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Home My WebLink About96-6183 BU.ILDING PERMIT N~ CITY OF ZEPHYRHILLS Perml1t (813) 788-6611 -6183e Date /tJ-:2? - 7 (;, 110. C'ZJ BUILDING JS --: (/Z;J ELECTRICAL ~ --: t7z> PLUMBING cZtJ- L..:ffi MECHANICAL Sewer Conn J :L),f-; ?-rp Water Conn:' -.3 .s lJ ' /TV Water Meter: /65--: o-u T,I.F.'s: /,/,f-"O. c.ro .. Pwp,rty OW"" . ~1I,:t:%:!: ~ iM Job Address: -3 ~".2/ }::/'~ .#5..5- Parcel I.D, # ....3'1- 62.5' - ;;J./ - ()!) / D - 0/3 0 0 - ~~ Zoning: If~ro/ Code: Description of Work JJ1 ~ ~ -12/ A4r -8-f..p~ /J1~/-()1-9'7 I~:// )Jb? Radon Gas: Complete Plans. Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. NO OCCUPANCY BEFORE C.O. Inspector City License Registration # State Certified License# ~Y Permit Fee Signature Company Address Telephone# 8' o:D ~ a-7- . Valuation or Contract Price BUILDING {t.~~ f?~(f /r!7 ELECTRICAL A/1/h~J~ tJ ~' Jr?-r:V . MECHANICAL 7'-5 /3~, :a;-f/: t' /J PLUMBING SLB Tub Set Water Sewer /-("}-7( ~IJ.A- Final 1-1/Q7 .c~ Breakers . Ducts Insl. /"2'-11-4 ~ .6oi3 Compressor Final / - 1 r -?~ .6& Tp. Serv. Rough In Meter Can I" -.).3-Y-b Canst. Pole Pool Pre-Meter Final \..... 1- Cf715.zrG Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~ --If l~A \-qlp & f> 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 -) ~ ~ '/I..~J /0-;23"7.6 b. Condemned work resulting from faulty construction. ~lA . 1 I (3 - ;- ().-7-6 c. Repairs or corrections not made when inspection called. j4- -~ 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. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME a;c.. ANt! fIo 1/!-1 ~O NJ OWNER'S ADDRESS (? 0 .'~O)<. ~;;"''f~- Dftclti c'ry 6 G-~"A.Js l-.o LEGAL DESCRIPTION: LOT(S) ~S BLOCK SUBDIVISION G~cI ~/VI);V S PARCEL I. D.' 7j Lf - L s- - 'L.-t - 0 0 10 - 0 I :1 ~ 0 - S-r (OBTAIN FROM PROPERTY TAX. NOTICE) PHONE3; ~2... - S.:t 3 - /7 II 33~U JOB ADDRESS (Z.- . WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units +K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESClUPTIOR OF 1IOllK: . ~r:..u f7 /Vl If! ~-o ",) BUILDING SIZE: .;.aJl. 91' 17.1'. _Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction :t-ELEr:rRICAL hCHANICAL ,+-PLUKB~NG TYPE OF CONSTRUCTION: I ::>-c) AMP Service ~ Florida Power Corp. W.R.E.C. $ Valuation of lIechanical Installation GAS ROOFING SPECIALTY _Block _Fraae _Steel Other YES t PINISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? .**.....**..***..**.*.*...*****.*******.** CONTRACTOR SECTION COIIPAIIY ~ /J? /1' oS . ~ State Cert. or gist.' VSignature CJor--- Ll. City License Registration' '~ 9'" *. ...*.***************..**************. COMPANY j)c.<L. !1.e--P hIS t2 J- 4-1""{;0 ~ 5#'c. ./J /J() State Cert. or Regist. . F c>0(30C:> i ((:) ..eff 01A.~ City License Registration . f a 7 .**.....*.***.********t.****.************* PLIDIBER COMPANY ~~f/ M. // .,s- . ~ /J/1r1 State Cert. or gist.' V Signature ~~~ City License Registration' L) 't" * ****.*.*********.********************** . COMPANY 4,- ~ R eA2h'rc-'!1- '~_fj~rl() ~ Ai c. , State Cert. or Regist. telf CO~}? S('J' City License Registration . __ .**..*.**.*~**************.*...*********** RIITTllER RI.RCTRICIAN SionAture C~ MECHANICAL _ f /J Signature ~ f3..aJl O'W..... OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . .*.**..**.**************.**.**********.*** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT o A. "NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit la, be subject to "deed restrictions" which lay be lOre restrictive than City regulations. 