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Home My WebLink About96-6207 BUILDING PERMIT N~ Permit :10, d-V 0uW1NV .2&, dV GCTRIC~ CITY OF ZEPHYRHILLS (813) 788-6611 ::.2 (), oV GUMB;N~~) .620113 Date / t9 - cLf~ 7' .b MECHANICAL Sewer Conn Water Conn: Property Owner: _L~<-/~ #.k. Job Address: \ ? Y& CJ {) . '-~ '-;ZZ' (;L,,~ Parcell.D, # /1-f)..6 "-d-j - 0 % - /6.sDO -- CJ 0/ 0 Water Meter: T.LF.'s: Zoning: Energy Code: Ra,n Gas: Description of wo';; ;/?yl, ~ ," /.Ad~ G ... 1 ~ - N.~ Jl ~ :J(2LL~ , NO OCCUPANCY BEFORE C,O, FINAL I) C,O, ~;L- Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE , (f Permit Fee ~ &. ~. Signature ___ ~ ~ Company Address Telephone# ,%' }ZJ~ Valuation or Contract Price .(, g-c:rLJ. t:rV City License Registration # State Certified License# ~...JYu?/L ~ /(/.;;L.. /~.lJ/PcJ. L~l.J BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, Rough In / l/zv'f?~CJY Meter Can Const, Pole Pool Pre-Meter Final Ftr, Pre SLB Lintel FRM, 11~25-'f~ ~,LL Insul. CL WL Driveway 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: a, Wrong Address b, Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called, 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT IJI< 'lJ'J.-tJ8hY 7t~?- 6 s...?o OWNER'S NAME ()A' <",/':4 ~,-P7l"'~ Q?~S M// L/.-e/~... '7# ..5"# '" e PHONE OWNER'S ADDRESS . / z-~/~ // JOB ADDRESS 3 ?? ;lpo .z~.;(YA'" ""//",, ~?- I , , BLOCK /63 SUBDIVISION C/ ry ~ r ..2>.-::'~~" / /h LEGAL DESCRIPTION: LOT(S) J., ~ ) -; 3 , PARCEL L D,' //-,:26"'"z;' p t:>/ t:J - / 6 ..3' Pit:> - P t:? / C1 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration hepair _Install _Sign _Kove _Deaolish PROPOSED USE: 1~ingle F_ily _KIF _, of Units _K/H _~ercial _Indust, _Swim, Pool _Other _Restaurant Ii: Health Department Approval I /tIa:;yT} DESCRIPTION OF WORK: ke.a/;;e e. ~/If/;;~"",,/y~ 4 ~t::U- ~AI ~r'/!A!. &O;Jff ,Rt"u-)J/'-'" -,J- ;tJ~b?",J , 13'?~ '<;'VIN' ' / ':3:2 g jJ"-,,,,? BUILDING SIZE: X , I; '1 :20 Square Fee t,...<' ..57~YHe ight RESIDEIITIAL : COMKERCIAL ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS, ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, I~UILDING LELECTRICAL PERMITS REOUESTED $ oP II J> OF) - Valuation of Total Construction AMP Service Florida Power Corp, W,R.E.C, ~CllAllICAL V PLUMBING $ Valuation of Kechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block Br_e _Steel Other Fr. IS PROJECT IN FLOOD ZONE AREA? ~ FIlJISHED FLOOR ELEVATIONS: YES NO ****************************************** BUILDER CONTRACTOR SECTION ~ ~ QlIIPABY C)~ -,.. State Cert. or Regist. , . City License Registration . ***** * ********************************** Signature ~ COllPABY (((GiRM t/w#de/L , . . . "~I State Cert. or Regist. * e ~ cCu~.a4 City License Registration' I ****************************************** '7~ Signature ~ QlIIPABY I2J9V' ('"..,,...,z State Cert, or Regist, , . ~ City License Registration t ****************************************** PLUMBER k.3. / KECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration , ************~***************************** OTRRR COMPANY State Cert, or Regist. t Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The 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 Jay be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents JaY apply for the intended work, they are advised to contact th~ 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 which they will be responsible, If you, as the owne.r: 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 - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs, If the applicant is sOleQne 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 co.-enceJent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all wOlk will be done in cOlpliance with all applicable laws regulating construction, zoning, and l~d developllent,' . 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 perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIlllental 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: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDlental 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 "cOlpensating volDle" will be subJitted 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 frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless tbe work authorized by such perlit is cOlIBnced within six IOnths 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 cOlleDced. One 90 day extension of tile, lilY be allowed for the 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 six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMmS TO YOUR PROPERTY, IF YOU INTKKD TO OBTAIN FINANCING, CONSULT WITH YOUR LKKDER OR AX ATTORNEY BEFORE RECORDING YOUR NOTICE OF ~ '2'k~ 10 RECIIIID AID POST A '10lICE OF llIIIiIICIlIIm'. SIGNATURE: R OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORID~ coum OF VaStD The foregOIng instrument was acknowledged before me this DfJ+ ~ I , 19:11tL by .s h ~d a K, J-tofJu who is ~ersoni!lJ-y known to me. or who has produced ~ as identification and who did~~~ ta~ath, ~ CUi:rJLLJ .1Ji A!r (Signat e) A./\ fly ..J-j1(A. AA fA ~l I (Name Typed, Printed or7Stamped) NOTARY PUBLIC STATK OF FLORIDA coum OF The foregoing instrument was acknowledged before me this ~ 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath, (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ~~"~#"''' ~ ~ ~.M~ *W* My Comminlon 00584808 '" ... expires Sep. 15. 2000 ~J' ~~ e Or rcO:- - .-.... - l :o>~ .-'Jr. , "-'\ I\.. .. \:~.... \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ (~D' ) ,,00' t Y . ,J t. t. f5 0) \ \ \ \ \ \ \ \ \ \ 0) <0 5., RNG. 2/ E. vt' Scale: j*." 30 A SURVEY OF: Lots 1, 2, and 3, of Block 163, CITY OF ZEPHYRHILLS, as recorded in Plat Book 1, page 54, Public Records of Pasco County, Florida, ~ $led 9/)euel and ~(joce"aEe6.1 #nc. R. H. ENTERPRIZES/Ron Hoffer,Esq. June 30, 1978 ST. PETERSBURG HUDSON CLEARWATER #2634 ZEPHYRHILLS ~e~li/U!d aa &, 9lU/tvel/: FOR; DATE; ORDER .--la.... . a dd ./ " Ff-O"OA SURVEYOR'S REG'N. NO. 91Z ~IOA ENGINEER'S REG'N. NO. OWN. 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