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Home My WebLink About97-7288 BUILDING PE.RMIT 7288 f3 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date IQ - S"- 9 7 ,/0.00 3~""thJ ~----'PD PLUMBING ~-~ cJ7} MECHANICAL BUILDING ELECTRICAL Water Conn: T.I.F.'s: Property Owner: Zoning: In~gy Cod'] ;J . Radon Gas: Description of Work m ~ ~~ - ~7 ~ l)J<!E-)lJ--L; -9~ ~~~!L$ J1 rYI NO OCCUPANCY BEFORE C.O. I FINAL Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. s DATE City License Registration # State Certified License# I<~ Inspector Permit Feec=1J0," ~. ) Signature ~ _(J .k Company Address Telephone# Valuation or Contract Price ..3~ Jr-Z1 ~ ~ 13~d:/ JiJ BUILDING ~j)..,ht l'1jJ ELECTRICAL 0~~// ,11 ~/~441 .)., Ie PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo 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 Fifteen and 00/100 Dollars ($1 (;. got shall be made for each trip for each trade: :L!.>~VD a. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. 01(11/96 12:45 FAX 813 782 1169 H & R INTERSTATE '@Ovl . Al'PL1:2AT~ON FOR I't'Rl'lIT CIT'l OF ZEFlfiIUl'ILLS BUI.Lt>1.NO DEI?AR'l't-lENT APPLICANT :,........ tJj'3-78~~d..a 7~ - . l.EGAL D"ESCRlPTION: LOT (5) DLOCK SUnnlVlS1.0N. PARCEL I.D.ll 03--.;l.G. -;;U - 03/0-60(')0 0 - 03 gCJ 'P110NE ADDRESS OHNER eOT SI7.E~~.l2() I i\RE..\ 5Q. FT. Jon LOCATION WORK PROPOsto,_New eonstruccion. --^ddition --^ltc"otiOn _nepoir _Install ___Sil:n/Tc:m1". PROPOSED USE: ,x-Sin~l.e f;)milY __Conllnc l"C iOll ...--Sign _Nove __Demolish ~M/F ~(l of \,lnits ._H/Il ~IntluS t.. _Swim... roo1. Ot.her ____Restaurant & Health Department. Approval nUUDING SIZE' ;l8' x.J!i, t' ()..O I. Square Feet, H~iGht RES I D ENTIAL' A TT A en (2) PLOT pUNS & (2) SETS OF nllILD 1NG P c.\NS & (l) 5 ET ENERGY fOreIS." COl12'IERCIAL: ATTACH (3) SETS OF nUI.LDING PLANS & (1) SET ENERGI' FomlS.*~ *~COPY Of CONIRACT ~EQU1~ED. PERMTTS Rr.pUESTF.D YBUILDING LELE:CTRICAL -L-MECHANICAL ~PLU!"nnNG $ J.2 / /d5CJ :_Valuation of Total construction ),;:;7J AM? Servi'ce /3 Iff} Florida rower Corp. ~ H.R.E.C. ~ Valuation of Meclwnir.:211 Installation SPCCI:\LTY GAS - lWOFlNG TYPE OF CONSTRUCTION~ ____Block ____Fra~e ____Steel FlN1SHED fLOOR ELEVAT10NS ;~/A- FT.' /f/# ocher *6..**..*~*.*****.***.***U.****~**~&**C~** CONTRACTOR ~E~ 11 IJ M J tl (' . . company ~,ert-;e "'f)h~/e. oll1e ~)e.,.v,(e... State Cert. or RC~1SL. 0 ~ . . CitY l.iccnse J\(;t:~L~l"(al'.i.L1n iJ _ . "IV ~~.*....*.****~***.ft.****..*6~*6~Cg*~~ ) . . . .:: ~o~pa\lY ~df\V\ [. te.c.+; c- -State C~rt. or Regist. C ( City License RcC{str~tion U ***ft***.~**~.***~*************~**~~*~~V*~v ~~:t:n~ert~~~~~st. ~ f'M City l.icense Re:?istr~ti(lfl ;1 _ U '7/4 ~***.***.****.***.~.*.**.*****..*~6.**.**G f7 () ~ COll1pany 'BfT~r G"s State Cert. or Re~ist. i~ City License Re,~istt:ation II 6.**.**~*****.**~*.~*~~*~~******~**6~**.C* ~ rYe J7 - Signature COIllt'any Stati Cert. or Recist. 0 City License ncgistrn~ion lj QT.HF.R APPLICATION APPROVeD flY *a****~*..~~*.***..*.****~.**~ft~***~~**~.' PCR~\1T OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rhe und!rsigned understands that this perin ~y ~ subject to 'deed restrictions' which lay be lOre restrictive than City regulatIons. the undersigned USUles responsIbilIty for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has bired a contractor or contractors to undertue work, they MY 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 lisd_anor violation under state lalf. If the OIfIler or intended contractor are uncertain as to wbat licensing requireJeDts lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Deparllent, (813) 788-6611. FurtheIlOre, if the owner has bired a contractor or contracton, be is advised to ha'e the contractor(s) sign portions of the 'Contractor Sections' of this application for whieb they will be responsible. If fOu, as the owner sign as the contractor, you are indicating that fOu, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that MY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the City of Zepbyrhills. \ t 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 Law _ lkIIeoImer'. Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOEODe other than the 'mmer', I certify that I have obtained a copy of the above described clocUIent and pIOlise in good faith to deliver it to the 'owner' prior to C~CeJeJlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all appliCable laws regulating construction, loning, and land developlent. Application is hereby Mde to obtain a perlit to do Ifort and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a perlit and that all Iork will be perfolled to .et standards of all laws regulating construction, City codes, loning regulations, and land developll!Dt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended wort, and that it is If responSibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not liJited to: t Deparl:lent of EnviroDlN!l1tal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water /Ifastewater treatJent t Southwest Florida lIater Jlanageant District - Wells, Cypress Haybeads, lIetland Areas, Altering Watercourses t ArIy Corps of Engineers - Seawalls, Docks, Ravigable Waterways I DepartJent of Health' Rehabilitative Services, EnvirODlental Health Unit - lIel1s, lIastewater treallent, Septic tanks t US EnvirODl8Dtal Protection Agency - Asbestos abateJellt I also certify that, if fill uterial is to be used in Flood Zone 'A' or 'A, etc. ., it is understood that a drainage plan addressing a lCOIpeDSating vol_I will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued sball 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 sball issuance of a perait prevent the Building Official fIOl thereafter requiring a correction of errori in plans, construction, or violations of any code. Ivery perait issued shall becoJe invalid unless the wort authoriled by sucb Perlit is c~ced within sil IODths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IODths after the tile the vork is ~cec1. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. tbe extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eacb sil IODth period, or'the project lIill be considered abandoned. "ARIIUG ro (MER: YOUR FIILURI '10 RECORD A RatlCE OF COIIIBIICIIIm MAY RESULt II YOUR PAYIIG niCE POR IIIPROVIIIDfS ro YOUR PROPERlY. IF YOU IIItIND to OBtlll FlNAlCIIG, COlSULt II'lH YOUR LDDBR OR AN AnoRIBY BBPORB RICORDIRG YOUR IOrICE OF -. JllIIB IIIDIR 12 II YILIIlIlllIlllr IIiID 10 IIIIlDlD ~ POSr A "IllrIClIll ~.. ~ /' SIGIA'IURIl: CO R srAR OF FLORIDA coum OF f' A Sc {/ Tbe foregoing instrument was acknowledged before me this l.Js<:.. / , 19~ by IV E)..5oIJ 7? Y M A IV wbo is personally known to me cr wile lias pt:oQueed "as ideBtifieatioB and wbo 4i4l/did not tak!! --'" oa~b~ I' ~ ::A2.:T ~~-fj' ~o~ (Signature) . KATH t..-i:€tJ v: J3l?ovJ,J (Name Typed, Printed or Stamped) NOTARY PUBLIC SrArE OF FLORIDA COUI!Y OF "pAc5cO Tbe foregoing instrument was acknowledged before me this~. J , 19~ RY AI &LSo IV tcY U/f AJ wbo is personally known to me 81' wile has prodtu::ed as identifieatiOD and wbo 4idtdid not take ~ fl.&~ (Signature) k4/H'-~ v:. J3R"NAl (Name Typed, Printed or Stamped) NOTARY PUBLIC :\~l\Y Pile .~ n,~~ ~~~ "" ~~ ~ OF f~\\ KATHLEEN J BROWN My Commission CC....9029 expires Apr. 02,1999 :\~l\Y Pile .\\,0. ....... ~.~ .,..... OF F~6' KATHLEEN J BROWN M)r Oommlnion CO....9029 ..".. Apr. 02, 18Qe J '\ /)., W /1 . 9..) h ).\.-\ h , \ ..11,.. \ t , , , \ ~ " ~10' ~ ?-> ~ IO~ 0() , \ [, 10' " ... < '" ~ , "I / < Ri~eWftt (PO' .,. -....... ~ <J , :Dr; v e.