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Home My WebLink About95-4986 BUILDING PERMIT Permit KC? CITY OF ZEPHYRHILLS (813) 788-6611 498613 Date 3--;L'=- -7~- .~ ~ ELECTRICAL Pcope,ty Own",' ~ <;;;:;; Job Address: ,N.&__ - Parcell.D. # PLUMBING MECHANICAL Sewer Conn Water Conn: ~ ~ri j~.. Water Meter: T.I.F.'s: Zoning: ~ode: Radon Gas: ~7~f W::;'::-::;i-~i~PA/r--v- It; ~~~ (~ --.S -- Y /:::;. (:f!,...-LA- Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. NO OCCUPANCY BEFORE C.O. Inspecto Permit Fee YO, o-v Signature Company Address Telephone# Valuation or Contract Price y O~/.~ , City License Registration # -S - ~ State Certified License# Jrdr- \:ft;~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ",~~~,~,""",,,.--.,_..-..,.-. APPLICAnON FOR. PERKlT CITY OF zEPBY.BBILLS BUILDING DEPARTHERT OWRER'S lWIB S ~'l' -;y{26&t/ ld~~1?~ PHONE 78.2- J// / OWRER'S ADBUSS 3B~/.6-} (f fJ/5/h'rt ,1:7 CJ''''p " :Z..e,t?~l2h/ds. I~ JOB ADDRESS "38t?/f? .J/?P$'I'##) P&'r. .;' S~~IjM0~~//Jf;{" &~'?~ / LEGAL DESCllIP'lIOII: LOT(S) B~SUBDIVISIOH PARCEL LB.# :2 - Z-.2/-t?tJ/d -o510~-o-L10~ (OBTAIN FROH PROPERTY TAX NOTICE) ---..Restaurant & Health Departaent Approval DESCRIPnOIl OF WORK: ~ 1-1 cA~/"w .l/-i,/f h/1'C4f!.. BUILDING SIZE: x Square Feet, Height RESIDEIITIAL: ATTAaI (2) PLOT PLANS & (2) SETS OF BUILDIIIG PLANS & (1) SET ERERGY FORMS. COIIMERCIAL: ATTAaI (3) SETS OF BUILDING PLANS & (1) SET ERERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL HEW COIISTRUCTION. ~UILDING PERKITS REQUESTED $ ~ ()~I ~ Valuation of Total Construction RT.RcnuCAL AIIP Service Florida Power Corp. W.R.E.C. -"ECIWIlCAL $ Valuation of Kechanica1 Installation ---.-.PLutmING GAS TYPE QF COIISUUCTIOII: ____...loclt ROOFDlG _Fr~ ~eel SPECIALTY Other PIllISBED FLOOJl ELEVAfiOIlS: Fl. IS PROJECT IN FLOOD ZONE AREA? /, YES NO ..............*............*.......*...*.. Signature CONTRACTOR SECTION aJHPAIIY 7 ...e.p/'?'" V/? State Cert. or Regist. . City License Registration . ...........*..*.**...... ...... /-c........JC-F BUn.DRR s-rJ RT .RCTRTCTAII COHPAIIY State Cert. or Regist. . Sianature City License Registration' ...*.......*.....*..*....*.......**..*.*** PT.I1MBRR COKPANY State Cert. or Regist. . Signature City License Registration . ................**............*....******. IIBCRAlfI.CAL COHPAIIY State Cert. or Regist. . Signature City License Registration . .*.................*......**..***.**.**..* OTRRR COMPANY State Cert. or Regist. # Signature City License Registration . ...*...............*.*..........*......... APPLICAnON APPIlOVED BY PERHlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this penit llay be subject to 'deed restrictions' Ihich liar be lOre restrictive than City regulations. Ibe undersigned assUIeB respcmsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer has lIired a contractor or contractors ' to undertake IOrk, tIIey IIilY be required to be liceD8ed In accordance with state and local regulations. If the contractor is not licensed as reguired by law, both the 0IIDer and contractor IlaY be cited for a lisdelleanor violation under state law. If the OlDer or intended contractor are uncertain as to lhat licensing requirl!lents IlaY apply for the intended IOrk, they are advised to CORtact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the OlDer has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for lIIiell they will be respoosible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IOrt. If the contractor li.bes you to sign as contractor that llay be an Indication that be is not properly licensed and is not entitled to penittlng privileges in the City of Zepllyrllills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN. LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, baYe been provided lith a copy of 'Florida's construction Lien Law - lIaIeolmer's Protection Guide" prepared by tile Florida Departlent of Agriculture and ConsDEl' Affairs. If the applicant is 8OIeOI1e other than the 'owner', I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the "owner' prior to coaeDcetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlliltion in this application is accurate and that all IOrk lill"be done in COIpliance with all applicable law. regulating construction, zoning, and land deyeloplellt. Application is hereby IIilde to obtain a pmit to do work and installation as indicated. I certify that DO IOrk or installation has CDlenced prior to issuance of a penit and that alllOrt lill be perfODled to Met standards of all laws regulating construction, City codes, BOning regulations, and land developll!llt regulations In the jurisdiction. I also certify that I understand tIIat tile regulations of other gOYerntental agencies IIilY apply to the Intended work, and that it is Iy responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to: t Departlent of EnyirOlllental Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands, Water/Wastewater 'I'reatlent t Southwest Florida Water Hanagl!lent District - Wells, Cypress Baylleads, Wetland Areas, Altering Watercourses t Any Corps of Engineers - Seawalls, Docks, lavigable Waterways t DepartJent of Health' Rehabilitative Senites, IDviIODlental Health Unit - Wells, Wastewater 'I'reatlent, Septic I_ t US IDYiIOlllll!lltal Protection Agency - .Asbestos abatetent I also certify that, if fillllaterial is to be used In Flood ZOne 'A' or 'A,etc.", it is understood that a drainage plan addressing a 'COIpeIl8ating volute' lill be sublitted Ihiell is prepared by a professional engineer registered In the State of Florida prior to peIlit issuance. A ~it issued shall be construed to be a liceD8e to proceed lith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a penit prevent the Building Official flCll thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery penit issued aball becoIe Invalid unless the IOrk authorized by suell penit is coaenced litllin sillODths of issuance, or if IOrk authoriled by the penit is suspended or abandoned for a period of sillODths after the tile the wort is co.enced. One 90 day eltension of tile, llay be allowed for the penit lith fee charge of tI5.00. 'l'be eltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaell sillODth period, or the project lill be considered abandoned. IWUlIIG '1'0 (101: YOOR FAILDRI to RECORD A DICE OF aIIIIDCIIIDI JIlY IBSUL'I' II YOUR PIYIG DICE POI IMPROVIIIIDS '1'0 YOUR PROPBR'lY. IF YOU ImRD '1'0 OBIIIR FI_IIG, COJfSDL'I' WI'I'H YOOI LIIIDIJI OIl U A'I"I'ORIIY BI10JII RICORDIIG YOUR IO'I'ICE OF aJIMIRCBHD!. JOBS ORDER '2,500 II VALUB DO 10'1' JIBED '1'0 RICORD lID POS'I' A 'RO'I'ICE OF COIIDCIIIDI'. ~~if-~ ~d~~_ 8'1'A'I'1 OF ~ coum OF ()~t: 0 Tbe foregoing inst~ent was acknowledged before me this ;ll.._~ f<\.~19~bY \\ ~ 'f.~ ~ 'r \;;'~e or wbo fR pArann~11y ~ftn~ to me or wbo bas produced as identification and wbo di~~ n01:~ ~8D!r~~~y,~::: \ ~~~k~~ Y"2-~'?..'I. A~ (Name Typed, Printed or Stamped) NOTARY PUBLIC ~ ........., DEBORAH R. PERKINS I ", .' Pu ", 221715 ;,~f';;,:.!t~.,\ MY CO"-MISSiON # CC 1\~~~.1i;,@);} EXPiRES: August ~6. 1996 ",:lii"?:'~i.l Bonded Thru NotarY PublIC Und81W1\t811l ~ lj"i'f9fll\~\" '~1~!:"':fi:{:~ DEBORAH Fi:PERKiNS = N .~.. H MY COMM!SSION Ii ti."C 22'775 .~. "p EXP'RE l ~%"1;,,;\}' ~,., S: August 16,1996 .'i........ Bond!ld Thill Notary Public Und!llWlltem Licensed Bonded Insured /~/ ESTIMATE -~f~D Specializing in Chain link & Wood Fences New & Repairs Free Estimates · Senior Discount "Quality is Priority" / / INVOICE JAMES M. KELSKE (813) 783-9214 NAME: r l;. 'd.dl- ,diJo--u ) ADDRESS: c..'-'-t7'~ ,~ !ltJ~/ -s--yr ~~, :::ITY: DATE: S--';1:2 - ?'.r- ~~-t!e /{;7v--L ~ / STATE-ZIP CODE: TELEPHONE /I Cj~3( cri (j / /c;, ~ ~.-U I~I "'- l~ ~ ~~. (p J'f~ .L.-c. r. [.,) d?~ 5't"~ / / '/ tJ uJ./c 5~:d'~ 3 y,T c ~> I ~Y.., J- ::; / ;i7yOY ( c~- . I (p cr//!/.v' /~/'I/~ / C)... .,0 .~~ I.A-) ~ ~---_.~~-~._-_. --S- II t.--n -(../ I) /I~ eeL ..LZ> :::;q::- r p'/c 0 .2. 2- (.:. - ;L I - 0 0 10 - OQ J c.:) c~- C . ~rtht tY7 , ~/ /V?2/<^--- .' ZE~~ FENCE .. ________ / \u -:s.... ~ ~ u ~q( ,5 <l .>~ \ ~ ~<?t ' ~" 0 . ~ ',,< . \ ,.1jJ">'.t -;, /l~ I , 'l i. ; 4- _.~-tI . . . ,lp~.J>t<...s:-- ft~/ /