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Home My WebLink About96-5658 BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit lV! (813) 788-6611 . ' i-5658~ Date .3 '- /:J- -71:> ~ ELECTRICAL PLUMBING :~:::::~.~a~ - .~~'7Zt 4- Parcel J.D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work "~r:rode: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. ~ \4 <)l DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~~~ Address Telephone# Valuation or Contract Price t716,'o~ f>() City License Registration # State Certified License# -~~ ;/~~ BUILDING ELECTRICAL PLUMBING - MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr, Pre SLB Lintel FRM. Insul. CL WL 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. S lTg PLAN (RESIDENTIAL USE ONLY) PARCEL I.D. oJ... ~ r2( '1'\011' RN(; 6/8'6 suuu 1~ r< Sjr D006D SEe ULOCK 6f.70 LOT PROI'EHTY HI::ASUtH-J1ENT b~~ '\f;e.tbt tfJe 5 . cumU-:NT OWNEJtS IWrE be' d'-a"n to 'Bcale for all 'parcels or lots five acres or less. All drawings sball .. - ('0 ?6 6 c... 10 !tJV /;\fr'5771() y t-ft> ,I-{ t TO (~.mf<<- lo(C ;rO f;u[ I=~ 51f€l> rl-~ /7 SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DlH.F.NSIONS AND SETBACKS, ALSO, INDICATE ANY BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO TilE PHOPEHTY. INDICATE THE SIZE, YE.AR, .h~"l!) N.^~I1E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETl'iOOD. All "EASEMENTS", "RIGHT-Of-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. TlO NOT F~lrp().'.('1l P1T() ,'1IV 1""1"11'''''' "1'1'" . '''''P'''''!',-,,, . , .. . ' . . ~ , ' II i~: I I~ Ji i , ~.~ i' · ! Ii ! IIII !': JI I :t:.. 1='1 I !., III . .-:." I I- & , " ': .,ll. · ~ 1 S ".' l\~ n~ I I 5a III · .";. 0,'..11.: ~~J f : i! I J ,.\ J'1I1 "i i ~ a ". ' 'iJ II l; , .~ I : I', III 'II !J t.. -. Ii lJi ii ~ : , . :: JIt ! i f i i i : : i: ...6 :~ ." . : .,.. \ L .. .,i. f .. , - ~ :; 1 ~ ~ . r -r 1-- r... --L. _, /-,.,., I I II S 1......",. /' i . ,) ~e:: 111I i,'i f'. ~ I I' . i 3: ... I 'J '.--. J I'" ., ~. .... r, ~ 'T _._~ -.-.- . :'1"- .' " J....... f . . I !IIJJ~I !-r ,I '! "ii! ~ 111 ~ . il' aI" \ ~. - a Ii "Ill Illl' ~ a I II~I . , 'r~.' I ,!! ! ' I . ..' ~ - " l .,' I~~I j=:: " Ilil'i h; .1'" I... fl! II -I! I'"'; i'l J:: I ~I~II \ .. ~":..~' " I ~I w; ~ :ll .. \ ~ I~r .~ ::: ~ IIi , 1::1 ! ,IJ ~'U ~I. Ill- i II, lIS!, ~ .. ,a! 118. .I~ II~ , !!. Is'! 8-:. ~ 11, - I ~ ~ . ... .. ~ C!. ~oo, 1Jl& cr.,., fIfCIN[[Jt . IX\{tOPll(HT COHSU.TAHT ".... -..... "- 11I11 fIftI:ft ,... JII'...n, 'AI f*i, ...... "5~N ~Ai1C.... ALMIt-o~IV\' -=n CS 2 &. :5.12- ' s:; 4- -1!. rc.;F<H 'f4 Y 1+\(.(,5, F ~:3 ""S' , j I . . '., .'i,t:t~ .~., i., '\ .~. ... ~ ",'fl I. ~ rr~ ,} /w,. , I _ I~ . ~! '~ I \ I \ ~ . - .. .. . i . ~ .. , .:- ~ r r Ii { ,}' / -:: r--.. ! i ......~ \ ~ = ~ ;;l :ll ~ ~ ;0 I f I. :: i I ~ ! 1"1 ,~ L,.-1... j .t.,. APPLICATION FOR PERKIT CITY OP ZEPllYRBILLS BUILDING DEPARTHENT , . OWNER'S IWIE w~ b (;> ;LC/- t (<) JtI1 ~ Iflf y AJ ~S' I :'/~ r< cgr PRONE, 78~ f'32- OWIIER' S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) ~SUBDIVISI01l PARCEL I.D.' 0;2. ').,6 ,)..,1 O?