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Home My WebLink About96-5972 ...31'0 . I7D BUILDING PERMIT 0 CITY OF ZEPHYRHILLS . permitN. ~~597213 (813) 788-6611 Datl~ ,.. - F -;9 b BUILDING b Jy. :>..s.- ELECTRICAL to,&o PLUMBING .-$-5.'"'.cn::. MECHANICAL Sewer Conn...s.~/~~C> Water Conn: ' ,pi::, :2 ~~ Yl' ~" ~ Property Owner: " . . Job Add....,J 8-/3' ~- :.J ~. . __ ' Parcell.D. # ..:2 ~;:). 6 .-:J./, D D/O ,- t).J"p Z> () Water Meter: T.I.F.'s: - () O...r 0 Zoning: Energy Code: Radon Gas: Description of work"..;#.L ~ A',/ ~ k ~~ .A ~ ~ VA.J2 ~ NO OCCUPANCY BEFORE C.O. FINAL ~-, DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector 6 Permit Fee ~... Y7. J7~- Signature ~ ~.Ql'II...k,....~ Company Address Telephone# Valuation or 0 ~ Contract Price .y f, /3 / .-i)() City License Registration # cJ. I> )7 State Certified License# ~4! J/. j) , fJl~ 97 r i?J7/rPL:. jL ~~A a~~ /1:. f(j BUILDING ELECTRICAL PLUMBING - MECHANICAL SLB rJ-IO'9~ 8;, 13 Tub Set 7~/9-'1~&LL Water Sewer Final Ftr. Pre SLB Lintel FfiM. '1, J q., <rJ (A ,f<.iy I Insul. CL WL Tp. Servo Rough In 'J-25-&ftJ ~ Meter Can Const. Pole Pool Pre-Meter 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. I!IUILDER: FI. Medical Clinic ADDRESS: 38135 Mal'1<et Sq. OWNER: Dennatology & Cutaneous Surgery SQ. FT. PRICE LMNG OR MAIN AREA: 1 OTHER AREA UNDER ROOF:I BUILD OUT:r SQUARE FEET UNDER ROOF:I VALUATION:I $ ADDRESS:J DRIVEWAY:J FEES:J $ o 1 I I $ I 22.50 1 2,175 48,937.50 I 280.00 1 PERMIT FEES:J $ BLDG. 390.00 f $ PLUMB. 80.00 I $ ELEC. 64.75l MECH. $35.00 3/4" 1" 2" WATER METER SIZE: I $ 185.00 I $ 245.00 I $ 810.00 I $ 840.00 I SEWER WATER METER CONNECTION FEES:I $ 3,514.50 I $ 962.50 I -.-J RADON GAS:' $ PERMIT FEES:' $ CONNECTION FEES: 1 $ WATER METER:I $ TRANSPORTATION 'MPACT FEES:I $ 99% $ 1% $ CREDIT: 1 SUB-TOTAL I $ 'RRIGATION METER: $ TOTAL $ - f 549.75 f 4,477.00 f - ~ - I I.. ,. ./ .'.. '-" ,.,.."-"~ C 5,028..75.1 7"'1t!;7Pk. ,//i -~~~-. ---'- /~, CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ORD. #395/RESOLUTIONS 3121372 WATER $1.75 GAL. SEWER $S.H/GAL RESIDENTIAL (Each Lot or Unit) Residence $ 350,00 $ 1,278.00 Travel Trailer Park $ 131.25 $ 479.25 COMERC'AL (Per fixtire) Sinks $ 87.50 $ 319.50 Water Closet $ 131,25 $ 479,25 Urinal $ 87.50 $ 319,50 Lavatory $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319,50 WashinQ Machine-Commercial Size $ 350,00 $ 1 278,00 Washina Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 87,50 $ 319,50 Food Service-Dishwasher $ 700,00 $ 3 556.00 Sinks (3-Compartment) $ 175,00 $ 639,00 Car Wash (Per Stall) $ 1.000.00 $ 6 390.00 SINKS 50 7 $612.50 $ 2 236.50 $ 2 849,00 WATER CLOSETS 75 2 $262.50 $ 958.50 $ 1.221,00 URINALS 50 $ - $ - $ - LA V A TORIES 25 2 $ 87.50 $ 319.50 $ 407.00 TUB/SHOWERS 50 $ - $ - $ - WASH. MACH. COMM. 200 $ - $ . $ - WASH, MACH DOM, 560 $ - $ - $ - DISHWASHER COMM, 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ . SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PERlST ALL 1000 $ - $ - $ - SUB-TOTAL $962,50 $ 3,514,50 $ 4,477.00 WATER METER GRAND TOTAL $ 4,477.00 FIXTURE G.P.D. # WATER SewER TOTAL PER F'XTURE 7/2/96 APPLICATION FOR PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT (:5?~)iI t:.-1'}-70 . .. ;if 0 ?RF~~ OWNER'S NAKE F!Vr' Mrlrkp-t Sqpare OWNER'S ADDRESS 38135 Market Sauare JOB ADDRESS 38135 Market Square Zephyrhills, FL 33540 Zephyrhills Colony Company Lands PBl PG55 par. of tracts j:J & 42- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' 02-26-21-0010-03900-0030 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install ____Sign --"ove ____Demolish PROPOSED USE: ____Single Family ____M/F ____, of Units ____M/H ~eo..ercial ____Indus t. ____Swia. Pool _Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: Finish out future expansion area BUILDING SIZE: QQ' X 31' . 