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Home My WebLink About95-4668 BUILDING PERMIT Permit N-~ Parcell.D. # 3"8'~ ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 4668i5' /-:3.0.-7 S- ,,-;' ~15~ Date BUILDING M~I~ :,ewer Conn 3 JJ ft-. Water Conn: Water Meter: r.;y...J ~ ,- T 1.F.'s: ~ 01.. aD Zoning: Description of Work &dd)~ f/ <~~W~'". '-ko\r NO OCCUPANCY BEFORE C.O. O,'(L FINAL C.O. 11..,2. ~\... DATE L-.r;-.~ ~ DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, BUILDING '1-7 Zf7 ' L;11v> k;,; ELECTRICAL It L/ / Valuation or 1- ~ ..1iJ..--L2.. Contract Price . <" g lJtJ . City License Registration # State Certified License# Address Telephone# ~~il/~ 01Yyu- ~1 ~L ~ -- Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 3.2-t-'i *) ~ 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. L K'/1 'L.'U--L-- (::c.,(:: S-,::'~:>''''1:"'~ AlA:;l.-l.:' . ,.). r ~ L < ..,. . '-.' . -- ~ Ut.,HT 5" CLo~~:"Tii- ') -:-..... Vffl..).,}f\-nDN: ~qpo ~ !?"Is....\> os. Yz.. of (o~TI4'L"T. ?M~.L Bu~~IN(,- I ~7t G"er EL&.L-11L \(, I j3, d-) Pw.~ I ,..i/" tvtPLt\AN1LAl.--! Nlft. bvB1C 11\-L. : I ~wrr II NIt', (o'{1tl- I, tl I f ! LcNN~~ F~~ t S&J~ !I WA,f-~ il N ~ Mfi:r"tA I / f I, ""[t; IY'l L Ii I' II I t \l-I\-~ 6'6 ~~I N/A I,. _ I 7f\~6PDa:rfY{iOfJ lMVtta t(J---S I , ? 5b1,~) II RAt- \ZD'i C(1'% . 1lr6;, zi! I ./% 5,~( -- cr)r: (:: ((:! t ~\ PI: t.-H/IIJ 6- 5 -.,(!e~ . ~Cb' -=-=--- 9' (\(('1) 01, fr;. olltlUL .-J---- ~.) .... ,---- ~~ ~ /1'2-.. C(1/ '~ 3'71 -" /1 3~ /.~) . ~j~ ~ .--- ....."...- -. .::~,---- I: APPLICAnON FOR PERKIT CITY OF ZEPIIYIUIILLS BUILDING DEPAR'J.'HENT OWNER' S IWIK ffi \ ck\.~' ~~ OWNER' S ADDRESS ~"I S ~ lo~~ \- JOB ADDRESS ~(\ ~ ~~ S~ , ==x:+ PHONi~\~)(~t, :t~a~ ~~"O~\\., '\;"L- LEGAL DESCRIPTION: LOT(S) BLOCIL--SUBDIVISION PARCEL I.D.' (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ~ition bteration -.-.Repair _Install _Sign ---lfove ->>eaolish _ec-ercial --.-Jt/F _' of Units --.-Jt/H ~Indust. _Swill. Pool _Other PROPOSED USE: ~iDg1e Faaily __Restaurant .. B~ Depar1t APP~al DESCRIPTION OF WORK: bo-\0 C'(\~ ~ S ~ BUILDING SIZE: X Square Feet. Height 60R- J7 RESIDEIITUL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED ---BUILDING $ Valuation of Total Construction RT .R.ct'RI.CAL AIIP Service Florida Power Corp. W.R.E.C. ---lIEClWlICAL $ Valuation of Hecbanical Installation -PLUMBING GAS ROOFING SPECIALTY . TYPE OF COBSTRUCTION: ___lock _Fraae _Steel Other FDlISBED F.LOOll ELEVAnONS: FT. IS PROJEct IN FLOOD ZONE AREAT YES NO .......................................... CONTRA~O~ S:Ecrm/l .~ .cotIPAIIY_LB. mC~ State Cert. or Regist. t City License Registration . Lj 7 .......................................... RUTI .DER Sigoature ..' :~~ COMPANY ff\f\t:=T1'\~ / J 4 -La State Cert. or Regist.' t=:.//Cf A . U / /6i7~ City License Registration' t.t / . ...~..................................... PLUMBER . COKPANY Lo~ ~~ c-3 ~ ~ State Cert. or Beaist. . Sigoature _ City License Registration . ~ .... .................................. I:?.~ IlECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... OTR'RR COMPANY State Cert. or Regist. . Sigoature City License Registration . .......................................... APPLICATION APPBOVBD BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fhe undersigned understands tlJat this pemit lilY be subject to 'deed restrictions' wbieb lily be lOre restrictive than City regulations. fbe undersigned assOl8S responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas blred a contractor or contractors to undertake wort, they lilY 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 IIilY be cited for a IiscleJeanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguiruents .y apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. . . FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for whieb they will be responsible. If JOU, as the owner sign as the ccmtractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the ccmtractor wilhes you to sign as ccmtractor that .y be an indication that he is not properly licensed and is not entitled to perlittiDg privileges in the City of Zephyrhilll. 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 'Plorida's Construction Lien Law - 1IcIIeoImer'1 Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUll!1' Affairs. If the applicant is 8OIeOD8 other than the 'OlDer', I certify that I bave obtained a copy of the above described docUl8Dt and prol1se in good faith to deliver it to the 'owner" prior to COllenCl!l8l1t. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infol'liltion in this application is accurate and tlJat all work will be done in COIpliance with all applicable laws regulating construction, Joning, and land developlellt. Application is hereby IIiIde to obtain a perlit to do work and installation as indicated. I certify tlJat no wort or installation has ~ced prior to issuance of a perJit and that all IOrk will be perfOIll!d to I88t standards of all laws regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also certify that I understand that the regulations of other gOYl!IDE1tal agencies IIilY apply to the intended work, and that it is IY responsibility to identify what actions I lust tate to be in COIpliance. Sueb agencies include but are not luited to: t Departlent of InvirOlllM!Jltal Regulation - Cypress Bayheads, Wetland Areas and InvirolllM!Jltally Sensitive Lands, Water/llastewater freatJent t Southwest Florida lIater Hanag8l8Dt District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercoursea t Anly Corps of Engineers - Seawalls, Docks, Navigable lIatenays t DepartJent of Health i Rehabilitative Services, InvirODl8Dtal Health Unit - lIells, llaatewater !reatlent, Septic !ants t US InvirODJeDtal Protection Agency - Asbestos abateJeDt I also certify tlJat, if fill laterial is to be used in Flood Zone 'A' or "A, etc. " it is understood tlJat a drainage plan addressing a 'COIpenSating VOlOl8" will be saitted whieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. . A perlit issued shall be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the. Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCCII8 invalid unless the work authoriled by sueb perlit is COII8Dced within slllOllths of issuance, or if IOrk autboriled by the perJit is suspended or abandoned for a period of slllOlltb8 after the tile the IOrk is ~ced. One 90 day atension of tile, IIilY be allowed for the peIlit with fee charge of $15.00. fbe atension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb slllODth period, or the project will be considered abandoned. NAIUIlffG fO OIfffER: YOUR FAILURE TO RECORD A ffO'l'ICE or COIIIDCIIIIIfI MAY RBSULf Iff YOOR PAYIIfG rvlCE FOR I.MPROVDDrS TO YOUR PROPIRTY. IF YOU moo fO OBfW -FIIWIClIG, COISULf VIm YOOR LIIfDIR OR AI AnoRIIY BBFOBB BICORDIffG YOUR IfO'1'ICE OF allMBffCIMBIfI. JOBS OlDER '2,500 Iff VALUE DO ffO'l' ffllD TO RECORD AID POSt A 'ffO'l'ICE OF CCJEfCIMIM!'