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Home My WebLink About95-5409 BUILDING PERMIT ...... CITY OF ZEPHYRHILLS Permit '.'1\1! (813) 788-6611 ~~540$A Date /1-dl..;;L -9~- ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: I...I5A'/.Jl ~~ /1~ Job Address: --5 7/..s-3 - ,--.3 ~ Parcell.D. # Zoning: Energy Code: Description of Work~ f(. 0 ~ Water Meter: T,I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL / /- zCj,... 95 DATE Complete Plans. Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector P.'m;' ~~ pt) Signature .,~ -=- Company , ~ Address Telephone# Valuation or IJ Contract Price ~ ..3 "S-, trD City License Registration # :2 ~ State Certified License# JJtf1I/,DA- 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 ($15.00) 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S NAKE 't'v\U\\-t.. 5~W-\"~ '~lS2-> '3~ ~~ ~b\ C~ PHONE '7B2-- ~3, OWNER · S ADDRESS 2J:'~ilt\\~~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I,D.' .'~-2(o-2\-OO~- m~- ()\L-~ (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition ~teration _Repair _Install _Sign ---1Iove _Deaolish PROPOSED USE: _Single Faaily _K/F _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Depart:aent Approval ~~- k~ 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. PERKITS REOUESTED _BUILDING $ 2.~E.~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ _PLUMBING GAS Valuation of Mechanical Installation X ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION Signature COMPANY State Cert. or Regist. , City License Registrati **************************************** // BITH .Dm := / ./ COMPANY State Cert. or Regist. I City License Registrat n' ************************************** *** / PLUMBER COMPANY State Cert. or Regist. I City License Registr~~~ I *************************************i"** Signature MECHANICAL Signature / APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to .deed restrictions. wbich aay be lOre restrictive than City regulations. !be undersigned assOles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake wort, 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 lisdl!leanor 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) 188-6611. FurtberlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the .Contractor Sections II 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 - HoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is sOlSOne other than the "owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "ownerll prior to COlleDC8l8llt. 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 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 COIIenced prior to issuance of a pertit and that all work will be perfoIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDl8Dtal agencies aay apply to the intended wort, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not luited to: * DepartleRt of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, WaterfVastewater !reatleRt * Southwest Florida Water Manag8l8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnvirODlental Protection Agency - Asbestos abat8lent I also certify that, if fill laterial is to be used in Flood Zone IIAII or "A, etc. II , it is understood that a drainage plan addressing a ac~pensating volOlell will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless the work authorized by such pertit is cOlleDced within Sil IOntbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sillOntbs after the tile the work is coamced. One 90 day extension of tile, lilY be allowed for tbe pertit with fee charge of $15.00. Tbe extension 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 TO OWNER: YOUR FAILURB TO RECORD A NOTICE OF COMHENcmar MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMIJTS TO YOUR PROPERTY. IF YOU Ilf'I'END TO OBTAIJf FIIlAMCIIG, COIISULf WITH YOUR LEIDER OR !If AffORIfEY BEFORE RECORDIIG YOUR IOTICE OF COMMENC JO UNDER $2,500 III VALUE 00 NOT HEED TO RECORD AND POST A HNOTICE 0 COMIIENCEMDfIl. \. " arty STATE OF FLORIDA ---:J coum OF ~ The foregoing injtrument was acknowledged before me this 1I_d-( , 191',L' by I Rle McCarty who is personally known to me er wRe has pcednc.ed as identification take an a STATE OF FLORIDA ~ >. COUlf'I'Y OF yMc.u The foregoing inst~ent was acknowledged before me this J 11.,.1/ , 19" ~ by fie uccartY who is personally known to me 8f who has pcetlaced as identification take o,th. . (Name NOTARY r intuid'iiotS NotOlV Public, State of F My Comm Exp, June 6. 1997 No, CC 292357 ,~, '"'L ?~;;ti;;j2'i'~'r~=~E~-;;:.:..-::-,.;,.:';;;:Z~:=,..7..::'l:~..""::-~"':;": i ~ -" - ~ .,. .,~, .~_-: I ~ I PAUL SCHAPER CONSTRUCTION CO. RESIDENTIAL & COMMERCIAL Reg~s~ered BUlidlng Contractor RB 0032524 "I:".-i"'-~"'~=I 't::''-' ,,'-'.-1 .i.II....J: \".,.,wrlv' C\"-'......J. f \'-.,., ....! -'...I' -'-' 11250 South Highway 98, Dade City, Florid~ 33525 Phone ~ (904)567-8580 Bonded and Ins~red \""2..,- ~ - "Z.\ - CC3=:> - (X)~ - <:) \ ~ r..----'----.n~:h'i]~~;:,~A~ ~;UEWlITTED TO: ! F'hone: 7 3l35:, ~3 Do;,'ce: ) / ~ 6- 1S-_", F-;;,-~r J~I/a,^- JOB NA;:;-E, A5,'dP0 (e - - : 31 (55 ~/t I/J~ ,~,..-...._-=~~_"~;;_~_ e, -,It-, h,~..~,,_ll_ .,,?, _ _ _ .. ':l"'=" i.et'>2b:". 5._'t...{lt ':::>pe'_li.l.L..<:It...O'I:::> an.;j estlffi,:;l,tes fOt': REROOF ~ -- _..,.,~_... _ F,EI":CJ\iE E. ,J., 1ST II~i3 SH 1 fIlGLES. DR I P EDGE, AND DAMAGEI) wOOL, - NEW WOOD ALLOWHNCE, -r? fA1 (!J to ~ P""-tvv.c... t / _ H~~;TALL NE~iJ _~ LB. FELT DRY-II\! I I 'I ,I - "'S"A~L NEW VA~.L7,; 1':kL ~~~=HINED'~RIF' _ INSTALL NEW ~ ~ ~,~ ~ EDGE I i I I I: ,I ! i i '! - I r\ISTAU_ r'JEW \lENT BOOTS I- 11,,~T i:\:....L "'Zd2- YEAR f;A";I~/dcT~~~:~ WARRAhlT IE F I BEF-:GLASS BRAND, C4 r . COLOR c.. k 51-! INGLE:: 'I I -. --- - COMPLETE TRASH REMOVAL ," ERM I T INCLUDED " 1 i I I I I I /.-J__YEAF.: CONTF-:ACTOR' E; LEAf:,' WARRArJTY "1-",rkf/ ).J I,,-if r)~I-<'/.dJ e:...... f;~ ~j k I ( .(1 (( GV,~/?OT~L COST: ; 0) L(j- ~. ~ /1",'(' CHEDULE,. l i ,'-,\\ ~"""'At)J~ U BHLAI~-t ~;;?r:;;,.. .. )c- ... fP f " Z---''[:o SC PE,"'. CONTRACTOl~2 . i "r:cEF::r'E,[~~~q~--------,,-~._,-,- '-'-~~~-~:-1f~~.-~d~ I)~JL/Y~ '( r-.~ ' ,. ,-,1 '"IlL;;;' ,_"t >::-' ' " '-. ;j I ~.-~ I' , l ! r':i..=1 or: ~::..____.___..____.___. d ~ - , - S i. 9 n .;:.. 'C I_~ r' Eo ~-- -- ~ =-==c-= - ~. --- -_.- - - --'.- ---- -.- -~ --^- ,