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Home My WebLink About97-7012 BUILDING PE,RMIT .7012 J!, Permit CITY OF ZEPHYRHILLS (813) 788~6611 " !HJ" ~ ~ f-O 7 pJ PY1 ~ Date 9-3tJ --7 7 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn t <J / t;. hi 4~..s'- rv - ~~~ Property Owner: A-l . Job Address: 6 oI ~ ~ Parcell.D. # .g-616 -J/- oo/!)o- /) 0 ~o 0 ,. EJ IJ / t:> Water Conn: Water Meter: / 80 ' tTtJ T.I.F.'s: ~I 'II, , D Zoning: -Lrgy, Code: A. Radon Gas: Description of Work ~ .A~ _,/:-h /l.f'~ ~ J() ~;)I-'l~ ~N. ~'p~ NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. ~e tt07 A DATE Inspector e ;l.cr'7 permitFee~ Signatur~ Company Address Telephone# __?[' ~-e -- Valuation or Contract Price City License Registration # State Certified License# ~JA~~ BUILDING /4 ~ /1/), f!i~ A~ ~tJ, ~ /[)2. ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Icb/o,'l Insul. CL WL i?' 1I Tp. Servo Rough In lO/))'" Co g Meter Can Const. Pole Pool Pre-Meter Final tel I,' l'\~ IO/UJ!M IJ~<< loh/er7 (,'tl Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final IO/~ Iq 7 fofl Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($~) shall be made for each trip f. or each trade: ~ .26'-,tJZ) -/- /J _ ~ / fdtJ -? / a. Wrong Address AJ4 ~/ ~~ b. Condemned work resulting from faulty construction. 9 J c. Repairs or corrections not made when inspection called. p- A / () -..2~ -/ ? d. Work not ready for inspection when called. , 4 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. ~.,-' - - '-""~'- -".-- ---'--'--"----'-',-'--'--~'.- "'-~~-""-, - -..-,---,'-,---,,"---, ~:.--- - ,.-----=,..'-.{ - '. ... CENTRHL PERMIT1ING F';r::.Cli CUUI\n"Y', F!.Oh: 1[1(.:; Oi'd. t: ~ 1 '~:j /::::? ...... .~/ 7 y 1 f':'; l-. ~ i :;...... .1.... h':UF ~ 1 I. 'r. c.' (1 ;,\''';' r:; (.:', C. T (.! F;~ :!l~: C. ":.f :l ~.;-/ I '~).:::,U[ Ur:: F [Cl::.: Ii l.::ECE: 1 F'T r1Uf1PP:: (H. 3.::.'7 !.l(d~l!:.: ,lrJHI'1 "::i'1 I rH (." [I U r.,. ~ /1. :.~ ,'~! i) C.: (1 (~i T ':~~. h~C! ('1 f) (tr:'F I ~'~,'!~:'.;: f)("'jDE c~ I'r "/ I.. -;: /!:.:.'Il/FHILL'::, L" :~:: :.~;:) ~T 1 () (~(J () i Ui:::: C:IEU::: # 10:::;'>.' r:c:::,c. i.lNLV C:l.!l"1r.'i. Z...HILL.::: ;. //2 13 ~.:,: !...l;-- ~ 'T r.~ (:'II~..r c! r~.: ;: (.1 (.1 1 :5' ,7' L ] !. ~.I :11'1 F' I~ Y F. ': ~.:;(I IUTi'll.. (il""luu~.n: ACCOUNT CLNrER ... -,.. '. . :.::; /:;. ::: t) () () ,,~. 1::::.2u (,/.1 CI I..li'n [I[.::::;Ch: I I:'T I ON it:.F~r1T D{.i T PI 18.20 ****** SOLID W0STE FEE UI..; ;' I;, :"Utl i ,i" ~i t".L:,,,.L.J.\/L:U L~Y Jv~ SlMJ,-rt7\ fa ?~s ~ ~uY() f>~~l{ S~....s. bul.l.....\) ow. ~~. PL\JlI\A~. ~c. cN\ b:L l-\ v?\ \ 0J.1.. t P ~tT.R <;> ~Da<C d"-. Co~a-' (c~N\U.. -r t Dt'.1 ~ i ~ 2- - S\r-lf..5 L - L-AV'> Z- - u.s~llU- CLo~\L~ 2 - o/c.f" tJ...A.. It- "'-tiJU . RA~'Dr-l ~~ PA l D (\-i.(Ut-\ \ \' -rl:~ Co '3 c 10 ~ ~<?5 01 l~~?O~\i.~ lll'-[J/Ki l( Leo ~? . f+ ~ qq~~t>t:> .- t1Lf C) K 1.2- $a J I /11. bO CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ORD. #3951RESOLUTIONS 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 Washing 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 $ $ $ ( ) SINKS 50 2 175.00 639.00 ',- 814.,00 -------- WA T'ER CLOSETS 75 2 $ 262.50 $ 958.50 $ 1,221.00 URINALS 50 $ - $ - $ - LAVATORIES 25 2 $ 87.50 $ 319.50 $ 407.00 TUB/SHOWERS 50 $ - $ - $ - I WASH. MACH. COMM. ! 