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Home My WebLink About96-6172 . BUILDING PERMIT . I'~~~ CITY OF ZEPHYRHILLS . Permit N<<! ~ - ~ (81~),7!J8-6611 (!.~#JLD"e /0 -/<;2-<;4> ~.. aO ~ IfD . BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Co ? tl ,.,~~o ~ ::::::,~s:~e' cJ~ ~t~~i/Z.f~:::sonn ~~. -6172g Parcel I. D. # __________ ~:::~~~f w:';=~=::;~1~ Cet/~0 &Ad. ,.,J Valuation or _ p~ Contract Price_d~-I'()?! 0 # - Permit Fee Signature VI . Company Address Telephone# ~ ~y~. ~-a~, PLUMBINc{#-~ ~~ - MECHANICAL#3~ FINAL ct~ NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector BUILDING Ftr. Pre SLB Lintel FRM. 11-lfP-9~ I5~B Insul. CL WL Tp. Servo Rough In )1- J9-tjJ"~ Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set /1- /k,9~ &8 Water Sewer Final Breakers Ducts Insl. II -/.P/9h ~tc!5 Compressor Final ~way OECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a 1f Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: ,g Address 'mned work resulting from faulty construction. or corrections not made when inspection called. 1: ready for inspection when called. . posted on job site. job site. ~essible. . of inspection fees shall be made before any further permits will be issued to the person owning EAs -r (fOtb tv1i.U - u:N~ 705"0 C':rAl,L 3UliJ. t.f Ow uJ~ rZ~v~~~ I Yii> &- ==' ?&t.. VA~Tf~N Me: (,.A- := '-f(). D t:> V44A&. ;::. J-/{J.1) b -. ..0 tU..iL. ::::: 30.- D 0 If"O' 0 u ~&; OOO'{i~ L~~+<~,.J ~"'-:> w~~ 850t(1)6 ~~ 1.d.'\8.0Q -jI - C. IJlaCl~.G~ ~--~ R~tJ ~5 tJ/~ " NUl) vAL\J't'\T(~N TEiL ~L\) ~, APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME EmjJ~ ~ r!.-~ PHONE OWNER'S ADDREsS 70S/) &''''.u l:3'~ ~~ 7'Z f:7.r~ JOB ADDRESS ~,5?) Gatt l5?tHtA>>1).) ~~ ';t~ ~ LEGAL DESCRIPTION: LOT(S) BLOCJt. SUBDIVISION PARCEL LD.' WORK PROPOSED:____New Construction ----Addition ~iteration ____Repair ____Install (OBTAIN FROM PROPERTY TAX NOTICE} _Sign _Hove _Demolish PROPOSED USE: _Single Family -2LCommercial _H/F -' of Units _M/H _Indust. ____Swim. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: 1iAJ()If"'7/~rl ""'/~.p ,d//I~ -.;l~ ..;t;/)(JIC . BUILDING SIZE: x Square Feet, Height REs LDENTLAL: 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. -L-BUILDING PERMITS REOUESTEQ $ Valuation of Total Construction --K-ELECTRICAL -K-HECllANICAL .....k-.PLUMBING AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation GAS FINISHED FLOOR ELEVATIONS: TYPE OF CONSTRUCTION: _Block _FraRIe ____Steel ROOFING SPECIALTY Other FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO .************************.*..*.****.*.**** BUILDER ~ v Signature COMPANY A~ 5..e:-~ lC- ~ 'I\~c::..-., ,~ State Cert. or Regist. it EC.C."~lft:)~ ~ City License Registration it 172- ***************************************** ~K l'LUHIJER /? Signature J~ f:" /J1 ~L -/ tlE('1IANICAlt~ COMPANY Harper MeChanical Corporation State Cert. or Regist. # CMC042548 Signature E )Jz~ City License Registration n :?",~ ************~*************~*************** QI1J.E.R COMPANY_ State Cert. or Regist. # Signature City License Registration # ****************************************** / APPLiCATION APPROVEI! BY PERMiT OFFiCER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions If which lay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, botb tbe owner and contractor lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. Furtberlore, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for whicb 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 tbe contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to pertitting 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, have been provided with a copy of lIFlorida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Deydrtlent 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 Ifownerlf prior to couenceaent. E. CONTRACTOR'SjOWNER'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 pertit and that all work will be perforled to teet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, 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 EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Healtb & Rehabilitative Services, Environaental Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks * US Environaental Protection Agency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone IfAIf or IfA,etc.", it is understood that a drainage plan addressing a lIcolpensating volute" 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becole invalid unless the work autborized by such perlit is cOllenced within six lonths 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 cOllenced. One 90 day extension of tite, JaY be allowed for tbe pertit 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 IOntb period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~ SfGNATURE: OWNER OR AGENT SIGNATURE: HACTOR STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged before me this Sept. 30 , 19~ by STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged before me this Sept. 30 , 19~ by Bob Dodd who is personally known to me ~ ~cl N/A as identification and who ~/did not =an oath. ~, \::\~~,,\'...c\CN\ (5 nature) Notary Public. State of Florida (Name Typed PriW~ecfv1dtElS'tOOti>ed) NOTARY PUBL~~ commission Exp.- F-eb. 1. 1997 Comm. No. 252632 Charles D. Poole who is personally known to me U~ pmJlI1I<<1lcl N / A as identification and who lIa/did not ~an o~th. N,.'. \ ~~ ~. ~\J.~CJ'("v (5i nature) t of fW\di N"tarY publiC. sta et>moN (Name Typed, Printed ~~t~(nb. 1.19911 NOTARY PUBLIC MY, COmmIS~\O NO 252632 , comlll. . -- ? L ~ALlbl\J t: ~, CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET 4 i3 ii) 1'\14) .L , . w ? ~J r tAll\.. ORD. #395/RESOLUTIONS 312/372 WATER $1.75/GALLON SEWER $6. 39/GALLON RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $1,278.00 Travel Trai ler Park 131.25 479.25 COMMERCIAL (PER FIXTURE) Sinks 87.50 319.50 Water Closet 131 .25 479 ..2~ \ Urinal 87.50 319.50 Lavatory 43.75 159.75 Tub/Shower 87.50 319~50 Washing Machines-Commercial Size 350.00 1,278.00 Washing Machines-Domestic Size 87.50 319.50 Dishwasher - Limited Use 87.50 319.50 FOOD SERVICE - Dishwasher 700.00 2,556.00 Sinks (3 Compartment) 175.00 639.00 Car Wash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE Sinks 50 1 87,~o 31q 50 40'1 C)d Water Closets 75 ( \ ~\. dS" tt 1Q. d5 010lS0 Urinals 50 Lavatories 25 1 45n5 \'5'1.15 ~C;3" 56 Tubs/Showers 50 1 <t'1 $0 3lql$D Lt of] .DO Wash. Mach.Com. 200 Wash. Mach.Dom. 50 Di shwasher-Comm . 400 Di shw. Limt. Use 60 Sinks-3 Comprt 100 Car Wash-p/st. 1 , 000 3$:).0)0 )d.'l<~L~O l ~.:J 8 . t> 0 I II WATER tlETER ~/p\ GRAND TOTAL