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Home My WebLink About97-7004 BUILDING PE,RMIT 7004 13 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date 9- c26 -77 '7/) !:J ---. tJt) Jib I f1) '7 (J . 07J PLUMBING ...... :2-S. hJ MECHANICAL Sewer Conn t 73;t/O. / "0'-, (.77J BUILDING ELECTRICAL PmpertvOwne, ~~~ Job Address: !7 . . Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: ~pergy Code: l3.J I ~. ~a~Gas: Description of Work 't,f:. -U.//I..-< ~~ __ - ~ 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 Pe'm;t Fe~1' ", t1<:> Signature 0::ta..1.J~ _Sw~ Company Address Telephone# Valuation or Contract Price ,'} ~ ~. t!T7J - City License Registration # ..23--.s. State Certified License# ~LA>LiiL BUILDING ELECTRICAL '-.~<;dr /~'Y-6 PLUMBING F~ ~ 3-? MECHANICAL \ '/~(/~ /1-6 ~ , Tp. Servo Rough In /olllc'1 Meter Can Con st. Pole Pool Pre-Meter Final /d/I /97 ~ ewer . inal lol).() lei 'I Dog Breakers Ducts Insl. Compressor Final 1(1 /'Jo /'7 I" J . Ftr. Pre SLB Lintel FRM. , h., I q ..., ~o 6 Insul. CL WL Driveway ~ lo-Ib- f7 i&!-;{ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ ~I shall be made for each trip for each trade: ~:JD 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 PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~'7- 7992- ADDRESS OWNER JOB LOCATION LOT SIZEA!2.X 7D AREA SQ. FT .tPffJCJ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIO~~' .I~.uY ~ . S' Q.... PARCEL I.D..~ 3<;" -:25' -2/- t!J% - 0 8~O() - 060(9 WORK PROPOSED:____New Construction ____Addition ~ration ____Repair ____Install _Sign/Temp. ____Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F ____.~ of Units __M/H ~mmercial ____Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: At) X '70, ?.2m Square Feet, ~9 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.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____l...1WILDING ~ECTRICAL ~ECHANICAL ~ ____PLUMBING $ "3.1-1; ~O() ~ 1f10 AMP Service .a. :;2 3 <2J C) ~- Valuation of Total Construction ~Florida Power Corp. _\".R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ************************************ Signature CONTRACTOR Company State Cert. or Re i t. # C . Jtu City License Regi~tration i~ ****************************** Company r~1 ~ 1Wfj <?}J State Cert. or Regist. 4fr c:.!~;;; /"7 City License Registration # . *************************************** ~ VlI) ~ ,J.' 5 So V \ Company . .1 JJ- ~ ~~ 0) I State Cert. or ist." ;:: ~6 ~ i A~O i).j..J____. City License Registration ;fr *********~****************************** ~ ~l~' , Company :.a...L\ ,.... , State ~ t. or Regist. ..! e.~c.c~ I~ City Lic~nse Registration 1 I ~ ****************************************** Signature Company State Cert. or Regist. if City License Registration if OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVII A. . NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay 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, both the owner and contractor lay be cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, 18131 799-6611. Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractor(sJ sign portions of the .Contractor Sections. of this application for which they Nill 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 perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien LaN - HOleowner'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 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 co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 other governlental agencies lay apply to the intended work, 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: f Departlent of Environlental Reaulation - Cypress Bayheads, ~etland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, ~etland Areas, Altering Watercourses f ArlY Corps of Enaineers - Seawalls, Docks, Navigable Waterways t Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection Aaency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone .A. or .A,et"., 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 authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six lonths after the tile the work is cO.lenced. One 90 day extension of tile, lay be allowed for the pertit 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 tonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROYEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD D POST A .NOTICE OF COKHENCE"EN · SIGNATURE: OllNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF f> ASco The foregoing instrument was acknowledged befc.re me th i s '~ftvll\bQK 11 , 19 ~ by JuofY'LW. ~ who is personally known to me OP wh~ ha~ "'PI OJ....::CB . fie:lliii~ and who dict:l"did nc~ take an oath. STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me this who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLI C NATALIE SWAN Notary Public, State of Aorlde My Camm. Exp. Oct. 12, 1999 Camm. No. CC 501333 C l\J'... .-.,. ~r~D-1 L)\i"",~(::-\",.,~",-.i1''\J I 7<-1 C(~ G-ftU- .i?,L-~ 0. INI~~u.::..L g,.."c....,f) t....:-r fot"- i.~'jM-i!'\;,~.'" \j f\lD w ,34 I CCco Co I~)&. ~~6J5, ~O J . L L 00 rk(..~<:S. 70~ l\Ah~\ \ 2.'5. <50 ~ ~ /~ }1..-U1L. *'f to Co~t'lU.~N fee--) l ~ IN K l ~hc. Ul ~ uJtn>l41-- M iJmJ Crts ~/A- [( fs N(v\ Prcrf"vJ(,. \\u A' t L- -To tu5v0c.1 S 6 tFcc 6::.- SANDY DEVELOPMENT 7400 GALL BLVD. INTERIOR BUILD-OUT FOR HUMANA SQ. FEET PRICE MAIN OR LIVING AREA - $ 26.00 OTHER AREA UNDER ROOF - $ 15.00 OTHER $ - VALUATION $ - .. FEE SHEET $ - ADDRESS $ - DRIVEWAY $ - BUILDING: $ 405.00 ELECTRICAL: $ 46.00 PLUMBING: $ 40.00 MECHANICAL: $ 25.00 RADON: $ - CREDIT: $ - TOTAL $ 516.00 SEWER $ 693.00 WATER: $ 175.00 TOTAL: $ 868.00 WATER METERI $ - I TIF'S:r 99% $ 1% $ : I TOTAL: $ 1,384.00 IRRIGATION METER: $ TOTAL: $ 1,384.00 CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ORD. #395/RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $ 1,278.00 Travel Trailer Park $ 131.25 $ 479.25 COMERCIAL (Per fixtire) Sinks $ 87.50 $ 319.50 Water Closet $ 131 .25 $ 479.25 Urinal $ 87.50 $ 319.50 Lavatorv $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319.50 Washina Machine-Commercial Size $ 350.00 $ 1,278.00 Washina Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 87.50 $ 319.50 Food Service-Dishwasher $ 700.00 $ 2,556.00 Sinks (3-Compartment) $ 175.00 $ 639.00 Car Wash (Per Stall) $ 1,000.00 $ 6,390.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE SINKS 50 1 $ 87.50 $ 319.50 $ 407.00 WATER CLOSETS 75 $ - $ - $ - URINALS 50 $ - $ - $ - LAVATORIES 25 $ - $ - $ - TUB/SHOWERS 50 $ - $ - $ - WASH. MACH. COMM. 200 $ - $ - $ - WASH. MACH DOM. 560 1 $ 87.50 $ 319.50 $ 407.00 DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PER/STALL 1000 $ - $ - $ - SUB-TOTAL $ 175.00 $ 639.00 $ 814.00 WATER METER GRAND TOTAL $ 814.00 9/25/97