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Home My WebLink About95-4911 BUILDING PERMIT Permit N' CITY OF ZEPHYRHILLS (813) 788-6611 4 gilA' Date 0--0'- 9' ~ d-~-' t-'?) #(,0 (J7) ~ GECT~ PLUMBING Pm,,,tv Owo., ._ il.Lf~.b- .~,~ Job Address: '--S / l/ _ - / t? --'=- _~' MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D, # Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL~ /5"- c;- OATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. _, Inspector Permit Fee Signature Company Address Telephone# ~..s ~ 07,,) l) VC<-~'1 Valuation or Contract Price I;}. tTj) . tr7.;> ./ City License Registration # State Certified License# f~Yl./' /)"-.--, tr'-"l./"Jr! .a/I_ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB - lintel /. FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In~ ~~ Meter Can \,;::$ ,.., "" "" ) Canst. Pole ,C..... rJ Pool '-J ib Pre-Meter '~ l:? 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. APPLICAfiON FOR PBlUlIT CITY OF ZEPIIYRIIILLS BUILDING DEPAR'l'HBRT OWNER' S R.AHB D)' 0 t-1 ~ f-) itA? RA (';L/ C) ( ~/ !) (J n 1- 0 PBOIIE )yV~ r~O ~ ~/, ?j?f(-{ r:::-!q \ OWNER' S ADDBBSS JOB ADDRESS LEGAL DESCRIPrION: LOT(S) BLOCIL-SUBDIVISION PARCEL I.D.t (OBTAIN FROH PKOPERTY TAX NOTICE) WORK PKOPOSED:..-Rew COnstruction --Addition ---oAlteration ---Repair _Install _Sign ----'love ~lish _ec-ercial ----1t/F _' of Units ----1t/B _Iodust. ~SWia. Pool _Other PROPOSED USE: ~ing1e Faaily ---Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDEI1TIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET DBRGY FOiMS. ATTACH (3) SE'lS OF BUILDING PLANS &: (1) SET EBERGY FOBHS. PKOPERTY SURVEY IlEQUIRED FOR ALL NEW COBSTRUCTION.' ?UILDING ~CD.ICAL ---"EClWlICAL ..-PLUHBIliG $ PERKITS REQUESTED O OU ) 0< D' \ Valuation of Total Construction . AIIP Service Florida Power Corp. W.R.E.C. $ Valuation of Hechanica1 Installation GAS ROOFING SPECIALTY TYPE OF OOIISTB.UCTION: ----Jloclt _Fraae _Steel Other FIIIISIIED FLOOJl ELBVAfiOBS: Fl. IS PROJECT IIi FLOOD ZONE AREA' YES NO .......................................... (; :::: J~~ dh@; CONTRACTOR SECTION' COMPABY State Cert. or Reaist. t City License Registration t .......................................... :.:: ~~ COHPABY State Cert. or Regist. t . . ,"V' 1>< ';.. City Liceose lleautration. .......................................... PLUHBER COHPABY State Cert. or Regist. t Signature City License Registration t .......................................... IlEClL\RICAL COHPABY State Cert. or Regist. t Signature City License Registration . .......................................... OTRRR COHPABY State Cert. or Regist.' Signature City License Registration . .......................................... APPLICATION APPKOVED BY PBlUlIT OFFIC~. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigaed understands that this penit lily be subject to -deed restriCUODS- Ihich lily be lOre restrictive than City regulatiOll8. rlae UDdersigaed il88UI88 responsibility for CCIIpliance lith any applicable deed restrictiODS. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake IOrt, tbey lily be reguired to be l1censed in accordanci litb state and local regu1ati0D.8. If tbe contractor is DOt licensed as required by law, both the 0IIDer and ooatractor iii' be cited for a lisdeleanor violation UDder state law. If the OlDer or intended contractor are uncertain as to Ifhat liceuing requirl!l8Du iii' apply for the intended wort, the, are advised to contact tbe City of Zepbyrhills Building DeparUeot, (813) 788-6611. FurtberJOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) siga portions of the -Contractor SectiOll8- of this applicatioo for Ibich they will be resPlXl8ible. If you, as the OlDer siga as the c:oatractor, you are inc1icating that JOU, rather than the contractor, are responsible for the IOrt. If the ooatractor liaJIes fOIl to siga as contractor that lily be an indication that be is DOt properl,licensed and is DOt entitled to pen1tting priVileges in the City of Zepbyrbills. ' , C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMElmED) I certif, that I, the applicant, bave been provided lith a cop, of -Florida's CODStruct1oo Lien Lal - lmeoImer's Protection Guide- prepared by the Florida Deparblent of Agriculture and ConsUI8I Affairs. If the applicant is 8OIeCIII8 other than the -owner-, I certif, that I have obtained