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Home My WebLink About96-6159 BUILDING PERMIT N~ CITY OF ZEPHYRHILLS Permit (813) 788-6611 615915 DatE! /~-/1-9~ /(0. UV BUILDING ~~. tTD ELECTRICAL ~ --: db PLUMBING ;;Zo. tr7) MECHANICAL Sewer Conn );2 Pt':-O'o. , Water Conn: S <; b . ()7J Water Meter: / ~--~ tfD T.I.I=.'s: / tf f7J. o-v ~~ Property Owner: . - Job Addres~ "3 ~0 . tr~ ' Mv-.I Parcell.D, # J'/~~ -:2/- (j OIIJ-ZJ/3oo -do #bO Zoning: ~ode: Description of Work .-m . ~ Radon Gas: J~ 4U-;r -5--.1.-P~ 1h~ 1-0I-/-f7 NO OCCUPANCY BEFORE C.O. Ide'lt }1 W{ FINAL C.O. DATE '9 -slJ -97 Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector City License Registration # State Certified License# ~~ Permit Fee Signa~e Company Address Telephone# J d tJ - ll"t) _c~ .s~ Valuation or Contract Price lfrDl~;P/J BUILDING PLUMBING ~ /?h f/.!; MECHANICAL - a:-Kri/J7 ELECTRICAL 4.~~;1/ Driveway ~ 1I...$'-9le BILL Tp. Servo Rough In Meter Can I ~ .-/ 1-9 ~ Const. Pole Pool Pre-Meter. . , .p ~ / /,~ ? ~ -It LL- Final 71(~/G 1 1~1 ~I! 11 0'Y'f\Q. 11- 5' - 'lie [) c!!> 8 Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer /-/7 f7 ~l,^- Final?l; fu /9., gll , Breakers Ducts Insl. Compressor Final .7 /t~/, 7 , . ItH REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: '7J~ ~A..T~/ Jti//I-YI:, fL~ I 0 _~t) -?-6 Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible, a, b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same, APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT .' .0 ~~Ni I-!oteIZO,v.s (? c ::60)C ~ 'J,.t.( s- D~fi (, ry .$ 3 '>2. " JOB ADDRESS 7' 9 S- (;~fE.G-tJ SL.ofe LJ~. - Z- -I-f .ff $ LEGAL DESCRIPTION: LOT(S) 6, () BLOCK PARCEL I. D. f '31 - ~ s- - ~ I - () c/o - c.' / ? () c .- 0 (1 PHONE :3 ~-l. - S';1.3 -171 ( OWNER'S NAKE OWER'S ADDRESS SUBDIVISION G-p",rt- .~ '-~ f-k J'-j Z ;-:'.~ { (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---Alteration _aepair ~tall _SigO. _Move _Deaolish _ec:-ercial _M/F _' of Units ~M/H _Indust. _Swia. Pool _Other PROPOSED USE: _Single Faaily I (CiLf_square Feet, Height RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED _BUILDING ~CTRICAL ~CHANiCAL ~~NG $ / So Valuation of Total Construction AMP Service ~lorida Power Corp. W.R.E.C. $ ~ 3 a~ Valuation of Mechanical Installation .... /)/~ GAS ROOFING ~CIALTY TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT . IS PROJECT IN FLOOD ZONE AREA? ~/ YES NO ****************************************** BUII.DER ~ignature CONTRACTOR SECTION COKPANY &..:{~ /n. H .5 ~ State Gert. or Re st. t _ w~/l City License Registration . a" *** ************************************* ~ () . /:'"' COMPANY C.Q... '/ '"')J-I el' 7"/0 IIJ...) 4.1 c , ,f /J L) All State Cert. or Regist. E$&'0060 f si~AtureC~ f/J.ett't:7'W1..... City License Registration f / F 7 ****************************************** F.I .RCTRIClAN KECHAHICAL Signature cW tJJO'L<;~ COKPANY &.~ ~. /., ..s ~ State Gert. ~r R ist. t .UJo.y--lL!_ City License Registration 41 l' **** ************************************ jY COMPANY C -'2.. '{ i'-( .Q}- l'1--r/~ '" :;: AI c-~ State Cert. or Regist. 41 ~ City License Registration . ***********~****************************** PLUMBER V Signature OTRRR COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** . APPLICATION APPROVED BY PERMIT OFFICER. " '. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit lay be subject to "deed restrictions" wbicb lay be lOre restrictive than City regulations. 'he 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 lilY be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents 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 wbich 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 wisbes you to sign as contractor that lilY be an indication that he is not properly licensed and is not entitled to perJitting privileges in the City of,Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HOIeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJIeOne other than the Downer", I certify that I have obtained a copy of the above described dOCUlellt and prOllise in good faith to deliver it to the "owner" prior to coaenceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT . I certify that all tbe inforlation in this application is accurate and that all work will be done in cOllpliance with all appliCable laws regulating construction, zoning, and land developleDt. 