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Home My WebLink About95-5155 BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit ]I! (813) 788-6611 ;-515513 Date !/-;2t- -9 ~-- ~~IN~~ ELECTRICAL PLUMBING MECHANICAL Property Owner: ~. JI~ f). Job Address: <:ii'f~J. - i/ if - '/../.:.- ~ f- ~/;,-~_,o/7rzJ~ Parcell.D. # J2-:JiJ .-~/ - 0.9 P 0 ~./O P -I LJtf--/O ~- // 0 Sewer Conn Water Conn: Water Meter: T,LF.'s: Zoning: Description of Work Energy Code: C<Y/M7 Radon Gas: FINAL ,-/ 1/1 '> 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. c.o. - /'1-.'/ Inspector Permit Fee ~ ,. ~O _ S;gnatu,. +. <; Pr~ Company Address Telephone# Valuation or 4t Contract Price j.s P-..s....... - c:::JO City License Registration # / 'I /' S- State Certified License# Ct1;x ~ ~ A-AJt, /I ~ BUILDING Ftr. >>--4- tf ~ ~ L.L Pre SLB Lintel FRM. ./ .~L Insul. CL 'f 1 r.JI ,.,r j I ') WL Lt.l' 0, . n \ CL/ Driveway D ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. ~ r) ~ . - ? p: ~c( Q- 4. ' }~r - I ~ - ~ '':)- !..... ." () ~ ':::> ~ ~ ~ ~ \.j) ~ )~I . \.:i y \Alo ~ o Z D V -d .., c! ~ 0- , IU \v l 5; ~ -11 · 1 ~ D ~ , ~ a '., --4..1=-)/ '0~ P <:::2 V ~~ ......, ---, -' J'~ '( ~ .<J -0 <:; ~ ~ ~r) ~ ~ g ~'CF> ~ V) ~ '0 ~~\j ~~ .~ " \\j IJ ~ ~ ~ a: r~ ~ ~ ~ ! ~ ~(~ \. ~ \ \~ ~ ~ i j ~ -:J:. 10 r~. c-... -~."~ ,',.-. . \------ , TT - , ....g <r - \ -.c ~ ~ \r1 7K 1 " . .. "'-\VJE} HOll") tit e . .. ~~~ S~Q'O - ~)t~ 0: t'ci ~ - ; ~ ':) : \. "" .~ .. ~~ C, ~ ~~ \\J ... WV)g 1$0')40 .. ~)\.l' <!l E 'i1 C'" 'X C6 -'b'lEl . ~sp21 ~ ~Xt<' . - ~ 0- 4. - -::r <:::) \u:: ,.. ~ ~ S -l. -d .caI ::r P1~;:~ ~ .,t-(' -4- i5._ ~ (A r:: fi V? .V) \..J 0 9 -'0 l-= U --L j r '?,,.,-t t, ~ /.I ~ "'1 ,oe. APPLICATION FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT OWNER'S NAKE bEN CflA L b<= DC:kV~ I.oPhJC/./hoNE g/3 ~ ~'6 '7 - (,Sg/ OWNER'S ADDRBSsrD/D2 S. ? t::1J- sreeET DAdE C, TV -/7-" . JOB ADDRESs.3g '1</~,' 364t1tf;3<6 4i..f~i 3~4'1g COnON iVo~J, 'jJ~ LEGAL DESCRIPTION: LOT(S)/{)7~ iDg~ Idj ;;1) BLOCK SUBDIVISION i)i:/f"T-wood. VillAge r , r PARCEL LD.' (OBTAIN FROM PROPERTY TAX. NOTICE) WORK PROPOSED:_New Construction ----"ddition ---..Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily --lI/F _, of Units _M/D _~rcial _Indust. _Swia. Pool _Other _Restaurant &: Dealth Departaent Approval DESCRIPTION OF WORK: ~O)( bDreEE ~rANd(f\.'1 CA~~o~T J, . ' BUILDING SIZE:;)O X ~CJ . Square Feet.Elrofd' Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERHITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. --"ECBAIIIGAL $ _PLUMBING GAS Valuation of Mechanical Installation XX ROOFING SPECIALTY TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel Other FIlUSBED FLOOR ELEVAnONS: Fl' . IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUTI.DRR COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature m.RCTRICIAR COMPANY State Cert. or Regist. . City License Registration , ****************************************** SilmAture PLUMBER COMPANY State Cert. or Regist. , City License Registration . ****************************************** Signature KECIIANlCAL COMPANY State Cert. or Regist. # City License Registration . ****************************************** Signature OTIIRR COMPANY -d 1., L f.