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Home My WebLink About97-6969 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! - 6969-8 Date f- /0----9~ G~~l ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: :::::,~.:~e:s-ffo~ - ~4. Parcell.D. # /I-:.;;Lh -'J-/ - 0 <JIO -I /' ~ CJ 0 ... 0 iJ ~ -0 Water Meter: T.I.F.'s: Zoning: Description of Work Z'~rg~ Code: ~~ If) X/'! Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 1 c.o. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector 60 Permit Fee Signature Company Address Telephone# ~ ~0-t2 Valuation or J Contract Price ~ (, -7 / ~ 0-0 City License Registration # to State Certified License# ?tq - 7?;of( _d;.At4C~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final 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 1><]" l..11;1.O.1 I Ii .9 ($ ~l shall be made for each trip for each trade: .;L.5'..vr> 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. PjJ<C.tL Lb. /l SEe ~.~ ~- T\~I' ;2( '(J 6(7) . l7~(J6 iiLOCI'~:: . .' . . ., 0:'5 (;iJ.'~,i~ . --~ LOT I'HOI'EHTY 11E:1,~;lJHEJ1E1a SUIlIJ ~ 5> E;o ..: ~9 . lU~C S-V-. ... --..:.-...:~- . ..' . .. . .LL-L!c~ Bv../'u{!-rr Cll!(m.)n O\,I!~Ln:.l ____._._____..-.--{~~-c-.-.--~----------.----. . IJI,TE Lo!;c:de for 1)11 jlllfcel:J tll: JoCr. f"l\'c HCJ.-C':; or 1C:i:;. ),11 ch'ovil1g:j d.JDll be du!vll 16o( --r:; "tJ577kL) .-> g,. ..till C fioiC i 0 'I r l/ ,,:::" fR..t iZ-Ai3 5fflj /0 ,,-'" -~ .' , ?cJ() 'C 1 K'it 5 77 ~ Ci, P<6JS& '. i I j (9~'rFt2-eJtJ .r SHO~ ALL EXISTING AND PROPOSED STRUCTURES GIVING DIKENSIOHS AN'D SETBACKS. ALSO, INDIC!\TE MI' BODIES OF \lATER AND ROAD~AYS (WCLUDING NAKES) ADJACENT.'TO TilE PHOPEH1Y. 1 NlJICATE THE SJZE, Y9.R, "_"l9 N!-_J1E OF HOBILE; SUCH AS 12 · ^ 60 c. 1981. FLEETwOOu. All "EASEMENTS", "RLGIlT-OF-\lAY" arid "JURLSDICTLONAL LINES" must be shO\.l11 on all site plans. no !IIlT r~:rl'n^rll 1'~Tll"I" ,-.r'-'II":'" '.,.'... . ,. -. . " . . . - ~. ... II i~: I F _; i .iil~..d' !1:.li! . ~I- ~:I Ii,' I ,..'!i : " '::illl.' · ~ I I (.':~ ..... il: :~i! I il i ! ::> III !:, j ~ I \ .. ! ~ :~! . ,! . : .. " . , , .. .. . r r ~ ..... --1- IWt .. .. " . . "-:.i~. ,....:' ~. ."" ". "1' . ...--' '. _.-. oJ....... 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APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT o~. :P8,1~?1 ~ VC ~--,. ~....- OWNER'S NAME /1' lL1CE OWNER'S ADDRESS 5,). 5rJ .5'/fr-t r:.... 8 ZA(I./LT-r /9K ~T PHONE ;78)- b;)</O JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOClL--,SUBDIVISION ') 6660 PARCEL I.D.# II d2 6 0'-( aolo 17b6D (OBTAIN FROM PROPERTY TAX N,9TICE) WORK PROPOSED:_New Construction --..-Addition --..-Alteration ____epair .JL'Install _Sign ---..JIove _Deaolish PROPOSED USE: _Single Faaily _K/F _' of Units _K/B _eo.aercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant &: Bealth Departaent Approval 1/ Af-Hti' 'fi; I AJ 571t't<- /oyrct D~h' BUILDING SIZE: ,e X /4, 1<./-0 Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ /6Cf(OV . PERMITS REOUESTED Valuation of Total Construction _ELEC'l'RICAL NIP Service Florida Power Corp. W.R.E.C. ~CllAllICA.L $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FtOOR ELEVATIONS: FT. IS PROJECT IN FtOOD ZONE AREA? YES NO ****************************************** RIITT .DER. ~/OJ ~.~t( CONTRACTOR SECTION COMPANY S tJV 5~ /" _ State Cert. or Regist. # ~~.c> City License Registration # ****************************************** If L..