. ~ /;< --~ . .- - - . / .-:-- ,.. /- ...-..--- :=.:: ~-~~ II fURl: ' SrArE OF FLORIDA coom OF The foregoing instI1JDlent was acu.owledged before me this , 19____ by SfA'R OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to lie or who has produced ' as identification and who did/did not take an oct.th. (Signature) (Signature) (Bame Typed, Printed or Stamped) BOTARY PUBLIC (Bame Typed, Printed or Stamped) BOTARY PUBLIC -**'-- . . CUSTOMER TELEPHONE PHONE 782-5312 a.uce Order Ne. L.B. McKell Construction 35648 Chancey Rd. Zephyrhills, Florida 34248 Ceatraet N.. ~ 5Li"i-'S//j j c: -J/.f./'.- / L. ~p'...~", o ~ L . 3' ? ,.;..? //:.......7.1~. J/ ~.'('/ o "// T _2;"dA~/~.//f' ..~~ i.>5 ?..rp o /.. ., DATE CERTIFICATE OF COMPETENCY 45 TEIl.MS .~~ t\DDIlES.~ ( ,'; :::t I _---"::> <, Cj 1.O......... ::...:> - - I woax 'to U COMPLETED State Registered Building Contractor RBOO12335 Hem Description "moat \1\ l.':') I Y_,.) '~~n' I... ....>. '-L ,-\ ' ~ c,. \,......1'. ......- \..-..~..'" \ . ,"~' ~~\I..~~ ,-) ~.. (\ j \ -- '\ v~.,.. -'" '1\ ') f Q c) ,......'.:;> . .. "- I ;.. ,'1 a...:.., ..w _ L" t. (j \ '\~ v.....$J_~_.J 'I -- lAJ.~ ~ *~ ~) , \ -" -.\:::u? \ 't.~ G '-.....7 ~~- '<J C(J~ ;/ - ~! " ~\(, \ \' f... ) , '- \ "\ p()(-.- ......1 , I ' lJ!l}/7 t.l '/ 1...../ - A ./ ,. ~ / A l/~ft/f //. (:: . .;.e<... ---r::: (.oj / .kH// /~/'I'/r!' 7 $'/ ~A; I ./ 1- <. ':4,";{.: r ~ I~ <'"'"' r-- , \...J c I' ,2 ... #;, /) /3,71'/ ~ . /~.. //'~ /4,.-..",// ,/ '].. ~ S ) {....,6..(/ i u+ t /%cr / 1/1/1'1 .,7-'/ 7 B/ /. ;t.?,! t.f j,i / 7,. ./~- ' ( ~rc.)l L- " - I '- C -'" -Ie I ,,' ".:> '- \ ) ,""\ I ""~\ (J"'-.' ) GUARANTEE: McKell Constrncrion guarantees Work against defects in workmanship for a period of one year to the original purchaser. The guarantee does not cover damages causlfd by high winds, tornadoes. hurricanes, or any other acts of God. '" . _.""/ .' ,!".~ ,'''- /'" L J'..,..,; L..L.__" " 1 / 4;..~1 ",/' . , , AatIIorized Ilepreseatatlve In event Seller has to sue for collection of all or any part of contract !>rice. purchaser agrees to pay collection costs including reasonable Attorney fees. sun TOTAl. . I I ! l<l ) -, . SALF.S TAX PUBCIIASER RUIIJW'a; PF.RMIT · CHAND TOTAL · Please make all checks payeble to Lewis B. McKell. I I j 1 i I . .."___._'.'__n .__....,__ .__.__ ___._.....__.__.__,_ ._.._._._..__.._.____.___.____n__. ..______.____. .._.._.______ _,_.1 ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name Classification Address Owner/Manager Business Phone Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL 0 ANNUAL o OTHER o NOT APPROVED OBI-ANNUAL 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 cause 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. Inspect. Time Inspectors Name Fire Dept. 10 # Inspect. Date Re-Inspect. Date OwnerlManager Signature Title This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes. White Copy - File Yellow Copy - Bid, Cap\. Pink Copy - Business