}R /S e ~A r2J~ ( State Cert. or Regist. , c.~(),w 0/. ~~ City License Registration . , *************************************** Signature APPLICATION APPROVED BY ~: f- I .... ~,.Ii ; " PERMIT OFFICER': CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit lay be subject to 'deed restrictions" wbicb lay be lOre restrictive than City regulations. !be undersigned assUJes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, both the mmer and contractor lilY be cited for a lisdell!anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJeDts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) , 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for Ibich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes 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, the applicant, bave been provided lith a copy of 'Florida's Construction Lien Law - HOJeOMDer's Protection Guide" prepared by the Florida Departlent of Agriculture and CODSUler Affairs. If tbe applicant is sOJeOne other than the 'mmer", I certify that I have obtained a copy of the above described docUIent and prOJise in good faith to deliver it to the "owner' prior to cOllll!Ilcelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance lith all applicable lalS regulating construction, loning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas CDleDced prior to issuance of a petlit and that all work will be perfoIJed to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agenCies lilY apply to the intended work, and that it is If responsibility to identify wbat actions I lUSt take to be in cOlpliance. Such agencies include but are not lilited to: . Departlent of EnviroDlel1tal Regulation - Cypress Bayheads, "etland Areas and EnvirollJelltally Sensitive Lands, Water/tlastewater !reatlent . Southwest Florida "ater HanageJeDt District - Wells, Cypress Baybeads, "etland Areas, Altering Watercourses . AIly Corps of Engineers - Sealalls, Docks, lavigable Watenays . Departlent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - "ells, "astewater !reatlent, Septic tanks . US EnviIODleDtal Protection Agency - Asbestos abatl!lleDt I also certify that, if fill laterial is to be used in Flood Zone 'A' or "A,etc.", it is understood that a drainage plan addressing a 'cOJpellSating 901018' will be subaitted Ihich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A petlit issued sball be construed to be a license 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 perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOJe invalid unless the work authoriled by such perlit is COII8Ilced lithin six IODthS of issuance, or if work authorized by the perlit is suspended or abandoned for a period of Sil IODtbs after the tBe the work is ~ced. One 90 day l!ltension of tBe, laY be allowed for the perlit with fee charge of $15.00. !be l!ltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned. WARMING '1'0 lMIR: YOUR FAILURE TO RECORD A BOTlCE OF C(JItDCEIlBKI MAY RESULT II YOUR PAYING TWICE FOR IMPROVEHmS TO YOUR PROPERTY. IF YOU IIITDD TO OBtAIN FItfAtfCING, CONSULT "UK YOUR DO OR All AnOmY BEFORE RECORDING YOUR NOTICE OF COMHENCIHBHT. JOBS UHDO $2,500 IN VALUE DO NOT mo '1'0 RECORD AND POST A "NOTICE OF COHHEtICEHEtII". ~~~c6 ' SIGKA!URE: OOKR OR AGBII'f ~ ~~~~ S'fATE OF FLORIDA COUlllY OF Hernanao The foregoing instrument was acknowledged before me this:T 111 y ? 