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Home My WebLink About97-6408 BUILDING PERMIT. 0 CITY OF ZEPHYRHILLS Permit N. (813) 788-6611 640&8 Date /-;)..3-7') ~o. (}ZJ BUILDING J .s '- (J"CJ ELECTRICAL ...g ..s ~ tT7) PLUMBING oL (;J. (7i:) MECHANICAL Sewer Conn I d-'~' ~ Water Conn: -SSe:;. PtJ Water Meter: /6 s -- o-i:> T.I.F.'s: 6 Y" tf7:Jr CV P<operty Owno" }j....~ Job Address: b 0 I 7 .1 . ~ Parcel J.D. # J -d-6-~/- .' - 0 0 - ~6 () Zoning: Energy Code: Radon Gas: Description of work)1f ~;f~ iI~ ~.Jf-7 t.J "l Elf I J / 71' IYl ~ -/7- <1/l ....e..tz ..#I)t1..~~~ ft71- NO OCCUPANCY BEFORE C.O. t6--s FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspecto Permit F~~ {). ~ - Signature ~./{... ~/~ Company Address Telephone# Valuation or Contract Price ~A- City License Registration # ~ . State Certified License# Jidti{, !l /J BUILDING ~~~~ l'7tJ ELECTRICAL J1'~r~c2~.6 PLUMBING J3~/yt /'7 MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address Jv.~~ ~:I k-I /cJ3-j'J b. Condemned work resulting from faulty construction." yc:v5:J ;;?-~v --~. 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 t-\ If R ~~f,,,-kd lQ OWRER'S ADDRESS ,--3.5c)~ .:) HeLl,! ,-sq u) JOB ADDRESS J-D+ ..::tt<S {o '~-K ;da {2 (LeUI' "t:51/Jd. ""T / LEGAL DESCRIPTION: LOT(S) tPCl5:& BLOCK.ooilt\1SUBDIVISION ZJ3/6 OWNER'S NAKE PHONE 8 C:~ '. ,12 &J. -OJ;;)? ~ 2<e.;:JhUYh i If, r/ , f &0/7 PARCEL LD.f 03-- C:;tp "- d / - t)3/o ._~~ - os-t:o C) (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:XNew Construction _Addition --..Alteration _Repair _Install . _Sign _Move _Deaolish PROPOSED USE: -2LSingle FaallY _M/F ~t of Units ~M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK:_ffiu b; ~m <{! \ ~.~ ~ Lt P BUILDING SIZE: C)f) X l,,(J , 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. _BUILDING $ _ELECTRICAL I~ $ j:1[;D AMP Service _MECHANICAL _PLUKBING GAS PERMITS REOUESTED Valuation of Total Construction Florida Power Corp. ~W.R.E.C. Valuation of Mechanical Installation ROOFING SPECIALTY 'tYPE OF CONSTRUC'I'ION: _Block _Fraae _Steel fT\t:Jb,'/o<. lfuYl't FDlISHED FLOOR ELEVATIONS: FT. Other IS 'PROJEC'I' IN FLOOD ZONE AREA? ~ YES NO ****************************************** COMPANY C- t f-I ::JoroLqy\/ State Cert. or Regist. f City License Registration t ********************************* COMPANY rUeJ..sL'lYl "MymQM State Cert. or Regist. f City License Registration . .;L. 7 r- ****************************************** BUILDER Signature PLUKBER Signature CONTRAC'I'OR SECTION COMPANY oulk/ &tl5 State Cert. or Regist. f . y License Registration f *************************** r!7ob;/-( Jh/J1~ s,,/ac'Y' 'IX" / 70 COMPANY ~h.f"s c.GS t file.. State Cert. or Regist. t City License Registration t J 7 ***************************************** Signatur OTHRR COMPANY State Cert. or Regist. f Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" whicb JaY be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for COIpliance 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 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 wbat licensing reguireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departaent, (813) 788-6611. FurtberlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor SectionsR 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 laY be an indication that be 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 ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of RFlorida's Construction Lien Law - HOIe01mer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is scmeone 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 cOlleJlceJent. E. CONTRACTOR'S/OWNER'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 bas COIIenced prior to issuance of a perlit and that all work will be perfolled to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJeDtal agencies laY apply to the .intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnvironJental Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater Treataent t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departaent of Health i Rebabilitative Services, EnvirDnleDtal Health Unit - Wells, Vastewater TreatJent, Septic Tanks t US EnvironJental 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 Rccmpensating volllle" 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 witb the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a pertit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or VIolations of any code. Every perait issued sball beCOle invalid unless the work authorized by such perlit is cOlleJlced 1Cithin six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOntbs after the tile the work is cODenced. One 90 day extension of tile, JaY be allowed for the pertit with fee charge of $15.00. Tbe extension sbal1 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 OIIHER: YOUR FAILURE '1'0 RECORD A NO'I'ICE OF COHMDCEHEH'I' MAY RESUL'I' IN YOUR PAYING DICE FOR IMPROVEMmS TO YOUR PROPERlY. IF YOU IH'I'EIID TO OBTUlf FIIIAIICIIIG, COIISULT WUH YOUR LEllDER OR All A'f'I'ORDY BEFORE RECORDIlfG YOUR 1I0000ICE OF COMMENCEHEH'I'. JOBS UNDER $2,500 IN VAL DO 110'1' NEED '1'0 RECORD AIID POST A RNO'I'ICE OF COHHENCBHEH'I'". ~--:- /l #,/ SIGllAfURE: SIGdTUIIB: COH'l' ~ C C?-P.v~ STATE OF FLORIDA COlOO'Y OF The foregoing inst~ent was acknowledged before me this , 19____ by Sf ATE OF FLORIDA coom 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. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC PARCEL 1.0. D3 0G SEe '1'\011' I'HOI'EHTY ~\E.!ISUH.EHE.NT ~b X YC'J CUIUtE-NT O\.lr~EHS C~,\\~\e/Q~'-Q / dD t I //-....------- / / -~-'~ // ", / "-~/ I NJ\ '#54> r\.c\q ~ ~ bl'; \){C GO\m b~ ~€ e~e .,~ ,.,....-..,,-......... ~ .----- ~- -', ~~- SITE P l..A.N (RF.SIDENTlAL USE ONLY) aL RNG 6 ?:;; / (J SUl)U >( LJ t ,0 _l_~___,___ ~-I .01 r' - L_ 4.-----..--- 55 ~..- tI'L',D c~ lJLUCK C~)~, D LOT Il^TE /-19~9? -K~Jge w~y ~ r'v) .~~ 1r"J~<!.. - - - -.;---- ,,~"'-:-',;.- .- - - -- - _ _ _ _ _ _._ _ _ _ _ _ __ _._ _ _ _ -_ - -1 I COI'lTF\r\CTOH :tt: NAME: H R INTERSTATE Pd)DH ~ E N T R ALP E R M I T - I N G DATE: 02/04/97 PASCO COUN1'Y. FLORIDA PAGE: 1 OF 1 I ':;;:;;;:I.lE OFF:: CE. : D RECEIPT NUMBR= 00310601 OFFICE: DADE CITY c: / '~; -r : FOH: CHEC:I< # 15::;:(, 1 RESOURCE FEE ON CITY OF ZEPHYRHILLS 1 L i{ HnAL ?WIOUNT: COMPNY ACCOUNT CENTER 8450 - 363000 - ~ iJ,.,~). :;:::(. {~MOUNT DE:::;CRIPT I (IN/FEF:r'H D?Hf~ DFucr;' 46.86 ****** SOLID WASTE FEE 60 Ac.:c~n ........ 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