a copy of the above described docuIent and promse in good faith to deliver it to the -owner- prior to co.enC8lellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infonation in this application is accurate and that all IOrt lill be done in COIIpliance lith all applicable laws regulating construction, BOOing, and land developlellt. Application is hereby lade to obtain a penit to do IOrt and installation as indicated. I certify that DO IOrt or iD8tallation baa ~ prior to issuence of a penit and that all wort lill be perfoned to .et standards of all laws regulating COD8trucUon, City codes, Boning regulati0D.8, and laod develOpll!Jlt regu1ati0D.8 in the iuri8c1icU... I also certif, that I understand that the regulati0D.8 of other goyUIIIeDtal agencies lily apply to the intended wort, aod that it is IY responsibility to identify ldJat actiODS I lUSt tate to be in COIpliance. Such agencies include but are not lutted to: I Departlent of InvirOlll8lltal Regulation - Cypress BaybeadB, lIetland Areas andlnvi1'OllleDta11y Sensitive Lands, lIater/Vaatelater rreatlent I Soutblest Florida lIater lIanageMllt District - lIells, Cypress Baybea4s, lIetlandlreas, Altering Watercourses I ArlY Corps of lnQineen - Seawalls, Docb, Ravigable Watenays ~ Departlent of Health i Rehabilitative Senices, lnviroDlBlltal Health Unit - lIells, lIastewater lreatlent, Septic I_ I US InviIOlJll!lltal Protectibn Agency - Asbestos Bbat8ll!llt I also certify that, if fill IiIterial is to be _ in Flood loIle -A- or -A,etc. -, it is understood that a drainage plan addressing a -COJpeDSating volUll!- will be saitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit iBBuance. ' A perlit issued shall be construed to be a license to proceed lith the IOrt and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perllt prevent the Building Official frOJ thereafter requiring a correction of errors in plans,' constructi.., or violations of any code. Ivery pmit i88Ued shall becOJe iDvalid unless the IIOrt authorbed by 8uch penit is co.enced lithin slllOllthe of issuance, or if IOrk authoriled by the penlt is suspended or abandoned for a perinc1 of sll IODtbs after the tile the wort is ~ced. ODe 90 day atensi.. of tile, lily be allowed for the pmlt lith fee charge of $15.00. rile atension shall be requested in lriting to the Building Official. An approved iD8pecUoo lUSt be logged during each slllODth period, or the profect lill be considered abandoned. IIAIUIING ro (80: YOUR FAlLURI ro RECORD A lorICB OF COIIIIICIIDI lilY RBSULr II YOOR PIYIIG IIIICB FOR IJIPDIIIDIS ro YOOI PROPBRfY. IF YOO IIIBID 10 OBIUR FIIlAlCIIG, CORSULr IIrB YOOR LIDR OR U IIIORDY BIPOJIB RICOIIDIRG YOOIIOrICB 01 OIIIIBJICBIIBMr. JOBS UlDBR $2,500 Iii VALUI DO IOl' IUD ro RECORD UD POsr A -ROrICB OF CCIIIIDCBIIBMr-. SIGD'IURB: (80 OR AGm SIGD'IURB: COJI!RACroR srAR OF FLORIDA Coom' OF The foregoing instrument was acknowledged before me this , 19_ by SUR OF FLORIDA coom OF Tbe foregoing instrument was acknowledged before me this , 19_ by wbo is personally known to me or wbo bas produced as identification and wbo did/did not take an oath. wbo is personally known to _ or wbo bas produced as identification and wbo did/did Dot take an oiltb. (Signature) (N~e Typed, Printed or Sta.ped) NOTARY PUBLIC (Signature) (Nue .Typed, Printed or Stamped) NOTARY PUBLIC . ~...... . 11:~ Florida .. ~~ p'g~~~ NAME: JltbJG Sarro),) ADDRESS: 5/41 ~o 114- c;.r. CITY: Zc:fJJYf2UJuA ~ THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF FLORIDA POWER CORPORATION, PROVIDED THAT THE POOL IS INSTALLED IN THE LOCATION SHOWN ON THE ATTACHED SITE PLAN PROVIDED TO US BY THE POOL CONTRACTOR. THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES CONFLICT WITH O/H UIG FACILITIES OF FLORIDA POWER CORPORATION. ARRANGEMENTS HAVE BEEN MADE WITH US FOR RELOCATION OF THE FACILITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE ATTACHED SITE PLAN. FLORIDA POWER CORPORA nON ~ 7 ~"~l ~ sjt/9~-- S~E~EN F. BUNNER DISTRIBUTION ENGINEERING ZEPHYR HILLS OPERATION CENTER: 36453 Geiger Road . Zephyrhills . Florida 33541 . (813) 783.6944 A RoridB PrOflftl3$ CompBny \NILSON JONES COM! ANY ::;::=:::--=.=-.:;:.::~:::::::~-:.:::::--:~: C--" \-T ..",r~:::=,_7~~;~,,~~:C ,-.:; (\J --''_.. M IF'--~~=c==" _-TO Ii c, ,'- __un -.. - ( -,;-- __L.. i , .. 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