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Home My WebLink About95-5408 BUILDING PERMIT - CITY OF ZEPHYRHILLS Permit J1! (813) 788-6611 -~540~11 Date II - d ;).... -7.5 -- BUILDING ELECTRICAL PLUMBING ~HAN~ Pmporty owne,2:t:.'d ,,-(! ,;1--- a /<-. Job Address: J1~__ _ __ Parcell.D, # Zoning: -fJ- Energy Code: Radon Gas: Description of Work ~~JA .... ~.J'd/b ~~, Sewer Conn Water Conn: Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE ,-el?, J~PT'. City License Registration # State Certified License# /t:>/> , p~rmit Fee 1a~: ~ Signature z..~ Company G Address Telephone# Valuation or Contract Price IJ' 07:;. 0--0 BUILDING ELECTRICAL PLUMBING 13(/ cZ-~xf~ MECHANICAL - Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 ($15.00) 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE ~o''Z- UDh~ ':B-^~A~Y1 ~.(~~ ~~__/G ~~,rz;. ~#w'~//~ a. , PHONE OWNER'S ADDRESS K?'3'o JOB ADDRESS 72- 5' -f gA'// /fLub. .J'3(. ~7 ??~.N~h"~.?~,,~S ~NU~(~~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~nstall _Sign ----1Iove _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval . ---- . . DESCRIPTION OF WORK: ,c.;:::? Mf ~sr~/~7'h:u/ /;(?NKs y-R.p/#~ BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ 700. ~ Valuation of Total Construction _ELECTRIGAL AKP Service Florida Power Corp. W.R.E.C. _HECHAlfIGAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FlIiISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. # City License Registration # ****************************************** SianAture PLUKBER COMPANY State Cert. or Regist. # City License Registration f ****************************************** Signature KECHANIGAL COMPANY State Cert. or Regist. f City License Registration . ****************************************** Signature OTRRR ~ COMPANY ~e~~f~~' - ~ State Cert. or Regist.' //00 Signatur . ?;::.:- City License Registration' ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait laY be subject to 'deed restrictions' which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requir8lents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which 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 wishes you to sign as contractor that lay be an indication that he 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 'Florida's Construction Lien Law - HOIl!OIIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is sOl8One other than the "owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to COIleRC8lent. 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 developllent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has COIIenced prior to issuance of a perait 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 governaental agencies lilY apply to the intended work, and that it is Iy responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not Iilited to: t Departlent of BnviroRlental Regulation - Cypress Bayheads, Wetland Areas and BnviroRlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abat8lent 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 'c~pensating volUle" 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 shall issuance of a perait prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOlB invalid unless the work authorized by such perait is COIIenced within six IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six IODths after the till! the work is co.enced. One 90 day ntension of tile, lily be allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARMING TO OlfMBR: YOUR FAILURB TO RBCORD A NOTICE OF COMMBNCBIIENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMDl'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIH FIIWICING, CONSULT WITH YOUR LINDER OR AH AffORm' BEFORE RECORDING YOUR NOTICE OF COMMBNCBHBNI. JOBS UNDBR $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A lINOTICB OF COMMBIfCEMBHT". ~~ SIGNATURE: OVNER OR AGBlI! SIGN U : R STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATB OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC o t~~Q "'~ ~Q :t\~ ~ t',," . ( :'\~ ~~ , ~ )J ~.