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Home My WebLink About95-4644 fJJUILDING PERMIT l Fl- CITY OF ZEPHYRHILLS Pe,m;t N~ _ 46448 / '51,J:3- ~'l' 50 (813)7~8.6611 Date L -,2~ - 75 /. --.-.--. ,- - , -" c::;.D ~ '&ECTRI~ ~ Property Owner: ~~~ 6..5 I. ~ -;;;-t1 Job Add,"" U cJh;:;S-c:::&o.ftGil~. Parcell.D. # 0 ~- ;;<.b--:2J-ov,~O- DOD06- oJr7D 2 -. ~ Zoning' # Energy Code: Ra90n Gas: J ~J~ -Sewer Conn Water Conn: Water Meter: T.I.F.'s: I/:) //I-Y Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. d..- DATE DATE Inspector Valuation or , .Ji...~ Contract Price r / ~ () 0 i) Q....V ~ ~~ ~J; / City License Registration # (p~- State Certified License{l Telephone# SLB"/,' Z- Tub Set 1,- 2- 7 ~C7? g lL. . Water Sewer ~ Final 2: UJ'~' iU- Ftr. Pre SLB Lintel FRM. /r-2 7-0~ BIU- Insul. CL WL Driveway Tp. Serv. Rough In ./1-27-'7) &:b Meter Can Const. Pole Pool Pre-Meter Final ~d~\5'-~5Q- Breakers Ducts Insl. CI:)mpressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. JHN-l::-l'?'~~ 08: :: 1 B J LL NYE R!:~L TY 'ROM JOHN l. SMITH CONst. . 37326 RUtledge Or. Zephyrhills, Fl 335., (813) 782-0470 Proposal an ?83 2724 P.O~' Pre,...., No. 2 Sh..t No. 321 D... Jan. 12,1995 ".".sal Sub,.,ifted To Nome 1:; 4tC lass World Str~et_ 1918 Prado BlVd. CI,y Stot. T e'.phon. N\,Ih1b.f 1.B l1L.1.7 2 _ 311E32. Work To I. '."OnrI.d At Str..t 6~45 Gall Blvd. City ~,.>~y.rhi lIs -$tQt.~_ill~..L._ Oat. of Plan. 7nri RAvLc::; nn 1 -1 ?_Q"i Archite~t JOt/n r. ~i th.. Cnn",..._ w. ,,",-by "...... .~ f.~;.h ." ,'"' ".'.ri.l. .nd .."'... ." ''"' "b~ ..,....". fur th. ,....'_. .f Remodel e~~~!~__~t 6445 Gall BlvQ, to ,poco of plans and attached sheet., _.. --.. .'. .....- ----..- -- ...-.-.--- ~ -'----,.....,. -------- = ~ _.~-:---- - = =- -_. All .....,..1 I. 9u........d t. be .. .....-. o.d th. -.e wollo .. b. ...,f.'''.d i. aceOldan,. wl'h the d_l.o, ..d .p.d....'... .ub..,.Od fa, .bove _,k ..d '_'.'.d I. a .ub"..".. WO,k".nli" ......, fa< 'h. ...... .f E i\:;htecn thou. an<: an<! 00/100 "011." .$ Ie. 000, 00 I. witlt PGY"'enfl to be mod. os follows: SO~ S~ sh"..t_ Afty a"."",.. .. d..;aila. f..... .b... ....oft,a'i... ,..oIvl.. ..~O ."11. will b. ........ only u.... ",1110. a,do... ..d wnl baeom. o. ..t,. ,ha,.. ._, ..d .b... "'. ''''''.'.. All "",......" 'on Ii...., ..... "ri.... ..dd..t, ." d."., b.....d .u, ,on'''''. Own., to ,.". .'., t.,nodo ..d otho, .......'" ,..u....,. upon ...... _"'. W""'''..'. C........'1on ..d ..bl;, liability Inluranee on obovlr work '8 b. 'Ohn Out by build@r. a_oelMIy ......"..d ~ ~ ..~u John L~ith Com.t:. -= -2..=e L/ "' lolote - Thi. propo.a' may be ,.,lthdrown by VI if not o~c.p'.d within 10 day. ~ ACCfPTANCE Of PlOPOSAL ho ob... ";"'. ......"";... .nd ""'dillon, .,. ............, 0"" ... h.'.by "'....... You ... o,'hon,ad 10 da the ".,k ., P~ci"ed. 'aymenr ....m b~ made os oulli"'.d ..bov.. /;{~ ~\, at.~)? :J Signa'ur. 'c.p'ed Slvnatur.. , f'O"M J1410 . \3uLLbIN& aGL17l.\L..- ~ rn PLt\tW1LAL- 6vB'TC 1fr l- ~1i.D iT --- /0 TA-L- S&J~ Wl\-'T~~ M6:lI.A lb,PI L - il' ... ,,}.:; 'b-1N. '5t^1.lth (gL{4:5 ~ &\[/) , Vf\U)trfu),j: I ~ 1 000 /'57, ~D ~n ,50 ;!...o ."t:>'0 }..lIp,- ~/ft /.3>-',nJ LcNN~w f'~ ' tJ /ft ~A-~W 6ts -f1, ~ rJ 1ft 1~6PDa.rft17tl^, JmmLT Ftif.- s tlA ... il 6{12~b-iA~s w~ 6), M: L- H/W 6- ~,F-f; oTItJi.IL. APPLICAnON FOR PERKIT CITY OF ZEPIIYRBILLS BUILDING DEPARnIENT OWNER'S RAIlE r,ye 51 /~ s ~ u.5 tJ rt lei PHONE ( ?'/i) I ~c) - J cf\f' ~ OWNER'S ADDRESS / 7' / P b L" I P It ~ / () IS> /& / (Y ~ I~ (} C! c1 t2 ~ /~ ~ ~ ..i' ~ 5> 9- () I , JOB ADDRESS to 'l Lj.j- n ~ / I .8 I u /. z p J> ,t{ '/ /c ;; .' / /...