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Home My WebLink About97-6409 BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 ~ 640913 .I/O, tTV ~ J..!::.'. dV ~~} MECHANICAL Sewer Conn ,...J / /-tl6 -.U Water Conn: /}.., 1)--16 -r~ :::::~:~~!f. -i-1:7j~A~~ 31'1/ ~~~O:,Moto, I Parcell.D. # .;J. '1- 26 -cJ/ -I!)CPG' CJ . tJ " ./ 0 cJ - 0 S'7 af~~....oL Zoning: \ Energy Code: /I;? Radon Gas: Description of worr-?o ~ JJ1 ~ .. ~ T ~ ..3 -5-" t/Z) ~ ~~CTRIC~y' Date /-:13 ~y}/ NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector BD Permit Fee ~/ 0 , Signature -4. Company Address Telephone# (/"U rJ?:it uJ Valuation or Contract Price ~/,A- / <; y-,-, City License Registration # State Certified License# }) ,,~t1 0Jl I cf7 /Ida /Yi BUILDING ELECTRICAL PLUMBING 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 JII'1fn Bol S"e+ - Yop 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. b. C. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. 7J a ,J II ,-~'-7t The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . . APPLICATION FOa PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME C HIt~ I... € ~ U OJ To Il./ PHONE AJ-tJ 1(; Co OWNER'S ADDRESS 3 q~ 30 c ~lJhC€'f t€d. ~. Sa X '06'2. Ce.yst41 ~7S., t= L 33S"~'1 JOB ADDRESs.3cr~~o c.tltJlfK.o/ Rei ~f 5''1 .2~,.oU./,~"d/S I FL. .33 S 2...t.( LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION f:WJ/tJ9.lcI 16;,.,,.(- RU f?~Sdlti- PARCEL 1. D. # :2.~~ :2.lo~e:l.I- 0000- 0 (:>1 0 - 0 ~9 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction _Addition _Alteration _Repair ~stall ____Sign ____Move _Demolish PROPOSED USE: ~ngle Family _M/F _, of Units _M/H fAiC" ~ode ( _Commercial _Indus t. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: R U S 5(. <.{ P BUILDING SIZE: I.:J.. X ~c..(. if 0 X" Square Feet. IL 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 V' _ilUILDING v""ELEGTRlCAL $ .21. SO 0 Valuation of Total Construction ~ 0 AMP Service Florida Power Corp. ~.R.E.C. _MECHANICAL ~LUMBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO .***.*.*.*..****..**.****.**************** BUILDER CONTRACTOR SECTION 9 COKPANY us II- RJ...5 ALsC 5 L ~ ~- t1 /J State Cert. or Regist. # !tv 10 c.f 0 ~ City License Registration # I <f C/ r, *****....**.**************...************. v Signature ELECTRICIAN S iRWi lure CktcA fl~;UF1- COMPANY ;fc ~ /::L. e c r State Cert. or Regist.' L-sooo(;O (o~ City License Registration Ii -Ii, Y j~ **..*.*.**...*.******.**.....************* ........... PLUMBER COMPANY J/.& /"JillcJr. ~ /1-L€ 5 i.~ u..J ~ State Cert.. or Regist. # U I 0 ~ 0 ~ City License Registration # /1 c.t- c., **...**.********************************** t.,.../" Signature MECHANICAL COKPANY~ . _ _ _ , State Cert. or Regist. ,_- City License Registration # *.*.*.**.**~********.****.*.*************. Signa ture '-- 2II:mB. COMPANY State Cert. or Regist. , Signature City License Registration # ********************.*********.*********** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERM!'!' AFFIDAVIT l~O'l~LCE_ U ", DEED RES1'RI CT IONS I!,,'~,dersigned undi:::tands that this peuit lay be subject to "deed restrictions" which lay be lore ( l ictive than City leyui3Llons. The Ul!lwrsigned assllles responsibility for cOlpliance with any applicable deed restricti v. uNLICENe~D CONTRACTORS AND CONTRACTOR RESllONSIBILITIES 1 [ tile owner has hir-ed a contractor or contractors to undertake work, they lay be' required to be llcenE. ! in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner .and ::tractor may be .. ~;.leJ for a lIisdeJleddJr violation under state law. If the owner-or intended contractor are uncertain, . .U what licensing 'd;~uirellents lay ap!, for the intended work, they are advised to contact the City of Zephyrhills Buill ,j Ueparl1lellt, (813) j 1. N. i'ullflemore,' if the uwner has hired a contractor or contractors, he is advised to have the contractor( 0 n~J;I'. [Jctor Sections Jf this application for which they will be responsible. If you, as the owner sj~ ... " ., . ~ , ..' . ~ " indicating l: . you, rather than the contractor, are responsible for the work. If the conttacL ':'.13ctor that.. lie an indication that he is not properly licensed and is not entitled to penit! . i,eph,lIJi li ,: ;ign portions of th Js.the contractor, -: liishes you to sign privileges in the "J{ANSPOh';'.