~() 6C()oo 6' 70 (,OBTAIJt, PRDHPlmPERTYTAX NonCE) WORK PROPOSBD:-Rew Constru<:tion ~ition --Alteration --.Jlepair _lnatall _Sign -JIOve -De*>lish PROPOSED USE: _Slogle Faaily ---lItP _' of Units --11/11 __~rcial __lIldust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OP wott: To /t)S7/Tt:-4- 10 f:)<) IR'~ s~, BUILDING SIZE: ( Ox f70 . Square Feet. Ileight RESIDEI1TIAL: ATTACB(2) PLOT PLAtIS &: (2) SETS OF BUlLDUG PLABS &: Ul SET ENmtGY FOMS. COMKERCIAL: ATTACll(3) SI'1'S OF BUlLDIRG PLANS &: (1) SET bERGYFORHS. plU)PmtTY SUB.VEY REQtJ1REI) FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $. {7/~ -tflj , Valuation of Total ,Construction RI.RctR1:CAL NlP S-ervice Florida P()wer Corp. W.R.E.C. ~CAL $. Va1.uation of IlecbanicallnstaUation ,~ --PLUKBIRG GAS ROOnNG SPECIALTY TYPE OF COlISt'RucnOll: ____lock _Pralle _Steel Other FlIIISBBD PLOOlt ELEVAfiONS: Fr. IS PROJECT 111 FLOOD zon AlBAt YES NO ...ft..................................... 11Ittl.Dm CORTRA:CTOR SECTION ~ CdIP&IIY 5Glld YnH it!. Sute <:en. or Real.t. t . . . - c- ... - - .... City Liceosi! llegiatratioll . . ::.:..::.................................. ,4 wI/' /'..v (/7 7() 7;)e Slgnatu-re Itt JtC'l'lttCUN COMPANY StiLte<:ert . or Reaist. t City, License a~istration' ........................................... SU~hA~t.a.re , , 'PI'.raRRD ~ State Cert. or Resist. , City License Registration , .......................................... Signature IIBCllMJ.CAJ'.. COMPAn State Cert. or Resist. t City License Regis.tration , .......................................... Signature OTRRR COItNft ~, State Cert. or Regist. . . City"Licenae Reg.istr:atiou,' ....ft...................................... , ' Sigaature " APPLICA'1'mM' AtaPItOVEb' liT ~T OFPICD.. .. CONDITIONS OF PERMIT AFFIDAVIT . . 'A~' NOTICE OF DEED RESTRICTIONS !be undersigned underatands that this pecait lay be subject to 'deed restrictions' which IIaJ be .re restricti" than City regulatiCllS. !he undersigned assUJeS responsibility for CCIIpliance wIth any applicable deed' restrictiCllS. B. UNLlCENSEDOONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractOR to undertake IOrt, they laY be reguired to be licensed in accordance with state and local regulations. If the contractor Is not licensed as rlQUired by law, both the DIdIer and contractor liar be cited for a lisdeleanor violation under state law. If the OIlIer or intended contractor are uncertain as to wbat licensing reguirBleDts IIY apply for the intended wort, they are advised to contact the City of Zepbyrhilll Building DepartBt, (813) 788-6611. Furtheraore, if the OIfJ1er.has bired a contractor or contractoR, be is advised to have the contractor(.) sign portlOll8of the 'Contractor. Sections' of this application for wbich ther will be responsible. If you, as the 0IIJ1er sign as the CIIIltractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the cootractor IIi_ JOU to sign as cootractor that lIy be an indication that be Is not properly licensed and is not entitled to pmitting privileges In the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY COHNBCTIONFEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMSlmED) I certify that I, the applicant, bave been provided with a copy of 'Plorlda's Construction Lien Law - RoIeowDer's Protection Guide' prepared by the Florida Departlent of Agriculture and CoaauIer Affairs. If the applicant il 8OII8OIl8 other than the 'owner', I certify that I bave obtained a copy of 'the above described docUIent and p~ise in good faith to deliver' it to the 'owner' prior to co.enCBleDt. E. CONTRACTOR ',S/OWHER IS AFFlDA"IT I certifr that all the infomtion in this