'fhe 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 tbe contractor is not licensed as required by law, both the owner and contractor JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing requirBlents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised t~havethe 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 be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. 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 - HOJeOWner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeone other than the "owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to COlIBnCBlent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat 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 developaent. Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDIeDtal agencies JaY apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to: * Departlent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands, Water {Wastewater TreatJent * Southwest Florida Water ManagBlent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic ranks * US EnvirODlental Protection Agency - Asbestos abatBlent 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 RCOlpensating volUleR will be sublitted wbicb 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 witb 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 tbe work authorized by such perlit is cOllBnced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sillOnths after the tile the work is c~ced. One 90 day eJtension of tile, lilY be allowed for the perlit with fee charge of $15.00. Tbe extension sball 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. WARJUNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICK FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIH FIIlAliCING, COMSULT WITH YOUR LENDER OR AN A'f'I'ORIJEY BEFORE RECORDIHG YOUR HO'I'ICK OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEHEM'I'''. ~~ ';-;en ~~ 51 : OWNER OR AGENT ~~ :Lf)/ SIGNA : CO RAcrr~ STATE OF FLORIDA COllHTY OF The foregoing i bafr\ tbts _. \ aJ,,~ L ~~~ who is persolULL~wn to ~e~or who has produced , \--\..: .Ju- \ \ C;Qv--.- as identification and who did/did not take an ~~. (Signatur (Name IL PAW . ~A'tampeQ) NOTAR UBUC, STATE OF FLORIDt MYCOMM. EXP. FEB, 8.1999 COMM. # CC 437695 STAll OF FLIlIIIOA R COUNTY OF '1>--':. c..... The foregoing On trument was acknowledged before me this l, 19 ~( by W .~.J '~ who is personal~own to me or who has produced """"R.. v~- \.,l c.C"~~ as identification and who did/did not take ~. (Signature) (Name Typed, i Pri~~I~fli ~tfflJ?ed) NOTARY PUBL f0JTARY PUBLIC S':;AT' E~ ''''r. ,.. MY "\.,..,., COMM, EXP, FEB Rl en- COMM. # CC 4376'95' i "---' ..... .i " 1,1 ~ i ; 't'. I' I ., I I 1 I ... <. J1'. ~' j " , .,,-/ I.. i i I .,~.::..... ~ .;> ~ ~.i ~ -. .... ',:). ...--------------., L , -.,.... ' J If L . ' ,{. ,; I I I I J.. ,; So-, " .' I' .,;,r. .:~',~ ~, ~ I .1 . r ", pALh1 or .J { .... ..~~ ,i.. " I -_...__.......~ .' -. . A It 'J (1 ;'<, i i I ! I I I f i " i ~jl ~\ \': ~ I i : ) f 4 , I '....... ,k' ., ....,. t i .... ~ v .")0 ," I I I .., )..0 I tf- -- S~ ~ --- -- _.-- - -- -- --- -- ____. .____ _______ -- -- - - -- -- - - ---..--.--'--- -.-.--.\ C:ONTF,ACTOH fF: NAME: GRAND HORIZON ?mDf.: ~ C / :;; T~: Z,.H 1 LL.S C E r~ T PAL P E F< 1"1 I T T I I\! I) n?n E : hi./ 29 / '71 t:. PASCO COUNTY, FLORIDA PAGE: 1 OF 1 I ~':;:::;i.JE OFF 1 CE: D RECEIPT NUMBR: 00301034 OFFICE: DADE CITy F::' f)~~ ~ C:HECk:: *" 1 091 r~ESC . C: Ir'1' OF Z +1 I LL::AH:.l ~:::::::B Pice NT 114 n)H~L (li"10UNT: COMPNY ACCOUNT CENTER B450 - 363000 - ~ :::: . j~J~:i AMOUNT DESCRIPTION/PERMT DATA DRieR 8.95 ****** SOLID WASTE FEE 60 // .,: I. m:, CE I 'iED B v _,_ __..L ;;c!:::t::1/~L_.2~J:.~~~L..,~_ _..... _ ,__, _..._. _ .._.__ I Y y (~7 .