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Home My WebLink About95-4878 BUILDING PERMIT Permit ~ CITY OF ZEPHYRHILLS (813) 788-6611 4878 E '1.--~-~ 9,,<..- Date. $I' --S --. CJ7) ~ .:20~ OV ~~; ..:L(). c./V 6UMBI~~ MECHANICAL Sewel~ Conn Water Conn: P,ope"y Owne' -rff:J1tJlAJ!F'i:.- Job Address: h ~ Cl-tJ 6 Parcell.D. # 3~0Lb -.;;l/- CJo/ 0 . i).3S'tJO -001 V Water Meter: T,I.F.'s: Zoning: Energy c~ Radon Gas: Description of Wor~ r(JZ/-<,rr ~ _ A' <..~ "-I- ~.L~ Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. FINAL .~) -' ,2. ;<1 S' DATE C.O. ,.$- - .s~ -X-S. ~ DATE NO OCCUPANCY BEFORE C.O. Inspector Permit Fee Signature Company Address Telephone# <!J-,f-g;:J. ~_S () ~'.o (J-7J C?,.. .->2- G~- )-- Valuation or Contract Price ~ ~. lr1J City License Registration # '// 'f State Certified License# BUILDING g,J; B~4/4Ak ELECTRICAL 01-:2. a (2 C ry.uAo./~~ PLUMBING 0( 7 MECHANICAL s$~t (6Ac1J. Tp. Servo Rough In ~> ~ Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor F:inal SLB Tub Set,S"-'f-'tD ~tU- Water Sewer Final Ftr. Pre SLB Lintel FRM. 5'..4 '1> ihu...- 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE '5 UN /tilED I C A L CtSZ /01 r e ^ PHONE g 13 - 7 g;2- - '"3 'f J? R OWNER'S ADDRESS b 7 I? (S!.. /1 A J:.... 186 <..s L J5 f/ /I ~ 0 .2 ~p I1"V R If I L '- ~ r~ '"33S7b JOB ADDRESS -5fiA1 ~ LEGAL DESCRlYfION: I.OT(S) BLOCK SUBDIVISION PARCEL LD.' 03rd.\o-0l\-f\D\G-0330D-OO\O (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition V--Alteration _Repair _Install _Sign -"ove _Deaolish PROPOSED USE: _Single Family _M/F _' of Units _M/H ~~ercial _Indust. ____Swim. Pool _Other ____Restaurant & Health Department Approval DESCRIYfION OF WORK: f\,€ L 0 C,rl -rtC o i'lL L 5 ;9-1'>"0 C;"',e;/ Nd rS J4~ tfb-R. ~;'~TC# BUILDING SIZE: x Square Feet, Beight RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING cc.. $6c-d6 - Valuation of Total Construction -2S-ELECTRICAL _HECBARICAL AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation .2S.....PI.UMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** R Signature \~ COKPANY State Cert. or Regist. . City License Registration . ************************************** dL BUILDER ELECTRICIAN COMPANY cJbL 1'(' ~ Si~Ature dA. ~ ~ J /------, State Cert. or Regist. . 6'6(J 0 7/1 __~___ ~ 7\ ~ City License Registration' ciJ..;2- ****************************************** PLUMBER Signature at?" ... COMPANY /l ~ C. ~ .6/~'~ a State Cert. or Regist. t - A'A~_____ City License Registration t ~'7 ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned understands tbat this pecait Jay be subject to IIdeed restrictions II wbieb Jay be lOre restrictive tban City regulations. !be undersigned assUJes responsibility for CCIIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they JaY be required 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 lilY be cited for a lisdeJl!anor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguirl!leDts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Depart:lent, (813) 788-6611. Furtberlore, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the IIContractor Sectionsll of this application for wbieb they will be respoosible. If you, as the owner sign as the contractor, you are indicating tbat you, rather tban the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lilY be an indication tbat be is not properly licensed and is not entitled to perJitting 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 tbat I, the applicant, have been provided with a copy of IIFlorida's Construction Lien Law - lkIIeow.ner's Protection Guidell prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8OIeOIl8 other tban the lIownerll, I certify that I have obtained a copy of the above described docuIent and prOlise in good faith to deliver it to the lIowner. prior to