200 $ - $ - $ - WASH. MACH DOM. 560 $ - $ - $ - DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PERlST ALL 1000 $ - $ - $ - SUB-TOTAL $ 525.00 $ 1,917.00 $ 2,442.00 . (2) 3/4" WATER METER $ ..... /. GRAND TOTAL $ 2,812.00 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE ',/0,0]; 9/25/97 JOHN SMITH 6305 GALL BLVD. BEAUTY SALON BUILD-OUT SQ. FEET PRICE MAIN OR LIVING AREA - $ 26.00 OTHER AREA UNDER ROOF - $ 15.00 OTHER $ - VALUATION $ - FEE SHEET $ - ADDRESS $ - DRIVEWAY $ - BUILDING: $ - ELECTRICAL: $ - PLUMBING: $ - MECHANICAL: $ - RADON: $ - CREDIT: $ - TOTAL $ - SEWER: $ 1,917.00 WATER: $ 525.00 TOTAL: $ 2,442.00 I _ 3/4" WATER METER:I $ ~ / f1) . tJ1) T I F'S: $ 1,191.60 99% $ 1,179.68 1% $ 11.92 TOTAL: $ 4,003.60 IRRIGATION METER: $ TOTAL: $ 4,003.60 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 Lavatory $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319.50 Washing Machine-Commercial Size $ 350.00 $ 1,278.00 Washing 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 2 $ 175.00 $ 639.00 $ 814.00 WATER CLOSETS 75 2 $ 262.50 $ 958.50 $ 1,221.00 URINALS 50 $ - $ - $ - LAVATORIES 25 2 $ 87.50 $ 319.50 $ 407.00 TUB/SHOWERS 50 $ - $ - $ - WASH. MACH. COMM. 200 $ - $ - $ - WASH. MACH DOM. 560 $ - $ - $ - DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 $ - $ - $ - SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PER/STALL 1000 $ - $ - $ - SUB-TOTAL $ 525.00 $ 1,917.00 $ 2,442.00 (2) 3/4" WATER METER $ 370.00 GRAND TOTAL $ 2,812.00 9/25/97 g {; Ie It. j-(J fe t ~ .' t- :t:i- /0 PlY 7 is eI- ~S:-{J f; IS APPLICATIOH FOR PERKIT CITY OF ZEPBYRHIL!.S BUILDING DEPARTHEHT - Vol-I'1 0 cfo ' 1l" q1 ~;r)l.~),\' q <['Pll , ' <\. P N~ 7f'cJ -- s- s,.'-cJ f;:J Z f:: P tt: y~ J;,' /4-, />~ .1'..:i....r-~ / . , :z e? .c: YL-. h ,'//.-.{ ~ /-~ /. OWHER'S NAME {--0 [4--1 . r. ,it/'-Jt2. OWNER'S ADDRESS 'Y / -9 7 [! cf J ~- JOB ADDRESS 6 j> & ~ --- it'd G'd// g Iv (:1 LEGAL DESCRIPTIOH: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIH FROM PROPERTY TAX HOTICE) WORK PROPOSED:~Hew Construction _Addition ---..Alteration ~epair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily -X-eo-ercial _KIF _' of Units _K/H _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTIOH OF WORK: TN Ie k: .' ~ ~ UN,. f- / ( BlJiIURQ SIZE: ~{J x~CJ . 6 r.1 () t:,~ ,- /- e u ' . / cI d l.L I- - RedU /y [:hc9?< Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUlLDIHG PLANS & (1) SET ERERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET ERERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW COHSTRUCTION. _BUlLDIHG I ~I .;t ~ I)~./'t'. PERKITS REOUESTED $ tr i <' 7 - Valuation of Total Construction l..s-O AMP Service Plorida Power Corp. W.R.E.C. _ELECTRICAL --1IEGIIAIO.CAL $ Valuation of ttechanical Installation _PLUKBING GAS ROOFIHG SPECIALTY TYPE OF CONSTRUCTIOH: _Block _Praae _Steel Other FINISHED FLOOR ELEVAnOHS: Fr. IS PROJECT IN FLOOD ZOHE AREA? YES NO ****************************************** COHTRACTOR SECTIOH BlITlJlER COMPANY -;r () t M L, S; t...., ,-:-1- tic. t J "/.f :/ , /7 _~ ----/" /" ~ <,/'State Cert. or Regist. . R.& ~ ~d , ( Signature / b-- ~ - ~ ~_. City License Registration' . 7 ~ ************************************** COMPANY S State Cert. or Regist.' t!J 0 City License Registration . *********************************** /'1 b' ~ PLmmER /l / / . /) 1 ~. GOttPANY .. 11 ,1) ('J / ,.----/J...