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HomeMy WebLinkAbout98-7437 C;;~;) BUILDING PE,RMIT Permit 7 437~ Dat. /- ~ 9- CjyJ CITY OF ZEPHYRHILLS (813) 788-6611 E~ Pl~"..~. Sewer Conn Property Owner: Job Address: Parcell.D. # Jr;;;i 7J7Jr-:~,d-C~~-Iu. Water Conn: Water Meter: T.I.F.'s: Zoning: DescriPtion of Work NO OCCUPANCY BEFORE C,O, FINAL ~ 2 1r DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C,Q, DATE Inspector g, Valuation or Contract Price /, /?~. , - Permit Fee Signature Company Address Telephone# ~4J:r?~ City license Registration # 7 () State Certified license# c ~~/~ . . ~U':~'~G .E&.EctRiCAL a.u.MBtNG MEC/',ANICAL Ftr. Pre SlB lintel FRM, Insul. Cl WL Tp, Serv, Rough In Meter Can Const, Pole Pool Pre-Meter Final SlB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($+!r.O'O) shall be made for each trip for each trade: 0lS: IT'D 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, , \ _...'~ It ,,--. J, ./ \.-,( .~/ ( ~. ~' c) ...t-\-\..BOst",.. :r~~ ~~~I ......f'AlCA G~ SUN STATE AlU1VnNUM', INC. 37528 State Road 54 West ZEPHYRHILLS, FL 33541 (813) 788.7308 SOLD BY DE.%IPTIP/lol I.l/- / ~,}.~r,v r" . ........- AMOU~T CUSTOMER'S ORDER NO. NAME ADDRESS OTY. -z.~ ,...---:j c:. ~-1 . -. '7"61,00 ......... ...~-~-~D. I ..........~~.aL:L ..... . 19j.() Ct.. I .....-....,/6j.G'_.u._ .. .... . ~=4-Q?-- -------~~---.lZ~._____ ._c....:~:.~_,~ .........-/!;.vt.-__._.. v s I <C(lt . I 5:" (iev ...-- "'--"'S-~-~-- TAX h TOTAL RECEIVED BY All claims and ~'gOOdS MUST be accompanied by t~ISblll. Y7ll".j).q l&if;' .'/ PIlOOOCT610 I~ 1~. ~'UAllt(J 9t} ~ - ........--"'""--........-.."'..,' --'"----,.....--, . j PARCEL I.D~ SITE PJ...M.I (Rf.SIDENTlAL USE ONLY) SEe TWl' RNG SUllU BLOCK I'ROPEHTY HEASUREHENT ~( .71 e;.;~ r6/,uy-. CUlmENT OWNEHS CJ71'{ t1111?://J lJ^TE LOT All drawings sball be drawn to scale for all parcels or lots five acres or less. Sf /- 5' ~.~~ '---Lu ( ~p)~ -ro I,J 57J'r(. ~ <(1 'If() ~ fRE- flJ-D S'~ H670t:... rftJ If E:. PLA~r:. k~VIEWED DATE / /2-8/97 BUILDING DEPT, APPROVED C/o / ,,'-! ", T ,. ;..! SHOw fiLL EXISTING AND PROPOSED STHUCTURES CfVIJiG DIHE.NSIONS Mm S!~TBACL<;. L /-!\'Y HOlJJJ:S Of ""hTEr: 1,/;'0 ROA])i,'I,)"'. (HKumniC.; t,','..,f'j!..'.C;',i I...i,.,.',,/,(.;].'.h"j" I, SO, ., ., TO THE i'poPUny. (' ~ >' ;- ".1'1'] ~':/,~'~~:" ('\F ~-;n;: : (' ~ l i ,', (- '!')' (, (". I j -~ .! -\.,' ':, -I ~ '! : 08 HiD 1 C^ TE JI.'!1TChTE APPLICATION FOR PERKIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT /--9~ ,~:J- OWNER'S NAKE Viii II tlR-T/;J . 3 '13b a ClbNc~v r-> / >/f7'16, ~oT 7/ PHONE OWNER'S ADDRESS !:-lJ bt~}) ,Po ?/lIr .R.. V JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish P~POSED~E: _Si~leF~ily _H/F _' of Units ---.Ji/H _<=<-ercial _Indust. _Swim. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: 70 I ~5 77'Iz.,C- r:'x/O, k IbJcm,< ?if YtV h~'? ~ BUILDING SIZE: ~ Square Feet. 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ //<g(P PERMITS REOUESTED . cJO Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FllUSHED FLOOR ELEVATIONS: F1' . IS PROJECT IN FLOOD ZONE AREA '1 ****************************************** YES NO BUILDER Y C/ A.J s 77ff€. State Cert. or Regist. . City License Registration . ****************************************** COMPANY /K-lJ I-( /;Ut/~ 7U- Signature .::~. ...... -,---'"':.