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Home My WebLink About97-6756 BUILDING PERMIT N! CITY OF ZEPHYRHILLS Permit (813) 788-6611 ,- 6756P Yo. (..Tv BUILDING 3.5.'. c7"Z> ELECTRICAL Date ~~3t) -77 ...3 ~ '-. ~... PLUMBING J-o. crt> MECHANICAL Sewer Conn I l.... :1 g-. tJ-v / . Water Conn: 3-...s.o. t:7V Water Meter: / f" tJ - cru T.I.F.'s: ~t.f rtJ , /'7;/ ~opertYOwne~ tf~ .. -k-~>Y Job Address: <3 -5 . c Pa<cell.O. . J - ~ (, -;)../ - tiS / tD - IT <7 tJ 0')- ...s '/ ~~ - Zoning: . En';[9.Y Sode: Radon Gas: Description of Work !rl c.~~~ ~J-7 'PRe: C ~ t. -//-97 ---4cT-;jY ~ ?/~o)1 111. 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 ~~ Permit Feer:=',J..!2. ~ Signature V."p.N1/V1 ~ L~__t4_ef.. Company Address Telephone# Valuation or Contract Price City License Registration # State Certified License# Ii j~tt:I:d~ ff-~jJ~~ /I'u ELECTRICAL 71. If 1~ ~7g- PLUMBING /~L ~ /7 BUILDING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. 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 '2J~~.4~..k~~~#/~""d.:?-.9~ b. Condemned work resulting from faulty construction. 1 c. Repairs or corrections not made when inspection called. if" /J L./ J/\ /' 9 d. Work not ready for inspection when called. {1L()L ftI /U 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. OWNER'S _ Go..doljc~ j)6('pf~ (! . OWNER'S ADDRESS JI/5'1" II~A r JOB ADDRESS LDTS 34 T 35 LEGAL DESCRIPTION: LOT(S) 3t/ + 35 BLOCK SUBDIVISION ~~4/~' 03lfO / PARcEL I. D.' 0"3 - a" (, - ~ I - C) 3/0 - 00000 Or we" FROK ~TY T411 NflTl;CEl WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install Fro sf PHONE A~-(- C h A!:-Ll4t ']qJ- -'7- ;-10 . . ~. 78;).- ~;;. 7~ APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT _Sign _Hove _Deaolish _H/F _, of Units V<:o PROPOSED USE: _Single Faaily .. _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: !no/!,/ ~ a /~/1-t. B ser _~ J I " I BUILDING SIZE:c2' E x~g ,r8~-;).. Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. t- BUILDING -i=..ELEc:rnCAL +-MEClWUCAL -!---PLtJHB~NG PERMITS REOUESTED $ f-~1 ~ . / \0 I 3 #-r) Valuation of Total Construction AMP Service Florida Power Corp. *- W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY I%hrJe-- ~her /' TYPE OF CONSTRUct'ION: _Block FINISHED FLOOR ELEVATIONS: JJ / IfFT . , _Fr8lle _Steel IS PROJEct' IN FLOOD ZONE AREA? YES NO .....................................*.*** ~ ~ '?-' CONTRACTOR SEC'rION N 4K ~~ BUILDER ~ / .J 7..1 . ., =~~~~:t~ ~".= ~ ~,<e. / Signature~/o. ~Vi.7~ ' ~ity License Registration # -fL% ...**...... ........*.*.......*.*...*..**. RT.RCTRICIAN/ COMPANY t:?~, .' /f1V e~~ ~/ Siimature ~~~~~~~~~~:~eL~~~~eo~e:~:~~:~i:n t j' ....*.....*.............**......***..*..*. PLUMBER ~ COIlPAIIY ;f/e<-S/)^-, 4.."...... State Cert. or Regist. . .~ .., City License Registration t ..........**...........*.*.......*..*.***. / /tlR- JJ,:J-1~ /' 7,f/ P '1 , i Signature MECHANICAL SignatureJV ~ A3.....J...v ~ COMPANY , ~~ State Cert. or Regist. # I; ~ ;~ City License Registration' .......*..*.~*.*.*****..............***.*. OTHF.R COMPANY State Cert. or Regist. t City License Registration , .*.**......*.**..**.***...***.****.**.***. Signature APPLICATION APPROVED BY PERKIT 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 CONTRAC'rOn RESPONSIBI;LITIKS' If the owne~ ba~ hired a contractor or contractors to undertake work, they lay be regpired to be licensed in accordance with state and~local regulations. 'If the contractor is not licensed as required by l~: ~b tDe~ner'~ contractor aay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are 'uncertain as t~ wbat licensing requireaents lay apply for the intended work, they are advised to contact the City ofZepbylbi,lJl,BuiJqIQ~~parllent, (813) 788-6611. . FurtherlOre, if tbe owner has hired a contractor or contractors, he is advised to bave 'tbe contractor(s) sign portions of the .Contractor Sections. of this application fo( which they will~ be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor; are responsi~le for the work. If the contractor wisbes 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 ,; ~I , D. CONS1'RUC'l'ION LIEN OOW (CIIAP1'ER 713, FLOHIDA STA'fUTES, AS AMENDED) I certify that I, the applicant,bave been provided with a copy of "Florida's Construction Lien Law - HOIK!01Qler's Protection Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If tbe applicant is sOlenne 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_enceaenl. 