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Home My WebLink About95-5298 71?F d .1'/, f1V /95:0:> )/ 0 r; .1--5() BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit JT! (813) 788-6611 j~529~~ Date J tJ .1' I - 9 ~ ~ /. /2.>- BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pwperty Owne' '-~V1 Z~ A Job Address: .s- ~~ A ~_~ - Parcell.D. # /0 -d6 -:;1-/- 0 {) 0 CJ - CJ () 900 - 0 () 0 c.) Water Meter: T.I.F.'s: Zon;ng' ti,gy Code, _""- ~';pt!on ~f ;-VO'k 4!i . :::Jti; , ~ V/~1(~M '- ~. ()D SF Radon Gas: -- / '? 5:cO Inspecto - FINAL 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. Permit Fee Signature ~-t777-z... ,- Company Address TelephoneO I J) /ygf)/_. 2 /f..m Valuation or Contract Price 1~5; ;;, CJ a. tJV City License Registration # J. "> ~-;;L State Certified License# 40~(';Y1f;.~~*:.:u 9A//~ BUILDING ELECTRICAL Ftr, If )()~9)g LL- Tp. Servo Pre SLBI _ I Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Meter I \N Final~ 1\,. 4-0~ Driveway /fo PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB 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. ()t9l(l/(lt ;SU(L/)r;1/9 ,,(e((H( <<}1501\( d:iJ/(120..: ~ 200SC=-x 2D,O: .:: (V~ (J!JO~ 30X.(~=-5~QOS~^ (/.~:; ~9~oo, I ( ..~ J~~ (834e;;o I 3'uJJrMf /,07Z.55!.-- E6cfr(~ t{ If z.!? I -j I 5 .15' (/95,0(:)_ .. /30$175 ~C~ ~__J____;~.3 f?--;::? r tc"" oJ G, ....r:? ,-- ~/(Sed tJ.1t-;;;"'I(~ T (~ :sF ) 5< ~,~ :: 3b~ V~( , -= ( '?S-:~ APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 1 . ~( :m:- OWNER'SNAKE 1Z0N SlWtls.OW PHO~E 7B2-13r~ OI/NER'S ADDRESS_i\ (), a ~)C t 7/'1 7.. /Z./J Lr a,)....., ((:> FL ?, 30-37 o (/ ~ ~ JOB ADDRESS ~c; 0 ::Lq () J L 5 D0 LJY<-L U&; ~ .. 7k ~'-t..-I/z DF.Jk l()oVL-+:L..-'-<Je.sT~ oFf-k.Fl..jOO#e-~€~Tkt- oFSI:(!f}.on.,/o 7CWl...sfu~ LEGAL DES~PTIOH': Lg,T(S) BLOct_ SUBDIVISION t<t+"V r E ;2, ~5 T PARCEL I. D.' Goo 0 ~ C) 0 q /'7'n - ~o (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ~ew Construction _Addition _Alteration _Repair _Install _Sign ---..Hove _Deaolish PROPOSED USE: _Single Faaily _eo..ercial _KIF _. of Units _K/H _Indust. _Swia. Pool ~Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: (1 fA ~ Jlt1 ~ BUILDING SIZE, 60 X /::J.o, ~~ Square Feet, f.6 { Height 30 )<.. (J..O ~OD iE}tw To RESIDENTIAL: ATTACH (2) PLOr'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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELEC'fRICAL ~ ~C;O AKP Service V Florida Power Corp. W.R.E.C. ~.A. MECBAlUCAL $ Valuation of Mechanical Installation ~ ,A. . PLUMBING . GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block Fraae ~Steel Other (~~. \/ FINISHED FLOOR ELEVATIONS:grzs: F':r.;,1f./ ) IS PROJECT IN FLOOD ZONE AREA? ,;:::..... YES NO ****************************************** BlITLDER CONTRACTOR SECTION COMPANY 5"'v f'e/110/1 CtJAl/filTcrllf/t9 Or CMJ/l?/~fi-offfJJ4i1/f ~- ' --- L? /_~'/./ State Cert. or Regist. .cBc:.A 1-44;z..+ /' . ..., ~ /'Z..tt'i ..f/ City License Registration . / ..5.....5 ~ .. ********** ******************************* Signature ::::~~ COMPANY Cci-ff- 'j.,,.ld.a,v' E /fl=<!--Cf State Cert. or Regist. , '"' II e . _City License Registration ,." I~ ~ 1(" - *** * ************************************ PLUMBER. COMPANY State Cert. or Reg. t. . Signature City License Re tration f **************** ********** ;:j:/V'<!- /5>(J I Signature MECHANICAL OTHRR Signature " ", ,~:~. COMPANY State Cert. City License istration t ****************************************** :". APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit lay be subject to Bdeed restrictions" wbich lay be lOre restrictive tban C. regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they laY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing requirelents lay apply for tbe intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of BFlorida's Construction Lien Law - HOIl!01fDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Consl1ler Affairs. If the applicant is soeone other than the "mmer", I certify that I bave obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the "owner" prior to couencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOlleDced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIental agencies laY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: i Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater TreatJent i Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses i Arl' Corps of Engineers - Seawalls, Docks, Havigable Waterways i DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic ranks i US EnviroDlental Protection Agen~ - Asbestos abateleDt 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 .cQlpensating volDle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with 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 frCl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid unless the work authorized by such perlit is COIIenced within six IOnths of issuance, or if 1I0rk authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is ~ced. One 90 day l!Itension of tile, lily be allowed for the perlit with fee charge of $15.00. The l!Itension shall be requested in IIriting to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project lIill be considered abandoned. WARHIHG TO OIIHER: YOUR FAILURE TO RECORD A HOTICE OF COHHEHCBIIBHT HAY RESULT IH YOUR PAYIHG !VICE FOR IHPROVBHBNTS TO YOUR PROPERTY.. IF YOU INTElID TO OBTAIH FHIAXCIHG, COHSULT WITH YOUR LBHDER OR AN' AtTOlIMBY BEFORE RECORDIHG YOUR HO'IICE OF COMHEHCBHBNT. JOBS UHDER $2,500 IH VALUE DO HOT NEED TO RECORD AIID POST A BNOTICE OF COIlHBNCBMBHlH. ~ ~<Q . ( ~ ')- Q...: I~~ ~~~ ,-. SIGMAT~ OR' STATE OF FLORIDA fA comy OF ..> {O The foregoing in~trument was acknowledged before me this :Jt({/; OCTr, 19 <iF' by -------- LE(j& .5': WIJ-S6!11 ar GhO is personally known to me] or who has produced as identificatfJon ~d ~~ did/did not take an oath~ ~ (Signature) r- f 01. 'IClA[NOTARY EAL (Name Typed, , (F ~JlOR:DA NOTARY PUBLIC COMMiSSION NO. CGO'1757 , . MYCOMM'.i;5iON E:-:r;: ./;S..::1 { ..""'~ STATE OF FLORIDA tJ A ( coum OF /' (LvLO The foregoing instrument was acknowledged before me this ;J/(/)E OCr: , 19 r.s- by r.:..-CiEtJM,E .L, 8~, ~r ~ho is personally known 'to _~.--- or who has 'produced as identifica an~ wh~.~d/di~ not take an oath. ~ (Signature) (Name Typed, NOTARY PUBLI