;;.AV ~ , RESIDENTIAL: GOHHERCIAL : A'lTACB (2) PLOT PLANS. (2) SETS OF BUIWING PLANS. (1) SET ENERGY FORMS. A'lTAGH (3) SETS OF BUILDING PLANS . (1) SET ENERGY FORKS. PROPERTY SURVEY REQUlRED FOR ALL NEW CONSTRUC'nON. ~BUILDING PERMITS REOUESTED $ ?, ~~ 4&f'f. 00 Valuation of Total Construction , , --:....ELEGTlUCAL AtIP Service Florida Power Corp. W.R.E.C. ----1IECIIABlCAL $ Valuation of lIecbanica1 Installation _PLUHBING GAS ROOFING SPECIALTY . TYPE OF OONSTRUC1'lON: _Block _Fr~e VSteel ~/'{clU!!"T't5' Other PIIIISBBD FLOOR ELEVAnONS: M,(p7n. IS PROJECT IN FLOOD ZONE AREA! -X- YES NO .......................................... CONTRACTOR SECTION BUILDER ~.,. ,. " . WIIP~-J/Av.L-,..( CQ#{srr. G>. ,~C-. II/J JJ State Cert. or Regist. t LbCO ',,,,,U Signature ~.. City License Registration' .......................................... ELECTRICIAN SiimAture COKPANY State Cert. or Regist. . City License Registration . .......................................... PLUKBER Signature GOKPANY State Cert. or Regist. . City License Registration . .......................................... KECllANICAL Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... OTRRR Sipature COKPANY State Cert. or Regist. . City License Registratio~ f~ ...".m" ...... _ _ .,.,... '4 .....................................".la..'JC. I,;...:, _, ~ r. ., "" '\, " t' ~., t 'l.\ r. i {., \\".\ i' '... ,. . t....:' .,,~.. H\ ., ",' " PERHIT OllFIq.~ 4:: I' n ~~ r t '".. .' ';' . ~,' ~..: "". ~ &0<1.. ,..:., ."':"..a....t~.~; '.... .1lIP..,.<.I'I(.lI1~, APPLICATION APPROVED BY .-~~=-:-;'T CONDITIONS OF PERMIT AFFIDAVIT NOTICE OF DEED RESTRICTIONS de undersigned understands that this perlit lay be subject to -deed restrictions- wbieb lay be lOre restrictive tban City regulations. !be undersigned assutes responsibility for coap'iance lIith any applicable deed restrictiuoa. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to urnlerta~e work, they laY be required to be licensed in accorclance lIitb state and local regulations. If the contractor is not licensed as rSQUired by lall, both the OWDer and cOntractor laY be cited for a lisdeaeanor violation under state law. If the owner or intended contractor ace uncertain as to wbat licensing reguireaents laY apply for the intended work, they are advised to contact the City of Zepbyrbllls Building Departlent, (813) 788-6611. FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the -Contractor Sections- of this application for IIbieb 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 tbe contractor lIisbes 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 lIith a copy of -'lorida's COnstruction Lien Lall - HoIeoMDer's Protection Guide- prepared by the 'lorida DepartJent of Agriculture and ConsUll81' Affairs. If the applicant is SOlleOll8 other than the wOlIRer-, I certify that I bave obtained a copy of the above described docUl8Rt and prOlise in good faith to deliver it to the wowner- prior to COll8Dceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work lIill be done in COIpliance lIitb all applicable lalls regulating construction, loning, and land developllDt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COII8Ilced prior to issuance of a perlit and that all IIOrk lIill be perforJed to Jeet 8tandards of all lall8 regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdictioo. I also certify that I understand that the regulations of other goveruental agencies JaY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lust take to be in cotpllance. Sueb agencies include but are not lillted to: t Departtent of KnvirODl8Dtal Regulation.- Cypress Baybeads, Metland Areas and EnviroDJeDtally Sensitive Landa, Mater/Mastellater !reallent t Soutbllest Florida Mater Managetent District - Veils, Cypress Baybea4s, Wetland Areas, Altering Matercourses . Arl' Corps of Ingineers - Seallalls, Docks, lavigable Materways . DepartJent of Health' Rebabilitative Services, KnvirOllll!Dtal Health Unit - Mells, Wastellater Ireat&t, Septic 'anks . US BnvirODlental Protection Agency - Asbestos abatllJeDt I also certify that, if fill laterial is to be used in Flood ZOne -A- or -A,etc.-, it is understood that a drainage plan addressing a -coapensating volute- lIill be subtitted IIbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. . A perlit issued sball be construed to be a license to proceed lIith the IIOrt 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 froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOlB invalid unless the lIork authorhed by such perlit is COII8Ilced within sil IOIlths of issuance, or if 1I0rk autboriled by the perlit is suspended or abandoned for a period of all IOIlths after the tile the vork is co.enced. One 90 dar eatension of tile, lilY be allOlled for the perlit with fee charge of tI5.00. !be eatension shall be requested in writing to the Building Official. An approved inspection lust be logged during eaeb sil 8tb period, or the project 11111 be considered abandoned. MARNIIIG TO OMJfER: YOUR FAlLURI !O RlCORD A ROTICK 0' C(JtHIICBIIIHI HAY RlSULT IR YOUR PAYlIIG !MICK FOR IMPROVERS TO YOUR PROPBRTY. IF YOO IRIIID TO OBIlII PIIWICllG, COJISUL! MITH YOOft LlllDIR OR III AnoRIIIY BEFORI RICORDIIG YOUIIIO'IICK OF C(JlMiICIMBIIT. 7JOBS URDER $2,500 IN VALUE DO lOT REED !O RICORD AID POS! A -IOTICE OF COIHIIICBMlR!-. d-z/~7. (J~ -1IG JURI: OIOl'BR OR AGB s~: COI'lRAC'lOR \~ '1-G\S STATE OF ~tUf l COUDY OF ~Q.. So The foregoing in.8t~~~,wa8 ~~owledged before me this ~ 19.:f:t by STA!E OF FLOBIDA b ~ COUIIY OF Lv1 The foregoing instrwl~t. was aqkn71edged before me this / , 19 <.. by . /1 }onJflJu..) {h r f\ l' f2 . who is personally known to me or who has produced as identification and who did/did not tak~an O$? '(f'p, ~ '" ()/lo1.-,,/Y"Y'. e. . (Srgn ture) ~ rnrr- \/ W fY17:nA--/I~ (Name Typed,rPrinted or Stamped) NOTARY PUBLIC TAMMV W'. METCALF NOTARY PUBLIC, STATE OF FLORIO" My commission expires Aug, 17, 1996 Commission No. C G 2 2 1 9 1 4 S IhA/.e V t, N-lAx'W.G(;.<- 7C- who is personally known to me or who has prod ed f)/l..I Vb,-l c.n;;:.../4..4'c/L as tific,tfon d who did/did not a oath V S 51 atur,eJ C ~L,c;;A v. ( )hAtl De~ (Name Typed, Pr~ or Stamped) N . UBLIC LISA V. SHARPE · HOI.ry Public. Sial. 0' ".11 My Camm. Exp. 8.13.98 ~".-nP.\ll: )-13-Q-S . I ~ I 3 - Ci.l$ ,- \ ~- 'is I..... 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