~' --~~"'-,.,-' RT.RCTRICIAN COMPANY State Cert. or Regist. . Sianature City License Registration * ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PElrnIT AFFIDAVIT A. NOTICE OF DEED HES'l'HIC'l'IONS The underiiigned underBLands Lhat Lhis perlii lay besubject to "deed restrictions" "bich .ay be lOre restrictive than tity regulations. The undersigned assllIes responsibility for cOlpliance "ith any applicable deed restrictions. B. UNLICENSED CON'l'UAC'l'OnS AND CON'l'UAC'l'OH UESPONSIBILI'l'IES' If Llle mmer has hired a contractor or contracLols-tounderlale lIork, tiley lay be required to be licensed in accordance with state and local regulations. If the contraclor io not licensed as required by law, both the o"ner and contractor IIiIY be cited for a lisdeleanor violation under state law, If Lhe owner or intended contractor are uncertain as to "hat licensing requiryents lay apply for the intended Norl, I.hey are advised to contact the CiLy of Zephyrhills Building Deparl:8ent, (813) 780- 6611. Further.ore, if the owner has hired a conLracLor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the OIIner sign as the contractor, you are indicating that you, rat/ler than Llle contractor, are responsible for the Ifork. If the contractor wishes you to sign as conLractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPOHTATION IMPACT FEES AND UTILITY CONNECTION FEES l .' D. CONS'l'UUC'l'ION LIEN L1\W (CIIAP'l'EH 713, FLOHIDA S'rA'rUTES, AS AMENDED) I certiiy-tha~ihe applicant, have been provided "ith a copy of "Florida's Construction Lien Law - Hoteowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Conslller Affairs, If the applicant is sOleone other than the "o"ner", I certify that I have obtained a copy of Lhe above described doculent and pro.ise in good (aith to deUver it to the "o"ner" prior Lo co_encelent. E. CON'rRACTOU' S/OWNER' S AFFIDl\VI'l' I certify that all the in(or.ation in Lhis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land develop.ent. I Application is Ilereby .ade Lo obtain a per.it to do "ork and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, lOlling regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand Lhat Lhe regulations of oLher governlenLal agencies .ay apply to tbe intended work, and that it is .y responsibiliLy Lo identify "hat actiOlls I .usL tale Lo be in cOlpliance. Such agencies include but are not UI1ted to: t Deparltent of Environmental Regulalion - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewaler !reallent t Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of Bngineers - Sea"alls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater TreatleRt, Septic tanks t US BnviroDleDtal Protection Agency - Asbestos abatelent I also certify that, if flll .aterial is Lo be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volOle" "ill be sub.itLed which is prepared by a professional engineer registered in tbe State of Florida prior to per.it. issuance. . A per.it issued shall be construed to be a license to proceed "ith the work and not as authority 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 IrUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOll 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 sill IOnths after the tI.e the work is cOllenced. One 90 day 81tension of tile, IIY be allowed for the per. it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHKENCRHBNT KAY RRSULT IN YOUR PAYING twlCB POR IHPROVIMBIrS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LKNDER OR AN ATTORNKY HEFOKl RECORDING YOUR MOIICI OF IDlIIImJlRll'/. JOIIS ~~~~}X) ~ TO RRCOJlIJ ARll POSI A '''''l~,~~~;~~:=> ......~.... ".:-'-- <_..'..':.~...'~.-~~_._.._-~'- (:-:~.?" . ". -- , . (' '," -,-" .."., sIfurn.t!!!!!i.JUfm:.OO:::AGHltT -SlGjjluRE: CONTRACTOR STATK OF FLORIDA ~ COUNTY OF r If 5' .co The foregoing instrument was acknowledged before me this I / 2. / , 19$ by . I STATK OF FLORIDA ~ COUNTY OF r/tSZO The foregoing instnpllent was aC~f"ledged before me this I / 1.;2/ , 19 Z5 by / r who is personally known to me or who has produced . as identification and who did/did not take an oat~ff ~ (Signature) . who is personally known to me or who has produced as identification and who did/did not take an oat~ ~-,t:) (Signature) . (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC