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Home My WebLink About95-4658 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 4658 E / -~ -7.s-' Date BUILDING ~TR~ PLUMBING MECHANICAL Sewer Conn Water Conn: :~~:~:,~:~e' I ~i:7~ Lp ~S dY-5~ Parcell.D. # Water Me!er: T,I.F.'s: Zoning: Energy Code: De,c,;p';on of wo,,,,,,_efJ~ h Il E f r "- - ~ R,adon Gas: ~ /1AA NO OCCUPANCY BEFORE C.O. FINAL__- DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# y~ ;2/ ~ Pe,mit Fee~ c7V Si~nature ~ 'JJ0<pP~ Company Address Telephone# ~/.3- 5:3~ -0077 Inspector Valuation or Contract Price o-P$ &rt,.L;, BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv, Rough In Meter Can Canst. Pole Pool Pre-Meter 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. ~ ~ '" ~ ~ J ~ o .... ~ J) -::r --::r ...- ~ ~~~~T"\Y1::""-' ....':t~..., ,-". ...., - --"1'"''' ...._~....-....._~.._M.. J7i:.-=- . ICY Q3/iO", . . '. add'r;' ' . -> '--S .L~a ~Nlalme Q3M3/J\3H SN~ ::;- 31 Va V7d o c;) ...! ~ ..... _ ..2 o "... cs::=> t' ~~~ ~ \ ~~o-~ -""2S a... ~~l~C\r -~ --------- / t.?6"' .: ~ t-o< -~~ 3::<2: >-0<( ...JZ:I: o..~~ :;:: (/) :E . o . 0 <.:> c.f) c5 . ~l.JJzl..\J --18coZ <( ,..... <or;' _ :I: - '""- 1.-1 (/)0:=>% I, :z: ...J <( ~_c.. a:-J . o-c.!) ~<% ~>- f: . L.I.J 0 -0:::--1 .;i 0..5 t. ' CP E ~ (\.. ~,~ ~ ~ ~~~I j ~ ; ; ~ o ~-::. ') "3 '3 1 ~ (' ~ ~ f 1. Q 3' . _ ..c~:>-" 2 v; ~ g ~ ~\:J ~ ~~';.:~ ~ j r= -:r \.... ~.-- ,~ . -, '.' , cP:::r-C/) .... ...., J t l --J- .jj ~J? ~? ?~~ ~ ~ g ~ ~ -:r " :; '/ - \ , I oo~ M -/- - - - APPLICAnOR FOR PElUlIT CITY OF ZEPIIYRBIU.S BUILDIRG DEPARTKERT onER'S RAIlE eJ~~l~ It! (!aGP. PHORE b~/- s.s-~ OWRER'S ADDBBSS li65D tl:3RlFeeG:N~{{)~t; ~K hlJ_ -;;!i"PJPH- JOB ADDRESS /507 ~ e<II.o. 5'1(!J1ef?.:tI::-O/~D LEGM. DESCRIP'l'IOR: LOT(S) BLOCK SUBDIVISIOR PARCEL I.D.# (OBTAIR FROM PROPERTY TAX ROTICE) WORK PROPOSED:~ew Construction --..Addition ---..Alteration hpair _Install <<. IlEftJlc5 .lltj#7/N9 _Sign ---Ifove ->>e8olish PROPOSED USE: ~ingle F8IIily ---.Jt/F _' of Units ---.Jt/H _ec-ercial _Indust. _Swia. Pool _OtJ;1er . _____estaurant Ii: Health Departaent Approval DESCRIPTIOR OF WORlt: L/6'/I7}/vC; Rl?7?zv;:::/rq... (/P~R/90t,F" f/b7< ,c)77"~#e-O S.k'~#_ , BUILDIRG SIZE: x Square Feet, Height RESIDBHTIAL: ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDIRG PLANS Ii: (1) SET BERGY FORMS. COHHERCIAL: ATTACH (3) SETS OF BUILDIRG PLANS Ii: (1) SET BERGY PORMS. PROPERTY SURVEY BEQUIRED POR ALL REW CORSTRUCTIOR. PERMITS REQUESTED -BUILDIRG ~crJUCAL ~ClWlICAL ----..PLUKBIRG $ Valuation of Total Construction AIIP Service Florida Power Corp. W.R.E.C. $ Valuation of lIechanical Installation GAS ROOFIRG SPECIALTY TYPE OF CORSmuCfiOR: R]ocIr. _Praae _Steel Other FIlIISIIED FLOOB. ELEVAnOIlS: Fr. IS PROJECT IR FLOOD ZORE AREA? YES NO .......................................... COBTRACTOR SECTIOR RMIJ)RR COHPARY State Cert. or Regist. # City License Registration . .......................................... Signature RT.RCTRICIAR COIIPARY F=JP~ ELG"{! 7'<. j ~ ;r7V~. State Cert. or Regist. # ECOoool/Kh City License Registration' ~~. .......................................... Simuature PLUMBER COIIPARY State Cert. or Regist. . City License Registration . .......................................... Signature IlECllARICAL COIIPARY State Cert. or Regist. . City License Registration f .......................................... Signature OTRRR COIIPARY State Cert. or Regist. # Signature City License Registration . .......................................... APPLICAmHI APPIIlIVIlD BY ~ A<r ~ J1! ~~ PBIlIIIT OFfiCER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understaDds that this penlt lilY be subject to Rdeed restrictiODlR .bieb lilY be lOre restrictive than City regulatiODl. !be undersigned as8UIeB responsibility for COIPliance .ith any applicable deed restrictioos. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer bas hired a contractor or contractors to undertake IOrt, they lay be required to be licensed in accordance .ith . state and local regulatioos. If the contractor is not licensed as required by lu, both the lJIIDeI and contractor IilJ be cited for a lisd8le8llOr violation under state lall. If the owner or intended contractor are uncertain as to wbat licensing requirelellts lilY apply for the intended IOrt, they are advised to contact the City of Zepbyrhills Building De1firtIent, (813) 788-6611.' FurtherlOre, if the OIner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the RContractor SectioosR of this application for wieb they .ill be responsible. If you, as the OlDer sign as the contractor, you are indicating that' you, rather than the contractor, are responsible for the IIOrt. If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlittiDg privileges in the City of Zepbyrbills. ' C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) 1 certify that 1, the applicant, have been provided .ith a copy of RPlorida's COnstruction Lien Law - lkIIeoImer's Protection GuideR prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is 8OII!OIl8 other than the ROIDerR, I certify that I bave obtained a copy of the above described clocuIent and prOlise in good faith to deliver it to the RovnerR prior to ~Cl!l8Ilt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infonation in this application is accurate and that allllOrk will be done in COIPliance with all applicable lU8 regulating construction, loning, and land developent. Application is hereby Jade to obtain a pmit to do wort and insWlation as indicated. I certify that no IIOrt or installation baa ~ced prior to issuance of a perlit and that alllOrt will be perfOIJec1 to Jeet staDl1ards of all Ius regulating construction, City codes, loning rtguIations, anc11and clevelopJellt regulations in the jurisdiction. I also certify th~t I understand that the regulations of other goveIJll8Jltal agencies lilY apply to the"intenc1ec1l1OIk~ and that it is If responsibility to identify .bat actions 1 lust take ,to be, in COIPliance. Sueb agencies include but are not lilited to: t Departlent of Bnvirolll8lltal Regulation - Cypress BaybeacJs, Wetland Areas and EnvirODleDWly Sensitive Lands, 'Watu/Wastl!1later '!reatlent t Southwest Florida Water Hanagl!l8Ilt District -Wells, ~ypress Baylleads, Wetland Areas, Altering Watercourses t Arl' Corps of Engineers - Sea.alls, Docks, lavigable Waterways t Departlent cif Health & Rehabilitative Services, EnvirDJIIeDW Health Unit - Wells, Wastewater '1reatJent, Septic 'lanD t US InviroJilental Protection Agency - 'lsbestOlabat8lleDt " . I also certify that, if f111lilterialis to beWled.in Flood Zone BAR'or BI,etc.R, it is understood that a drainage plan addressing a RCCJlPeDBilting vo1_R .ill be sublitted .bieb is prepared by a professional engineer registered in the State of Florida prior to penit issuance. . , . . I perIIit issued shall be cOnstrued to bea license to proceed with the Work and not as authority to violate, cancel alter, or set aside any provisioos of the \8cbnical,cod~, nor shall issuance of a pmit prevent the Building' 9ffici~. fa, ~8ltfter requiring a correction of errors in plans, construction, or violations of any code. ' Ivery pmit'i8sQed shall ~ invalid unless the WIt 'authorized by such ~tis, COMeIlcec1 .i~ln, sU'lOIltbs of issuance, or if IIOrt aut;boriled bl, the pmit is suspended or abandoned ,for a period of sUlODtbs after the tile the IIOrk is ~ced. One 90, uyutension of tile, .y be allowed for the perIIit with fee ebarge of '15.00. !be atension shall be recpested in uitiDgto.~ BuUlling Official. An approved inspection 'lUSt' be logged during eaeb' sil IODth. period~ or the 'project will be considered abandOIled. ' IWUHIfG to ODD: YOUR PAILURB 'fO RBCORD A 1f0000ICE OF COIII8RCIIIIII MAY RESUL! II YOUR PAYIIG ICE FOR IIIPROVIIIIIl!S to YOUR PROPBR'fY. IF YOU mIlD to onm PllAIICIlG, COISUL!WllII' YOUR .LIJIDIR OR AI AnoRIBY B.IPORI IIG YOUIIIO'IICE OP C<IUIIICBHBIlI.JOBSUlDER '2,500 IH VlLUI 110 IOIHBID rORECORD lID POSt A 'ROIICK OF C(JtHII ". SIGlAtuRI: OIIIIBR OR IGIIl1' S'!I'!I OF FLORIDA coum OF The foregoing. instrument was acknowledged before me this , 19____ by SIAR OF FLORIDA r-) ccum OF '.'v'\j\..Q..\l..u. "S Tbe foregoing' lnstrument w,as acknowledged before me this \ ..~ , 19 eV5 by . ' ~(\ .'~~:"~LAc- who. is personally known to me or,.bo bas produced . as identification and .bo did/did not take ,an oct.tb. who is personally known to me or who bas produced as identification and .bo did/did not take an oatb. (Signature) (Name. Typed, Printed. or Stamped) NOTARY PUBLIC ) i~~~f~_, MELISSA TREMBLAY kJ ,./!;;.~ E;~ MY COMMISSION # CC428509 EXPIRES ~~"~:$i December 28, 1998 "''Jf..9f.~'t>'' BONDED THRU TROY FAIN INSURANCE, INC.