-jJ /. j!{ I State Cert. or Regist.' k. Signature(: It '1'.//';)Jf~vt./)_ ,LV' . City License Registration' ****************************************** COMPANY A',/u ..c. ~ " State Cert. or Regi~ . City License Registration' J ~ G2-.. ..............**.......................... e OTRRR COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERMIT OPFICER. 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 tban City regulations. The undersigned assWles 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 Mith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor aay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing require.ents lay apply (or the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 188-6611. FurtherlOre, if the owner 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 wiabes you to aign 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 UTILITY CONNECTION FEES I ~! , D. CONSTRUC'fION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law _ HoIeoIoer'l Protection Guide" prepared by the Florida Departlent of Agriculture and ConSWler 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 co..ence.ent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the infoClation 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 cOIIenced prior to issuance of a perlit and that all work will be perfoIlBd to I88t standards of all 1111 regulating construction, City codes, loning 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 tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally S8D8itive Lands, Water/Wastewater rreallent * Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, AlteifnglNatercourses * ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways * Deparllent of Health' Rehabilitative Services, EnviroDlental Health Unit - Wells, Vastewater Ireatlent, Septic ranks * US EnviroDlental Protection Agency - Asbestos abateJent 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 volOle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A per.it 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 is~u~ce of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait iS8ued shall beCOll invalid unless the work authorized by such per.it is cOll8nced within six IOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of six IOnths after the tile the work is cOll8Dced. One 90 day 81tension of tile, III be allowed for the perlit with fee charge of '15.00. The extension shall be requested in writing to the Building Official. In approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned. IfARJUHG TO 0II11R: YOUR FAILURE TO RICORD A 10TICI OF COHIIEICEHBIfT HAY RESULT II YOUR PAYING TWICK FOR IHPROVIIIBIl'S 10 YOUR PROPERTY. IF YOU IITKID TO OBTAII FINANCIIG, COISULT WITH YOUR LEIDER OR AI ATTORRKY BEFORE RKCORDIIG YOUR JlorlCK OF COMMEICEHB . JOBS UNDER '2,500 II VALUE DO lOT liED TO RECORD AID ~A .IOTICE OF COHHKNCEHEHIR. . ._ " _ -----f .. ~--T ~R .1 GIATURI: OWIIER OR AGENT y. SIGIATURI: COIfTRACTOR STATE OF FLORIDA COUIfTY OF The foregOing instrument before me this was acknowledged , 19_ by STATK OF FLORIDA COUNTY OF The foregoing instrument was aCknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not" take an oath. who is personally known to me or who bas produced as identification and who did/did not take an oatb. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC