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Home My WebLink About97-6933 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! .69aat Date 9- B -?7 ?tD- (TV BUILDING -2~~ (J1) ELECTRICAL ~'. JV PLUMBING .... ~ · t;/t? MECHANICAL Sewer Conn I d- / C~ iTD Water Conn: . ]...!>(;) . t'"=z> I K2J - d?/ Property Owner: Job Address: Parcel I. D. # Zoning: . f!:,er~v Code: Description of Work ffl~ j-/ ~ w::JAtl;!- ;-'~~.~ :9p NO OCCUPANCY BEFORE C.O. ~. c' Grz;, FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price ~ City License Registration # y-r State Certified License# Inspector :~;:::,:e rf1[~:: _$~~ Company Address Telephone# BUILDING ~~Lh ;r;O ELECTRICAL '--K-r-~~~Y PLUMBING ;JaL4 ~ 17 fJ"~rd~ MECHANICAL Breakers Ducts Insl. compresi'; I Final 9 ~ 9"" , SLB Tub Set Water Sewer Final 7/18/97 Tp, Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final 9/ n. /0, 1 Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of r'rL _..d U '1 i i lL.s ($"A!I!IfM)) shall be made for each trip for each trade: ;J..~-' tJ7J 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~ ~~/1-b29-7f" o:J-;-JO-c;V 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER' S NAKE PHONE 7Ra.-a~7~ OWNER · S ADDRESS LEGAL DESCRIPTION: LOT(S) PARCEL I.D.' 03 ~ (g ~o Q./ 61 B~C:>"C:> SUBDIVISION ;Z~F'h'lr tf.'1e. eikr I "(')ot)(') (OBTAIN FROM PROPERTY TAX NOTICE) JOB ADDRESS tJl S () WORK PROPOSED:_New Construction _Addition ---^lte rat ion _Repair _Install _Sign _Move _Deaolish ~ngle . v<: PROPOSED USE: Faaily _M/F _' of Units _eo..ercial _Indust. _Swia. Pool _Other _Restaurant Ii: Health Depart:aent Approval DESCRIPTION OF WORK: ~1 U{J Iq'lS fit-1m. Itltrbor ffIJft1e- , BUILDING SIZE: ~8' X, I aO "Ii.{ Square Feet, Height ..,. ;l. 'I Jt I~ RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~illLDING _ELEC"l"RICAL V KECllAlfICAL / PLUtIB~NG PERMITS REOUESTED $ Valuation of Total Construction $ AMP Service 1t~~rida P~ln. ~u'p~ - ~.R.E.C. Valuation of Mechanical Installation GAS SPECIALTY _Fraae _Steel IYlllnrlltc.-f ul'of.J Other Ho", Ib IS PROJECT IN FLOOD ZONE AREA? / ROOFING TYPE OF CONSTRUCTION: _Block FINISHED FLOOR ELEVATIONS: FT. YES NO ****************************************** CONTRACTOR SECTION COMPANY .6:1Tted,.e (j ~/ I.e.- I1tJlYl<eS State Cert. or Regist. , ~ City License Registration' -.IF- ?A ********** ******************************* :::::z ' J COllPAlIY 7ro,..J "1'\ G' / e.d "," ~ '0/ C ~ ~ State Gert. or Regist. . -~ - _Jd() - L.., .................~~~~.~~~::::.::~~:~~:~~= . ~~ COMPANY rv e. {S of1 ~J1IYllh1. State Cert. or Regist. If Signature City License Registration . ~~ ****************************************** KECRANTr. _ COMPANY 81} A r G,.,.. s , State Cert. or Regist. t Signatur 'ty License Registration' ***********~****************************** BUTT .DER Signature #/70 PLUMBER #-~7tf v- If( c *-/7 OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** 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 aS8U1es 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 reguired 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguirelents lay apply for the intended work, they are advised to contact ~he City of Zephyrhills Building Departlent, (813) 788-6611. . Furtherlore, if ~e own~~ 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 owner 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 per.itting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'l'ILI'fY CONNECTION FEES ~"! D. CONSTRUCTION LIEN unw (ClmPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law _ HoIeoNner's Protection Guide~ prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone 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 couencelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the inforlation in ,this'appIication lsaccurate,ahd that all work will be done in co.pliance with all applicable laws regulating construction, loning, and land developlent. . I I Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certifr 'thit.no worl or installation has cOllenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveCDIental agencies lay apply to tbe 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 11lited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands, Nater/Nastewater Treallent t Southwest Florida Nater Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, AlterIng'Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Deparllent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood tbat a drainage plan addressing a "colpensating volU1e" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued shall be constr~edto be a l~cense to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the tech~Ical cOdes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall beCOle invalid unless the worl authoriled by such per.it is cOllenced within Sil IOnths of issuance, or if worl authorized by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, .y be allowed for the per.it 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 COHHENCEHBNT HAY RESULT IN YOUR PAYING !VICE FOR IHPROVlllm'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUr;T NUB YOUR LENDER OR AN ATTORNIY BEFORI RlCORDIIIG YOUR HarlCB OF COHKENCEHE~r: JOBS UNBER $2,500 VALUB Do NOT NEID TO RICORD AND POST A "NOTICE OF COMMENCIKKNT". ~? . I STATK OF FLORIDA COUNTY OF PAS e.-O The foregoing instrument was acknowledged before me this 6 E;pT:2.. , '19.::tL by Na~ON 'RY!'1AN who is personally known to me or who hss ,reduced- as ideRtifieati9R and who'~/did hot tak~e, oath. . 1.2 -- ;C-~ .R --1f. J -8' '/.J). I'J-7 p :l--n..J (Sign ture) XATI-IL~E1J V. 13RoWN (Name Typed, Printed or Stamped) NOTARY PUBLIC STATK OF FLORIDA COUNTY OF p,q.<;c:..e~ The foregoing instrument was acknowledged before me this ,<).cPr..:z , 19 97 by AI ELSoNRv "1 A^' who is personally known to me ~r whe has fJl:odu=all as ;dpntificatioR and who 444/did not take ~. ) i.fJ~ .~ (Signatu e). . :; .~ ~ T7-f L8~N . R t) (Name Typed, Printed or Stamped) NOTARY PUBLIC ~1l1 ~II#. "''''ij'<'1o KATHLEEN J BROWN My Oomrnlsalon CC44Q029 * . * &lql1te8 Apr. Qt, 1191) II). r.l "It 0; #\.~. I\~ ~II WN "'''''n"'''~ KATHLEEN J 8RO ~. My CommIssion CC449029 * ,* &..-Apr,02,1191) "} {(t~ ",., OF f\.#- I ~~\ ~~Ij() '-1 10 .5e1 fJ '. ..~ '0 ~" f:; Ii I \l\~ \)~ - "t... ""\ ~J ~ /lJ) /d' ~(' /7i71. s7te 4Mtt d-std / 1ft!.5 jJ/I t I)? !Y~tZM JL. ;1 ftt~/' f-" I6c;,-~Pfi.;; ~d ..... ---__~'_'__m_'_' ~ r \t~~~ ~ ~ '-\ '-- C. Q~ '\)l-' 7J~ 1f.::LJ-" !J ~. " '. 't -:- \Y\ , II' , ",~ , '1-\ v\~ ~~, ::S!-\ , . . r-- C-~, r-.-..------. ._~--_. -----..--... \ ~ ,:;'77 d jX A~t(/lti l /Jf/'e, J..tJ"lji~ r P/J/lj:l ,e{~~_