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HomeMy WebLinkAbout96-6016 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! 6016/'" (813) 788.6611 Date 7-3t? -96 BUILDING ELECTRICAL PLUMBING ~A~ Sewer Conn Water Conn: #; ?!1 ~ Property Owner: '. . I Job Add,... -.32 _ j.J-;:; 'R V Parcell.D. # Water Meter: T,I.F.'s: Zon;n9' En.~.' Description of wor~f~ ( ">l../~~A_ Radon Gas: /r*4n~ _A,JJ~ d/;L;::;v, NO OCCUPANCY BEFORE C.O. FINAL '--/7-7~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Permit Fee Signature Company Address Telephone# Valuation or Contract Price /~ CJ t:J~..... o-v --- / g--7'....!:> City License Registration # State Certified License# _ ~~-Lt~~~~ 8UILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL 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. JUL-ll-'96 THU 09:24 ID: TEL HO: ~066 PL] 1 APPLXOATIOIl FOR PBRKIT CITY OF ZBPIlYlUIILLS BUILDING DBPAR'l'MUT ?- / --s '-- 7-6 onD'S INIB (ntL ( rm6~'1J OIIID'S~. p_o. 6 2280 JOB ADDUS8 3121f1 6t;16g( RD. ... v;t1c A- ~~ PA-RK ZfPI1YflulU-S fl. PHOIfB(B.iS) $7]-- I~~ h... LEGAL DISCltUTIOR: LOT(S) RlDCIt SUBDIVISION PAl.CIL I.D.' (ORI'~t' PROM PROPRR'I'Y TAX IIOTlCll wou. PlOPOSllh.2lJ,ew toutrucUoo ---.AddlUoo --...Alteratiou ---Repair _Iutall _8i.. -.JIove ~ll.h ftm~SDWB: ~lqleP_lb .L.eo.ercial ---1I/F _' of Units ---Jl/B _lnduat. ~via. Pool _Other ----Re8tauret fr Health Depart.ent Approval OBSCUPTlOll or wu:..Aoot1U1N ()(2 78 NEW SPf2KS. Ie> N8N ItOO/TlON IVILDDG SUI: :x Square Feet. .Belght IISlPlITUL: AnACB (2) PlDT PLANS fr (2) SITS OP BUILDING PUlIS &: (1) 51'!' BURGY POlUIS. COIIIIDCIAL: AnACB (3) SITS or BUILDING PLAMS .. (I) SIT ENIRCY FORMS. noPaTY SURVU ItBQUIUD POlt ALL NEW COlfSTkUCTION. PElDlrr~ Rm~m ---IUILDIIG $ Valuation of Total Construction RT.JCftICAL ---lIBC8AIIICAL --Pi.uDD'G AMP Service Plorida Power Corp. _W.K.B.C. s. Ii/60S ValuaUoa of MechanlC4l1 lD8taUatton Ge\S ItOOPIliG SPBCIALTY TrPI or C01ISTIlUCTIOI: ____lock _'rue _5t"1 Other FlIISIIID ruxa WVAnOlS: PT. IS PIlOJIcr IN FLOOD ION! AlIA! _ TB& 10 .......................................... COIft'RA.CTOR saC-UOB ~~.A_ oottPAIfY State Cert. or ".al.t. . City Llceoae a..tetration . .......................................... $i....tw:e ~ .~1Q611 COItPANY Stat;e Cert. or Reaut. . C1~y License aeaietration . .......................................... Si-t.ure ....... COftfAn State Cert. or lIeaiet. . City Licease leaietration . .......................................... 8bnature D(2AJJICAL COttPANr State Cert. or Ke118t. . S1goature City Lie.... a.ai8tratloa . .......................................... iIDIII . ' CO!U'ANY" MLDR5T h(lf Sp~ftJ~LEe ~. ~ , . /1~ /J ~(/ . State Cert. or R8a18t. . Si8P8tur'~~ffC~ ~ r~ City Lie.... Rea18tratloa . . ..................................... v APPLlCATlOII ArPltOVlD BY PDKlI OrrIOEll. JUL-ll-'96 THU 09:26 lD: TEL NO: ~066 P02 CONDITIONS OF PERMIT AFFIDAVIT A. NOTIe. OF DEED RBSTRICTIOBS · _&'Ii_ underltani!8 taet tlIl1 pemtt Ii' be aubject to laeJ restrictl.- Ibld1 ., be _. IUtrtcttw! tUn titp regulatiOlll. file _..sIgned billieS felpoulbUtty for COIplilllCe witJI In, applicable dhC1 rutdctllllll. B. UlfLICBNSBD CON'J'RAC'1'ORS AND CONTRACTOR RESPOHSIBILI'rIEB If tile OIIaIr IlIe bifid . wutrac;tor or contractors to lIlIcJertake ""ft, tile, ., be r8Qainll to be Uceuta ill .~ witb .tate lid local r.leUOI1I. If the COIIU.ctor 11 not UClIlIed II required by 111, both tH MIIr IDd CIODtrICtGr .., be dUd far · tlld_lDOl violation IIlIder etabl.. If the Olm8r or Intended contractor are UlcertI!D II to ..t lIC11l1illg fllJ1lirlBltl '" appl, for tlIe JntlJlded .or., tJley are ac1v1eed to contact tlsl eit, of ZepIIrrllilb BuUdiog ~t, (113) 781-&611. PurUleflOte, if tile OIlIer Us 1l1retJ a contractor or contracton, b. 11 add8ed to blYe toe cootractor(.) lip portlau of tile lcaatractot Sectloul of till. application for wbtcll t:JIey will be rupontillll. If fOIl, as tbe OIDII .igra II Ue CGIItrKtor, fOIl an lDlUeaUng tINt fOIl, tatblr tbin tbe ccntractor, are ruponslb18 for tbe IIOrt. It t.be llOIlulctor wialall JDI1 to .1ga 18 COIIttactor tIlet BY be en ill4JCitilNl tJlat 'e is not prOper!, HC8ll8td and 18 not entitled to pIl'Ilttbg pd'UIlIII ill tbe CHI of Iepl!rrMl1l. c. TRAHSPORTATIOH IMPACT PEES AND UTILITY COkNBCTION FEBS D. CONSTRUCTION LIE" LAW (CHAP'l'ER 713, FLORIDA STATUTBS, AS AMENDED) J certIf, tblt I, the eppUClDt, ))aYe been prOrided IfUlI i\ copy of "lodda', Construction Lilli t. . .....'. Protlctioa Guide- pcepmd by the Plorida DI1JIrtle.nt of Agriculture and Conslller Affairs. If tIJe eppliClllt iI aeona ok tIIID tJIe '.er-, I cllttJr, tht J .'e obtained, copy of the alloY! deecribed docUllnt iJld PlClIiae in good faith to deU,er It to the -"fl prior to ~DlQt. AppUctUm 11 bereilr lids to obtain I penit to do IIOrt and lnatallation If indicated. I ~ertffr tblt 00 10ft or inltlll.tlon ... ~ pdor to iNaance of , perlit and tbat all won .ill be perfoned to _t .tal1m1I of IU 1_ fegttlaUug OOIIItruct101l, Cit, codes, 1000i~ reguIatlOllI, and land developl8llt regglatfOlll in tile Juril4icttoa. [alao cerUf, tbat I UIlCltrltlDc1 tOt tlJe regulations of oUler gov'tnlent,J agencies Ill, appl, to the IIlWllW tIOri, IJ1C1 tllat it il If t'upoIII10ility to i'lIItlfJ ..llat actions I IUlt tate to be ill COlPUance. Sacb agetldea WI. but 1ft IIOt IUited to: t DePlrtllat of InrifOftlentll R~lat1OQ - Cyprw ae,JleadI, Wetland Areu and Bn,jrOlll8lttau, Sensitive LaDtI, 1fttll'/IIQtllllter Ire'belt · SouUlat Florida lilt. -"'t Di.trict ~ lieU., Cypr.. .Ybeada, W.t111l4 Arll', Altering WiWCOW1Iea · g CGtDI of ..,~ . .....111, Doe", lavitable ..ten.,. · ~ Df BlaJtb i I8UUitetif. lItniCII( Irwitollllntll a,a1tJJ Unit - ..Us, ..tew.ter rn.u.at, SepUc I. f IIIDY~tIl1rotect1. AaI!!!J . 