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Home My WebLink About95-4957 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 4957):) J--- /7-9~- Date BUILDING ELECTRICAL ~BIN0 MECHANICAL ~ ~~ /'1/) ,/ Property Owner: ~. .' ~ Job Address: 3 / 0 Q ---53/ b - /1 ~ Sewer Conn L...s--f /? -..57) pi Water Conn: $1..:.3 7. ~"7J r.!.~-.J.J.-- ps- Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: Ra~ ~~ 1J-r> _~7~ FINAl___~ - 2-/...- q 5 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# l-..J.'-y- , Permit Fee Valuation or Contract Price "Y ~-- ? (). o-i) , ;' / 1l-~ ,r/~~V BUILDING ELECTRICAL PLUMBING MECHANICAL SLB $...Z'3-q J f} d/ Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor 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. DADE CITY PLUMBING, INC. 3115 Hamilton Road Dade City, florida 33525 Land 0' Lakes 996 6115 Zephyrhills 783-9272 Dade City ~6 7 -8658 DADI CITY (904) 5fl7-7920 L/It'll) UL/,K[C; (il13) 9%Gl1 ZEPHY~lHILLS (813) 783.927; ltlrnponal r-;;ifl b_~) II 3115 HAMILTON ROAD DADE CITY, FL 33525 __St .~_ STREET Church -2813 95 -j)H8POSAL SUBMITTED TO :1R710 l:)tll Avenue CITY. STATE AND ZIP CODE ___~e.~QLrhills, FL ,.-\~o hO;'~~J'r' lubrnit Ipocifi:--ations lInd estimate. 10r: Labor and material and one thirty-two stall at 38710 5th to install one water closet, one vanity by thirty-two inch fiber glass shower Avenue in rear of church. $3,500.00 Labor and material to install one water closet and one vanity in closet of Priest's office and tie into sewer line at 5316 11th Street. $1,070.00 BIt IIropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum 0 Four thousand five hundred and seventy dollars PavrTHltnt to be made.. follows: dollars ($ 4, 570 . 00 In full upon passed Zephyrhills Building Department inspection. "NOTICE TO OWNER" Under the Mochanlc" Lien Law, anv contractor, Iu,bcontr.ctor. laborer, materialman or other J>erwn who helPI 10 improve your proporty and is. not paid tor hi. labor. ICtrviclII or material, ha, . righc to .nfOf~e h.. claim againu 'lour prop.rty. Under the law, you may prOteCt yourself 8g.Binlt luch claim. by filing. before ComrnC'ncing auch work of improvement, an orIginal contract for the work. of improvement of . modification thereof, in the office 0' the county rKorder 0' the coun1Y where the prope"v is Iltuated and reQUiring that. Contr.ctor', payment bond be recorded in luch offjce Said LJond ,hell bl in en "mount not leu than fifty peucent 150%) of the contraCt price and ,hall, In addition to any conditions lor the performance 0' the contract, bo condltionod for the payment in full of the claiml of ell perlon, .urn.thing labor, ..rYice., equ,pm.nt or ~t.ri.l. 10' the wo,k deSCribed In uld eootr_Ct. dl An:tptBure of Jroponal -The above prices. lpecilications ~nd condition, ere ut'.lf.clorv end .r. herebY accepted. You .r. ..1UthCfllOd to do tho W'ork .t IpKif",d. Payment will be m.de al Slgn81Urtt ()Ullrnod 81)0"'. JUST SAY U.S.A. BUY AMERICAN **** <.. J,:';< i fJfI'# 11! ;:JP1/ll?com ;PJfj'1JcJ~!- tip ~7 /0 P 771 Ill/p Iw 1fLf"19/f of ?/Itlltt:.--II ~ ~ ~ \i\ ~ ~ ~ ~ ,,.~1'1'..v~ y ... C1"})! i>iJ,~ ,.. ":- DADE CITY PLUMBING, INC. 3115 Hamilton Road Dade City, Florida 33525 Land 0' Lakes 996-6115 Zephyrhif/s 783-9272 Dade City 567-8658 a I' II /P~ :> '\S\~ "'-s\ ~ ~ --,.., ~ ~ ~.... ~\ ~'" ~'~ "'- ~ \S' ~ N ~ ~ ~ ~~~ ~-4~~ -- ~ ~ .. .~ ~{ t. \-..~ N. \: ~:'f --. ~ ~S ~ ~~: l.:)~"" "" ');.\ h-, ~ ~ '\ ~ t J-j//Cl'sr /J(>pw ~V~/~~~ ~ ~ <..~ ~~ ';;\ ~ '" \. "'~ ~~~~ """i :-.~ ~'V\~ ""<..~~;., '" ~ ~t-;t" :) ~ .~ ~ \l'- '\'.l I, ~ &nf/'o,.,) W Y; TJ.fr? C). C6~r o tt"N~~r '2. fI,) 'If ~~VJ \<-- III 51111I 7 () II ~ II 1I1f~ 1~1/ p '2 hl?/II ;t~I17~drL-- t:i ~ pi? //17/ 5l/e;.:,k-r 16 'I --3;- ... ' ~~ ~ \). ==i :;:, ~i V,/s 00#1 W)9j 4f:f oP 1'J/fr OJ-J /<,'~II;;W Wj.E W/~J... V,Sp tv~rp-n j.li,,()~ 5 ;;f;vwJ/ ';V W P J.-t ;1;1/ tI //'J-: /w It? FA' /s/>'n/g ti'l ?