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Home My WebLink About97-6938 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 ____ ~5' ~'J ~ Gc~~ P<opartyOwna" ~~ ~ Job Address: :s:3---'--_ -~ - - O~ . PamaII.D,' ,31-.;15 ..:u- % ___{U,'51hJ -77 -,.- I/D .--...--... ~ - - ~6 €~191 Zoning: Description of Work /0 -/0- FINAL C.O. NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Date n_ 693~ 9-;f-f1 Sewer Conn Water Conn: 1"..:1 7~ -. $~1) - )"-(1 - ~ 0- Water Meter: T.I.F.'s: /; Valuation or Contract Price c Permit Fee Signature ~ Company Address Telephone# City License Registration # State Certified License# ~I O~~(~ MECHAN AL -- REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of VI r J I': 1 8. i_II-. s ($""') shall be made for each trip for each trade: ,., ;;..>: iJ1) /J- J -i- A U/1. A A.. 7" /.L. /J /t::I --y-Y / Wrong Address ~. ~~ ~/ Condemned work resulting from faulty construction. , I ob Repairs or corrections not made when inspection called. ~ / () - / <J - / / Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. ~/~ttt'l mlr'~ B DING {l/~ ~ ELECTRI L 1" &(., ~t~'" PLUM G 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 Driveway a. b. c. d. e. f. g. Breakers Ducts Insl. Compressor Final The payment of inspection fees shall be made before any further permits will be issued to the person owning same. Ali!~41 .l~'~~' 1 APPLICATION FOR PERKlT) ~ _ 1- ~, l)I I () U -/ 19:.D CITY OF ZEPHYRBILLS q '. (J U )S BUILDING DEPARTMENT (;,~/ OWNER'S NAKE C~~.....l j~r /2 cJI~~ OWNER'S ADDRESS.tICJ ~ &'I- / g- ~ 7 &,' r"7 JOB ADDRES-f 7 'l? 14- c1<~ A-v i LEGAL DBSCRIPTI"":/LOT(~----L 7 ... ~ BLOCK SUBDIVISION PARCEL I. D.' 3 i:{-:;.A5-::':"~-~ ~ - C> / 3 ex::> - g 7 (OBTAIN PHONE 7go-;t - I g- ~ C:' ~tr5 5 ~ ..;-~ 7- 2. ~~::: T~:;:::-! WORK PROPOSED:_New Construction -"ddition -"Iteration ~epair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units ~K/H _ec-ercia1 _Indust. _Swia. Pool _Other ---l<estaurant & BeaHh Oepar_n~ Approv~ DESCRIPTION OF WORK: 5'e... f V-~ h1 ~ L t!:. I BUILDING SIZE: ;).. Y X s-C, /5"" ~~quare F~et, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLARS & (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. PERMITS REOUESTED _BUILDING ! ~ELECTRlCAL )LHECIIARlCAL ~PLUK8~NG $ ::z C9 c..) $ AItP Service Valuation of Total Construction X Florida Power Corp. W.R.E.C. Va1uation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'lON: _Block _Fraae _Steel Other FlRISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO ****************************************** BUTI.DRR l<l!JITRA'::':EClJ: ~ ;::; J / 111;/ s / J f- /?/J State Cert. or Regist. . /" Signature VJ~LJ~LL./ ..P'Y City License Registration' ~ . ****,,************************************ IURCTRICIAII COIIPAIIY /l G(,? J? ~ ~~ C- ~--=::: /'"1/ 17 ~ /7 /7/7 s~ate Cert. or Regist. E -s 000 00 Gd _!__,--e ~!1:{:.:!::~!-'2J..J..K-~~ C1ty License Registration f I f5-7 ****************************************** COMPANY It" II ~ ~ J/ , A~ State Cert. or Regist. . Signature ~a;:r-- ~ l . City License Registration . ***** *********************************** IIECIIAlHCAL , /',1 COIIPAIIY 4c e p ~ f ~ /"/Ut",1t13 fj{, State Cert. or Regist. C i9 co] q 70-)- Signature C--I ~ ~'. J2. (/t-C/1/ City License Registration' t.; ~ ************~***********************.***** PLUMBER /41 II r OTRRR COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lb. under.lgned und.r.tand. that thl. ....It oar be .ubj.ct Ln 'd.ed restriction." obleb ... be .... restrlcti.. tb8q City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ....r bas bired a cootractor or contractor. to uoderta" oorl, tb.y oa, be regulred to b. liceooed 10 accooIIoce oilb .tat. and local r.gulati..., If tbe contractor i. not licensed as reguir.d by lao, Iolb the ..... aod cootroctor ..y be cited for a .Ied......r violation und.r stat. lao, If the ....r or Intended oontractor ar. uocertaio as to lbat II....tng r.gulr....t. .a, apply lor tb. Int.nded oorl, the, ar. advised to contact th. City of Z.pbyrblll. Buildlog Departoeot, (813] 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Section.' of thi. application for s1tieb tb.y oill be respon.lbl., If roo, as lb. 0lIlU!r 81!lD as the cootractor, roo are iodicatlog that roo. rather tb8q the contractor. ar. r"ponslbl. for the ..rl. If tb. cootractor oiabes roo to 81!lD 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'rY CONNECTION FEES l~ D. CONSTRUC'l'ION LIEN OOW (CHAPTER 713, FLORIDA STATUTES" AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is sOIeone 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 COl8enceaent. 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. I, Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the iurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to the intended wort, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to: · Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treallent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways · De rtlent of Health i Rehabilitative Services Bnvironaental Health Unit - Wells, Wastewater rreatlent, Septic rants t US Environaental Protection Aqenct - 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 per.it issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent tbe Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery per.it issued shall beCOle invalid unless tbe worl autborized by sucb per.it is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is c.enced. One 90 day l!Itension of tile, lilY 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 tbe project will be considered abandoned. WARNING TO OIIHER: YOUR FAILURE TO RECORD A HOTICE OF COHHEHCEHBHT HAY RESULT IH YOUR PAYING NICE FOR IHPROVBIIDrS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORE RECORDING YOUR HOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COIfHENCEHlIft'". ~~'{.~ SIGNATUR: COHTRACTOH w~~~ :/ I ATUR. OWNER OR AGENT . I STATE OF FLORID~) COUNTY OF The foregOing instrument before me this Q...-~ '\. was acknOWledged , 1~ by STATE OF FLORI~ COUHTY OF~);:,.~ The foregoing instrument before me this '4 _? was aCknowledged , 19~ by who is ~~wn to me or who has , V, e ~c.es and who did/did not who is produced as iden take MY - or Efta...... 2000 . .,Rt'~ . . .' ilanded ThIu NotaiY PllblIc ~ (Name Typed, NOTARY PUBLI _____ " G ~ j J / I _, ,"" A A~ /fi;hl? Ll?ct..e.~ ~ ~ ~ ~ j ~I~ r'--- II I I ! I ! I' I I i I I .,/' I I 1,", ~ I , I ! 1<___ I 1- -j -~:- I I _ _~~~t !D .r~ f ----- -:---~--- t- .~ . ! ~ I I s\.i i I I I I I I I I- I .~ ~-; R oA l 't I I ._ I I ",I I : I 8-{ I ,01) I I I. . I !V1 I if' I I I I I I I I j ~~/ !J I I ll' >1 ,. - ~ j i I I I I I I -~ t ~ I "1-,-- f--- i l Q I ~