1abut0l Ib4tuent I J 4110 c:ertl r tlIIt, It till .tarlal i. to be uNd 1. FlOOd loDe ~A' or 'A,ete. I, it 1. llllderltood tIlet i drlfnlge pllll adelr.ing I .CClIIpIUeUn9 .01.1 "Ul be BUblJttecl ,Il!ell 18 preparacJ by a profHlionellllglJleer regiater8l1 in tile State of F10ridl prio! to per.lt. Jl8UIIlce. A penit lll1U1d Iball be ClOlIltrued to b. a Ucen., to pt~ with the NOrk I!ld not .. IlltJaoIitr to dolata, eueel liter, or lit 8sIde UIf PlOfiliOlll of tu technical code., nor lhall il8lli111cI of it penit pre'lJIt the Building Official f~ tiere&ftar l'lIfUlrlJlg · Q)I'ltCUIlD of error, ill plw, c0A8trucUon, or vJOletiDDl of any code. BYUJ JIUIlt JIIUI5 .11 beClllIt iDYllld unI.. tbe tIOri IUtfIoriJed b, lOa petitt ia cc.encld vitia!. .ir IOlItb. of 1_.e, or if work luthodHd bJ tlII penU 18 'upeoded or IIJaoaId for a ptrlod of .il 1OJItb8 Ifter th U. the IIDd .. ~ced. ODe go 4.,. __lOll of titt, I8J be aUOWd fOf Ult ,.U witJI fee clJarge of '15.00. fllt utenaion 1ba11 be 1'IqUt8ted in wrlwg to tbe 8uJ1~illlJ Off1clll. In apptOYlld illlPtCtlOll ..t .. logged durin9 HCb Iii IDIItb periOd, or tbe project will be CGIIIJderBClIlwtloald. IlAllJfC 10 lMIR: YOOJl 'jJI.URI to DCOID A JOfIC! 0' C(JMbC1lIIm MAY RESULI II fOUl PAYlllQ NICB POI ._11IIII' to tOOl PIOPIIl1Y. IF 0 II IIIMCJIG, COISULr IfIfB YOIIl LQJt OJ! AI An'OIIIIY BBt'OIII tmuIlfG 'O(IIIOIIC1 01 ClJlrlJClMD!f2, I 'lWI DO IfOf _ '0 RICOJID MD fOar A .,orICK OF ~'. / SliD or ~ axrm 01 lMRLIls !he foregoiug iJt~ent v. aCknOWledged before.. tb18 III -1L, 19~ by fill Vv,~_ R. ~Q..JJ lrbo is perllOD8l1, blown to _ or wbo has --_~_.>-._ JII Sfln OF MlOA fj oowno, Yl~~ The foregoing '.tnetl'UlleDt va8 .C~:"ledge4 before me tbh -JU Lf Ij. 19 by l~/-'+n1/ C ( G,t(aJ, L,'# who 18 pereOOallv known tn ~'n~ whn h_. p~"lIceQ .. identification and who did/did not tale th (8100 - ----- ---- -- -- -- -..,.. ..... produced a8 1deQtif'cation and .ho did/did not tate an h. r (SIgna u ) . s::. W.//J..#I- ..;r, -.:;,r' ~ lV MJ- ~ (H~ Typed, Printed or St-.ped) NOTARY PUBLIC " ""--", UWlp J t;;C~;~\'i~ / ,"'",. " !. :,~' .... ;.:: t h4t1Rrl (. j. ti.y Comm r...rp. Ioj' .4/"" ,(~Ol,""~'l..', . ~ f!'t: ':.' \ "';6,1\: ~ Bonded trj ~ _ \~i.-\. Q'q;, No. CCJ4f5'M 'Z~" Ilf'nld:lOI1wI t"LI. " 1 . · . ~~I1~c,'t'.o~~- -rti~.)l'.. '-U~ 1:llo1.l.o 1'0 ,.. 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