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HomeMy WebLinkAbout98-7621 BUILDING PE.RMIT 7621 13 f'o.. tTl/ BUILDING ,2-&'-: ro ELECTRICAL CITY OF ZEPHYRHILLS (813) 788~6611 2-!::' '- , d-b Permit Date :5 -;) b - 9' r;-- PLUMBING '-- ;l.S c VV MECHANICAL Sewer Conn ~ /J?J . ifl:). Water Conn: Ol.. tJ"t} c: tJ"t) Water Meter: /6 t1 ' av r.I.F..'s: 91/0..... IJV a ~. i~ Property Owner: p . Job Address: ...s~'O~ '.~ .. Parcel 1.0. # );L:J.i, -J./-IJ.l6a -. {) /J~& U .. CJ (., . Zoning: EJ':.rg)COde: Radon Gas: Descriotion of Work /11 ~ 4.'YnJ ~ T ~ ~.J" p~ ~ ~-?-?rr~ c23.3' J7%1 NO OCCUPANCY BEFORE C.O. FINAL i DATE Jf-9'- C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ol Valuation or J Contract Price ~ ~ - v=o ./ Permit Fee ~tZ? City License Registration # State Certified License# ;J(2~O Signature Company Address Telephone# _)~M~;D-~(7' ~~~ ~ ~ ~I ELECTRICAL PLUMBING J.-;). MECHANICAL :l;;J.../ t ~ Pa4r---O ;~ BUILDING Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway c. d. REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ Hr.O'Ol shall be made for each trip for each trade: :L..!J -. (J7) .~ Wrong Address ') J~ /1). .____ .7I~..2%~9 Condemned work resulting from faulty construction. N~~../ Repairs or corrections not made when inspection called. j L/- g--9 Y Work not ready for inspection when called. f- . . Permit not posted on job site. Plans not at job site. Work not accessible. a. b. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ;. b r?!;; :J-I CENTRAL PERMITTING PASCO COUNTY, FLORIDA DATE: 03/30/98 TIME: 11:17 PAGE: 1 OF 1 I :~;:::;UE OFF ICE: L RECEIPT NUMBR: 00356936 OFFICE: LAND 0 LAKES CONTRACTOR #: 999999 NAME: BARBARA BARFIELD ADDR: 21912HALE RD C/ST: LAND 0 LAKES. Fl 34(;.3'~/ FOR: RESOURCE FOR 7621-8 It/r~t... P (j CHECK # 313(> CONTRACTOR: 999999 TOTAL AMOUNT: ACCNl ~UMPNY RCCOUNT CENTER 114 8450 - 363000 - 2 39 . ~:3 AMOUNT DESCRIPTION/PERMT DATA DRieR 39.33 ****** SOLID WASTE FEE 60 '., ./1 . ~ t) ([) J-')J CC[' I .j ../ ( RECE I \,lED BY --~~---t:.._JiL_________. ..___ APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER · S ADDRESS a J. .iI 0. -' '-?h.u- Ie ~ (; Ice; r ? YO 5' ~ Je; (.1~,4 J. 0 oJ:? '-"" e;;r v. , .PHOJE zj /I./k OWNER · S NAKE H ~.3SY/ JOB ADDRESS S Ct 11-1(/ LEGAL DESCRIPTION: LOT(S) d~ [J BLOCK PARCEL 1. D.' /1f- - dJ k - d. / 0) h 0 WORK PROPOSED:~ew Construction -^ddition -^lteration SUBDIVISION dh/~/ Cr/:>u( bO -tlCOOO- 0 (OBTAIN FROM PROPERTY TAX NOTICE) _Repair _Install _Sign ---1Iove _Deaolish PROPOSED USE: _Single FUlily _M/F / _' of Units ~M/B _~ercial _Indust. _Swia. Pool ___Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: :;) (, X 12. l:A ~1 Square Feet. Height ATTACH 1!LPLOT PLANS &:~ETS 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 SIZE: RESIDENTIAL: COMMERCIAL : f 1L-BUILDING lL-ELECTRlCAL t/ MECHANICAL LPLUHB~NG' PERMITS REOUESTED $ J h, zrv-o Valuation of Total Construction - AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER ~ COMPANY ~ , ./ / .../1 / ~ State Cert. or Regist. . Signature -~...c- ~~/fI City License Registration' , . ....................................... ELECTRICIAN ~_ / ,J/~< ':::.~:~r01~~C{eg~1.yt.~."J fh~ Sianature ~/ft<<- /lJZt City License Registration . -/).', J a ?..~ ...... ........................................................ . COMPANY S~~ (Iii adtc .~ ~q State Cert. or Regist. . City License Registration' ~~O ....*.........*..*..........*.........*** IIIlCIIAIllGAL COHPAIlY &( #~ 54 ill It If c/ cJ / J~- I State Cert. 0 Regist.' t Signature petri/Uk ~ City License Registration' C).)...)