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Home My WebLink About95-5488 BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit J1t (813) 788-6611 " }-548~ !J Date/:l - :2. 9 - 7 '-~ -- e ELECTRICAL PLUMBING MECHANICAL P,"perty Own." ~ k -bn- ~ Job Address: 0- L;:: 7- ~ / h(.! -/~ --H ParceII.D.# //-::26 -;;"'/-0070 -/YroCJ'- Cl0..30 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work _ 4~ ~ Radon Gas: 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. DATE City License Registration # State Certified License# p/J . Permit Fee Signature Company Address Telephone# . Valuation or Contract Price /..s Crc;. c-v -' ~~/~ ."'- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB ~ ~ ' Lintel ~. ~. . \/ FRM. q tl~; Insul. CLl -' . WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 ZBPllYRllILLS BUILDIHG DBPAImlBNT OWNER' S NAHK OaAJ 6f:2-7 5~b cKtAJ6 ~ y I' rt- sV- PHONE ~~ ~ OWRBR' S ADDRESS JOB ADDRESS LEGAL DBSCRIP'l'10N: LOT(S) BI.OCL-..SUBDIVISION PARCEL I.D.' 1/:2 Cp t2-1 ~ 7--<>/ ""~0tJ 06 ~~B'1'AIll FROM PROPERTY TAX HOTtCl) WORK PROPOSe :_New CoDstruction ----Addition ---.;UteratioD. --.,Jtepair /Install --5ign -...Hove ~.li8h PROPOse USE: _Single Faaily ----1t/F _' of Unit8 ......-.Jt/B _ec-ercial _Iadust. _Swia. Pool _Other -Restaurant & Bea1th Departllent Approval DESCRIP1'IONOF WORlt: '78 ~Y77f<<- /OYI'f, fJu I9lB ~ BUILDIHG SIZE: I ().x 10 . I~ 1 square Feet. Height RB5IDBI1T1:AL: ATTACH (2) PLOT PLANS & (2) SETS OF BU1LDI&GPLAlfS & (1) SIT ENERGY FORMs. COIOlBRClAL: ATTACH (3) SETS OF BUlLDING PWS , (1) SIT INBRer POIUIS. PROPERTY SURVEY REQUIRBD FOR ALL NEW CONSTRUCTION. _BUILDIRG $ (COD ~ PERMITS REQUESTED Valuation of Total Construction RI.RC1'R1CAL AIIP Service Florida Power Corp. W.R.B.C. --llEClWlIClL $ Valuation of Hechanical I.nstallation ---...PLUKBIRG GAS ROOnNG SPECIALTY TYPE OF mas'l'llucnOll: ~loelt _Praae _Steel Other FlJlISBED FLOOR ELEVATIONS: Fr. IS PROJECt I.& PLOOD ZONE AREA? YES NO .......................................... BMLDER aJIIPAIIY State Cert. or Reaist. . . City License Aegi8trat-ion . .......................................... CONTllAC'l'OR SECTION S-cW~ Iftrftf tV 07( ~ 7fP Si...ture Itl1U!'I'RYI'!U,U I COMPANY . State Cert. or Reaiat. . City License Registration . ............................................ ,.., .. Sii.mature PUDm"RR. COKPAItt State Cert. or Reaist.' Signature City L.icense baistration . ........................................... dt8MtCA.LCOMPANY StateCert. or Regist. . Signature City License Registration f .......................................... MIIRR C()Kl)AHY State Cert. or Regist. . Si...tttte City License Registtation . .......................................... APPLIcATION. APPROVED BY PEMt1' OFFlCBtt. .. CONDITIONS OF PERMIT AFFIDAVIT A. ~ NOTICE OF DEED RESTRICTIONS . !be undersigned understands that this pertIt lilY be subject to -deed restrictions- wbich.y be IOterestrictl,e than City regulations. !be undersigned assUll!S responsibility for COIpliance vith any applicable deed restrictioos. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIII1er bas hired a contractor or contractors to undertake wort, they laY be required to he llceued in accordallce with state and local regulations. If the contractor is not licensed as required by law, both the 0IID8I and contractor 8J be cited for a lisdf!leaDOr violation under state law. If the owner or intended contractor are uncertain as to what licus1ng requireElts laY apply for the intended work, they are advised to contact the City of ZepJlyrbilla BuildJDg Departlent, (813) 788-6611. Furtberlore, if the 011I181' has hired a contractor or contractors, be is advised to hate the COJItractot(s) sign portioos of the -Contractor Sectioos- of this applicaticm for wbicb they will he responsible. If you, as the OIIDer sign ~ the contractor, you are indicating that you, rather than the contractor, are responsible for the IOrt. If the contractor vi_ JOU to sign as contractor that laY be an indication that he is not properly licensed and is not entitled to pmitting privilegu in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FE_ AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBHDED) I certify that I, the applicant, bave been provided with a copy of -Plorida's COnstruction Lien Law - ~er's Protectioo Guide- prepared by the Florida Departlent of Agriculture and ConaUlef Affairs. If the applicant is Im80De other than the -OIIDer-, I certify that I have obtained a copy of the above described docUIent and pr..ise in good faith to deliver it to the -OIIner- prior to COMeDceIl!Dt. E. CONTRACTOR 'S/OWNER' S AFFIDAVIT , I certify that all the inforution in this application is accurate and that all wort will he done in COIpliance .ith. all applicable laws regulating constructicm, loning, and land develOlElt. Application 18 hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or inatallation.bas CDIl!Dcecl prior to issuance of a perlit and that all wort .ill he perfoned to _t staDdard8 of all 1_ regulating construction, City codes, loning regulations, and land develOlElt regulations in the jurisdictiCll. I also certify that I understand that the regulatlOllS of other gov8lDleDtal agencies laY apply to the intended worl, and that it is If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies Include but are not lillited to: I Departlent. of EnvirODleDtal Regulation - Cypress laybeada, Wetland Areas and EnvIrODleDtally Sen8itive Lands, lIater/Wast8later treatleDt I SOuthvest Florida later Hanagell8l1t District - lIells, Cypress Baybea4i, lIetland Areas, Altering latercourses I IrIy Corps of InvIneers - Seawalls, Docks, NaVigable Watenays . I DelllrtleDt of Health' Rehabilitative Senices, IDvirouental Health Unit - Wells, Wastewater treatlent, Septic fanb I US IDviIODllel1tal Protection Agency - Asbestos abatl!ll8Dt I also certif, that, if filllaterial is to he used in FloodZOlle -A- or -Iretc. -, it ia understood that a drainage plan addreasing a -CQlpenSating volUl8- will be sulllitted .hich is prepared by a profeasional BDgineer registered in the State of Florida prior to pem t issuance. . I perlit issued &ball be construed to be a license to proceed .with the IOrt and not as authority to violate, cancelal1ef, or set aside an, provisions of the tecbnical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, constructiOD, or violations of any code. Ivery pmitiuued shall becme iDvalid unless the wort authoriJed by such pertit is co.enced within sillOlltbs of issuance, or if IOrtautborued by the perlit is suspended or abaDdoned for a period of sil IODths after the tDe the wort ia~. ODe 90 day atenalOll of tile, laY be allOlfed for the pertit with fee charge of tI5.00. !be extension &ball he requested in .riting to the Building Official.., In approved inspection lUSt be logged during each sil IODth period, or the project .ill be considered abandooed., IARIIMG TO (JIIIR: YOOR FAILURE TO RECORD A DICE OF CCIIIBICIIIIII' lilY RESULt II YOUR PAYING filCE FOR IHPROVIlIIIIIS TO YU PROPIBft'. IF YOU InBJO) TO OBTAIM FIIWICIHG, COISULr WItH YOUR LBIDII OR II ImIIIY BIPORI RICORDIIG YOUR DICE OP CfIIIIIJICIMBRT. JOBS UlDBRt2,500IIf VALUE DO NOr HElD TO RBCORD UD POSt A '1Ot1CE OFCCIIIBICIIIIII'-. Sl~~ . s~y S!lfl OF FLORIDA mum OF The foregoing inst#t was a~owledged before me this!e2- 7 , 19~by StAfl OF 'LORIDI coum OF The foregoing ins~ was acJjp~ledgecr before me this Ic 7 , 19~~ by who is personally known to me or who has produced as identification and who did/did not :7_~u:;' ryL~~A (Name Typed, Printed or Sta.ped) NOTARY PUBLIC who is personally known to me or who has produced as identification and who did/did not take an oat~K ~t? ~ (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC . t__. MIl pepuo9 ~~~~~'~b".i'!.. 1MlIlMMPU00IIQIId- l"";'~" ~% 688~ 'e~ ,(I" :S~lc1X3 g;: l.~ lJ~~~1t :xl' NOISS1rMOO AW \1li"'''"J<\.-6;l VliWOO Hlli>l ~""~f~'~'" IlIQlMIIPlIn QIlIlIld AllIICIN MIl pepuog 886~ 'S~ ~IW :S:!Ylc1X3 9~1o~9\r:xl , NOISS1WWOO AW VI:MlOO H.L13>1 . SITE Pl..AN (RESrbOOLAL USE ONLY) rAACEL I. D. !c(t01J BLOCK 6 c; ?;l) !f SEe fljp 'l'W l' ~ RNG SC(;2,7 d)o,u -UAJG t;Id'l rJD/o PROPEUTY MEASUREMENT SUlllJ /6tC.ST -.............. LOT CUlUtJ-:NOl' OWNJ!HS lJA'l'E All drawings sball b<l drawn to scale for all pat'cc,ls 01' lots fivtl acrosor less. Ie. .,L Sf 3C/ -(6 145~ 10 X 16 IU- ~ S#-j) I;;L ~ ~ ! ).- '0 t U[)) (;L 'tL~ SHOW ALL E:XrSTINC AND PROPOSED S'rnUCTURES GIVING nI.Hl!:NSIONS AND SlmlActS. ALSO, INDICA1'! ANY BOIHES OF WATER AND ROA>>WAYcS( INC1..U.DING NAJitES) ADJACENT to THE PUOPW{'l'Y. lNl>lCA'!'E THE SUF.. Yill. AND NAME OF MOBILE: SUCH AS 12' x 60'. 1981. FLEETwOOD. All "EASDlENts" J "RIGut...Or"'WAY" and "JURISDICTIONAL LINES" must be shown on all sHe plans. rm NIIT ~N""P(') ~ ('II Pl'r(') ,~~,,, l"" ...t:""''''I' "I 1', . ,.,,,...., ". (RESIl>OOlAJ.. USE ONLY) PARCEL "1. D. rZ!:::L RNCi -s-. <( ;;L7 :h'{J .~;r)G t/4 'j All drawinSs aball be .drawn to scala for all pa.rcoJ.a or lots If SI::C Jl4 ODIC) 'l'W!J I VttJb 81..OCK ~ t) t>lJ rROrElI1'Y I1EASUR~EN-r SUUU /6rLS'T. ,~ LO'1' CUJUlJo:N'l' OWNJ!US UAtE five aerGS or 1.... I' .~ Sf 36/ fO /1fI5~ . /D'}(/b &~ S~j) t;L .'IlL'... r I )- t::. ,).' ) . L o'V I).. 'tL~ SJDfAJ..L.txlStlNC AN.D PROPOSEOS'1'RIJCTUWCtv:tHC .1ttH.8.ltSIOl$ ..AND S!'l'8iACU. AL.SO, IflDl1tA'tE #MY JJOUU;S OF WATERANDROA.UWAYSUHCL.UD.INQ NW$l ADJ^CIlft TO TH! PROPWn"'t. lH<UltM'E TK! ~U~tYW. AND NAME Of MOBIL.!: SUCH AS 12'x 6()'. 1981. FLEETWOOD. All "WE!WttS", tlR.lGKt...o'.\-lAylI and flJURISDICtIONAL L1R!S" must be shown on aJ.lsite plans. noNIT/'f'm"~(Hr" l~/'r() ~.,v "',rr"U"'.<" I" t'l . """ ........ . -... -'-..-..,.. -~..".. '~...-. ~,_.,"" . ,., .. . , . ., . ,; i~: i Ii .f i . .~I~ ", , I. ., I "1 ... "-! ~, ,~ I J. I .-, " I. I . : 'I::OJ)I. ~ I i ; ':,., ~~I I~ I ,., i J ." :. . J I ,., .. IJ I " .' 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