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Home My WebLink About95-4669 BUILDING PERMIT P . N'O ermlt -. Property Owner: Job Address: Parcell.D, # ..-" :)5 ~-:3. ~~ CITY OF ZEPHYRHILLS (813) 788-6611 _ 466!J6 ' Date /-..50 -9S- ~ .;g, Zd l' ---......... c;;:: n~l~ M~Sew" Conn L i,4-- ~ ~ Water Conn: } f./; - ater MJ!Jer: P:-'JZI j I . .I.F.'s: ~5:3.. ~ Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL 5'~ 1-9::> /-~ 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 ~ :;; ~ ' () C) Contract Pric r /)tJ Permit Fee Signat Pre-meter-Florida Power (Renitta) Nancy 05/01/95-09:45 A.M- . BUILDING 1/7;E11J . ~r/nk ELECTRICA,! '1/ Address Telephone# City License Registration # State Certified License# c>tl)L~ ttt /ftL SLB Tub Set Water Sewer Final ~AL Breakers Ducts Insl. Compressor Final P~ Ftr. Tp. Servo Pre SLB ~ B~\':lh In Lintel 2- '21-'15 b\.l/-l~rJrefer CanrJ--Iy.-y..~- FRM. . /. Const. Pole Insul. CL Pool./ WL Pre-Mete,v"S-ljij~ 60&- 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. BuL~IN& aGL11l. $.... ~ rn P-o\ANlli\L- 6$810 ~l- ~~lT ~ /0 TA-l- SEN~ WI\-Tf-.R. IV\~ 1'(; If! L . r , I .- L,!l tVlc-'~ 10\l\.... '~',S)TIt'l";:'" I1LI-iV,,\, Uj\.)~T ~,( ~)U~TC.) ~cf ~~);+IL g,.,(fH l NlLw b ~ j) " ~c) VAWJI\-ru:'fJ: 5. ~oo. I3l'\Sii.\) tvJ U-. ~r.iTt01'-'r (t4c..cL I . /_ . -/" -J-~ . ( .5(:r~ > (/j750 t\e p ( .;:.> ~\ M: l-lVIN&- o I . -::~ ""'t :33.}5 _~ "CO ~.FT. olltlUL ~~~~ . N/~ N/" 6:NN[.ql~ F~ ' . _II! ~/[l 1 iCes + , , I/: RcolY! Yii/f- DO . I ! / ~A-~W 6t\'s ~l n NJA 7~6PDa.:rfYfltvJ tmPrtq' ,ftLF-S . . ( . I P\i({ ~O~' '. .-, 1.5;},{;E Y'CZ% /~~ :1 ~- I b J I G_cl :.Y-...J ' 77~'O~ 1scf . , , APPLICATION FOR PERKIT CITY OF ZEPIIYlUIILLS BUILDING DEPARTKENT '. OWNER'S ~\~~\~- OWNER'S ADDRESS ~J S 2~ L.o~~ \- JOB ADDRESS C'~(\ S\ '-~~ S~ , ~ PHONi~\~)(~~ -=1:S0~ /~'U~\\.~ ~L LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:---.Jiew Construction ----Addition ~teration ---Repair _Insta1l _Sign ---Ifove ->>eaolish _ec-ercial --.Jt/F _' of Units ----1!/B X-Indust. _Swia. Pool _O~er PROPOSED USE: ~ing1e F_il.y . ----..Restaurant ~ OP;:-=lt App~s1 DESCRIPTION OF WORlt: bo-\D C'{\l~ ~ S 1\\ BUILDING SIZE: X Square Feet, Height 6..\).cL J, RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COltKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. -BUILDING $. PERMITS REOtJ&C)TED Va1uation of Total Construction I. RT.RCTBI.CAL AIIP Service Florida Power Corp. W.R.E.C. --1IEClWlICAL $. Va1uation of lIecbanica1 Installation ---..PLUllBING GAS ROOFJ.NG SPECIALTY . TYPE OF mRsTRucnoN: ----B1ock -"r_e _Steel Other FI.RISBED FLOOB. ELEVAnOI1S: Fl. IS PROJECT l.B FLOOD ZONE AREA' YES NO .......................................... Signature lDlTIlA~ ~ ..~.. '.mllPANY ,me State Cert. or Regist. . City License Registration . .......................................... ,., RIITU)ER L/7 .,. ::~~ COMPANY ~f\~.;:::) /' j ~~!2 State Cert. or Regist.' t=-IICJ. ur .. U / /6i0"7 City License Registration' '1' . ... ..................................... "i. PLUllBER. cotIPABY Lo~O:> ~~ (-3 ~ ~ .. State CUt. or Be8ist. . Signature ~ _ ~ City License Registration . ... . .................................. . I~~ IlEClWU.CAL COIIPANY State Cert. or Reaist. . Signature City License Registration . .......................................... OTRRR COMPANY State Cert. or Reaist. . Signature City License Registration . .......................................... APPLICAUOI APPBOYBD BY PDllIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned UDderstands that tills penit IIY be subject to 'deed restrictions' wbieb IIY be .re restrictive tbaD City regulatiODl. lhe undersign!!d asSUles responsibility for COIpliance witll anJ applicable deed restricti0D8. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tile OIOIer has IIlred a CODtractor or contractors to undertake work, they IIr be required to be licensed iD accordance with state and local regulations. If tile contractor is not liCeDBed as rl!C)llired bJ law, botll tile 0IIDer and contractor ., be cited for a lisdeleanor violation under state law. If tile owner or intended contractor are uncertain as to lhat liceuing reguir_ts IIJ applJ for the intended worll, tiler are advised to contact the City of Zeplllrllll1s Building Departlent, (813) 788-6611. .' .. "\. Furtberlore, if tile OIfDer bas bired a contractor or contractors, be is advised to bave the contractor(s) . sign portioos of tile 'Contractor SectiODl' of Ws'applicaUm for wbieb they will be responsible. If IOU, as the 0IfDel' sign as the contractor, rou are indicating that JOu, rather tban the contractor, are responsible for the wort. If tile contractor wishes JOU to sign as contractor that IIJ be an inc1ication that be is not properly liceued and is not entiUed to penitUng privi1eg~ in tile Citr of Zepbyrbills. ' . , C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certifJ that I, the applicant, have been provided witll a COPlof 'Plorida's COnstruction Lien Law - ~'s Protection Guide' prepared by the Plorida DepartJent of Igriculture and COD8U1er Iffairs. If the applicant is ..... other tbaD the '01fIlerl, I certifJ that I have obtained a copy of tile above described c10cUIent and proma in good faitla to 4ellver it to the '01fIlerl prior to co.enC8l8Dt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infOrlation in tIlis application is accurate and that all wort li11 be clone in co.pliance with all appUcable law. regulating construction, IDDing, and land developleDt. I Application is hereby Jade to obtain a penit to do wort and insWlation as indicated. I certify that DO wort or installation has -=-need prior to issuance of a perlit and that all IOrt li11 be perfonec1 to _t .tandarda of all lad regulating construction, City codes" 10ning regulations, and land deve1opll!Dt regulations in the jurisdicUCIl. I also certify that I understand that the regulations of other goverJll8Dtal agencies .y apply to the lDten4ed wor1, and that it is IY responsibility to identify lbat actions I lust tue to be in COIpliance. Sueb agencies include but are DOt 11lltecl to: I Departlent of InviIOlllelltal Regulation ~ Cypress Baybeads, Ifetland Areas and InvirOD8lWly Sensitive Lands, Ifater/lfastewater rreatlent I Southwest Plorida Ifater Jlanagl!ll8Dt District - ileUs, Cypress Baybeads, lIetland Areas, I1tering Watercourses t ArlY Corps of Engineers - SeawaUs, DocIla, Navigable lIaterways t Departlent of Health' Rebabilitative Services, BnvirOllleDW Healtll Unit - lIells, lIastewater rreatlent, SepUc lanb I US BnvirODleDtal Protection Igency - Asbestos abat_t I also certify that, if filll1terial is to be used in Plood lone III or 'A,ete. I, it is understood that a drainage plan addressing a lCOIp8D8ating voJ_I lill be sublitted .bieb 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 IIOrt and not as authoritl to violate, cancel alter, or Bet aside anI provisions of the technical codes, nor shall issuance of a peIlit prevent the. Building Official fa thereafter requiring a correctiCll of errors in plans, construction, or violations of any code. Ivery perait i88ued sball bec:me invalid unless the wort autboriJed by sueb perlit is ~ceclllithin slllOlltbs of issuance, or if work authoriJed bl the pmit is suspended or abandoned for a period of lillODtbs after the tile the IOrk il ~cecl. One 90 day atensiOll of tile, ., be allOled for the penit lith fee cbarge of $15.00. rbe IItension sllll1 be requested in lriting to the Building Official. An approved inspectiCll lUSt be Jogged during eaeb 8il ath period, or the project lill be considered abandoned. IfARIIIIG ro 0IfB1R: YOUR FAlLURI 10 RlCOIIp A ROrICl 0' aIIIBIcmt lilY RlSULf II YOUR PIYlIG nICI FOR D1P11JVDD18 ro YOUR PROPIRTY. I' YOU IDIID ro OBflIJl 'FIiIIIICIIG, (DSULt lUlU tOOl LIIIDIR OR II ArroRIIY BIFORI RICOIDIIG YOUR JOIlCl 0' CCJIMIICIIIBJf. JOBS OIDD $2,500 II VILUB DO 101 1110 ro RECORD AID POSf I 'IIOIlCl OF aJIIIDCIIIIIIl. ' ~ // / - /.----- ..;;.;:;-- ~..- .-- ; --/' .' ~.,d7~~ 81 TUJII: con . srATI OP PLORIDA coom OF The foregoing instrument was ac~owledged before me this , 19.__ by, . srArl OP 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 _ or who has produced \A . as identification and who did/did not take an oQ.th. (Signature) (Signature) (Haas Typed, Printed or Sta.ped) HOTARY PUBLIC (Hillle Typed, Printed or Stamped) HOTARY PUBLIC