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Home My WebLink About95-4659 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 4659E / -026 -7~- Date BUILDING ~;~) PLUMBING MECHANICAL Sewer Conn P'operty owne". ~L ~m- Job Address: r J".__ _ .Jt: _ _ Parcell.D. # Water Conn: Water Meter: 3fi-~u '7 T.I.F.'s: Zoning: ~Energ_y Code: , _ Radon Gas: /I Oe,,';p';on of wo,~ (f ~ /:4 ~y j~g_ -l \ -" 1') fA"'! .7 NO OCCUPANCY BEFORE C.O. V FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Valuation or Contract Price ~~/'A- :LjXV Inspector Pe,m;, F~ dLl Signatur ~~a. Company Address Telephone# "iSl.s-530-~?? City License Registration # State Certified License# a~4?$~~- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv, 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 ($15,00) 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. ~ <- ct '-- ~ --::. ;. d <- \- ~ c! '5: 4 "l. ~\n 0 ~~ <:.- ~ ~~ ..~~ ? ..i.f.o"! J +t:.t\~ ~ ...., ~ ~ C>' ~ ~; <.. ~~ JU ~t~ i ~ ..\n ~~ 1 ~ ~ ~ r- 0 ~ ,,\ 0h. ~~ N ~ ~ ~ } ~ \.-c ~ '"'" \. ~ ~ o .. 'Ct~~ ~ Cl. 40..- c.~~ ~ 1J, ~ ~ ~ +~ ~- i~ 0 c>>;: a c.. '" ~ ~ ~fli ~~~i ~ ;'.f.. ~3 ~ o w > o a: 0- a.. <t: ~ 0- W o C!:J Z w 0 too- -..l <: 3 o CO Cl W ~~ ~~ > ~'0 U'Jr"b ~~ -' a.. ""~'''~.~'''''~'''~~.'(''..''''''.'''-1'':- '-"-""!.-'-~-~-'-."""-"'-'''''..~.....~ ...........'._.._. .. ...._..... _. ~ I' q,." j ~ _ cr 'i .::: J( ."1 ~ vJU:~~~ ~ ~1. ~ :J ~ ~_ f2, g ~~7Ci- -l 0 J 3 u. .r ~~)'3J ~~~Q8 o2--:rJ V 1 ::In \..fl ~n~J ~ ~ 4:- -J .-... ~ Q . 01\ ~ 1 1 1 t ~-t"> J ~ ~ t::) ~~ s= o 0 O~\. ~ q 0 l:'~'::":'\-".:, -;. .~ 0] 'N ON'! lV~lNVH~3W 'DN\8Wnld 'f)N\OllnS OtlVONV1S 'S300~ ~Nll\V^3~d HllM ^ ldWO(1 llVHS '>ttiOt1\ 11" APPLlCAnON FOR PERKIT CITY OF ZEPIIYIUIILLS BUILDING DEPAR'l'HENT OWNER'S lWIE t ItZCiF K L'CJRP . OWER'S ADDllBSS Sh/'JO I3R6C!.k.GlV~oGG" I?~IC (),<l- JOB ADDRESS l;(C)} ~.f<. 6'1 ~ ~""oI<G *"7/'3'D PHONE ~ 6;2/-554 LEGAL DESCRIPTION: LOT(S) BLOCX...--SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-'iew Construction ---..Addition ---..Alteration ~pair _Install oe. _Sign --.-Nove ---Peaolish Re:YH!-F .L19H-li#(j PROPOSED USE: ~ing1e Faaily --.Jt/F _' of Units --.Jt/B _ec-ercial _Iodust. _Swia. Pool _Other --..Restaurant &: Health Departaent Approval DESCRIPTIOR OF WORK: L/~~7//V'5 /l~-rd- UPt9R;90E PER ~~e-6 S~t~AI. BUILDING SIZE: x . Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENlmGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKI.TS REOUESTED ~UILDING $ Valuation of Total Construction ., RT.RcnuCAL AIIP Service Florida Power Corp. W.R.E.C. -.JIECllAlllCAL $ Valuation of Kechanical Installation ----PLUHBING GAS ROOFING SPECIALTY TYPE OF COBSDUC'l10N: -----.BlocIt _Fraae _Steel Other F1IIISBED F100R BLEVAnOBS: Fl. IS PROJEC'I' IN FLOOD ZORE AREA! YES NO .......................................... CONTRACTOR SECTION RIJJlJlD Signature COHPANY State Cert. or Regist. . City License Registration . .......................................... RT.RCTIUCIAR COMPANY ~ PE(!7RIC!. ~t' . State Cert. or Regist. . ECC~~2t'k. City License Registration' ~ g .......................................... Si-ture PLIDIBER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature IlECllANICAL COMPANY State Cert. or Regist. . City License Registration f .......................................... Signature OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... }1 MV' q J11 fr1r l (j PIlIIIIIT OFFICER. Signature APPLlCAnON APPROVED BY .. . ~ . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this pel'lit lilY be subject to 'deed restrictions' wbieb lilY be lOre restrictive than City regulations. Ibe undersigned asSUles respcmsibility for COIpliance with any applicable deed restrictions. 