#sr ~~~~ ,J,(//~A.-a ;://1 11/'''''''' I ~ II ~f?nc r&b yp,(ry 1/1 i !J tf ()17 /VI /j IV () w )4 ~rofi,':f>~ ?j.~St.fr /IV r/I~r P/?.t! / ~/S tl';::-;:>'c-d;.. f"J;[ WIt-/.. t/..5tr jJ)(/511A/J WI'1/pr{ t /NJE I-€J/,? /1~c/$tE Lhbb /1~ ~(..)If 5 v,P;:?tj - ;V~f )10/ tPl9/p;/"t, '-'''''\''';'"lW"'_~-~-'''?->'',__"",~,~,_1<' -:':"~"""'.~"1"'!l'i ";':',::"~', APPLICAnON FOR PERKIT CITY OF ZEPIIYRBILLS BUILDING DEPAR'l'HERT OWNER'S IIAKE 57: ';;'5~kJ.# /A:r/I~t/b .t?Rv/?~I-I PHONE 782-'" 7S/? OWER'S ADDRESS '3 f> t\f I? h ?,# ;:1 n~ :;;2 - .dA ~ JOBADIlRESS -:3'87lP 2rHH""'L/ ~~/?,//O{SftJFE'/ LEGAL DESCRIPTION: LOT(S) _ BLOClL--SUBDIVISION PARCEL I. D. 1 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:__ew Coostruction ---..Addition ~eration ----Repair _Install _Sign --.Jfove ->>eaolish PlIOPOS1lIl lISE: Z" F-UY ec:-ercial --.J{/F _' of Units ----3t/H _Indust. _Swia. Pool _Other __estaurant Ii Health Departaent Approval DESCRIPTIOR OF WORK: / 11/~ i0~j 7/A/O /P.l.fs.T AaJh?, 5' BUILDDG SIZE: x Square Feet, Height RESIDENTIAL: COMKERCIAL : ATTACH (2) PLOT PI.ARS Ii (2) SETS OF BUILDING PLARS Ii (1) SET ENERGY FORMS. ArrACH (3) SETS OF BUILDDG PLARS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUcnON. PERMITS REQUESTED ~UILDDG $ 1/ 57/)/ &;0 Valuation of Total Construction Rl.RC!'lUCAL AIIP Service Florida Power Corp. W.R.E.C. --Z:CAL ~DG $ Valuation of lIecbanica1 Installation GAS ROOFIRG SPECIALTY TYPE 9F COIISTlWCl'IOR: ~loclt _Fraae _Steel Other PDIISIIBD FLOOR. BLEVAnORS: FT. IS PROJECT D FLOOD ZOO AREA? ~. YES NO ****************************************** CORTRACTOR SECTION BIJTI.Da Q)l(pAIIY State Cert. or Regist. 1 Signature City License Registration 1 ****************************************** Rl.RCTRICIAR COMPANY State Cert. or Regist. 1 Sianature City License Registration 1 ****************************************** PLOKBER COHPANY ~ ?J' I State Cert. or Regi 1 Signature City License Registration 1 ****************************************** IlEClWiICAL COMPANY State Cert. or Regist. 1 Sigoature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. . Sigoature City License Registration 1 ****************************************** APPLICAnOR APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that tbis perait lilY be subject to 'deed restrictions' wbich lilY be lOre restrictive than City regulations. !be undersigned a&SUJes respousibility for l3pliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer bas hired a contractor or contractori to undertake IOrk, 'tbey lilY be required to he licensed in accordance litb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe 0IIDeI and contractor lilY he cited for a lisdeleallOr violation under state law.. If tbe OlDer or intimded contractor are uncertain as to wbat licensing reguirelellts lilY apply for tbe intimded work, they are advised to CQIltact tbe City ofZepbyrhills Building Departlent, (813) 788-6611. Furtbenore, if tbe OIner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe -Contractor Sections' of tbis application for wbich tbey will he responsible. If you, as tbe OlDer sign as tbe contractor, you are indicating that you, ratber tban the contractor, are responsible for tbe IOrk. If the contractor wishes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting 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 I, tbe applicant, bave heen provided witb a copy of 'Florida's construction Lien Law - lIoIeolmer's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOI8OI1e other than the 'OIDer-, I certify tbat I bave obtained a copy of the above described dOCUleDt and pralise in good faitb to deliver it to tbe -OII1er' prior to co.enC8ll!llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforliltion in tbis application is accurate and that all IOrk will be done in cOlpliance witb all applicable laws regulating construction, loning, and