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 perforJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developleJlt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies lily 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: * Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater rreatJent, Septic ranks * US EnviroDleDtal Protection Agency - Asbestos abateJent 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 uCOlpensating volUleu will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 perJit issued sball beCOle invalid unless the work authorized by such perlit is couenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOntbs after the tile the work is couenced. One 90 day extension of tile, lily be allowed for the pe[Jit with fee charge of $15.00. fhe 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. WARHIHG fO OWNER: YOUR FAILURE TO RECOnp A NOIICE Of COHHEMCBIIIMf MAY RESULT 1M YOUR PAYIHG fIIlCE FOR IMPROVIHINTS fa YOUR PROPERTY. IF YOU IHTEtID fO OBfAtr....FIlWlcrMG,.COIISULf.'WIfH YOUR LEtlDER OR AM AnoRHBY BEFORE RECORDIMG YOUR MOIlCE OF COHHEMCEHEHT. JOBS UMDER $2,500 IN VALUE DO NOI NEED TO RECORD AJID POST A "NOTICE OF COMHEMCEMEII". \2~ SImlfURE: OWNER OR AGEIfT ______ Vel/'i? ~ SIGlfArU : COHTRACTOR STAfE OF FLORIDA D coum OF \V~ 'X. 0 The foregoing n~ent was .acknOlfledgBd b~ De this "' . l~ by ()0- L (!, V><- ~ who is pers~ ~ to me or who has produced . , as identification and who did/did not takean~~ (Signatu ) (Name T . Stamped) NOTARY P BLlcWlLLlAM E. McNAll Y PUBUC, STATE OF FLORIUf MY COMM. EXP. FEB. 8, 1999 COMM. # CC 437695 STATE OF FLORIDA COUNTY OF The foregoing i acknowledged before me this , 19~ by L0~~' ~,M-~~1 who is per-sonall own to me or who has produced ..... c.....c:..- as identific tion and who did/did not take an~~. (Signature~ (Name Typed, Printed or Stamped) NOTARY PU viiLUAM E.M(:iv, NOTARY PUBLIC, STATE OF F. . MY COMM. EXP. FEB 8 199fi COMM # CC 43769:: '- ''!'". .. ~, t " ., I I I 1 l I j I I :l \ '( I ') I' I II) r;" \ . I, '/ l / J ./. ~'/ &IlA-N cl. f+o fl-J 2.." N..5 ReAle L()T L/~15. ~-_. se ( _. 1 ~ M ad,E L 51(14:" o . / : 17) "7 '/ /..' // ' c ,. t., f~1 i/~") //;: I~I'.~ (J i:;' . 1 ("(')t.l ((?-r".,; 9 ~ ....'.,..0 . , b'YI~-i' _. - -.--- .- . ~..._--_. "--" Lt. f(. J/~ '6Yl?' I ~'~/;Jf - \, r ....... I 1'\...... . / ' fl..1 ' '. r. . .J. Co~""'(17 (I . i - '.Y ' ....1' , ""'1 () "'IUt.f) t~ ,:(}";,/t:.~:..- .. '\ ~ P {POi ;) ~ .) i\ '1. , .-1 1 ~ - -, I ~ I ---.' l"~+--' I ~---).I ~.! ~" l ( " ......-.. .. ~D. -t>-~__ F - -- -- - f'.---'- \ RA.' LINf , ~ I -- IJ ~ " .# ~---~- " \ f) !l I (" 3 --- _.. -... I \ ~AT /.e- ~ \1)., '-'oTttUio ~. I I 1 I r \ 14" !,,.k' ! I I J I. 1<< I I I i /1 \ I .~ " \\ \) \ i I ~~ S('A Lti r '~.I{) I > I I I. I __._ ___. __ _ ~ _' ____ ~. _.._.c _"._. _ _ _ _ _ ~_ _ '_ ___ _ __ _ _ __ ___ _ _~'__ _ __._------" CONTP(lCTOF:# ~ NAME: GRAND HORIZON ?~Dl)E : C/::;1: Z'--HILL~:: FeF? : . , (.. F N T P PI L P E F I'll I ! T I '" (< [l(-\IT: 10/:2'7'/96 PASCO COUNTY, FLORIDA PAGE: 1 OF 1 I :::;::;;UE OFF I CE : D RECEIPT NUMBR: 00301040 OFFICE: DADE CI1.Y CHECK tt 109 j RE:;:;C . CITY OF I-HILLS #6159B {::ICCI\i--r 114 TUTPIL nr101.JN1:: COMPNY ACCOUNT CENTER 8450 - 363000 - .' AMOUNl DESCRIPTION/FERMT DATA DRIeR 8.95 ****** SOLID WPSTE FEE 60 f::. f~~'5 ,,~ I (. , "'T' f . ;' /. -_'_' 1/[4' .1.' ,.,t- t . . ""', ,.,,- ~'-,' .! -"!" 1, , J' "I ( ! - 1//" .....""".,, '--'---"~_M~.__._L_~_~_~_~~__'~~_'_'__'__'______A_~_' FiCI.E .i. 'v'E]] B '{