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Home My WebLink About98-7692 BUILDING PERMIT 7692 pi CITY OF ZEPHYRHILLS (813) 788-6611 Permit BUILDING :2-;'-' oU 0LE~TRIC~ Date 1f-d.j-7 ~ PLUMBING .3 0- tJV CM~~~~ Sewer Conn Water Conn: ~operty Owne, 2/~~ Job Add,e..,..g ~::> "? , . - , # , Parcel 1.0. # JS - .g - :J..; - ~ 0/ ....;;). t:J " - Water Meter: T.I.F.'s: Zoning: Energy COden: Description of Work c..f1 #.A-.) A-;, c:..--- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. ..Ij~30-9~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE &LL- " "'- Pe,m;t Fee --.s:.5, J'V ~ ' Signature ~(;A~ /if d~ Company C Address Telephone# Valuation or Contract Price / a Ljs - ~ -/ City License Registration # State Certified License# ~ /%7 O.LJ2- J/6 BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($"HT.'O'01 shall be made for each trip for each trade: ~~GTD 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. APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE ((}f'g OWNER'S ADDRESS ~ )')(0 JOB ADDRESS \<)n m<Y __ j)a USJJerV #- to / PHONE 7~3- 055::J LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL J.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: /' New Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single FUlily _H/F _, of Units _M/H _ec-ercial _Indust. _Swim. Pool _Oth~J /J IJ Port. PfL}'e!'eA feu/Ie fJ/c Restaurant & Health Deparbaent Approval DESCRIPTION OF WORK~~\o1l ;) ~)'(l '0/G \-\p ~ ( . BUILDING SIZE: x 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction -- ELECTRICAL /MECHANlCAL AMP Service Florida Power Corp. W.R.E.C. $ J8L1~ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrUle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BIJII.DER COMPANY State Cert. or Regist. , City License Registration , ****************************************** ~cf( COHPA/iYBc.e. ~e.~; ~ State Cert. or Regist.. 0EOC~o/ ~ City License Registration I /~~ ** ************************************** Signature ::'70GcYtp LC PLllHBER Signature COMPANY State Cert. or Regist. f City License Registration t ****************************************** COHPA/iY flee Qp~ State Cert. or Regist. CRCO~?2~ City License Registration * ~~ ************************************** Signature MECHANICAL OTRRR COMPANY State Cert. or Regist. t City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lb. under.lgned onder'Laed. th.t thl. per.lt "y be .object 10 'deed r..trfcti.... which "y be eo" r"trlctl.. lbao Cltr regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRAC1'OnS AND CON'l'RAC'l'On nESPONSIBIL.ll'IES If th. ....r has hired · ,,"tr.ctpr or contr.ctor. to undertake oorl. th.r..y be regulred to be Ilcen.ed in accordance .ilb .t.le and loc.1 r.gol.ti.... If tbe coPtr'ctpr 1. poI Ilc.p..d as regulred hy I... both th. ....r and OPDlroctor "y be cited for · .Ied....oor viol.lion upd.r .t.l. I... If tbe ....r or ipl..ded contr'clor .r. uncertain as to oIot licensing regulr....t. "y .pply for th. lpt.pded oorl. lh.y .r. advised lp copt.ct lb. Cily of Zephyrhill. Bulldlog Deporleont. (013) 788-6611. Furth_re. if th. ...er bes 'tired · coptractor or contractors. be I. .dvised to h... th. contrector(.) .Ign porti... of lIoe 'Cootractor S.cti.... of thi. .pplic.lioo for w/iich th.y will be r"_iM.. If ftJU. as lb. ...er .ign as lIoe cootractor. fUu are ipdic.tiog lhal ftJU. rather UI.. th. coolractor. .re r"_iM. for lhe oorl. If th. cootr.ctor liQea ftJU to .ign .. CODtrector th.t "y h. .. indicatl.. tbet be is npt properly lic....d ..d i. oot entitled to pereitliPg pri.ileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ' D. .cONSTRUC'!'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify lb.t I, the applicapt, be,. be.. pr"ided lith. copy of 'Plorld.'. COo.lraction Lien Las _ Boseosner'. Prot.ction Gold.' prepared by lhe Plorid. Departeept of Aqricpltur. and Consuoor Aff.ir., ff the .pplic..t i. ....... otlor lbao 1Io ....er.. I certify th.t I be" oht.iped · copy of tI" above described tIocuoenl and proel.. 10 good f.ith to dsllver it to tile "owner" prior to co.ence.ent. E. CONTRACTOR' S/OWNER' S AFFIDAVI1' I c.rtify th.t .11 th. Ipfor..ti.. ip this .pplicali.. is 'ccur.t. ..d lbet .11 IOrl .111 h. des. In cuspli.." lilb .11 applicable laws regUlating construction, loning, and land develop.ent. I Appllc'lion i. h.rOby ..d. to oht.in · p.r.it to do IOrl .ed ipst.il.tion .. IPdlcaled. f Cerlify lIot no IOrl or io.t.ll.tlon has COIIOOced prior to i.so..ce of . per.it ..d that .11 sorl IIII be perforool to ...t 'laodards of all I... r.gul.tiog c...trucll.., City cod... ...Iog r.gul.tIons, .ed land dov.l",,"t regul.ti... in lb. jurisdiction. I 'Iso certify that I ueder.t.pd that lb. regul.ti... 01 oth.r go'......t.1 .gencl.. "y apply to lb. intended lOri, and tIot It i. ,y r.,poo.lhlllty to Identify wbet .ctl... I ,u.l t.l. lo be in cuspli.nc.. Such agencl.. iocl... lot are not Iillted to: · Deporlsont oi Bo'ir.....t.1 Oegul.tino ' Cypr... Oarbeads. W.tl.ed Ar... ..d In'i......lallr Sensitive land.. Nater/Nastewater Treatlent t Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways · De .rleont of Reallb , RoIahilILati,. Ser,lce. Eo'lr.....t.1 8..llb Doit ' ..11., Bast"'ler Yreaboeot. Septic r.... · US EnviroDlental Protection Agency - Asbestos abat~ent I .1.. certify that. if fill ..lerl.1 i. to he uoed Ip 'Ieud Zone '.. or ....tc.., it I. understood that. drainage pi.. addressipg · 'COSpensatlog ..I.... .ill he .uloltt.d which I. pr.p.red hr . prof.88I...1 eoglo... regi.tered 10 1Io Stale of Florida prior to per.it. issuance. , A peroit I'.ued 01011 h. con.trued to he . llcon.. to proceed with the 80rl and not .. aullorltr to 'iolot., caocel oiler. or ..t ..id. an, pr..i.i... of tbe t'Chnlc.l cod", our .1011 i.,..... of . per.it prevent the BoIlding Official ([QI lioreofler fequiriog 0 correction of .rmr. in pi.... cuo.truction. or 'iolotions of .ny cod.. See" perolt I...ed a10Jl becoso lDr.Illd 001... th. IOrl authuri.ed b, ,uch per.it i. COIIOnced witbln .i. IOOthl of I.....", or if oorl autboriJed b, lie perolt i. .nspend.d or abendoned for · period of .i. eoolhs .ft.r tb. ti.. 1Io IOrlls _. Iloe 90 day "lenalno of tloo, '" be '11owed for the p.relt wilb f.. ch.rg. of $15.00. rhe OIteo.lou sholl he requOlled io Irlllng to th. BoIlding Official. An approved inspection .ust be logged during each six IOntb period, or tbe project will be considered abandoned. _IIG to lXilII8: - PAlUlRR to RSCllIIO A IIOTICB 01' ~ HAr RBSULr I. _ Y.lllG mCiIlBl ~ 10 IOUII PROPERrY. IF YOU INTIiND TO OBrAIN FINANCING, CONSULT NUB YOUR LRNDllR OR AN ArrORlfRY BRFORB RRCOMING YOUR HorICI OF COHHENCHHRNr. JOBS UNDER $2,500 IN VALUE DO NOr NEED TO RECORD AND POST A "NOTICR OF COHHBNCKHENT". SIGNATURB: OIilfER OR AGENT SIGNATURE: CONrRACTOR srATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STArR 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 has prOduced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC .. " "' II 327655 --iJru; - \ C(~D C) _. ... ... ADDRESS DATE 4-- ~ / '1 19U '2J1A ~ !rJdh /-J7/3---7g3~tJ; 6L1~ ?1i5~ Ort tlo P~J~. Customer's Order No.___ SOLD TO ~J l) 5 ~~ SALESMAN TERMS (.'/ \. '7 CASH CHARGE C. O. D. PAID OUT RETD. MDSE. ""'--. D~. ON ACCT. QUAN. DESCRIPTION PRICE AMOUNT -Zf9 Iv 2- S/c /-1 ;)/ '/ 1/02 1/3 ofJ l-~ - If. r/. ... l/cJ ~s '70" /j . ~ f'l-A-J...7 ~! v "'-"r ( L -h~ \\~ f")__ -- '1\ /0 ij- f ALL Claims and Returned Goods MUST Be Accompanied By This Bill SIGNA TURE