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Home My WebLink About96-5543 BUILDING PERMIT .. CITY OF ZEPHYRHILLS Permit II! (813) 788-6611 1~554~ B O,.t> 1-- BUILDING Date 1- )J-f 410 , EL~ PLU~ MEC~ Sewer Conn Water Conn: Property Owner: ~'fV1 PLot> F Job Address: 2/~CoC2- f-l.W'f ~ f2II.';)'\. Parcel 1.0. # Q21-lc 'Z-l QC{, C 00 Bl) 0 00'30 Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: I .u s n+U.. 'R'If. t: -j Ii ' Radon Gas: FINAL " NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee Signature Company Address Telephone# >>~~ Valuation or Contract Price <6t.fb- 00 City License Registration # State Certified License# (vtcrtf u) r\ . '7., ?l...d ELECTRICAL PLUMBING Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts I I. Compr Final Ftr. Pre SL 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 \0 Vh. \-:::> \ 00 -(' PHONE 7<;?o ?())3 OWNER'S ADDRESS 3 '8'& 0 '2.- rt ......, \., \ 5 ~ cas,-\- JOB ADDRESS 60 Y7\ "'- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t rD 2- L tp ~ l 6 () to () (') b '6 'ZIe:> Db 3D (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Hew Construction _Addition ----..Alteration --..Repair _Install ~Sign ---1Iove -Deaolish PROmSEDUSE: ___Single Faaily -Lec:-ercial _M/F _' of Units ---1I/H _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: '"!:" y, :=.-k. \ , \to eo \€ , -s '.9....... BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : AT'lACH (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 ~UILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. ---1IEClWfICAL $ Valuation of tlechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF COIfSTRUCTION: _Block _Fraae _Steel Other FDlISHED FLOOR ELEVAnONS: FT. IS PROJECt IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTIOIf Signature COMPANY State Cert. or Regist. . City License Registration . ****************************************** RIJTJ.DER F.T.RCTRICIAN SianAture COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature COMPANY State Cert. or Regist. t City License Registration . ****************************************** PLUMBER HEClWfICAL Signature COMPANY State Cert. or Regist. t City License Registration . ****************************************** Signature COMPANY . ~l"\ D-H LA <;.,. l+ \:\ (\ f\ n State Cert. or Regist. . ~..l-!... (J. )o~u.:'i City License Registration , ****************************************** .02.2.3 OTRRR APPLICATION APPROVED BY 11l:41Jtr-< PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit Jay be subject to -deed restrictions' whieb laY be lOre restrictive than City regulations. the undersigned asSUles responsibility for COIpIiance 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 0IfDer and contractor laY be cited for a lisdeJeaDor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguireJents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) , 788-6611. FurtherJOre, 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 whieb they will be responsible. If you, as the mmer sign as the C9Iltractor, 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 peraitting priVileges in the City of Zepbyrbills. 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 -Plorida's Construction Lien Law - BoIeoImer's Protection Guide" prepared by the Plorida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeODe. other than the "mmer", I certify that I bave obtained a copy of the above described dOCUJellt and pfOlise in good faith to deliver it to the "ownerR prior to co.enCeJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in ODIpliance with all applicable laws regulating construction, zoning, and land develo~t. Application is hereby Jade to obtain a petlit to do work and installation as indicated. I certify that no work or installation has CDIeIlced prior to issuance of a penlit and that allllOrk will be perfomed to lleet standards of alllDs regulating construction, City codes, zoning regulations, and land developEDt regulations in the jurisdiction. I also certify that I understand that the regulations of other 90verJllelltal agencies laY apply to the intended work, and that it is IY responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not liJited to: t DepartJent of BnvirOlllelltal Regulation - Cypress Bayheads, Wetland Areas and BnvirODJentally Sensitive Lands, Vater /Wastewater TreatJent t Southwest Florida Water HanaqeJent District - Wells, Cypress Bayheac1s, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Mavigable Waterways t DepartJent of Health' Rehabilitative Services, BnvirOJlllelltal Health Unit - Wells, Vastewater freatJent, Septic!anks t US BnvirOJlllelltal