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Home My WebLink About95-5474 BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit ]I! (813) 788-6611 --5474A - - Date, /;2-/:;--y..s - ~.. ZJ7) BUILDING /pi' t1, tIZJ ELECTRICAL PLUMBING J/t? c:r-o MECHANICAL Sewer Conn Water Conn: :~::~,~:~~~M~ ~~~t Water Meter: T.I.F.'s: 1:2... Y!/5/, / tF' , Parcel I. D. # Zoning: ~ E[le~);ICode: Radon Gas: Description of Work I ~ - ~~ ~ "~ ~ ~~'::l..... ~ City License Registration # ~~~ BUilDING )30 .3 Permit Fee Signature Company Address Telephone# FINAL 3" -, DATE C.O. ,3 - 1- 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. Inspector Valuation or t lJ0 Contract Price J lT27V . (*~-e /tJ 6 /lLtA/~~;:;tp / () ..:s ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In 1-5 ~t. Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final ~2-(;ji~~ ~"t-(.,-qpU Breakers Ducts Ins!. Compressor Final Ftr. Pre SLB Lintel FRM. ,- 5 ~~ BltG Insul. CL WL i3c,~ Driveway ~~-'" AJ".f50~ REINSPECTION FEES: When extra inspection trips are n~cessary due to anyone of the following reasons, a I1Q , charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: - . /J6N r '-" a. Wrong Address (j~- 10~~ r b. Condemned work resulting from faulty construction. ('..-C h c. Repairs or corrections not made when inspection called. II 0.'/ 19 - lay- d. Work not ready for inspection when called. 0 r- j) J 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. /P8 48 $111 L 13L J [> C)j/\/EMJ} ~ " .. /,im-;~u 7;#? Bu;'/Joul, lo~ SC-teecl)S --r//--;, for ..3 - 4-5 E( h 1-54~ 60 i l<i oV f .h /U:s f7of/1 ~ /0, ~h 17000 / --fer-lu; fs " l!vllclwl . E/ect(t~'-(! -p1t.J!(( bu-!/. III eC~c5N11(J9 ! <'/IS€f4> (CO,d-) X 3 300, 00 /p9 . c;D zo cO tj//-I ZD,CO 4, &, ex; t(z<S).~ ------ ( ((:-;, ..sere&? # 3 4 / {o ~ k ~4. t. '? /,".-.<Pol 1,8~ _ ~.'? / c- D" " ,,, (P,7 '12.. , 89 ,-" :; It d.t ~t ~, 71'-.89 !p ,," l ,t'l & 712-, S<? I !!.e 095. .- 1l0, -- 28 5i5,~ ( APPLICATION FOR PERMIT CITY OF ZEPllYRBILLS BUILDING DEPARTMENT OWNER'S NAKE ;(e:PII Y/? /J1 Cij fi .JTC /?L? I' OWNER'S ADD~S b ?Y'r ~C-L 6Lt/.?? hrrYr kCL I!fLt/L7 #c PHONE ?P-/c9CtJ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction V::ddition _Alteration _Repair _Install _Sign ---"ove _Deaolish c PROPOSED USE: lze F_il:y ~M/F _' of Units _M/H ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: E~co c;::t~T ~.t?/7zY~/C/~J BUILDING SIZE: ptj;~. /] 6fJ Square Feet, /6' Height #-;-r/ 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. ~LDING _ELECTRICAL V;;;CHAlUCAL $ ~ P PERMITS REOUESTED :.:> ~t9t1 Valuation of Total Construction AKP Service ~Orida Power Corp. ~rJ{J ~ W.R.E.C. $ Valuation of Mechanical Installation _PLUKBING GAS ~OCk ROOFING _Fr_e _~el SPECIALTY TYPE OF CONSTRUCTION: Other FIRlSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? / YES NO ****************************************** RlITl.DER CONTRACTOR SECTION COMPANY {/,//5/2 (c//Z 1;6/'1 E..f' State Cert. or Regist. . Be City License Registration . ****************************************** /' Signature ELECTRICIAN COMPANY ,f t: c t! I t' {! 7r:11 ~. . v-q.)///.. f .<;?_ \ d State Cert. or Regist. #: 13':{d~t? ,)If//! d' / SiQIIAture H./~W zt/ \/ ~-- City License Registration' I/J b ****************************************** PLUKBER /./~ \ KECHANI~ Signature ~ COMPANY State Cert. or Regist. . City License Re stration t ******************** ********* Signature COMP StateCer . or Regis . # ' City License Registration . *************************** '3 ' OTIIRR COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit laY be subject to Bdeed restrictions. which lay be lOre restrictive than City regulations. fhe undersigned assUles responsibility for cOlpliance 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents 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.IaY be an indication that be is not properly licensed and is not entitled to pertitting privileges in the City of Zepbyrhills. 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 with a copy of 'Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleone other than the Rowner", I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the "owner" prior to couenCeleDt. 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, Joning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a pertit and that all work will be perforted to leet standards of all laws regulating construction, City codes, Joning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater freatlent t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Havigable Waterways t Departlent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks t US EnvirODlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood ZOne IAI or "A,etc.", it is understood that a drainage plan addressing a UcOIpeDsating volDleR will be sublitted wbich 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 pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of. six IODths after the till! the work is COBeJlced. One 90 day extension of tile, laY be allowed for the pertit with fee charge of $15.00. fbe extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sixlODth period, or the project will be considered abandoned. WARHIHG '1'0 OWHER: YOUR FAILURE fO RECORD A HOfICH OF C<IIMEHCBIIBIif MAY RESULf IH YOUR PAYIHG filCH FOR IMPROVIMBftS TO YOUR PROPERfY. IF YOU IN'fElm TO OMAIH FIHAIlCIHG, COHSULT WITH YOUR LEImER OR All AnoRBY BEFORE RECORDIHG YOUR HOfICI OF COMMEHCEMEIf'f. JOBS UlfDER $2,500 IH VALUE DO MOf MEED fO RECORD AND POSf A 'HOfICE OF COHMDCEMEN'f'. t#P/ :1IIm~AGEII! sl4Ie STATE OF FLORIDA coum OF The foregoing instrument before me this was acknowledged , 19__ by SfAfE OF FLORIDA coom 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