COll8llCl!l8llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and tbat all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or installation bas cc.lenced prior to issuance of a perlit and that all work will be perfoIled to leet standards of all laws regulating construction, City codes, loning regulations, and land develOpl8llt regulations in the jurisdiction. I also certify that I understand tbat the regulations of other gOY8IDI8Iltal agencies lily apply to the intended worl, and tbat it is ., responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to: t Departlent of EnvirODlelltal Regulation - Cypress Baybeads, Wetland Areas and BnvirolllellWly Sensitive Lands, Water/Wastewater rreatlent t Southwest Florida Water ManageJl!Jlt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AllY Corps of Engineers - Seawalls, Docks, Mavigable Waterways t DepartJent of Health' Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater rreatlent, Septic ranb t US BnvirOlllental Protection Agency - Asbestos abatl!leDt I also certify tbat, if filllilterial is to be used in Flood Zone IIAII or III, etc. " it is understood that a drainage plan addressing a llCOQenSating vol.' will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A pecait issued shall be construed to be a license to proceed with the Ifork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCGle invalid unless the wort authorized by such peIlit is ~ced Ifithin sillOOths of issuance, or if wort authorized by the peIlit is suspended or abandoned for a period of sillOOths after the tile the wort is co.enced. ODe 90 day utension of tile, lilY be allowed for the peIlit with fee charge of $15.00. roo utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillODth period, or the project Ifill be considered abandoned. WARNIIG 1'0 OIlIER: YOUR FIILURI 1'0 RlCORD A MorICI OF aJIMIICIIIIIft' MAY RESULr 1M YOUR PIYlIG !'IIICI FOR DIl'ROVIIIIftS 70 YOUR PROPER'lY. IF YOU Ift'BKD ro OBrW FIIIDCIMG, CONSULI' WI'IH YOUR LIKDBR OR AI IftORDY BEFORI RICORDIKG YOUR IO'rICI OF aJIMIICBMm. JOBS~ '2,500 1M VAtUl 00 Mor lIED ro RECORD AID POsr I -MoriCi OF aJIIBICIIIIIft'lI. X ~ ~...~ Cl):j. __~ SIGJlAfURI: lJIJfBR OR AGm SIGlAfURI: COIi!RIC'fOR S7Arl OF FLORIDA coum OF OOf) The foregOing instrument was ~ClSOWledged before me this \~ - RP~'L, 19 by lEU) A. ___<)AK- who is personally known to me or who has produce as i en take d who did/did not srAD OF ~ commOF 0 The foregoing instrument was acknowledged before me this 12..- ~["~ \ , 19~ by e... own to me or who has 'C- lJ~ JJ~ (Name. TYPed, prin~ed;r~ Stamped) NOTARY PUBLIC ~ \J-:rt(o (Name TYPed, Printed or Sta1lped) NOTARY PUBLIC ~l\~ ~!J(J .r:,'" A ,{{~ TARA N ALFORD . ~~-'~ '. My Commission CC263392 . ( '!"' . Expir_ Mar 09,1$197 . !n'11 . Huckleberry Associates Ina .r~,.. _<i.$'''' 800-422.1555 < 0;; h"" - . en o CD J CD <1: -1- - lr-", -, \ II I '_ ~ , . "- . ~ ~ ''-' I{ ~ ; 1'l)(1 I ~~ \( ,1 ~ c.o~t:(~) ~ ,I't' ~ , \.. h ~ \I~ /,\ CD Q t~ ~\ ,,'\ ~ ~, .-c.. \J~ ~ ,~~ X '.r.l~ W l:1( ~ ~ .---' c.!:l I ~:cu ;- I-- · c.no~ lLJO · f- co z: ~~ ~tk ,~ X'i \J\t.1 ~ I--~ r ~ I-.. '-i-{ \\1 ~ ~~ "~,.,......> + ~C"-7 p3'~#;:J '5> 7:9 Y . c.. . q '{) ~ J ...) ...t "t J X X- x. I ~ ~ " ~ !j ~ ~ j ~ 'V:t ~ \1 CD .. f-- 0 en"""'" w f- · :E: a: o ,- . b ~ I~:t\-: I h ~~ ~ \X:~~ ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name Classification Address Owner/M.smager..-' Business Phone Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # 0 QUA~TERL y o FINAL o ANNUAL 0 RE-INSPECTION o OTHER 0> APPROVED / .' o NOT APPROVED 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. /' ///", ." ;; /1-' ):' Inspect. Date Re-Inspect. Date j, l, / i.~ Inspect. Time Inspectprs Name ~~~"-"" Fire Dept. 10 # Owner/Manager Signature .-:;> ...,,_<':~-- "j-"-,~~- ..~ 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. Dept Pink Copy - Business