land develoPEDt. Application is bereby Jade to obtain a perlit to do IOrk and installation as indicated. I certify that no work or installation has CDleDced prior to issuance of a perait and that all IOrk will he perfol'led to leet standards of all laws regulating construction, City codes, loning regulations, and land develOpll!l1t regulations in the jurisdiction. I also certify that I understand tbat the regulations of otber gOYerDleDtal agencies lilY apply to the inteDdec1lOrk, and that it is If responsibility to identify lbat actions I lust take to be in l3pliance. Such agencies include but are not lilited to: I Departlent of EnviroDlelltal Regulation - Cypress Baybeads, IIetland Areas and EnvirollleDtally Sensitive Lands, IIater/lfastelater !reatlent . I Soutbllest Florida Nater Managel8llt District - IIells, Cypress Baybeads, IIetland Areas, Altering IIatercourses I AIIY Corps of Engineers - Seawalls, Docks, Kavigable IIaterways I Departlent of Bealtb , Rebabilitative Services, EnvirODleDtal Bealtb Unit - IIells, IIastewater !reatlent, Septic ranks I US EnvirODlel1tal Protection Agency - Asbestos abatelellt I also certify that, if filllilterial is to be used in Flood Zone 'A' or "A,etc.", it is understood that a drainage plan - addressing a 'COIPeDBating volue' lill be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A p~it issued sball be construed to be a license to proceed litb tbe IOrk and not as autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official fIOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall heCDe invalid unless tbe IOrk autboriled by such perlit is COIIllJlced witbin sillODthe of issuance, or if work authoriled by tile perait is suspended or abandoned for a period of sil IODtbs after the tile tbe work is C08el1ced. One 90 day utension of tile, lilY be allowed for tbe perait litb fee charge of $15.00. !be utension sball be ested in lriting to the Building Official. An approved inspection lUSt be -logged during each sil IODtb period, or tbe R . ct lill be consid abandoned. IIAIUUNG !O MER: YOUR FAILURE !O RECORD A OICB OF COIIIBICBIIIR! MAY ! II PIYIIIG CB FOR DIPROVBIIBI!S !O YOUR PROPIR'IY. IF YOU IJI!IIID !O OB'I'IIJI FWKCIIG, COKSUL! WIft YOOR I BIFOlII DICE OF aJIMElfCEMBlft'. JOBS OlDER '2,500 IK VALOI DO KO! IIDD !O RECORD IKD ~ .. Mw~lti~~ S!AD OF FLOR~ coum OF It- SLO Tbe foregoing instrument was ~~~ledged before me tbis 1Yl1l'! 1& , 19~ by ffE.V -:JReo6 moNTF;. LG DAle; wbo is personally known to me or wbo bf'js/ produced P6~5{)1tI/J1-L Y KIJCJuJN as identification and wbo did/did not tak~ra ~ (S1 ure) fl 11" G . rtU (5e (Name Typed, Printed or Stamped) NOTARY PUBLIC SlAD OF F DA 17 /i 0 coum OF f} Se- Tbe foregoing instrument was acknowledged before me this In A Y I b ,19..2.S::...- by ~fJl,f leK :~ HftfilU-70N w 0 is persona ly ~OWD to me or who has produced FL-l>L 543 -~ 7~-b(j,- (/.1 (;-() as i tification d wbo did/did not ta e o~tb (Si atu~) It II ' - ,:r~ t:: - (1U/-...Sh (Name ed, Printed or Stamped) NOTARY PUBLIC JANE A HULSE NC1l'ARY pUBUC STATE OF FLOtuD co. ...~"'IlION NQ, cC343866 .MMC'O F.xP FElt 1~,1,~ . ...: ,_~.~"":,:':":':t :'.~;~"":' "'.y N JANE A HULSE NOrARY PUBUC STATE OF FLORID COMMISSION NO. ~ MY COMMISSION EXP. FE1!:)~~~ 5[: J.:sr<-j) \-\s GA,--IHd...te- L\ -\u1l.c. (-\ TABLE A - WORKSHEET CITY OF ZEPHYRHILLS CONNECTION 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 ~'X. 131.25 479.25 Urinal 87.50 319.50 Lavatory .;2~ 43.75 159.75 Tub/Shower I.f- 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. f~ WATER SEWER TOTAL PER FIXTURE Sinks 50 . Water Closets 75 2- 2fo2/-:; c 158" 5"0 /1 2- Z-L l)D Urinals 50 Lavatories 25 2- ~l:7D .31'1. ~o ~ D 7. b,;) Tubs/Showers 50 I ~7.~C. ,3{C( .5D 'fa 7, i) D Washing Machine 200 Washing Machine 50 Dishwasher 400 Sinks-3 Comprt 100 Car Wash-p/st. 1,000 il37~50 /15'17.5"0 21D351- .;0 I y;?r Ai.- " WATER METER