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 accorc1ance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor Iill be cited for a lisd_anor violation under state law. If the owner or Intended contractor are uncertain as to wbat licensing reguiruents lily apply for the intendecJ IIOrk, they are advised to contact the City of lepbyrbills Building Departlent, (813) 788-6611. . FurtherJlOre, 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 wbieb they .ill 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 the contractor wiabes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to peIlitting 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, have been provided with a copy of 'Florida's construction Lien LaIr - lkIIeoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUIBI Affairs. If the applicant is 8OI8OIl8 other than the 'ownerl, I certify that I bave obtained a copy of the above described docUIent and premse in good faith to deliver it to the 'owner' prior to COII8DCl!l8Dt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infOIlilUon in this application is accurate and that alllOrk will be clone in CCIIPliance with all applicable Ins regulating construction, loning, and land developleDt. Application is hereby Iilde to obtain a perlit to do,.Iort and installation as indicated. I certify that no wort or installation baa CDI8IlCed prior to issuance of a perIlt and that all wort will be perfcned to _t standarc1s of all Ins regulating construction, City codes, loning regulations, and land developElt regulations in the jurisdiction. I also certify th~t I understand that the regulations of other goverDl8Dtal agencies lilY apply to the"intended worl, and that it is -r respcmsibility to identify .bat actions I lUSt tate to ~ in COIpliance. Sueb agentles include but are not liaited to: t Departlent of BnviIODleDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDta1ly Sensitive Lands, . , . Water ,Wastewater 'l'reatlent t Soutbwest Florida Water Managl!l8Dt District-Wells, ~JPress Bayllea4s, Wetland Areas, Altering Watercourses t Any Corps of Ingineers - Seawalls, Docks, lIavigable Waterways t Departlent of Health & Rehabilitative Services, InvirOJlleDtal Healtb Unit - Wells, Wastewater 'l'reatlent, Septic !ants t US InvirOJilental Protection Agency -' Asbestosabatl!l8Dt " . I also certify that, if flU laterial is to be ~ed, inPlood Zone 'I' 'or II,etc.', it is understood that a drainage plan addressing a 'COI(l8D8iting vol_' will be sublUted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. '. A perlit issued shall be cOnstIued to be a license to proceed with the wrt and not as' authority to violate, cancel alter, or Bet aside any provisions of the ~cbni~lcod~, nor shall issuance of a perlit prevent the Building pfnelal fIOl ,~84fter requiring a correction of errors in plaos,consUuction, or violations of any code. .vl!lJ perlit'I88uec1 shall ))ecme invalid unless the wortauthoril8d by sueb perlit. is, ~ced .ithin. sillODtbs 'of issuance, or if IOrt autboriled by, the perllt is suspended or abandoned for a period of sixlODtbsafter' the tile the IOrt is ~ced. One 90, aiy:e'Jtension of tile, Iill be allOtled for the perlit with fee charge of t15.00. !be 81tensioD sballhe ,r~ested in lIiting . to ,~ Building Official. An approved inspection lUSt 'be logged during each Sil,IODtb period; or the project will he consider8c1 abandoned. ., , ilARHllIG TO OWRIR: YOUR FAlLURI 'l'O RECORD A t1O'l'ICE OF aIlMIIICBIIDI,MAY RBSUL'l' III YOUR PAYItlG filCE FOR IIIPROVIIIDIS 'l'O YOUR PROPBR'l'Y. IP YOU IJ'fIIID 'l'O 0Bt11l FIDIICIIIG, COISUL'l' WI'l'H' YOORLDDIR OR IIAnoRIIY BIPORI IIG YOUR .001CE OF aHlllltlCIIIBIf'l'.JOBS UIDO t2,500 III VALUI DO t101IEID 'l'ORICORD lID POS! I '1I011C1 OF aJtMIIfClllD'l'. SIGHA!URI: OIIIIIR OR AGIII! STA'l'I OP FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by ~O~pFLORIDA kQcs " The foregoing .1nstl'Ull8llt was acknowledged before me this \ ~ ';).(0 , 19.95- by . '~(\'CK'.'\<.Mu~c who'is personally known to me or who bas produced . as identification and wbo did/did not take ,an oQ.th. ~ ~ o-f:jO--- (Signatur ) who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name. Typed, Printed or Stamped) NOTARY PUBLIC .