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Home My WebLink About96-5650 BUILDING PERMIT - CITY OF ZEPHYRHILLS Permit 1ft (813) 788-6611 j~ 5~50? Date ....5 -R--7 b BUILDING ~MBIND :::::~:~"5'--ff}'.ifc2~0 Parcel J.D. # /1- d-f, -d-I ~ t;) u/O .,. 0 C').:to CJ - () 090 /A Il ~/ U Zoning: ---;r-~ ~ode: Radon Gas: Description of Work \. L.J./.a.L.f cQ y' //.-4;tO &-7") --I-:..h~_ ELECTRICAL MECHANICAL Sewer Conn 319~'ZJ, 6'!? ..s't) Water Conn: Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. s--zs~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector ~TE Pe,m;' Fee ~~ Signature &~,./~ , . ..1-< .J .-L, ~ Company Address Telephone# City License Registration # State Certified License# f/A- &7 Valuation or Contract Price ~'rf J'\.~~ 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. APPLICAnON FOR PERKIT CITY OF ZEPBYlUIILLS BUlLDIRG DEPARTMENT OWNER'S IWIE J...l AlJJij R ~F F / r OWNER'S ADDUSS ..3 '1 K / P.. 'e. ~ I..J.. I () P E. L kl, JOB ADDRESS~ L.L 13..W, LEGAL DESCRIPI'10N: LOT(S) BLOCIL--SUBDIVISION ()oqo PARCEL I.D.' 'I..J(,-ctl -O(J/~.~{)J.Otj - CJ610 (OBTAIN FROM PROPERTY TAX NOTICE) PBONlW17 tl..- 5 ~ es WORK PROPOSED:-"ew Construction --Addition ----1U.teration ~pair .....x....Install ----lJign ~ve ---Peaolish PROPOSED~E: ___S~eF8IIi~ ...25:...Jt/F ___, of Units ----1.'t/B -X-~rcial _Indust. ___Swia. Pool _Other ____estaurant &: Bealth Departaent Approval DESCRIPI'ION OF WORK:installina (2) sharnDoo bowls for beauty salon BUlLDIRG SIZE: x . Square Feet. Height RESIDEIITIAL: AT'I'ACB (2) PLOT PLANS Ii: (2) SETS OF BUlLDIRG PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: AT'I'ACB (3) SETS OF BUlLDIRG PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED ~UlLDIRG $. Valuation of Total Construction RT.RcrRICAL AIIP Service Florida Power Corp. N.R.E.C. .-JIECIWI1CAL $. Valuation of Kechanical Installation -1l-PLUHBIRG GAS ROOFIRG SPECIALTY . TYPE OF CORSTRUcnON: --.B1ock ~raae _Steel Other FDlI5BED FI.OOll ELEVAnORS: Fl. IS PROJECT IR FLOOD ZORE AREA., YES NO .......................................... CONTRACTOR SECTION .' Signature CdKPAIY ~u 1 I lJM1"- : State Cert. or Regist. t City License Registration , .......................................... .e;j 1"" ..- =-wi.M1 RIITTJ)ER 11"::--- - .. - -_.- -- ~~~_.... SianAture COIIPANY State Cert. or Regist. , City License Registration , .......................................... RTRCTRTCTAR PLIDIBER COMPANYCoral Isle Pools/Delafield 'Const / State Cert. or Regist. t City License Registration' .a:cPP PLBG Contr ~7 ...... ................................... Signatur IlECBANlCAL COIIPANY State Cert. or Regist. , Signature City License Registration . .......................................... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ...~...................................... APPLICAttOR APPROVED BY PERHIT OFFICER. " CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rJJe undersigned understands that this penit lily be subject to 'deed restrictions' which lily be lOre restrictive than City regulations. Ihe undersigned assDles responsibility for CCIIpliance with any applicable deed restrictiODS. B. - UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the Mer haa hired a contractor or contractors to undertake work, they liiy be required to be licensed in accorclance with state and local regulatiODS. If the contractor is not licensedaa regui~ by law" bo~ the OIlIer and contractor lily be cited for a lisdeleaDOr violation under state law. If the owner ot intended contractor are .&certain aa to "hat lic8D8ing reguireents lily apply for the intended work, they are advised to contact ,the ,City.ot ZepbJJ;hiI18~Bui1d.ing ~tlent, (813) 788-6611. ., , '<e" ,,".. Furthenore, if the OlDer has hired a contractor or contractors,.he is advised to have the contractor(s) sign portions of the ICon tractor Sections' of this application for which they will ber.ponsib.