application is accurate and that all IOrt will be done, in COIpliance with all applicable laws regulating conatruction, loning, and land llevelopleDt. Application ia hereby lade to obtain a pel'lit to c10 wort and installation aslndicatec1. I certify that DO wort or insWlation bas ~cedprior to issuance of a peraitanll that all wort will be perfo_ to _t stan4arcJa of all laws regulating construction, City codes, loning regulations, and lanel developMllt regulations in the jurildictiOll. I also certify that I unllerstand that the regulations of other gDYeruental, agencies IIr apply to the intended wort, and 'that it is I}' responsibility to identify what actions I lUSt tate to be in COIpliance. Such agencies include but are DOt lilited to: t Departlent of lnvil'OJllleDtal Regulation - Cypress Barbeada, VltlanelAreas and IDvirOlllentallr Sensitive Laac1s, Water/WUtenter freatlent t Southwest Florilla Water HanaOBleDt District - hlls, Cypress Bayheads,liIetland Areas, Iltering lfatercourses t ArlyCorps of lDQineers - Seawalla, Docts,MaVigable Waterways tDePil1:lent of Health i Rehabilitative Senices, IDviroa.ntal BealthDnit - ileUs, Wastewater freatlent, Septicfanb : t US IDviroa.ntal Protection"lgency - Asbestos abat8EDt I also certify that, if fill aaterial is to be used in Flood Joae 'I' or II,etc.', it is ,UDderatood tbat a drainage plan addressing a 'CQIIpeD8ating 101_' will be subaitted wbich ia prepared by a professional iDtineer registered in the8tate of Florida prior to petlit issuance. A petlit issued shall beconatruec1 to be a license to proceed with the work and DOt asautlloritr to .iolate,caDCe1 alter, or set aside any provisions of the technical codes, nor ahall isaUIDCI of a petlit prevent the Builc1ing Official frol thereafter reguiriDg a correction of errOR in plana, CODStructiOll, or violatiOll8of IDY code. IYerJ ptrIit lu. allall beae iDvalid unless the work autlloriled by such petlit is cc.encec1 within 8il IODths of i88U8DCI, or if work autlIorlled by the pel'Iit i8 suspended or abandoned for a perioc1 of Iii IOIlths after the tile the wort is c_enced. One 90 day atension of tile, IIY be allOlled for the perlit with fee charge of $15.00. !he at_ion sball be reqUested in writinq to the Building Official. In approved inspection I08t, be logged during each ail IODth perIod, ,or the project will.. be consideredabandonecJ. DRIIIIG to CJIIR: YOUR FAILURB to RECORD A IOIICE OF CCIMDCBIIIJr lilY DSULf II YOOI PIYIIG flllCE FOR DlPlmlllln8 to YlJJI PROPIRfY. IF YOU IImD to 0Bf1IJl FIIWrCDG, CClfSOLf .11I0 YOUR LIIIDIR OR 11 IftORDY, BIFORI RICOIIDIIG YOUR DICE OF j ::~:-NdaEMD~ StAR OF FLORIDA /J coumoP /- ~ CO The foregOing instrt1llent was acknowledged before me this :pI s- , 19~ by StiR OPFLORIDI /-::J courm OF r,f?YC-d The foregoing inst~t was acknowledged! before lie this 3,L2- , 19~ by ;: who is personally known to me or who has produced as identification. and who did/did not take an ~~~ ~ (Signature) who is personally known to me or who has produced as identification and who did/did not :~:u~if?~~ (Name Typed, Print ROTARY P ". KEITH CORREIA ' ~'~~'\ MY Cl)MMI8SION , cc 461416 a.: :"E EXPIRES' May 13 1999 w~: 'P\IbIlC' \.IndIlWII*I ..,~... ......'f>.~ Bonded TllN No\llIY "Rf,n'~ (Name Typed, NOTARY Printed 0 i<E\TH coRREIA llOMM\88ION , 0045141. MV IXPI""': Mav 11. ~ 8OnlIIII'tlINtlG\IIYfIUlI\lO ..