9' Square Feet, 2175 Height RESIDENTIAL: COMMERCIAL : ATTACH (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 -X-BUILDING $ 24 .000.00 Valuation of Total Construction -x-ELECTRICAL AMP Service Florida Power Corp. __W.R.E.C. -L..KECHANlCAL $ Valuation of Mechanical Installation ...lL-PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ~ _Fraae ____Steel Other FIlUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO Signature ~~A \ CONTRACTOR SECTION COKP~eral Home Developnent Corp. Cll} IJ State Cert. or Regist.' CG C05fi9S K.LJf/4./~,()...ff)1 City License Registration' 2fi7 ****************************************** BUILDER PLUMBER COMPANY ::Iartin Llectric State Cert. or Regist. fER 00 13449 City License Registration , 97 ****************************************** IfECIIAIIlCAL ~ Signature I ~ CO~-P}_W Rustv' s Plumbinq State Cert. or Regist. 'CFCO 56789 ~ity License Registration' 1546 *********** ***************************** COMPANY ,LL-I'A- O~ '-A/l~ State Cert. or Regist. , City License Registration * /t, RO ****************************************** Signature .QIBU COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The 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 DepartJent, (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 lay 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 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 "Florida's Construction Lien Law - HOJeOKDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "ownerll, I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner II prior to couencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIental agenCies lay apply to the intended wort, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of Environ.ental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Kanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of H~alth & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US Environaental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.lI, it is understood that a drainage plan addressing a "colpensating volUle" will be sublitted which 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 perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day extension of tile, aay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMKENCEKENT MAY RESULT IN YOUR PAYING !VICE FOR IKPROVEKEH1'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIH FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORHEY BEFORE RECORDING YOUR MOTICE OF COMKENCEKEflT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A IINOTICE OF COMKENCEKENT". ~~~~~R/J ATURE: ER 0 G ~p~t\ fLQfI/~ STURE: CONTRACTOR STATE OF FLORIDA ~ COUNTY OF Q..~ c:.u The foregoing instrument was acknowledged before me this~~I~ , 19~ by ,) OA\e-t BIlLe k weLl.- who is personally known to me or who has produced as identification and who did/did not take an~h. ' ~a~ (Signature) STATE OF FLORIDA R COUNTY OF a,s c. 0 The foregoing ~~trument was acknowledged before me this ~ \ cr , 19~ by ~J fL..v\ oe.;t- 13 I <Lc:....K uJ e L.L who is personally known to me or who has produced as identification and who did/did not take an o~th~.. Q~ (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC BARBARA A Notary Public si ALLISON My Cornm 'f ate_Of Florida Galtun: ' . xp, 0;<.26,98 , No. Ge 358940 BARBARA A. ALLISON Notary Public, State of Florida My Comm. Exp. 03-26-98 Comm. No. CC 3581140