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BUILDING PERMIT 7434
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
IJ
J ;).. 7. ~-o
Date
j--,Q 1- 98
..2/.90
BUILDING
ELECTRICAL
-Jo, tTV
PLUMBING
MECHANICAL
Sewer Conn
2/~ - I/)A., A~ A-"
::~:::r~s::? i- 9 ~ 0 .~ ~K~~
Parcell.D, # /1-g6-'J/... t9D/ 0... D Y ~ iJ 0- 0 D/ D
Zoning: ~ Energy Code: Rad.,ojl Gas: t!'. Y b
DescriDtion of wor"/!... ~ ffCZ -of ;J. 1:" A .5~?tAP-d.;L ~~€.p~ ~ -r- j'1uk
Water Conn:
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C,Q,
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C,Q,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
Inspector
Permit Fee / <1
SignatureU.kt&,-f_
Company
Address
Telephone#
h
Valuation or
Contract Price
I;;;", b 90. t:hJ
,
~
tJvt./h 61 /J
BUILDING
~:~ SlB lJ~1J~ {!)1=
Lintel 11,o/o,i 00<<
FRM, 6.l2-'Y~ &"L.
Insul. CL
WL
?-1"./Yi 0 A
/.h1J}1 ~ /\
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Serv,
Rough In 6'22.-<1>R I2J.ft
Meter Can
Const, Pole
Pool
Pre-Meter
Final
SLB
Tub Set b-2..2..-9fJ Rti...L
Water
Sewer
Final 1//0/'11 G.h
Breakers
Ducts Insl.
Compressor
Final
Driveway
iMIl^TIl.~_. 3-lb-Gf~ 21.":!-
'-'WUj/fOlf1t.y f-ob (j
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ Hr.eet shall be made for each trip for each trade:
~--. OT)
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,
WilliAM ANDERSON
38920 NORRTH AVENUE
SQ. FEET PRICE
MAIN OR LIVING AREA - $ 40.00
OTHER AREA UNDER ROOF 846 $ 15.00
OTHER - $ 0.85
VALUATION $ 12,690.00
FEE SHEET $ 85.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 127.50
ELECTRICAL: $ 31.96
PLUMBING: $ 30.00
MECHANICAL: $ -
RADON: $ 8.46
CREDIT: $ -
TOTAL $ 197.92
I
SEWER:I $
WATER: $
TOTAL: $
- I
l
3/4" WATER MEIER:' $
- t
I
T1F~H
: I
TOTAL: $
197.92
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
1_;1o-'1~
OWNER'S NAHP.AJ/'///~A1 WI 4-.,.)- cI~SbJ PHONE 73'"3~ 99t179
OWNER'S ADDRESS 589(J-o ~/2-71d ~/;j Zc--ro~r-h//I~J pc.... 33:r~O
JOB ADDRESS ..:5 ~&
LEGAL DESCRIPl'ION: LOT(S) BLOCK SUBDIVISION
PARCEL I. D.' / j- :;;.. 6 -;;2.; - 0 c) / f) - 0 '7 V CJ 0 - 0 0/ 2J (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction -LLAddition ---..Alteration _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Faaily
_H/F
~I of Units _H/H
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval I 0 ~ I( ~
DESCRIPTION OF WORK: A-dd /' C;?f1", ~, ~ Eir/~r-f-UZe ..5/;4-.;v0/""'7 ?-~ ~
BUILDING SIZE: c!:1 ~ X .Qo , Square Feet, 15/ Height /'~<;. ie.i-
OJ6 x. II ,/
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
<3-i
$ ~, () eft! 1_
Valuation of Total Construction
_ELECTRICAL
AMP Service
~ Florida Power Corp.
W.R.E.C.
--1IECIIAlO.CAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
TYPE OF CONSTRUCTION: ---C-Block _Fraae _Steel
SPECIALTY
Other
FIRISBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
,X'
YES NO
******************************************
/' BUn.DER
Signature tu~ U~
'CONTRACTOR SECTION
COMPANY .:5e &?
/7 /. State Cert. or Regist. .
~L~~ City License Registration .
***************~*************************
hT.RCTRICIAN /7 COMPANY cf e-LP""
/} ~t State Cert. or Regist. t
SiQIIAture It/pk"-"-. /-UJ t--~~icense Registration I
***************.*.**** **********....*...*
Signature,
COMPANY ;?' e It:. F-
State Cert. or Regist. t
ity License Registration t
**************.*** *..**********..*.**.**
~PLUMBER
Signature
COMPANY ft h^L
State Cert. or Regist. .
City License Registration .
**************.**.*******.***..******.****
KECllARICAL
OTRRR
COMPANY ;/ c-t-r
a ~ I. "tl1~ State Cert. or Regist. ,
V.k ~(/ L ~ity License Registration'
*.***********.......**..**..*..*.**..*.*..
Signature
APPLICATION APPROVED BY
PERMIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perlit lay be subject to "deed restrictions" whicb lay be .ore 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, tbey 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 o.uer and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply (or the intended work, Lhey are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
Furtber.ore, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for whicb tbey 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 tbe contractor wisbes you to sign
as contractor tbat 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 U'l'ILI'fY CONNECTION FEES ,'.'
D. CONS1'RUC'l'ION LIEN L'l\W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED)
I certify that I, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If tbe 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 coaencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and tbat 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 tbat no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet 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 goverRlenLal agencies lay apply to tbe intended wort, and that it is
IY responsibility to identify what actiOlls I lust take to be in cOlpliance. Such agencies include but are not liJited to:
t DepartJent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treallent
t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Deparllent of Healtb & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
t 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 volUle" will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued sball be COilS trued 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~ce of a per.it prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery'peIlit issued shall becOle invalid
unless the work authorized by such per.it is cOllenced within Sil IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of Sil IOnths after the tile the work is cOllenced. One 90 day eatension of tile, liy be
allowed for the perlit with fee cbarge of '15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each Sil IOnth period, or tbe project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHHNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIEIIS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RBCORDING YOUR NOTICE OF
COHMENCKHENT. JOBS UNDER '2,500 1M VALUE DO NOT NIHD TO RHCORD AND POST A "NOTICE OF COHHINCEllENI".
i1IdlMaL j) Ik~
SIGNATURE: OWNHR OR AGENT . '
1J.~/tJ 11a(~_..I.
SfGNAT~: CONTRACTOR'
STATH OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATK OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 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 wbo did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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