~ . *...................................... r COMPANY ~ State Cert. or Regist. , City License Registration # ........................................ PLUMBER / Signature ornER Signat~re ~"" APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peClit lay 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing reguiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. 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 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 Law _ 8DIeoIner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOHOne other than the "owner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the "owner" prior to cOllencetent. 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 cOlpliance 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 or installation has cOllenced prior to issuance of a peClit and that all work will be perfoCled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleOt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDlental 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: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and InviroDleDtally Sensitive Lands, Water/Wastewater rreatlent f Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Ingineers - Seawalls, Docks, Navigable Waterways f DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks f US EnviroDlental Protection Agency - Asbestos abatetent ' I also certify that, if fill aaterial 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 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 frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall becOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of' six IOnths after the tile the work is c~enced. One 90 day ntension of tile, lay be allowed. for the perlit 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 IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURi '1'0 RECORD A NOTICK OF COHHENCEHElft' HAY RiSULr IH YOUR PAYlHG rlUCK FOR IHPROVIIIID'S '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AM AnORHIY BEFORi RiCORDIHG YOUR lorlCl OF COHHENCEHHHT. JOBS UNDIR '2,500 IH VALUE DO Nor HElD TO RICORD AND POST A "HorICE OF COHHIHCEHENT". ~~/~ ~~~I SIGNATURB: OWNIlR OR AtllNT SIGNATURE: COHTRA fOR STATE OF FLORIDA ~ mUnYOF ~ The foregOing instrument was acknowledged before me this J1J a/l ,;l G , 19 r Y---by "--, who i personally kn to me or who has produ ---- as identification and who did/did not take an oat~ ~ . (] )J1I'J-t}-~ (Signature) ~ ~ (Name Typed, Printed or Stamped) NOTARY PUBLIC ~~" Nancy A. Moody f*:i::~ Mf COMMISSION' t::CS34lIre EXPlR.E S ~~ . . f FeIlnJery 21,2000 "~,9f.,tli BONllEDTHIIU TRO\' FAIN INSURANCe, INC STATE OF FLORIDA ? COUny OF '. ~ The foregoing instrument was acknowledged before me this H'UuL;l G , 19f Y by ...-----" who is ersonall to me or who has produce as identification and who did/did not take an oath. Yl If. . (). JIlt ~ _ (Signature) ~ .~ (Name Typed, Printed or Stamped) NOTARY PUBLIC .~~~' Nancy A. Moody *: :*E MY COMMISsIoN , CC534800 EXPIRE' \....... '~i FebnNuy21,2000 ,C t,w; ,!l\ IIONllED THIIU TROI' FAlN 'NSUIlANcE, INC SITE PLAN (RESIDIN11AL USE OM.. VI TCWrl. ... SCAlf ,. a 10' /(}' J .. 1 1Y;j . 4~' d,b' ~I .:57(([ f1"~ 53' MNGI . I \~\/). . '"^- , UMT , LtJ14ft-LJ WA1wAJfO 411/110 ~ , ~ .srlf?tFl' "-. V\~'-~ ~ cv \-- ~ )0 j~ \J --- ~ ~ '- ~ ,,2:-.U \ ,,2: .n i UIS01::> 7 /> M~ ~ ""!:: :0; ~ C\ll;- 0:: '", "" c, ::u:::~ "" .. ;g>< 0::'" C.' "":l /' /' /' /' /' /' :i~ 0::.' /' -~: - ~~ >, "- ::3~ "-. "-. "to .92: .- "-. . z u ~'- ~ ~ " ::;; O::'c C, cr:l~ 0::>< ~~ ~~ ;g 0. CQ~t: ~md ~N(/) 3-~ 0N ::E ~ r:t 0 or: "'!III 0 >< "D:O ~ Q D: '-' W a. IIII!II m a. -= C") c( .