\t!. If rol,~lII the owner sign as the contractor, you are indicating that you, rather than the contractor, are resporisible for the wort. If the contractOr wishes you to sign as contractor that lily 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 UTILI'l'Y 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 - lkIIemmer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUlll!l' Affairs. If the applicant is 8OIN!OD8 other than the lownerl, I certify that I have obtained a copy of the above described c10cUElt and prOlise in good faith to deliver it to the "owner I prior to co.enceent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforliltion in this application is accurate and that all wort "ill be done in COIpliance with all applicable la"8 regulating construction, zoning, and land developleDt. Application is hereby Jade to obtain a peoit to do work and installation as indicated. I certify that no wort or installation haa CDleDced prior to issuance of a penit and that all IOrt will be perfOlled to leet standards of all laws regulating construction, City codes, zoning regulations, and land develo(lleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDleDtal agencies laY apply to the intended vorl, and that it is IY responsibility to identify what actions I lust tate to be in COIpliance. Such agencies include but are not lufted to: t Departlent of KnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Ireablent I Southwest Florida lIater Hanageent District - lIells, Cypress Baybeads, Wetland Areas, Altering Watercourses I Any Corps of Engineers - Seawalls, Docks, lIavigable Watenays I Departlent of Health' Rehabilitative Services, EnvirODlBDtal Health Unit - Wells, Wastewater lreablent, Septic lanls I US EnvirODlBDtal Protection Agency - Asbestos abateent I also certify that, if fill taterial is to be used in Flood Zone IAI or lA, etc. " it is understood that a drainage plan addressing a 'COIpen8ating VOlUl81 will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to peoit issuance. . ~~,k#.y A perlit i88ued shall be construed to be a license to proceed "ith the IOrt and not as authority to violate, caoce1 alter, or set aside any provisions of the technical codes, nor shall issuance of a peoit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every penit iuued shall becme invalid unless the IIOrt authorized by such perlit is co.enced within sillODthe of issuance, or if wort authorized by the penit is suspended or abandoned for a period of sillODtbs after the tile the IIOr1 is COIIeIlced. One 90 day atenaion of tile, lilY be allowed for the peoit with fee charge of $15.00. fhe atension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned. WAJUlIIIG fO omR: YOUR FAILURE fO RECORD A lorlCK OF CCHIIICIIIBIf lilY RESULf III YOUR PAYIIIG !lUCK FOR INPROVBIIIIrS fO YOUR PROPIRIY. IP YOU IIDlID ro OarAIJI 'FIlWlCIIG, COISULf WIIB m LIlIDER OR 111 AnoRRIY BEFORIl RICOJIDIJIG YOUR ROrICK OF O>>IMDCIHKIft'. JOBS UlfDER $2,500 III VALUE DO lor lIUD TO RECORD AIfD POSf A '.orICI OF CCHlDCIIID!'. '. (] tf~UJ4I . ... STATE OF FLORIDA A coum OF ~ The foregoing instrument was acknowledged before me this ~/ & r' , 19 '1(, by, :O~FPLORIDA .,P ~ The foregOing ins~t was aCknowledged before me this ~ ' , 19 ~ by who is personally known to me or who has produced as identification and who did/did DOt take an O~(!.ttU'J:/~cPA~ (Signature) 61' J ~~A-h/ C ~ft~ V( SVYt (Hue Type , Printed or Stilllped) HOTARY PUBLIC CLARALRICHARDSON ~ MyC<mmExp.8117/99 .. OT" BoIIdedBy Servioo 11II · JOIIUC No. CC489309 ~K.- II....... I , i /' !) , ,) \ / '~' .IJ . / ..... " ~ j \.. . :\ " , . ',}(l \ H'A ."" \ ..4 Wt'~' I Ph '~phr"'.lll~ Ff ' oot': (81 I) 7 _. otld<l i,H4" f f Ii x. ,. ~,.: .~OR u " ,Lvii ,I:iL''?> t,4 I ~ t ~ "00' It!(, ", ,:;.,'r'y' v. V,/ r t\("\ " / it" /0 r ", , ....;- ..... i ~ l: j ~ ~ -<!l L.: ~'<- ~ t< ':j:- \~ l \ l./~ .€.1<-~ ; i ~ ~!r I ' , I , i i , I "~ .1/ '. \ " "- i , .'J. " , < 'i ,,; .....4 \] I i:l I .~ ~ , , i , , . ~ i j . , , , I , i i I .. ,: ! 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