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Home My WebLink About97-6635 BUILDING PERMIT~! CITY OF ZEPHYRHILLS Permit (813) 788-6611 ~ 6635 {3 Date tj-r-Y7 ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn :::::,~s:~uf;,-::--I2::!6i6{J Parcell.D, # Water Conn: Water Meter: T.I.F.'s: Zoning: ./7 JnergJ Code: Description of Work ~ L Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL ,;/-/- /(J- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.o, DATE Permit Fee Signature Company Address Telephone# Inspector Valuation or Contract Price ~ (L, ()7.,7. 0-0 City License Registration # " 0 State Certified License# ~d/v~~ - BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER · S NAME oZe. t:~}J t.u~Fd~o ~~?O ~ff!-c6j /<-fl .fiIiil. Lo (/9:: Elf i! .R If? ~ PHONE j 7btJ - (7 'il. OWNER · S ADDRESS JOB ADDRESS ;g IdJ7~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL J.D.' ~ ..2~ c2.r 06t1d ()Il/()Q /15 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair lbnstall _Sign _Hove _Deaolish PROPOSED USE: _Single Faaily _H/F _, of Units _H/H _~ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Deparbaent Approval /~ S~~ BUILDING SIZE: g -yO I AJ Sn'f1:-<-- xi 6 ~ Square Feet. ??" XeD Height RESIDENTIAL: COMMERCIAL : ArrACK (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ArrACK (3) SETS OF BUILDING PLANS & (1) SKr ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ 71 l&Vt) . c!\J PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C, --1IECllANICAI. $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO Bun.DER CONTRACTOR SECTION /~~~::_-) COMPANY ~.u~7mL:__ /:~"~-~ ./ R i , ;...<.?~~~{//./ State Cert. or eg st. y.::--;;;;.;..,,<":'~_.-,.- ,.,.,' . . City License Registration , , ....-.... ..' ----- .,:::.--..- ..*......................................* I/-w 11 {//J tJ'1 J?Uc 70 Signature RT.RCTRICIAliI COMPANY State Cert. or Regist. t SiQD~ture City License Registration , .......................................... PLUHBER COMPANY State Cert. or Regist. , Signature City License Registration t .....................................*.**. MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ......................**.***.************. OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ...*...*....**...*...........*..*********. APPLICATION' APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perfit laY be subject to "deed restrictions" wbich laY be lOre restrictfve than tity regulations. Tbe undersigned assUles responsibility for cOlpliance 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 lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. Furtberaore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections" 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 aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN bAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - Hoaeow.ner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the "~er", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to COllenceaent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developllent. Application is hereby lade to obtain a perfit to do work and installation as indicated. I certify that no work or installation bas cOlleDced prior to issuance of a perfit and that all work will be perforled to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in th! jurisdiction. I also certify that I understand that the regulations of other goveI1lJental agencies aay apply to the intended wort, 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: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tants t US Environaental Protection Agency - Asbestos abateaent 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 volute" will be sublitted whicb 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 perfit issued sball beCOle invalid unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sillOntbs after the tille the work is couenced. One 90 day l!ltension of tile, aay be allowed for the perlit with fee cbarge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWffER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEJlBtff MAY RESULT IN YOUR PAYING TilICE FOR IMPROVEIIBITS TO YOUR PROPERTY. IF YOU INt'BlfI} TO OBTAIH FINANCING, CONSULT WITH YOUR LIlfDER OR All AnoRJIEY BEFORE RECORDING YOUR IfO'l'ICE OF ClI!IIIIICIIIEI~ lED 10 RIlllRD IIID POST A 'IIO!I~ ..... -"- ,...-""'.- M cP ~.z.Kc"'r . OR 'Ft Co~Er4", fJ 1--5C2> The foregoing instrument was acknowledged before me this 3/J-- <f ' 19~ by STATE OF FLORIDA coum OF STATE OF FLORIDA f} COUlflY OF r v15 Co The foregoing instrum~t~as acknowledged before me this '3 U".!:..., 19.2.L by ( . who is personally known to me or who has produced as iden. tifiCatiOn.. and wh~d/did not take an oa~~~ ~ (Signature) . , who is personally known to me or who has produced as identification and who did/did not take an oat~ ~ (Signature) (Name Typed, ,Printed or Stamped) NOTARY PUBLI KEITH CORREIA MVCOMMISSION , CC 451416 .'.1ff EXPIRES: May 13. 1999 .~lf,~ Bonded Thru Notary PubIlc UnclelWlleBll (Name Typed, Printed or Stamped) NOTARY PUBLIC '~"'~'!.:U"" KEITH CORREIA f:'rrl;;,'!fit~ MY COMMISSION * CC 451416 ;..,...~:~.; EXPIRES: May 13. 1999 ~;':1,iff.,t~~~"" Bonded Thru Notary PubIc LnIeIwrIlers ... SITE PLAN (RESJ])ENTlAL USE ONLY) .~ PARCEL 1. D: I TWl' ;Lf RNG c!-o'l IC6 cl-E Lew )) . 066D ;lCfJ SEe ~ SUllU ~/(X) BLOCK /J1.t.J 7- /$ LOT l'ROPEHTY HEASUREHENT Vr~'() CUIUtENT OWNl.mS J€ cJ r ~ Ft:;1?-,]) IWfE b 11 L_ drawn to Beale for all parcels or lots five acres or less. All drawings B a uc <(5" /b IIfJ 577f<-L P- /f1J e-/f ()IL By.t~ p ~f; F~ -S If-e;]) Ef( 57td 9 5c4j} ", SHOW ALL EXISTING AND PROPOSED STRUCTURES GrvING DIHENSIONS AND SETBACKS, ALSO, INDICATE M"Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE THE SIZE, YEAR, Mm N.^w'1E OF MOBILEiSUCH AS 12' x 60'. In1. fLEETwOOD, All "EASEMENTS", "RIGHT-Of-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. (': .. . ~''''' '.p . ~..'..BUSI",,,, "'~ "'~~' · ~./1. ~q.,~" l1'o~ '} "'~O.J:' """'ERtCI'G"1' o SUN STATE AlU~lnNUM, INC, 3'1528 State Road 54 West ZEPHYRHILLS, Fl. 3:'54 ~ (813) 788.7308 CUSTOMER'S ORDER NO, NAME ADDRESS SOLD BY CASH A ~7 I~ MDSE. RETD. PAID OUT OTY. _ORIPTlON ~-X7o-. ............___.._m__.....__.._..__."......__.._.....,._..---...----....___.."__....m........ U~ ~'7 .-':z-7'.-~---.---~-- 0-?""t___~~ _ -&12 ~;;..~" w~~ --'--------'-------7::)- -- '-.,--- ~<21'C&., c.--Lo-o-v C)~.z ~~"';';f PRIce AMOUNT I -'-~Joo ------1 . "u_ ,?O 0 <U .-'-'--'----T ... - .." I 35: 0 G> -- ..-....,-.-.....- .. J 701 0 c) / .::)1 0 0 I 3~loO If.S":/1 09 I I I j , , , .' l ! .j~_._.,~",~- RECEIVED BY TAX I I ......."-..."-.-.., IC>~ 6h TOTAL All claims and returned goods MUST be accompanied by this bill. PROIll.CT61O