Protection lqency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood ZoDe "A- or RA,etc.', it is understood that a drainage plan addressing a lCOIp8J1Sating vol.' will be suhlitted whieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A petlit 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 perlit prevent the Building Official fr~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait iS8ued shall becaIe invalid unless the work authorized by sueb petlit is co.enced within sillODths of issuance, or if work autboriled by the perait is ' suspended or abandoned for a period of sillOllths after the tile the work is co.enced. One 90 day atension of tile, laY be allowed for the perlit with fee charge of $15.00. The atension shall be requested in writing to the Building Official. In approved inspection lUSt be logged during eaeb sil IOllth period, or the project will be considered abandoned. . IWUIIlfG TO omR: YOUR PAILURE fO RECORD A MOtICE OF aJIIIDCBIIIH lilY RESULf 1M YOUR P1YIlfG NICE FORIIIPROVIIlBIrS to YOOI PlOPERn'. IF YOU IJI'IBIiD fO OB'IAIM PIWCIHG, COHSULT VUH YOUR LBIIDBR OR III AftOBDY BIFORB RECORDIHG YOUR DICE OF COMHEHCEHEtiT. JOBS UlfDER $2,500 IH VALUE 00 HOt OED 10 RECORD lIfD POSf A "HOtICE OF ClIEICIIIDf". SIGJrA!URB: 0IfIIER OR AGBIn' SIGlAfURI: comACfOR SlATE OF PLORIDA COUJm' OP The foregoing instrument was acknowledged before me this , 19_ by SIAR OP FLORIDA coum 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 didTdid not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC GULF COAST SIGNS , 25224 S,R. 54 LUTZ, FL 33549 972-3685 CONTRACT GULF COAST SIGNS agrees to pruvide the following products and service to: CUSTOMER: ~J. '5 A",,-+.. i:<.,J1 PHONE NUMBER & CONTACT: nO'~?N>l3 \0",", Plool(' ADDRESS: 6~f.&,o2 r\..,.... :;,-4-G. Ze.::>h ~"'~\\~ DATE: I \2. '14 \ r '1'" ... 33S'~tl ****************************************************************************** Description of Sign r '(\ ~-\-a. \ \ C-I..{ !>,.....~~ /"S .-.:; \ e - 4-'1< ~ f b\fC:. ~: ~.1-. p~,r n' -...... ?t>\<?s )-~'.....>,",,--o(q",\"(,,_ ) E",~ ..~\O't'\S ****************************************************************************** NOTICE All product manufactured aod" installed by GULF COAST SIGNS are guaranteed for one year. Title on sign(s) does not pass to buyer until seller haa been paid in full. Seller reserves the right to remove any sign from the buyer's loea- tions if that sign is not paid for as per the terms of this agreem~nt. In consideration of this agreement, the BUYER does hereby agree, jointlY and severally, to poy for all goods, wares, merchandise and services supplied to any of us and/or the named business, In event it becomes necessary to place the account with an attorney or agency for collection, I/we, the undersigned, agree to pay all cost of collection, including reasonable attorneys fee. Un- less otherwise specified, final PAYMENT on work is C.O.D. Please be prepared to make payment at time of installation or delivery of your sign. ****************************************************************************** Selling Price: ""'6,1().Cl~ Tax 6%: 4<6.00 Comb i ned Tot a 1 : "'8~~. at> Less Deposit: After production: Due on Complet ion:./ a ~ uyer's Name and ~( Print) Accepted By Buye r -' ~~ fJaU B sidler(owner) Accepted Letter Of Authorization PROJECT: ADDRMS: 38602 Hwy 54E. Zephyrhills, Fl.. OWNER: Thomas W. Ploof TYPE OF SIGN: .po te c~-:> \g r-.. Permission is hereby given to GULF COAST SIGN to erect the above sign. O{~SI~ NOTARY: JOB NEEDS: Site Plans Legal Description Folio Number WESLEY B. McDADE, P.E. 1203 CEDAR TREE LANE SEFFNER. FLORIDA 33584 CLIENT PROJECT tI P~. \C~\~cr' JOB NO. SHEET NO. \ t:";) ~- \ CHK'D. BY REVISION DATE. I 2. - 2. . <1 C; - - 1 ~41 " ..D t., ~..o -+ "1. ' ., 7 .. l..o --4- ~'. o!~ WP: vi' tolD LoAb \N6 S\'\~ Lt ~-ol-tPLY ,N\ 1'H 6E.C- T I~a~ of S,^N1:)AR ~ SlQ~, co~c:.. FO~ WI t-J ~ VE. \. c G \ TY 0 f \ \ Q MP''r\ \ H~ \0 Wp.::q,4-(42){'t)(Co) c. l4~ \ ~e~, l."bL !~i '\ ~ CHKI 'PoS, ~l"A~IL\ll \0 0::: v./p (~.~ ~+',~7H) 6. D to C:~(~C~b J\L.L<.)W+\8\..e; S\.:l\L PR\:SSt\ ~e:. 0 17~P \::>_ 14\ \ (:3A(H) +~.<> 7 (10)) -117 ,(2 - (2.) (t?Qr~) (~, 7) '2 - -", fr .OPT Dk CH$, STRe:.~~ I~ TUBe. 4 'I 5 r L.. W A '- L 1""'\ C K ~E. 5 S :: ~ ~ r h,:;) (\ 4\$ ( 1'2.. ) i b ~ 7. ( 1>,4-1 ) (l"?13) ~ I B ~ 44 PSt < ~)C ': ~,41 \~~ "2. ~ 7IJ-o ps, " 0'< c.c~ ~ R r= T lZ" =>\-\ A.l \... ~~~'V E.. M\ lJ. co H f'~ \::. ~ .;...\\JS ST~r::~Ct\ \-\ of 'Z 700 Ps\ Gl1.~ c>"y ~ "-J'J()~ ~~ ?~ t:)C)7.\"3>\'1 =~ \j "-t ~ ,. I ~ <0 '9 ._..-1 !va ~ V~ ~ \ r ~~ cJG ~ 0~.0" N'"~ ~I ,,/d 05' J- (,~ ) (If! ,1