~TION IMPACT FEES AND UTILITY CONNEC1'ION FEES JNSTHUC, l.ON LIEN LAW (CHAPTER 713, FLORIDA S'l'A'I'U'l'ES, A.' ;, th~l~'T~'ljJ~' ~pp1Tcant, have been provided with a copy of "Florida I s Construction Lien Law - H, : ~pa! ed OJ LI~: norida Departllent of Agriculture and Consu.er Affairs. If the applicant is SOIl< . celli! i U.c. 1 have obtained a copy of the above described docUlent and prolise in good fai tL ~rior to COWl~!Cellent. l\MENDED ) "."'mer i s Protectioi Jtlle, ~niln the o deliver it to till " c, , ; l: ~ c:. ~ONTRAC'J'9H 'S/OWNER'S AFFIDAVI'r 'L,n.ity that all the infofllation in this application is accurate and that all work will be done in co~ .wce with all JlJ!iLcaiJle laws regula Ling construction, zoning, and land developlent. rlppl ication is hereby .,ade to obtain a perllit to do work and installation as indicated. I certify thal,iJ!1\ \Jl installalion has cou~:.ced prior to issuance of a perlit and that all work will be perforaed to Jleet st". lrds uf all laws "~Idulating constructi';I, City codes, zoning regulations, and land developllent regulations in th.e jurisdicdon. 1 also el Li 1y tllat I understand that the regulations of other goveIMental agencies lay apply to the intended t.ork, and that it is ..y responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but a: not lillited to: ,)epilnJl~nt of !!.~vi~ui::'ental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally SensitiVe :nds, Water/Wastewater Treatllent ,,,,~;)t Flllria" rl. .tHanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watereo, ;r!s '.l:~i2E._~f.l.~~jL,; S - Seawalls, Docks, Navigable Waterways .,:2. LiIl,ef!.L.9LJ~~g;, , Hebabilitative Services, Envirolllental Health Unit - Wells, Wastewater Treatlll",eptic 'ranks . ,... HQllII~I0-~~~Yh. cC.!lQ.!l.~ - Asbestos abatellent ,,' .~itify that, fill llaterial is to be used in Flood Zone "A" or "A,etc.", it is understood thal Jrainage plan ..c"~'''j a "coapensu .IJY volUlle" will be subllitted which is prepared by a professional engineer registl 'J in the State of ior Lo per~j' issuance. " ,,",. issued shall .' construed to be a license to proceed with the work and not as authority to violac ,;~L u,,"lJe any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Offi :ecJuiriiltJ a correction of errors in plans, construction, or violations of any code. Every perJit issued JlJll'S" LlIe work authorited by such perlit is couenced within six lIonths of issuance, or if work authoriz SUspelllJeu or abandoned ior a period of six IOnths after the tile the work is couenced. One 90 day exteL aJlo_eo tor the perwit "ith fee charge of $15.00. The extension shall be requested in writing to the Bui approved inspection IIW;' be logged during each six lonth period, or the project will be considered abandl!. IiAHi:ING TO OWNER: YOUh FAILURE TO RECORD A NOTICE OF COHKENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 11-1, ~jiUPEHTY. IF YOU INTEND 'fo OBTAIN FINANCING, ,CONSULT WItH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YU, CUHHENCEHEHT. JOBS. UH!:EH $4,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKENCEMENT". " cancel alter, or Jl frol thereafter ;all becolle invalid by the permit is .JIl of tile, Jlay be I1g Official. An iVEHEN'J'S TO YOUR ,WTICE OF --.... '. ;;J,tTUIiE: OWNER OH '~HT SIGNATURE: CONTRACTOR :, i n .)r- !'LUHIDI1 "". "dloiny llL ,rwnent ~C}s ac~owledged ,lie this ,~-,--_, 19_ by STATE OF FLORIDA COUNTY OF --~- The foregoing instrument was a, .Jlowledged before me this , 19 by ",.,- ,:: personal 1 : known to me or who has known to me , '-. ,JlJo /100; as .Jelltificatioll and who did/did not L:.IKe :.Iii oath. who is personally produced as identification take an oath. and who did/l..J not l)L.'.......\.,lUL:l.\,j _____ , :] ~ ,jolG Lure) (Signature) (Name 'l'yped, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped NOTARY PUBLIC 5TRft!l (5 (DE) (FROIVT) SiR6E"\ t f--- 33 .2't I (, I l.e ) , ~ X ,4 ( (-8-7 ,0 s' ~i)1 Lo i-$ cr c till~t...e5" U I ,uTa 14..1 .3 q ~ 3 D C H/lIffC C{ ed P.o. 80K /00 <- C~rST~~ SP~(1()7 5 I FL, "5 3 S2..~ . , 0 Q ~s I D 1= ) :>