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Home My WebLink About95-4698 BUILDING PERMIT ~ --: c.n) c!~~~\ CITY OF ZEPHYRHILLS (813) 788-6611 Permit ~ 469B 13 ~~, t:rD Date d- - /~-. --p ~ ELECTRICAL /' PLUMBING MECHANICAL Sewer Conn Property Owner: "- Job Address: ,~ Parcell.D. # II-d./' ,.~- l}()/O - ~ 0 9't1 0.. OCJ 6 0 Water Conn: Water M.!lJer: T,I.F.'s: Zoning: ay Code: Radf:s: DesaiPtionOfWO'k>~- -+ ;r~/ _"", /-~ / Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. - .-<1/ /).A.N./L.IZ -nq~C .~ FINAl__~'\. \CV\. DATE C.O. NO OCCUPANCY BEFORE C.O. llI&,U ~IL ,~LJ_ J . '1rHl.UII L mllllll L~ llLJL.JUIIf.lJfl ~Ln' Permit Fee~" , o-z) Valuation or --; L Con"ac, P,ice ~ tJ77Z9. d'D Sign"'u,e L7~ 7/Cl.u~ Company Address Inspector DATE ~'S City License Registration # State Certified License# Telephone# 7%0"- 7,;(/ ~ /~A ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Const. Pole Pool pre-Metr Final ~ '\ts. \. Driveway ~.oJP ^ Q ~ -C(,/oJ/lt.'if "'~ y.....~ltJ-a5 \.)0-0- / 2-Q" icb <{... -", 1,8,4 ~ n~ REINSPECTION FEES: When ~ion tnps are nece~~y due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: Ftr. Pre SLB \ r..y\'~ '~ Lintel 4- \ J, ~ FRM. Insul. CL WL Tp. Servo Rough In Meter Can SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. BY ______________ DATE,________ CHKD. BY n_n__ DATE,________ ------- ------------------------ D:J ~~~/I9_-I ;-~_;;---- --- -~ -,:-7 7-; -f-'-;:: h__ -----------------~---------~~~~--ClJ---~---- S ~ --:t.L_ _1 f, _~ _~ _ l;_"--_ ___ ___ ~_ h,Lt!~___ ____ SHEET NO.,_______,. OF ______ JOB NO. '________..___________ fl!" ~/ .:r D it 11- ~ t!.t. - ;(1- ()t:> /:J-. 10 /:>) - pr/ /"0 ----------------------------- L_H <' S-e...v:ee -KJ r do. l) I ~ !'...,"""'-",...,^---- ! <- I ~ I __.::> I t.- I f'rl'FJ$E.O) I ! ; , I I " ~~8 / i , \J -,.. ":-l ~.;J.I-'>l tl E xis Ir)'j ~ I I J '\) 1q I.....:: I.,;) '_,> : ~--r-l------ l )'10' 1 1 1 / '7 i::Jl. S -c ~ ~ I' _ '- , ~ Is/~ If/' I t I ii , <.- 6. '-.;> , ...._---,.----~------~.__._~---.~_._.~-".-_.- -~-'---'-'-',-~"-"--~'-"-~,._, ~....... - ~ ,..... I i i t i i IYo I v APPLICATION FOR PEBIIIT CITY OF ZEPBYRIIILLS BUILDING DEPARTHERT OWNER'S NAHJLDo i') A L D OWNER'S ADDRESS ...:T 6 4/ JOB ADDRESS ~ LEGAL DESCRIPl'ION: LOT(S) t, ~ '7 BLOCILL.tl..SUBDIVISION PARCEL I. D.' /1 .- c:< '" - c2 / '- 00 I t) -I tJ 9 t) 0 - 0 0 ~ 0 (OBTAIN FRON PROPERTY TAX NOTICE) S P 11 L{ I d I' Yl 3 v dl~ 19 PHONE ~/3'~ 788'- O,-/? 7 WORK PROPOSED:~ew Construction ---Addition ---..Alteration ~epair _Install _Sign ~ve _Deaolish PROPOSED USE: _Single Faaily --.Jt/F _, of Units --.Jt/H _~ercial _Indust. _Swia. Pool .2l..0ther ~ L cr~ -Restaurant Ii: Health Departaent Approval DESCRIP'rION OF WORK: ~ ~~..?; ~ s:L ~ ~ if I BUILDING SIZE: /.;;< .; X )~ : c2 /6 Square Feet, J {' Height RE5IDEIITIAL: ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLAHS Ii: (1) SET ENERGY FORMS. cottHERCIAL: ATTACH (3) SETS OF BUILDING PLAHS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PEBIIITS REQUESTED ~UILDING X RT.RCTRICAL $ ~~, ~;t) ~ Valuation of Total Construction AIIP Service x Florida Power Corp. W.R.E.C. ----ltEClWlICAL $ Valuation of Kechanical Installation ~ING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: -Block ~FraIIe ~Steel Other PDIISIIBD PI.OOR ELEVAnONS: Fr. IS PROJEct IN FLOOD ZOO AREA'l .....":;L YES NO .......................................... CONTRACTOR SECTION RIJTTJlRR ~J.A...... Signature' IY J l' J AI t.,,;~~ COtIPABY ~ State Cert. or Regist. , City License Registration , .......................................... RT RCTRICIAR COMPANY State Cert. or Regist. , SianAture City License Registration , .......................................... PLUMBER COMPANY State Cert. or Regist. # Signature City License Registration , .......................................... IlECBANICAL COMPANY State Cert. or Regist. , Signature City License