(' ~/ s ..j S-...y /" , /" LEGAL DESCRI.P'1'ION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' c:9 -.5- ;) ~ -,) / () & J 6'- ('JdCJO C7 -c!J /' 70 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Hew Construction --.ftddition ~eration -Jlepair _Install ----8ian -.-JIove ->>eaolish PROPOSED USE: _Single F8IIily ~erCial ----lI/F _' of Units ----lI/H _Indust. _Swiat Pool _Other Restaurant It Health Departllent Approval DESCRIPTIOR OF WORK: -1 N -I C' It' ,. t' /2 K e j. ~ [) rI t? / 'j'-f (2 / BUILDING SIZE: .s~ & X ^I .L, Square Feet, Height RESIDEI1TL\L: AtTACH (2) PLOT PLANS It (2) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. COMMERCIAL: AtTACH (3) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. . PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UlLDING $ /f,&c90 Valuation of Total Construction RT.Rct'RI.CAL AIIP Service Florida Power Corp. W.R.E.C. -JlEClWlICAL -PLUHBIBG $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY . TYPE OF CORSTRUCTION: -Block _Fraae _Steel Other FDfISBED FLOOB. ELEVAnOIfS: Fr. IS PROJECl IN FLOOD ZONE AREA' .......................................... YES NO CONTRACTOR SECTION .' BUTT.DER /l " . . . ...'~"., '. aittPAIIY ~ ;{ "( . 1. . ~ )-<--1 .-/ k () tI /'- ,..r ;r!.' / / ~---/ /;;:/ ~ --47 State Cert. or Regist. . i: JS.3 ?"j.L./ Signature~ A ~ City License Registration' 6 ~ .......................................... COMPANY rl ( f!- ~r (1/ ~;) t:,; (e r'#p " e- State Cert. or Regist. . //.5:/7 City License Registration' /~~ ......................................... PLUMI$ER Signature QlIIPAIIY (1)/;2/<; 6A'J~ ffiflliJ:t/6 State Cert. or Regist.' ' )Q . >?' City License Registration' ,l) 7 .......................................... IlECBANIGAL COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICAnON APPROVED BY PERKIT OFFI-cIR. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS tbe undersigned understands that this penit JaY be subject to 'deed restrictiOll8' wbich JaY be lOre restrictive than City regulations. !be undersigned asSUJe8 responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIOler bas hired a contractor or contractors to undertake wort, they I8Y be required to be licensed in accordance ,ith state and local regulations. If the contractor is not licensed as required by law, both the mmer and contractor JaY be cited for a aisdl!ll!illOr violation under state law. If the OIOler or Intended contractor are uncertain as to wbat licensing requir8lellts JaY apply for the intended IIOrt, they are advised to contact the City of, Zepbyrhills Building Deparuent, (813) 788-6611. FurtherlOre, if the OIfIler bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich they ,ill be responsible. If you, as the OIfIler sign as the contractor, you are indicating that you1 rather, than the contractor, are responsible for the IIOrt. If the contractor lisbes you to sign as contractor that lilY be an indication that be is not properly licensed and Is not entitled to peraitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILI'tY 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 'Florida's Construction Lien Lal - lIaIeolmer's Protection Guide" prepared by the Florida DepartJent of Agriculture and COnsUIeI Affairs. If the applicant is 8OI8OIl8 other than the "mmer", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the ummer" prior to COlleDC8I8I1t. , ,. E. CONTRACTOR'S/OWER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all wort lill be done in COIPliance litb all applicable lals regulating construction, loning, and land developleDt. Application is bereby Jade to obtain a perlit to do lork and installation as indicated. I certify that no lort or installation bas