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HomeMy WebLinkAbout96-6158 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 - 61588 Date /0 --II -7 b ~O. (/7? BUILDING J -s '. (.;1"-0 <3 s '. tTD .;2b - t:rV ELECTRICAL PLUMBING MECHANICAL Sewer Conn ~;;l')?: lTD. Watm Conn: 3..!:::>?J. d7J PcopertyOwne" ~~ ~/ ~ Wate, Mete" /b.~~. vV JObAdd,.,,~i;,jiO - " ;. ~~~ i/A. .. r9 TIF"~ dY Parcell.D, # _9' - ,~--BI -,. ('J ~i lJ - ;; :3iJ a - s- ;l L/2.L.4J1~'k -- Zoning: , ~n~r9JY Code: Radon Gas: Description of Work m ~..e. NdYJ-t t? - ~~ ./7 --:fA'-r~ 111 ~ /....).1-'17 /.,).~II J1H1 NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE -3 (')- ? DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, Inspector City License Registration # State Certified License# Lj~ "" Permit Fee / , ? tJ, o-L-l . ~ ~ SignaturC.fl --6 . 7" Company Address Telephone# Valuation or Contract Price ~~~ll3~J1lifJ~ BUILDING j7~ ,lfH.t7 ELECTRICAL 152~tY PLUMBING ~~--K~ I/~ - MECHANICAL Breakers Ducts Insl. compresJor I=inal 7 flv fct7 SLB Tub Set Water Sewer /-15<-,"1 i3tt..t- Final 1 /1,,-/(,11 fl.-I I .p~ lJ~5...qv, BJLl- Tp. Serv. Rough In Meter Can Jf) -1/-9-1. Const. Pole Pool Pre-Meter. Final 71ul(1l a:lI ~~ tl.. '5 -qitJ .8~~ l( - ~""9~ S~LL Ftr. Pre SLB Lintel FRM. Insul. CL WL At.tJ Driveway UUf> REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15,00) shall be made~r ia~ri~;or each ~rade~f /J. /J / tJ _/1 _y ~ a, Wrong Address -/J~ ~~ ~ cf/ b. Condemned work resulting from faulty construction. /J. -:? 0 - 9' -6 c. Repairs or corrections not made when inspection called. ALA' I () .-....: d. Work not ready for inspection when called. t' e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT C0 OWNER'S NAKE G /Z-A-N' cI II~ ~I ~ /lJ-5 PHONE 3 S- 2.- ~-2. 'J ..17 It OWNER'S ADDRESS O. C).~ D)<.. ;)... ~'f ~- eAJ.€ Gf?y 3 5S'"2. 6 76 'IS- G,<.etZAJ.f~pti /J,<. 'Z..-I-/,//..f LEGAL DESCRIPTION: LOT(S) S9 BLOCK SUBDIVISION 6f'LA'W cL {{,/L( 'l.d~$ . . ~9 PARCEL I. D.' 3 LJ..- 2 ,S;- - 2/ - L! 0/0 - (i I 3 0 0 - (O~TAIN FROM PROPERTY TAX NOTICE) JOB ADDRESS WORK PROPOSED: _New Construction _Addition ---Alteration _Repair _Install _Sign --"-ove _Deaolish PROPOSED USE: _Single Family _H/F -' of Units 4M/H _C~ercial _Indust. _Swim. Pool _Other ___..taurant & Health D.par_nt Approval {.$> _ ~ DESCRIPTID11 OF WORK. _:;-~ r Vf r>1/I{. ~"O i BUILDING SIZE: ~ 7 x::ib I :):"11:::square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING ~~RlGAL ~CHAIO.GAL vPi:UHB~NG . $ Valuation of Total Construction I :;-0 AMP Service ~da Power Corp. W.R.E.C. $ ,,-; .If cJo "- Valuation of Mechanical Installation H( tt." . ROOFING --~ IIfiiiII GAS TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? -X YES NO ****************************************** BUILDER CONTRACTOR SECTION COKPANY tJ~ /n /t: S ~ Stat. Cert. or R - ist. . {..J 0 City License Registration' ~y ~ *** ************************************** COMPANY IJ-c.e. 11 e -P f-; q eJ-;4- 1- ,; t1.J ;;:4/ r.. State Cert.. or Regist. , ./ J::s oOC> 00 () I City License Registration' J R' 7 ****************************************** vi Signature ELECTRICIAN Sianature ck~ 13.d!Y dl()1- PLUMBER /Signature COKPANY p~ hH.5 CJ ~ State GerL or gist.' ~ City License Registration' '7' t * *************************************** " Signature COMPANY C e... ( Jl . I A 1.1 /J/J State Cert. or Regist. f (~ jI.J.LfJ(d/A)"-" City License Registration' ****************************************** MECHANICAL OTRRR 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 pellit lay be subject to "deed restrictions" wbich laY be lOre restrictive than City regulations. rhe 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 regulatioDs. If the contractor is not licensed as required by law, both the owner and contractor la' be cited for a lisdeteanor 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 con~ct. the City of Zephyrhills Building Departlent, (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 - HOIeOMDer's Protection Guide" prepared by the Florida Departtent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docUlent and prOllise in good faith to deliver it to the "owner" prior to cOllenCl!lent. 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 cOlleDced prior to issuance of a perlit and that all work will be perfolled to leet 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 goverDlental agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departtent of EnvirODlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treattent t Soutbwest Florida Water Hanagl!lent District - WellS, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic ranks · US Invironaental Protection Agency - Asbestos abatl!lent . I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .co.pensating 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pellit issued shall beCOle invalid unless the .work authorized by such perlit is cOllenced within slllOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of slllOnths after the tile the work is couenced. One 90 day eJtension of tile, lay be allowed. for tbe 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 sil IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURB TO RBCORD A NOTICE OF COHHENCBHENT HAY RESULT IN YOUR PAYING niCE FOR IHPROmtmS TO YOUR PROPERTY. IF YOU IMTEND TO OBTAIN FIIlAlfCING, CONSULT WITH YOUR LENDER OR All AnOmy BEFORE RECORDIMG YOUR MOTICE OF COMMENCEMBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COHHDCBHEJft'II. ~/a- ~G r URE: OWNER OR AGENT v 1.Lliii' ~::~ SIGNA'I'U : C Nl'RAC'lOR STAIB OP PWIIIIl! .~ COUNTY OF ... c.> The foregoing i~ent was acknowledged before me this ~ ~ , 19 <1.' by \~-J {n~,,- L ~ p~ who is personall n to me or who has produced as identificat10n an who did/did not take ao oa~~. (Signature) STATE OF FLORIDA ~ COUNTY OF .. o...-~c:... The foregoing iCStrument was a~knowledged before me this j~9. , 19~ by \. A )~~ ~~-Ue/f;-W who is per~y ~wn tocme or who has produced '--- \:..r-- as identification and who did/did not take ~. ~_.. (Signature) (Name NOTARY pea ~ Ill: itillllpad) . cNA TT PUBUC, STATE OF FLORIDt ' MYCOMM. EXP, FEB. 8. 199~ . COMM. # CC 437695 (Name Typed, NOTARY PUSLI ,-, rint TT NOTARY PUBLIC, STATE OF F~ORI~', MYCOMM. EXP. FEB 8 199' COMM # CC 4:r:"., ........-,---..-..- - G ~A N cL l4(PRt z..o N's- -- Lt:rr'S9 -~"'^'~"""'-' ,4 .. ------- -.---, / '\ .:;; I -:: 1~ FA 1< lf54r k \ tJ f:: -. - ._.-_.~ "-.- I- I \ B I I I ~ I I~ I II ~ I , I I I I I 1/ I It II I I L (6' .. i ~o -_..~ .=- < --I -..... -------.- --"-- \ \ " I \ I \ \ \ \ \ I ~ , J~ "7.. J .I J..7 I ( ~I" .-" , 11) r) r!/~ I , ' . lIt .. -3 tYl. S- ~ (){\ l h" ~ (V~ (. 6 ,":'\ (t_ /31_ T"- (l,t~ r<p _.---~-..- \ I / ~ II b r". r .J '= """0 ~TP 30' /'-"~,r LolL r-J( _ ~4' . S:cA./i; " '/'1 I / .., ~./u I " i ~, > ~( ... '~ fi ";'. .. -, I' r' (, " ~ \\ 11 ., ."'il ;>'( i , i: . ; I; , . i I !." I 1 f'" I I;; . \ !;\. . ;', I, to> ~ ,...--......--- _ _ ~- _ _ ~- _ _ - - - - - - -- - .- - - - - - ---- - ---... - - - - ~ --, {~r)[!!~: :: C E N T R ALP E R M I T 1 I N G DATE: 10/29/96 PASCO COUNTY. FLORIDA PAGE: 1 OF 1 r :::;~::;UE OFF I CE: D RECEIPT NUMBR= 00301038 UFFICE: DADE CIT' C(HHRPICTOF *~: NAME: GRAND HORIZON C / :~; T ~ z... !.I :t L L. :.;=: FOR: CHECK # 1091 Elr::::~;c: ~ CITY OF Z-HILLS#6158B P,(:l::NT 111: Tcrr P1L (~lvIOUNT: CCWIF'NY ~K:C::Ui,.INT 0'::: nf ER B4~:j(\ .., 3/:.::::000.. .~. :;::.. f~l::5 AMOUNT DESCRIPTION/PERMT DATA DRICR 8.95 *****~ SOLID WASTE FEE 60 1::;:ECE J '-lED "1 " I,' -1-.-.:.----- B V.,. ",. _,.. "_.(:':':.?!._if.!.,~,-j,l.. CL:u1c.:",;ct). _. _ _ _. _ ..._ _ _.. _..... ...._ /'j . I