Registration . .......................................... OTRRR COKPABY State Cert. or Regist. . Signature City License Registration # .......................................... APPLICAnON APPROVED BY PEBIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this perait JaY be subject to 'deed restrictions' .bieb JaY be lOre restrictive than City regulations. !he undersigned assUIeB responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be reguired to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be cited for a lisdl!lll!allor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirl!lents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtherJlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for lIhieb they will be responsible. If fOu, as the owner sign as the contractor, you are indicating that fOU, rather than the contractor, are responsible for the work. If the contractor wisbes fOU to sign as contractor that JaY 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 UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that 1, the applicant, have been provided lIith a copy of 'Florida's construction Lien Lall - lIoIeowner's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUlleI' Affairs. If the applicant is SOHODe other than the 'owner', I certify that I have obtained a copy of the above described dOCUleDt and proaise in good faith to deliver it to the 'owner" prior to COIIeDCl!IeDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, loning, and land developleDt. Application is hereby Jade to obtain a perait to do work and installation as indicated. I certify that no work or installation baa C08IeDced prior to issuance of a perlit and that all work will be perfOIJed to leet 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 goveruental agencies JaY apply to the intended work, and that it is If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to: t Departlent of EnviroDleDtal RegulatiQll - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sensitive Lands, Vater /Vast81later 'l'reatlent t Southwest Florida Nater Kanagl!leDt District - VeIls, Cypress Baybeads, Vetland Areas, Altering Watercourses t Aray Corps of Inqineers - Seawalls, Docks, lavigable Waterways t Departlent of Health i Rehabilitative Senices, EnvirODleDtal Health Unit - VeIls, Vast81later 'l'reatlent, Septic 'l'anks t US EnviIODleDtal Protection Agency - Asbestos abateIeDt I also certify that, if fill laterial is to be used in Flood ZOne "A' or "A,etc.', it is understood that a drainage plan addressing a 'COIpeDSating vol_' will be sw.itted wbieb is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perlit issued shall be construed to be a license to proceed lIith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becoIe invalid unless the work authoriled by sueb perait is COIIllJlced within sillODths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sillOntbs after the tile the work is COIIeDced. One 90 day 81tension of tile, JaY be al101led for the perlit with fee charge of $15.00. !he 81tension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eaeb sillODth period, or the project will be considered abandoned. VAlUfIMG 'l'O omR: YOUR FAILURE 'l'O RECORD A 100001CE OF aJIIDCBIlIII'l' MAY RESUL'l' II YOUR PAYIIG !VICE FOR lMPROVBIIBI'l'S 'l'O YOUR PROPBR'l'Y. IF YOU IIIDID 'l'O 081111 FIIlAlCIIG, COKSUL'l' VI'l'B YOUR LlllDBR OR AI A'l"l'ORIIY BIFOIII RECORDIIG YOUR JIO'l'ICE OF COMMBICBHKM'l'. JOBS UllDBR $2,500 II VALUE DO 10'1' IIDD 'l'0 RECORD AID POS! A 'IO'I'ICE OF COHtIBICBIlIJI'M. SIGIA'l'URE: ComAC'l'OR SIGJlAtuRI: (MIBR OR AGm S'l'A'l'1 OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by S'l'A'D 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 me or who has produced as identification and who did/did not take an oil-tho (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name, Typed, Printed or Stamped) NOTARY PUBLIC