--s71 ['... ~~. I ~ . ~ "I ~ ~ 6't ~ ).,. ~ ~ ~ ~ D;. ~ II ~ ~~~~ I ~ '- \. ~J~~ 1 ~~. ~~ ~ ~ '" ~ ~ ~ ~ ~ ~ ~ 6\l <A ~ ~ ~ ~ 111 ~ 'It _ v., ~ C\ f , ~. ~ ~ f ~~ ~~Q~~ ~~ ~ ~'i\ ,. (~. ~ ~ ~~ ~ ~(:) \ r","".... '------'"'~\ t ,. I \ \ \ \ \ 1 ~ i r~\ ! I \ \ .....,,,\ \ 1 )\ ~"~', i ~ ~~L?:,' " ~ :,~,,';,i ~ ,:'j ! \~ ,\; .. <- i ' .; ! il, \ \ 0\ ~ I ~ ~~ ~~ ~~ ~ !! :ON mm C"'D m:I: "'0..( )>:D :D::I: -IF 3:.. men z -I ~ ~ ~ ~ t' ))~ ~ ~ b~ ~\ ~ . ..r ~ -" Ii:) ~"-~ ~. "\ \\ (j\ ~+~ 2... ~ I . d~a/J. ~~v/J. S){1:tVW~~ ..Lsn~ dO -acrv ~ ~HVN NI gwI.L :~~IddO :~.Lva :~:nO'IdW~ S~'IIW .L1:tV.LS HSINId .Lno ~WI.L : - ON .LINn :DNIaV~1:t 1:t~J.~WOcr~~dS .L~Od:nr ~:nO'IdH~ -' ~'{C <CU~IlU;~ ~IP ~6 (c@IJllP@m~~Il@~ @4J~ ~ e~dlome ~ e~ qa.tgeJwke 9029 Denton Avenue Hudson, FL 34667-4340 (813) 862-5994 5151 George Road Tampa, FL 33634-6297 (813) 884-4488 700 Aeriform Drive Brooksville, FL 34601-3559 (904) 799-9239 BAY CITIES GAS CORPORATION LIQUEFIED PETROLEUM GAS SERVICE CONTRACT THIS AGREEMENT made and entered into this /?day of A.&.i?A#,~' , 199 5, by and between ~()Z, (./i/,.h:V , 0;'5,4/ . 1j~~"o,' //y ~~" s "~"~'J / . 7:ZS4 r:::19// Rvp, ~~AN'/A/~. I (hereinafter referred to as the "Customer") and BAY CITIES GAS CORPORATION, 5151 George Road, Tampa, Florida (herein- after referred to as the "Company"). WITNESSET~1 : That for and in consider~tion of the sum of ONE ($1.00) DOLLAR paid by each party hereto, to the other, and of the agreements herein contained, the parties hereto covenant and agree: 1. That the Company hereby lends to the Customer all the equipment located and installed by the Company at the address above to use Company's Liquefied Petroleum Gas Service for storing and supplying of Liquefied Petroleum Gas to the customer, including tank(s) and rogulator(s). 2. That all gas used by the customer shall be filled by the Company at the rate of O.~8 cents per gallon, excluding any taxes which may be imposed upon it. The Cus- tomer agrees to promptly pay all sums due the Company, and if any sums shall not be paid within ten (10) days of its due date, the Company may cut off the supply of gas with- out notice to the Customer. The price per gallon may be raised, or lowered, in the event the Company's cost price is changed. "q.~ 0WH.eci. tUUi ~ d.iH.ce 196:1.." . . IN WITNESS WHEREOF the parties this Agreement this /~ day of AA,o. hereto have executed , 199.2:. CUSTOMER: CUSTOMER I S NAME: ~~2- UPD/~ HOME ADDRESS: X Y13r:J ,.' 1'/t!19rVO)J+ t?~E TELEPHONE NUMBER: '11/ - 5g/, 3 / 1>Yr?,p. ,cL-' 336ft 7 COMPANY: BAY CITIES GAS CORPORATION 5151 George Road Tampa, Florida 33634 By: Company ---"~' ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name Classification Address Owner/Manager Business Phone Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL 0 ANNUAL o OTHER o NOT APPROVED OBI-ANNUAL o COMMERCIAL CHECK Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. Inspect. Date Re-Inspect. Date Inspect. Time Inspectors Name Fire Dept. 10 # Owner/Manager Signature Title This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes. White Copy - File Yellow Copy - Bid, Depl. Pink Copy - Buslness