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Home My WebLink About95-4896 BUILDING PERMIT Permit ptt? 4898B t 0 t.J7J ~~~ CITY OF ZEPHYRHILLS (813) 788-6611 ~-.n GL~T~) CPLUMBIN~ Pmp"tv Own., liZi~ Q~ Job Address: '23- Parcell.D. # Date ~j--/~ 9~- .30. c.'7;J MECHANICAL Sewer Conn 6<37; (J?), / 7~'; tw Water Conn: Water Meter: T,I.F.'s: -i- ~- NO OCCUPANCY BEFORE C.O. c.o. __ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Service-change FPC (Betty) Nancy 07/24/95 09:44 A.M. Permit Fee Signature Company Address Telephone# ,.t ~ ~..s-- tJ7) ~If~ DATE Inspector Valuation or Contract Price -S. 07J7}." d7) , City License Registration # State Certified License# BUILDING JJt rr>-r~ ELECTRICAL Y'/ ~i? ') iJ1<0' PLUMBI G'/CJ.. SLB 5d-QS Bet- SJII-fI(513 ~ ~ MECHANICAL Ftr. Pre SLB Lintel FRM. ~/~f<) $0- Insul. CL WL Breakers Ducts Insl. Compressor Final Driveway Tp. Servo ~ Rough In 5-lv- C;, I Meter Can Const. Pole Pool Pre-Meter Final 6~ let.. c.t\A,J 1r1- ~ _ z.'-f-r oS" ~b Tub Set Water Sewer Final 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. I:)~ ~i" .,( ; ~ ..... ,,~ G'.. c:j ii' .Q.... rl~ ,,~ - ~ , .. .. ..... '. . ''\ ~ ~~ "1 '" ,) ~ ,,0\ -~ ~ ~;I ~ ~Q< ~ e \. I. I r~ ", - ..... ...0 ..... ~ l . '\ .~ \ H~ ~ t 0. "t- e ~ --\ CJ 0 ...... s.~ ~~ ?:.~ --..... f'- C\ ~ ~ .~ ~ ~ <:: ~ -H' rn ~ ... (A """ ~; '1 C.Il ~ ~ {' ~ j ~ c:> ~ ....... ~ ~ ~ ~ t;<A ~ ..... ~ "I lA I-t I '-f i ~...~ 1'\)", g ;J ,I ~ l'.. ,,">:;>. ii)?tl'l""~~''''.*;~ ~ I ~ V\ ~ ~ ~ ..... 7'~ ,0:- C\~ -1=-~ ....., ,'J '" Vl .~ t I I.JJ " ""'0 'l(. c ~t,-""" ~ C"I :::t ,..,.., '\. 1- \p. V\ t> (', .: , - ... .). \)I~~~ ~ ~ ~ -.. C ~ ~ ..... \f\V\~ ~ t\\ ~ "'1 ~ ~'~ D\ \" r x; " (4 11) ..... ~ ~\ ~ ..... ~ ~ :::.. -L\ ~ ~ ~ f::' ~.~ ~ ~ . , ~ ~ J4J' ..., ~ -"- t ~ o ~~ 'I "<" .';"'.~;+~. .'::'~:''L~~~~' 1<."' t>> VI~' 0'" V\ ,( , '1~ tl APPLICATXON FOR PBIKlT CXft OP ZBPBIIUID.LS Bu:tLDIIIG DBPAIl'l'IIBII'l' JOB ADDRESS fir CtHtll 37,s~ 9r~o o )..JQ. Ft; L'-'- <f Af C5 / {;~/A :>(j.- c,J Z--E/ tly..e 111 u:g. , ,({) ( C)'-~ lJ~ /GN7 PRONB /,qf{ f 7 :3ocf OWNER' S RAHB OWIIEIl'S ~~BS LBGAL DBSCRXP'fiON: LOT(S) ~UBDXVJ:SXON PARCEL LD.' (OBTADI FROM PROPER'l'Y TAX IIOTICB) won PROPOSED:~ew Coastruction ~ition --Alteration Repair _InaUll ---1Jian ---'love ~lish . PROPOSED USB: ~iD&1e Paaily _/P _' of Units _/H _ec-ercial _Indust. ~wia. Pool _Other Restaurant i: Health Departaent Approval DBSCRXP'fiOR OP WOlUt: 10 /;.) ~ ~Y1 Kcs r~~1f ; 70 €-f/c~SE I5llS'Tl..v& Of~A/ gd/il>Nq , Bu:tLDIRG SUB: c;t> x/dD . <soo () Square Peet. Beiaht usmBII'I'IAL: AftACII (2) PLOT PLUS &: (2) SB'l'S OP BUILDXNG PLABS &: (1) SET DBRGY POlUIS. COHtIBIlCIAL: AftAaI (3) SB'l'S OP Bu:tLDUG PLABS i: (1) SET DBIlGY POBtlS. PROPBIl'rY SURVEY Il8QUIRBD FOR ALL NEW COIIS'1'IlUCTXO&. PERHITS .RnIlBS'l'BD ____UXLDIIIG ---.BI.BC'1'IlICAL ~CAL $ 13;-60 tJ ' cfO Valuation of Total Construction AIIP Service Florida Power Corp. W.ll.B.C. . $ Valuation of llecbanica1 I.nstallation ---l'L1IIBIRG GAS ROOPIRG 1'IPI OP COIIS'I'&UCIlOI: -.Bloclt ---:1nae _Steel SPBCIALTY Other PIIUSIIBD PJ.OOIl BLBVAfiOHS: n. IS PBOJBC'I' IN FLOOD ZOIIB ADA, YES &0 .......................................... Sipature o u.J JJ to<.. mR'I'RACTOR SBCTIO)l_><--.~-' -'--" ~ City License,Be8istration' .............................~........~... :;. ,.. ''t BllTl.DRR dJ -<.I I , 71 PLD@'ER D OOIIPAIY ~i &KiM ~ ~ . State c:ert. or Ile8i8t.' ({ F - :J. '81 Signature ( ,. tZ -- City License Registration' . d0~ ~ ~................................. ,~o- ~/~ l..-' OOIIPAIY f)'\C::rQ:\-\) ~ State Cert. or Reaiat. . City License Ile&iatration . .......................................... 1IBCIIAIIl.CAI. Signature OOIIPAIIY State Cert. or Reaiat. . City License Ile&iatration . .......................................... , , Signature COHPAIIY State Cert. or Ileaiat. . City License lle&istratiOll . .......................................... \i' , '~ ' II. 1 O'I'IIRR APPLICAfiOR APPIIOVBD BY PBIKlT OPPICBR. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be underaigud WIlIer8taDd8 that thil pmit IlaY be lubject to ldeed rutrlCti0D81 ,bleb IlaY be _e restrictive than City regulatiClll. !lie lIIIderaigud __ responsibility for CCIIplilDce ,Ith any applicable c1eec1 ratrlctiCll8. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer baa bired a contractor or contractoR to undertab work, they _y be nQIIlred to be liC8lllld io accordance with ltate aocJ local regulatiou. If the contractor II lOt liClDl8C1I8 rep.lnd by law, both the OlDer and cmtractor III be cited for a lime.lDOr violation under state law. If the OlDer or 10teDded cootractor are UIlC81't:I1D 18 to ..t li..iDg reguir_ta IlaY apply for the intended work, they are advised to COIltact the City of lepbyrbilll Buildlog ~t, (813) 788-6611. Furtbenore, if the OlDer baa bired a contractor or contractorl, be is advised to bave the COOtractor(l) lign portioIII of the lContractor SectiClllI of this applicaUoo for Ibieb they 1111 be responsible. If rou, 18 the OlDer sign 18 the cmtractor, you are iDllicating that JOU, rather than the contractor, are responsible for the work. If the cmtractor 'iIIIea JOIl to aign 18 contractor that IlaY be an indicatioo that lie is not properl, liC8D8ed and is lOt entitled to penlttiog prililegll in the City of lepllyrbilla. C. TRANSPORTATION IMPACT FEES AND UTILITY COHNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBImED) I certify that I, the applicant, bave been provided ,ith a copy of IFlorida's CCIlItructioo Liea Law - JIclIlI'-.rll Protectioo Guidel prepared by the Florida Departlent of Agriculture aDd ConIl..r Affairl. If the applicant il .... other than the lOIIIlIrI, I certify that I bave obtaiD8c1 a copy of the above described aocu.at aDd proliae III good faith to Wi. it to the 10ID81'1 prior to a.eo~t. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the ioforutioo in thil applicatioo il accurate and that all work ,ill be doDe io COIpliaoce with all applicable 1_ regulating conatructioo, lOlling, and land dml..-nt. Ipplicatioo il bereby lade to obtain a penit to do work and iDatallatioo 18 iDdicated. I certify that 110 work or iDatallaUoo baa CD InKed prior to iuuance of a penit _ that all work ,ill be perforB to _t .tIDI1udI of all 1_ regulating conatruc:tioo, City cocles, lOlling regulati0D8, and lad deYela,..ot regulati0D8 III tile jurladlctial. I allO certitr that I understand that tile regulatiCllll of other gov_tal -..cia IlaY applr to the lllteoaea at, _ tMt it il If responsibility to identify "bat acti0D8 I lUSt take to be in CCIIpliaoce. 8ucb ageocia include but are IIOt li1ite4 to: t DepartleJ1t of IovlrDlllelltal Regulation - Cypr888 Barheac1a, leU_ Areas aocJ lo,irOlllelltallr Seasitive Landa, Mater/Vlltelater !reat:IeDt t Soutllle8t Florida later JIaDag_t Diltrlct - 1e111, Cypreaa 81rlleada, wetland 1rea8, Iltering latercouraea t 1rIy. Corps of lDgineerB - Seaulll, DocU, lavlgable latervars t DepartJent of Health , Rebabilitative Senlca, IDYIRIII8Dtal Health Unit - lelll, Mastelater lnatleDt, septic I_ t US Ioyj~tal Protect1oo IgeDcy - I8bestoa abau.ot I also certitr that, if flllllaterial il to be used in Plooc1loDe III or II, etc. I, it il uoderatoocl that a drainage plan addreaaing a ICIIIpID8Iting vol.1 ,ill be lDittedlbieb is prepared by a profeaaioaal engineer regiltered III the State of Florida prior to perIIit i88uaDce. I penit i88ued sball be c:onatrued to be a liceoae to proceed with the IOrk aDd IIOt as autbority to ,iolate, c:aDCel alter, or set aside any provlliou of the technical codes, nor sba11 i8l1llDC8 of a pmit pre,eat the Bu11tliDg Official frill tllereafter requiring a correcUoo of errorl in p1aDS, CCIlItruct100, or ,loIIUC118 of anI colle. bur pemlt 111IIII111II11 __ IDtalld unl888 the I01't autboriled by lueb perIIit 18 c-.ocec1111Wo III _tha of i8lUaDCe, or if vort authoriJell br the PUJit il luspeOOecJ or abandoDed for a period of 811 _ths after the t1Ie the work II~. ~ 90 dar ateallll of t1Ie, IIJ be allond for ths pen1t "ith fee cbarge of .15.00. !be u_IeIlllll11 be reqauted in vrltiDg to the luiltiDg Official. In approved in8pectioo lUSt be logged during eacb IiI _th periCllJ, or the project ,ill be CCIlIldered ........... IfIIIUG 10 CIIIII: fOOl FIIWRlIO RIOOIID I DICE OF <ma.'