CDleDced prior to issuance of a perlit and that alllork lill be perfoIled to 188t 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 goveIDlleDtal agencies lilY apply to the intendec1work, and that it is If responsibility to identify Ihat actions I lUSt take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and InviroDleDtally Sensitive Lands, Water/Wastewater !reatleRt t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeac1s, Wetland Areas, Altering Watercourses t AllY COIPS of Engineers - Seala11s, Docks, lIavigable Waterways t Departlent of Bealth& Rebabilitative Services, BnvirOllleDtal Health Unit - Wells, Wastewater l'reauent, Septic tanks t US InvirODleDtal Protection Agency - Asbestos abat8lellt ' I also certify that, if fIll Jaterial is to be used in Flood ZOne 'A' or 'A,etc.", it is understood that a drainage'plan addressing a 'COIpeD8ating volllle' li11 be sublitted Ibich 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 lith the wrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, norsball issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Iveryperait issued shall' becOIe invalid unless the workautboriled by such perlit is COIIeDcedlithinsillODtbs of issuance, or if lork authoriled by the perait is suspended or abaDdoned for a period of sillODtbs after the tile the work Is ~ced. One 90 day utensicm of. tile, IilJ be allowed for the perait lith fee charge of $15.00. tbe 81tension shall be requested in lriting to the Building Official. An approved inspection lUSt be logged dm:ing each sil IODtb period, or the. project ,ill be considered abandoned. "ARllIlfG 'f0 OWRIR: YOUR FAILURE 'fO RlooRD A 1I0000ICH OF aJlllDCBllllllllAY RlBOL'f II YOUR PAnlG filCH FOR IIIPROVIIIIII1'S 'f0 YOUR PROPIRTY. IF YOU IftIllD fO OB'IUII rIlWlCIIG, COIISOL! WlfB tOOR LIIDIR OR AI AnORIIY BIFORI RiCORDIlfG YOUR 1I0000ICH OF ClJIMIIIClMlIII. JOBS OlDER $2,500111 VALUE DO 10'1' IIIID fO RECORD AID POSt A 'IIO'1'ICH OF C(JtMDCIIIIIII1. D-Y~ ~7 ~ / SIGllArURE: OOBR OR 1GBIll' " Y: SIGIIA1'URI: COIIIlIACfOR - , '; . STAl'E OF FLORID~ ' ooum OF ~ The foregoing inst befo this ~ was acknowledged 19~by. . STAlE,' OF FLOR~ . " CoumOF ' ~ The foregoing inst befor e this t was acknowledged . , 19~ by ~ Pub/Ie. Statw Of a.... 'my Comm Ex" M"' " OIun(fa . p. ar, 17, 1995 Notary Public. State of Florida My Comm. Exp. Mar. 17, 1995 -':"~.' - .....----.-. -_.~_......--_._.---- -- -- ._-~._.._-~~. -_._...--..._.--_.._.---~-~-~..~~.._----~._-----_...........-.. .~- ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION B. N r:- II" usmess ame C \ ,to . C', I (' ~~ -:; (.".,' I;>. '. d Classification B'>....'~lJ:.S<t ~- ,_--'." '..-' .. .. _ J Address (~: lle( .:) (p.! I C\ I ' I ~::{ 1'.1 if I Alarm Monitoring Co. Owner/Manager 11? A v /l? c..l .s./1 ,N~ , Business Phone Emergency Contact Phone Occupancy Load Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY )1 FINAL 0 ANNUAL O.BI-ANNUAL ORE-INSPECTION 0 OTHER ;1 APPROVED 0 NOT APPROVED 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 ~use 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. " ., jl( ( ::t:T e,., 1 $ ee=l;Juc: $,- cO G""f 1'l!. e- N 0 p~ 13 {e=.....'.J kv (\..JO( (h-- TI-f; s 7'-";V1.fE, ;i'::oo: \.,,' '.;. 07/ c/o /75' Inspect. Date Re-Inspect. Date Owner/Manager Signature Inspect. Time Inspectors Name e ---;;r-- 15.3D .,' FireDept.lD##,;.SS:> ~-rr 4?7".'cv~~,'..' ::e-Titj; . . , -';! This building has been ch ed by the Zephyrhills Fire Dept. under the codes & regulations ot the' NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local tire safety codes. ' . White Copy - FUe YeDow Copy . Bid. Dept. Pink copy . Bua/ness