{) l( / /J (j '7 Signature 7/J F.T.RCTRICIAB COMPANY State Cert. or Regist. # SignAture City License Registration , ****************************************** PLUKBER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration . ****************************************** OTRF.R COMPANY State Cert. or Regist. # Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERHIT 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 RESPONSIBILITIES If the owner 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 laY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rattler than the contractor, are responsible for tbe work. If tbe contractor wisbes you to sign as contractor that lay be an indication tbat 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 ~~ D. CONSTRUCTION LIEN L~W (ClmPTER 713, FLORIDA STATUTES I AS AMENDED) I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer'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 bave obtained a copy of the above described doculent and prOlise in good faith to deliver it to the "owner" prior to cOllenCelent. 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, Joning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify tbat DO worl or installation has cOIIenced prior to issuance of a perlit and that all work will be perf oIled to Jest 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 goverDlental agencies lay apply to tbe intended worl, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not 11lited to: t DePirtlent of Hnvironlental Regulation - Cypress Baybeads, Netland Areas and Environlentally Sensitive Lands, Nater/Nastewater Treatlent t Southwest Florida Nater Hanag8lent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - NeIls, Nastewater rreatlent, Septic lanks t US EnviroDlental Protection Agency - Asbestos abatelent 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 license to proceed with the work and not as autbarity 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 ffOl thereafter requiring a correction of errors in plans, construction, or violations of any code. B,er, petlit issued ahall beCOll invalid unless the IOrk authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authoriled by the petlit is suspended or abandoned for a period of Sil IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, Jal be allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICR OF COHHENCEHlN'l HAY RESULT IN YOUR PAYING 'fIIICE FOR IHPROVBIIDIS ro YOUR PROPERTY. IF YOU IITEND TO OBTAIN FINANCING, COlSULT WITH YOUR LRIDER OR AN ATTORNBY BEFORE RBCORDING YOUR HOIlCE OF COKHBNCRHRNT. JOBS UIDER $2,500 IN VALUR DO NOT NERD TO RECORD AND POST A "NOTICE OF COHHENCBHENI". --- :;J ... <.,..,"'"",.. ".,,< . , ..~~:~~~~;"0f; >"')',> (:::.... ~Z:> .' I SIGIAfURK:..oIlNu~o;_ ' . .- SIGNAtORE:CONtRACTOR . . STATE OF FLORIDA '0 COUNTY OF '. ~5 ( 0 The foregoing ins~pt was acknowledged before me this ~ , 19~ by STATE OF FLORIDA ~ COUNTY OF T 15 ("{) The foregoing inst~ was acknowledged before me this 1 ' , 19U by who Is personally known to me or who bas produced as identification~, W",~h~O id/,did not take an oatb. e><fZ'"<A./~ ~~, (Signature) . . (Name Typed, Printed or Stamped) NOTARY PUBLIC ~ _e (Name Typed, Printed or Stamped) NOTARY PUBLIC A':.f,rr'sJ..... KEITH CORREIA r:"?&' .~;~ MY COMMISSION * CC 451416 ~~. ~l EXPIRES: May 13. 1999 I ....~ ;;, ,,~r..., Bonded Thill NolaJy PIlbIIc UndeIYlliters , "'u.,," Ji .......... . ;.f:'neJ/' Ij \T~..."._-.' _..:-.' ..f.'ff,9f::th~~\\ '(,:rrH C0l:,iH!-. iY '..'.':f'j # CC 451416 ;;Ji.PIRfS: May 13. 1999 80nded ThIll NolaJy PublIc lJndIrMllIrI