~ ., BSULI II YCDI PIIIIG MCI MIl IIIIIBEII8 10 YCIJI PIlOPIRIY. IF YOU III'IID 10 OBIm FIDlCIIG, OOISOLI IIIB YOOII ,.. . D IIICIIIY BIfOIIIlall)UG .. DICI OF _.~~.IIIDIO_IID_I 'D1aW~~ ~ ~ SliD OF ~ aun OF ' r'AS'c 0 The foregoing i2stl1ment was acknowledged before _ this Klt,il dr;:, 19~ by I (h "vhA-c-f Corrc /4 wbo is persona 1y known to _ or who bas prodUCed~..I-(.,Q-fl ~(~ r..~ as 1 t1fica ion and w 0 did/d1 ot tat an oath. I)fc~ Si~~)~ A J1t (Co / / (f I'f/ (N...,Typed, Printed or Sta.ped) NOTARY PUBLIC SlID OF rum~ COOllY OF 'A seD The foregoing instI'UEllt was acknowledgecl before _ this JJ.ff,'1 ~5 , 19 9$ by II1I'vt~( ,Gilt. e,'A- who 18 per 11y known to .. or! who baa produced r r1 ~( \ as 1d ification and ho d1d/d1 Dot tate oeth. j11(~ i~U.e!~ If mf ~1/U/W1 (N... !yped, Printed or St..,ed) NOTARY PUBLIC ..~~... OFFICIAL SEAL ....ofIJ.... ..~.. .. ~" SUSAN A. McCOLLUM { . a My Commission Expires \ ! A)ril16. 1997 ".SOF\f\.~.. Comm. No. CC 268679 .......... ....~.~;;._ OFFICIAL SEAL {~-\ SUSAN A. McCOLLUM . ",,: My Commission Expires \ ';~!' ! April 16. 1997 "'~~OFf\.~.. Comm. No. CC 268679 ......... &>L~IN&- aGL11L$.., ~ 0\1 I'...:r';)lr~(l Ii.. ALW.v'\ I tJt::v\ " Co '2.- j '2.- H--, ~ INt> (l..D. \(~"T"DtJ: ~$OG:~o (dJ. or", '3002 , " 3. r" i) 0 , ~. f)\~ArJllAt,. 'M/A 6vB1C ~l- U{lU)ll tf/f\. --- to lA-L- S~ M... WltLf-R M~ 1b iff L 8JL ~~,~~ ,F~ ,_"~li l DC /'75. ~ V .N fA (Vlf-\ST6Jl M~-r~ .. "bled- / e> ~~~~ 6t\s ..JJ/4 __l~6 rD<2.["m7t>A! tmi>fk:r fiLF.- s J)~~ P\'l1T~~ Df Dfi:.:r~I,J14J .M~:,6iif'o~ 5U~ OC-OJ~A~ , 6{ ,B:; ,.b-.~ Y'.W6- , ~,Fi_QTIt~ - OC<"~fhdt;..5:f.- 5J~~l"~1i... Al.A)IV\. . #. (P237- F+ \\INb ~~. TABLE A - WORKSHEET CITY OF ZEPHYRHII.I_'i CONNEGTIOH FEES ORD. #395 & RESOLUTION #312 WATER $1.75/GALLON SEWER $6.39/GALLON RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $1,278.00 Travel Trailer Park 131. 25 479.25 COMMERCIAL (PER FIXTURE) Sinks 87.50 319.50 Water Closet 131.25 479.25 Urinal 87.50 319.50 Lavatory 43.75 159.75 Tub/Shower 87.50 319.50 Washing Machines-Commercial Size 350.00 1,278.00 Washing Machines-Domestic Size 87.50 319.50 FOOD SERVICE - Dishwasher 700.00 2,556.00 Sinks (3 Compartment) 175.00 639.00 Car Wash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. I~ WATER SEWER TOTAL PER FIXTURE Sinks 50 Water Closets 75 / I?:>L 2.-? 4.7'1. 1-~ fa) D ~ 5"D Urinals 50 Lavatories 25 J ;./3. -,., 15q l 7 '5" 2. ~ 50 o (, Tubs/Showers 50 Washing Machine 200 Washing Machine 50 Dishwasher 400 Sinks-3 Comprt 100 Car Wash-p/st. 1,000 J 7~. Df) ~3q .00 &14.00 ~/Pr .. WATER METER MtI\~1UL rV\fL"11LL