7 , 19--9.5- by Edward L. Larisey who is personally known to me BIt*ibmxIr.aIK produced as' tification ~d who did/did not ak a oath.,:, / /1 ~ _U! L. .~- . ") q~ (SIgnature) Patricia F. Felaer (Name Typed, printed or Stamped) NOTARY PUBLIC ~ /1/'18/ SorA!E OF FLORIDA COUK'fY OF Hernt=lndo The foregoing instrument was acknowledged before me this July 27 , 19~ by Edward L. Larisey who is personally known to me O:O{]d&~ produced as identification and who did/did not t~k~~ oath., . /\ ~ : L/'---tL)..VCdL L7. l_iZtJ~t~) (Signature) C Patricia F. Felger (Name Typed, Prin1ted or Stamped) NOTARY PUBLIC (2(!- IF) / if6/ NOTARY PUBLIC, STATE OF FLORIDA. MY COMMISSION EXPIRES: Dee. 26, 1995- _ ~ TllRV NOTARY PUBUC t1NDIRWIIlTERS. NOTARY PUBLIC, STATE OF FLORIDA. MY COMMISSION EXPIRES: Dee. 26, 1995. BONDED TBRU NOTARY PUBLIC lJND&Ilwurus. , , , 1 ") 1 ,) ) ) ') '} ) BECK GRAPHICS INC., CLEARWATER FL 813.443.3803 I DATE '7 -\ 't-4~ cox LUMBER CO. ALUMINUM DIVISION P,O, BOX 10450 BRooKSVILLE. FL 34601,0450 (904) 796-7732 DA TE WANTED CUSTOMER NAME {'-"'<?"~'?-4 ( ik;r"..o C~~LfY0</(j 5("" 7 - G.5:'P I JOB LOCATION / cf' 1/1 . Li~(.J i Itf TAKE OFF DONE BY G~c JOB # LEGAL BLK W,O, # 10004 LOT PERMIT:f/ STREET ({::; rr o l"\L"..},)0,) n--i~ COUNTY Pft~c, 0 COX INVOICE # COLOR OF SOFFIT: SIZE OF OVERHANG: DRIP EDGE TO BE INSTALLED BY COX: ROOF LINE: HIP GABLE SIDING IN GABLES: COLOR OF SIDING: TYPE OF SIDING: SCREEN ROOM: DBL4: BRONZE_ FASCIA: FASCIA SIZE: YES TYPE RETURN: YES BRAND NAME: DBL5: DOOR: SIDING: FOOTAGE: NO LEVEL UPRAKE NO VINYL WHITE OUT/LAP H/L COX LUMBER CO. AGREES TO PROVIDE AND INSTALL THE FOLLOWING: H/R b~_ Wi 2. V'Y\ 1,-- 0.1 ~'i DIRECTIONS: 5:1 ~ - -.:: --;/12 Dr'=r-l.oJJ~0. ~'\\.4 ~ ~.'~ ib'\c( i2- 7'0 0"\ i --e \=- r-:- I Ui fI..Q ,7 (', . M....:J\...lo. i I r U-"CJTT'"' --'- '-""'"'"-r~' L I c::>L 0 [ PRICE SUBJECT TO CONFIRMATION AND FIELD MEASUREMENT BEFORE INSTALLATION IS STARTED COX LUMBER CO. RESERVES THE RIGHT TO CORRECT ANY ERRORS IN EXTENSION AND ADDITION ON THIS BID. TOTALNETSUMOF$ U;(..../Q ...-,' PLUS TAX: '0 Q TOTAL: tl/~vc:-. SIGNED.. 'J i. .~ PURCHASER I ~\. s: b ) '-I 'J () -.J .;) 0 Title to above described property shall not pass by delivery, but shall remain vested in and be the property of Cox Lumber Co, until purchase price has been fully paid. AI; mat"rialc ~Clld subiect T lien laws, 10% handling charges on returned merchandise. ALL INVOICES ARE DUE AND PAYABL.E BY ~1-'::: 10th OF THE ~ 'JR::'".. :::. : "ymem nvl received by the 15th 01 the month following purchase wiJ! be considered delinquent and a 1 1;2~~ interest charge -~_:/~M,_. ~ .~. -=