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Home My WebLink About96-6160 .. . BUILDING PERMIT N~ CITY OF ZEPHYRHILLS Permit (813) 788-6611 6160JS Date lo-//-y,- .y ~ ' tJ2) BUILDING 3..s--:db ELECTRICAL J.!:.--' t'Z;> PLUMBING ;;2.0. JD MECHANICAL Sewer Conn I.d- ,. K JD , ~ Water Conn: ~ -?-.5"tJ . tliJ Water Meter: /6..!/......r tfi) T.I.F.'s: I Y ro. t/O ~ ~' Property Owner: Job Address:0 ~ . tJi: . w # 6/ Parcel 1.0, # 3f"-d6 -:;2/....(')6/0.- 1J.3 tl o.~ 6 I Zoning: ~y Code: Z Radon Gas: Description of Work }J1 1:7 ~ _ L ~ ~.(.~~ lh~ /-{}.J-f:> I~/, II )In-, NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE 9-30 '-17 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# ~r P~rmit Fe~~ ' Slgnatu~ Company Address Telephone# oc.:J ~ ~"p.. ~ Valuation or Contract Price A~A.~/3/~-ffp~ a;f?~j/t-'J BUILDING ELECTRICAL /J~1/ PLUMBING a;~;/f1 MECHANICAL --- ~<S Driveway Tp, Serv, Rough In Meter Can La -/1- Y "- Const. Pole Pool Pre-Meter Final 7/1"'1 ~7 fe'll "t<\\6. tl~ 1 ,'lie ~D S' Ftr, Pre SLB Lintel FRM, Insul. CL WL SLB Tub Set Water Sewe' iE Bt<.- Final 7 9 . ~, LJ~ /1, '?-1(p Sp 6 Breakers Ducts Insl.//' J, ~ ~ gdl Compressor Final '711~/5 7 t:it ~ -, l~1-4{p~oB ~r~ e. f. g. REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: ~ / ---r /:),. .. ~~ /J. /1 /~,..I{-Y.{, Wrong Address A/~ ~. ~J Condemned work resulting from faulty construction, A . 0 .--30 -5~ Repairs or corrections not made when inspection called. t-a... / 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. 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 ZEPHYRlIlLLS BUILDING DEPARTMENT ~~. G /C-A-,v ~ H-o /1-1 ~O IV ..> PHONE 3 S;-8- - ~-;2... 3 -/ 7/( OWNER'S ADDRESS (j) . c!) ....~)(' :t ':l. "f S iJ A- J ~ Cc r;. 3 3 $"'"", 7 ~ ~ ~- G;4.~IfNS" Lo~/z" tJ~. LEGAL DESCRIPTION: LOT(S) ~ / , -:7 '-(' _ 2. ~-- d.-I- c: Ulel ._ C /. '/(j 0 - &;j PARCEL I.D.' ~ ) (OBTAIN FROM PROPERTY TAX NOTICE) OWNER'S NAME JOB ADDRESS BLOCK SUBDIVISION ~~ dr It-o "-I i-D AJ ..S' WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Move _Demolish " PROPOSED USE: _Single Family _M/F _* of Units ~M/H _Connercial - Indus t. _Swim. Pool _Other _Restaura. nt & neaHh Depart.ent Approval ~ _ ) DESCRIPTION OF WORK: ?G' r ?,/ cf? /'YJ,#-/ / ~. 0-0 BUILDING SIZE: :J. 7 &, ''-96 Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. ATTAal (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING LELEC.'TRICAL XMEalANICAL ~PLUHBING $ Valuation of Total Construction.. / S'"/) AMP Service ~~OO )( Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation Ale GAS ROOFING SPECIALTY TYPE OF CONSTRUC.'TION: _Block _FrMle _Steel Other YES -fa- FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** CONTRACTOR SECTION BUILDIlI\ COIIl'ANY ~ ~ /T .s ~ State Cert. or gist.' . . /Signature 6.Jn..., - .(J~ W City License Registration' .y ~ '" ' , , ** ************************************** ELECTRICIAN COMPANY C ~ 11 o-+JJ-; .e r&7 /o-/d, -IJC. ~ / J.. /1 /If) State Cert. or Regist. e- c> 0(;) 00 I SiR.nature CfUi.rU2. JC .~ QW'V City License Registration t / ?7 ****************************************** PLUMBER 0ignature tJ~ COMPANY ~ ~///.J ~ State Cert.--or.- gist. . -LJ .J~ City License Registration , <../ 3' *** ************************************* Signature COMPANY C 1 e " ,- It/) r,/? State Cert. or Regist. C~A, (fJ..e.-&~ City License Registration' ****************************************** MECHANICAL OTHER COMPANY State Cert. or Regist. t City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. 'be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents .ay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtberlOre, if tbe owner bas bired a contractor or contractors, he is advised to have tbe 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 tbe work. If the contractor wishes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting 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 tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOJeOWner's Protection Guide" prepared by the Florida Departient of Agriculture and ConsUJer Affairs. If tbe applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the "owner" prior to cOlleDceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation 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 !fOrk or installation bas COlJeDced prior to issuance of a perlit and tbat all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIental agenCies laY apply to the intended work, and that it is .y responsibility to identify wbat actions I lust take to be in coapliance. Sucb agencies include but are not lilited to: t Departient of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater 'reatlent t Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departient of Health & Rebabilitative Services, BnvirODJeDtal Health Unit - Wells, Wastewater 'reatient, Septic 'anks t US EnvirODJeDtal Protection Agency - Asbestos abatelent 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 "cOlpensating volUle" will be sublitted whicb 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid unless the work authorized by such perlit is cOllenced witbin six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntha after the tile the work is cOlleDced. One 90 day extension of tile, lay be allowed for the perlit with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb sillOnth period, or the project will be considered abandoned. WARJlING TO OVNEJI: YOUR FAILURE TO RECORD A NOfICE OF COMMDCIDfENT MAY RESUt' IN YOUR PAYING 'NICE FOR IMPROVEMENt'S '0 YOUR PROPER'fY. IF YOU ImHD TO OBfAIH FlIfAHCING, CONSUL' IfUH YOUR LBJIDIR OR AM An'OJIHIY BEFORE RECORDING YOUR HOflCE OF COMMENCEMENT. JOBS UlfDER $2,500 IN VALUE DO NOf NEED TO RECORD AND POST A "NOfICE OF COMMENCIDfENT". r_ ~ >:zG I: OIfJIER OR AGENT v tA.-:'~ ~~ SIGHATURI. CaNT C'fOR STATE OF FLORIDA () COUH'fY OF V~~C,J The foregoing in~rument was aCkn~wledged before me this ( *".~., 19~ by ~~~ 0; ~ \.; who is per~all~wn to me or who has produced \..--- l \<:C- as identification and who did/did not take~>--' (Signature) wn to me or who has \,\..0- ~ '-- as identification an who did/did not take an ~.~ (Signature (Name T . amped) NOTARY W'LLIAM E. McNAT" PUBUC, STATE OF F.,':::. MYCOMM. EXP, FEB 8 199c COMM. # CC 437figr iAte~:.-gr'~~~ped ) fILLlA.A,., 1,1 , Y PUBLIC, 81 ATE C:' . MY COMM EXP. FEB COMM # CC 43' ~< \.\ ~\. . ,1-' i ~. , I G f<-J4 I\J J I~ 0 ILl "2, 0 Al .5 S 7 / ~ 1iNz.. 1.0 y" ~/ N /-----+1 I ~ I I ~ I I I~ iy-g' 11 --- u,R 1/ I 5t<~9 ,IJ1 ,OJtJe L- ~ \l) ~'1.k 4fg / PAlM- IIMtbt:JL- , !/ I ..-- -.~..'. --........ T ;2 ",/ <..-.------... .. ......---..,,-.....-,. ,. --. '3{' ~) ':,,!-~~ts I I J - /'J.~p= . I I I .-:,-- /~ ~ I' ~ I \ ~I \ \ J .". / '} ~ @A~-~f;e. I . r ,. ,. v -11- S CA LiZ: I It.=:: f (), , .' ~ #- bJ t; I " ~ , I i i. , \ :-1 j ~ ~.. L~/L/Nc >' ;,\ (, i" I -~-- ~-_. ------ -.---------------------------- COI\HHI-)C.ron ff: NAME: GRAND HORIZON (iD rll~ : I~, / :;:;"f.: Z....i..! 1 LL ::::; C E N T R ALP E R M I T TIN G PASCO COUNTY, FLORIDA DATE: 10j2?/9,~) PAGE: 1 OF 1 I '3:::;I.JE C)FF I CF: D RECEIPT NUMBR: 00301042 OFFICE: DADE CITY FC)Ft ; CHEC:V *t 1091 F<:E::::C:, CITY OF Z-HILLS #6160B riLC:NT :; 1-4 TCIT(iL M'iUUNT ~ COMF'NY' f.:iCCOU!\IT CEN lER B4~:,O .... 3.:.,::;::(.00,. ..:' ;.:; If r;/~:; AMOUNT DESCRIPTIO~/PERMT DATA DRieR 8.?5 ****** SOLID WASTE FEE SO , . / / /"'of I;-~ F(~:C.'l~.: J.' V'.::,:IJ }-.-.",' L r /11 II Ai"'.':",. 1.1 /}: l .... /-{ .. · ---'-- ~::;;..f..~JC.f..!._...,.:..i--<---.\.dLI,/:..;__t_".-I-.--.,....-..-.-- _ _"."__ I '