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Home My WebLink About97-6952 Y tJ. tJV BUILDING BUILD1NG PERMIT N! CITY OF ZEPHYRHILLS Permit (813) 788-6611 Date ,9-9'-77 35-: iTV 3S: CTV ELECTRICAL PLUMBING MECHANICAL Sewer Conn 6952t Pmperty Owne, ai:P:~-~ Job Address: ~- - ~~ --'----- .~~~ Parcell.D. # _ _ Zoning: _~~rw Code: _ '3P<!<.>_n Gas: Description of Work JJ!l<;-/{...,f ~ . M~' R ..g;Tl.r:;~ 0 4w.P~ \:f,r~ 11-/~-/7 ~~~ lo,'3S-J'jwt NO OCCUPANCY BEFORE C.O. Water Conn: ~>l 1e:, 8 -</;;-f' Water Meter: T.I.F.'s: FINAL It DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# ~r Permit Fee ~tJ. oi) Signature WA.... /Vl:.A ~- Company Address Telephone# ~JZ.~' Valuation or Contract Price ~ f3,~;MA"~~ BUILDING g..-1j~ J'7v ELECTRICAL ~j(~~ c2'1r 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 ~.. . I .1.1 M 8ellars. ($ '*O()l shall be made for each trip for each trade: .:J.S: VZJ 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 PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT 0:N\ C;OSS OIillEB.'S AIlOIlESs J,-g-35" ~~ JOB ADDRESS ~e..e L "'\1\ e.. V: l( "J.(L BLOCK OWNER · S NAME PHONE'??;;2. - ~ ~ 7 ~ LEGAL DESCRIPTION: LOT(S) SUBDIVISION PARCEL 1. D.' PROPOSED USE: _Sign ~e _Kove (OBTADI FROII PROPIlI\TY ~C~) --...Alteration -.lt~..ifr I ~ ~ns~~~ + _Deaolish ,,"'- _' of Units ..~ WORK PROPOSED:_New Construction ----.Addition Faaily _KIF _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Depar~ent Approval DESCRIPTION OF WORK: R eft ACe. ~eh.-t ~-f t10lJl t, BUILDING SIZE: 10 x 5D . 500 Square Feet, Height t-b rrt(' - 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. V:UILDING V:LEGTRIGAL PERMITS REOUESTED $ :J.} 500 Valuation of Total Construction ~O AMP Service Florida Power Corp. W.R.E.C. _~GAL ~PLUKB~NG $ Valuation of Kechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDU.SBED FLOOR ELEVATIONS: Fr. IS PROJECI' IN FLOOD ZONE AREA? YES NO ****************************************** BIJTI.DER CONTRACI'OR SE~ COMPANY ~f,~ tel f'1~h,'J~ State Cert. or Regist. · 18' City License Registration . *****....********.*****..****.* fltJ~'ts PLUKBER Signatur COMPANY State Cert. or Regist. . City License Registration t ****************************************** ~r-d I'\~ r;:- } ~ (... 170 Signature COMPANY N e,~SOt'\. R~W\.A" State Cert. or Regist. . City License Registration' :J-7 K' *.*********.*.********.***************.**. (' State Cert. or Reg s . City License Registration . **********.~****.************************* OTRRR COMPANY State Cert. or Regist. . Signature City License Registration t ************..*.*.**.**.*****************. 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 CONTRACTOR RESPONSIBILIT~ES If the, ONner has hired 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, botb the owner and contractor aly be cited for a lisdeteanor violation under state law. If the owner or intend,ed contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephfrbills,Buildlng DepartleRt, (813) 788-6611. . Furtherlore, if the ONner 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 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 ~l' D. CONSTRUC'l'ION LIEN LftW (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection Guide~ prepared by the Florida DepartJent'of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify tbat I have obtained a copy of the above described doeulent 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 application is accurate and that all work wIll be done in cOlpliance with all applicable laws regulating construction, loning, 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 perfoCled to l8et standards of all IllS regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies lay 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: t DepartJent ot EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands, Water/Wastewater Treallent " t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Ravigable Waterways t Departlent of Health & Rehabilitative Services, BnvirODlental Healtb Unit - Wells, Wastewater TreatleRt, Septic Tan}s t US BnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", 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 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 the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pBIlit issued sball beCOll invalid unless the work authorized by such perlit is cOll8nced within Sil IOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of sil IOnths after the tile the work is couenced. One 90 day utensloo of tile, ., be allowed for the perlit with fee charge of '15.00. The eltension 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 OlfRER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBHENT HAY RISULT IN YOUR PAYING 'fIIICI FOR IHPROVBIIDl'S TO YOUR PROPIRTY. IF YOU IHTBND TO.OBTAIR FIRANCIHG, CONSULT IIITH YOUR LERDER OR AN AnORIEY BEFORB RECORDING YOUR NOIICI OF ClIIIIIICIHIlNI. !OOS IJiiDHIlII,SOOVALDIl iJo NDlIIRD 10 RICtDDlIIID ~ ~ ~IGRATURE: CORTRACTOR , I STATI OF FLORIDAn ^ ~ . COUlf1Y OF ~ C-D The foregoing instrumen>-was ~c~Owledged before me this Se1JT 25, 19 by N ~ ..J ~'R'l N A,-j who is personally known to me.!l!l '[I IUIII! "'1!'~fJl1 ~ ~ as identifieatiao and who~did not t~ef~~~) fJ&~ ~s n ture) _ \ ' ~. ":",--...' . I A~ L~ .....J, ~()W~ (N e Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA~A COUNTY OF I ~ The foregoing infttrument ~as acknowledged before me this ~s:p-r ~, 19-#2. by ;Jt-~ SoN '~VN'AJ who is personally known! to me cur ",lis liu. ~~cJ'l :ed as ij8Rtifie3t~~R and whO~/did not take~ QI1 ~t% L e~ ~:~ -~;:~ (Name Typed, Printed or Stamped) NOTARY PUBLIC ..", I'll#. .<:''''6~''' *"fiiiJJ* "}~~:~ ""t 0' .\0" KATHLEEN J BROWN My Comrnieslon CC449029 EJIPhs Apr. 02. 1899 :\...~Y ;.tljll .<)6~", ~fiI: "t Of f~O"" KATHLEEN J BROWN My COmmission CC449029 EXPa-o. Apr. 02. 1899 / ~/~ {) /0/ $e/.JAM71,/,J ~11 / Aiml JfI~tJ ~{ / (;71 se.oAIUt TI(}II.1 ON /2e/l/'JJ o~~ J I L~l.l'Ij,l/ V"rfl 0 p; A Pt?-OJc7 1 r~Atr :$ a- /Jllc k- 5f3~ PA'I73/1/ ...5'/ ~ ?ole- d.~ ;r~ee t-'171.1't! IA /1,.,.,...... ~ /17/ :5e~-1/.'t17N") /)1/'1/ .YQf1N/!"!J c::;::; ,r' ~