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. \ 1\ Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforaed to leet 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 otber govefDIental agencies aay apply to the intended wort, 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: · Deparllent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Deparllent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic rants · US Bnvironaental 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 volUle" will be sublitted which 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 IJeense to proceed with tbe work and not as authority to violate, cancel alter, or Bet aside any provisions of the teChnical cOBes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Svery perlit issued aball beCOl8 invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, aar 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 COINNCBJlBNT KAY RESULT IN YOUR PAYING flUCB FOR IMPROVBllBRS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEFORE RBCORDING YOUR MOIICI OF COtIMENCEHINT. JOBS UNDER $2,500 IN VALUI DO NOT NEID TO RICORD AND POST A .NOTICI OF COMMKNCKIIEIIT". s~~- ~~u STATE OF FLORIDA COUNn OF /) II-se 0 The foregoing instrument was acknowledged before me this MAy ~9 ' 1912- by -lJ eLse> N J?Y. fvf AtJ who is personally known to me~r wbQ ~~. pr9dtlced as identif~~QL1~ take an oath. (Signature) kAmt-EE/J , '- &~ vJ,...) (Name Typed,' Printed or Stamped) NOTARY PUBLIC STATI OF FLORIDA COUNTY OF tJAseo The foregoing instrument was acknowledged before me this HA y ~ ,19 -2.L by ~fE7-30rJ !l' N A-~ who is ersonally kno to me 81' H8 baa- predtlced as ideRtificatian and who~/did not take an;5~8 .&~~ (Signatu e) h 77-ILt=--EiJ .v-, J5f2oz..J Ai (Name Typed, Printed or Stamped) NOTARY PUBLIC ~I\~ Pll~ ..<:>'- rt l..... ~W: "'~ OF f\.~~ KATHLEEN J BROWN My Commission CC449029 Expir_.Apr. 02, 1~ '\~~~ PlIb ....~n('''''' ~1W{: "'~ OF f\.~'tl' KATHLEEN J BROWN My Commission CC44902Q Ellpiree AF. 02, 1089 'yo: ~ AFFIDAVIT STATE OF FLORIDA ) ) SS COUNTY OF PASCO ) BEFORE ME, this day, personally appeared bLM'LJIJA/ n;L7(7"" ;f-w(J 2>o~1I'1' ~~r who, being first dUly sworn, deposes and says: , 1111111111 11111 11111111111111I 11111111" liB III 978591t58 Tha~ he (she (it) is/gVthe' owner(s) of ~rs 3'~s3r ~ue Su ' i and ~ 2 . That he ( she l.~~;;])! it) in tend ( s J to cons truc t ,4-. ,4;-'/-,t.Wifa'<<K "" ,w" ~ on property consisting -::!i.. of ,/J,/J;etZ<eL.# CJ'~]"6';)./."gl() -oO__'-O~Vo ...e:J;*-z....J-t-oi!Jlo -r:IDCOQ-O'- (legal description) ,'" n - and to combine the Use.. of said lots or parcels thereof in cqnjunction with -0 .::S ~ each other 'as if they consisted of one overall parcel of land under Pasco ;i ":,r!y\ County land use regulations so that the development and use of both lots Ot ~~ parts thereof can be reviewed for compliance under, and be subject to V regulations as if the same were a single combined parcel, rather than two 1! ~ separate lots or parts thereof; and " :G :;t II' 3 . Tha t he (she) { they J ( it) understand ( s J and acknowledges th a t by -j-. c:--::: proceeding with this course of development and utilization of said lots or J; ~parts thereof, his (her) (their) (its) ability to utilize said lots or part: <r ({l'thereof as two separate indepertdently developable lots will be precluded in + \JI :}the ab~ence of further additional formal County approvals authorizing ::t:: c:0 N otherw~se. Rcpt: 156709 Rec: 6.00 DS: 0.00 IT: 0.00 OS/29/97 Dpty CIer ~~~~ d/~ A!~ JED PITTMAN, PASCO COUNTY CLEf OS/29/97 03:13p. 1 of 1 OR BK 3749 PG 497 . AFFIANT FURTHER SAYETH NOT. -a:. . , '.. ~4-a ili'tM> '4~~ ..xbKn (f Wit~ss ~ Wiilie~ ,.b 1!. aJ Witness STATE OF FLORIDA COUNTY OF PASCO !Lq"!: day of . MAY Fe.,~ ~tJD 'l:>r>B--,':'~ ~i"lST the uly authorized . , the entity, described in and (WhlCh) executed the foregoing instrument, and AQ (~HC) (they) dUly acknowledgt~d to me that R~. (i>Rli) (they) executed the same. On this came GrO/2:Do/o.J person(s), or , 1997:, before me personally , to me known to be th~ of" who Notary '%+/,JI,-uJg A~~ "!GAWLEEAI .b. ..BRo w,j My commission expires ..~, "1I#, ..<).... ~ . (.... KATHLEEN J BROWN .~. Comrniaion CC449029 * * =-- Apr. 02,1989 ~ ~.. ./'1' OF ,\,0'" -~ .:::-~ ~ ,... -~ .", '~'. C1 ~ ... <::::. <::> -- ., % I. ~ \;) UJ I - - - - - - - - - '"" , ~ -1'l. , +- -"'- -4 I.)..:. ~ ,. ~ ~ ~ ~~.......... Ir - ~ " ~ ~ ~ ~ C) ~. '\ t " w l-\ '--- ~ (b~,) --- ~ r-'~ ~ ~N \