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HomeMy WebLinkAbout98-7738 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit 7738 8 S:-~-9? 3,f> - Date BUILDING E~AL P~- ME~- Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: ~~:ii2 ~ ( DescriPtion of Work FINAL S- ~ 2'Z- -- cr~ DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector cJ DATE PI GL.. ~. pe'm~.ee~_ ._ ~._, Signat __ ,- '. --" Company Address Telephone# Valuation or .it. Contract Price rr 4, 00 ' City License Registration # __________ State Certified License# ~ @ ~ . IJ-1uJ? BUILDING p~' ~[GI"1ANICAL sir /H ~K Ftr. Pre SLB Lintel FRM. 5...Jq~ q~ Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final ~~ Driveway &Af~5- lq~q~ ~~ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ -1-5':'0'0) shall be made for each trip for each trade: 01..5: crv 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, a. b, c, d, e. f, g, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT ~ /1;_ , . UU(J- 'v 5<5',9 OWNER · S NAME ihoma:s (0(';) 3D /'ot~ L-/~ L e; +7~ke- 1? /'c13 e. Wet y :u \^1'1t~ - z.e()hl/v R~3e f t PHONE ~/3 ~77?;;l-21/5Lj OWNER · S ADDRESS JOB ADDRESS M H- r-?<11-l LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL J.D.' 03-:J/~ -..J.l - '0/750 - COCOo - or:fo (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~w Construction _Addition _Alteration _Repair _Install _Sign _Hove _DeIIOlish PROPOSED USE: ~ngle Family _H/F _, of Units _H/8 _C~ercial _Indust. _Swim. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Deparbaent Approval \5 hfC) / C4rfDrT ( ~l L ( I r X 1;2. ,/ tP?r Square Feet. Height BUILDING SIZE: RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. on ~OD~~ PERMITS REOUESTED ~UlLDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FDUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUTI.nER COMPANY f)WI!J€-12- ~::::::---State Cert. or Regist. , City License Registration , * ********************************* ~ ELECTRICIAN COMPANY State Cert. or Regist. f SiROature City License Registration , ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** KEGHANI~ COMPANY State Cert. or Regist. * Signature City License Registration , ****************************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assOIes responsibility for cOlpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONl'RAC'l'OU RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake lark, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by lal, both the owner and contractor aay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended lork, they are advised to contact the City of Zephyrbills Building Departlent, (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 lork. 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 per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I ~' , D. CONS1'RUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection Guide" prepared by the Florida Deparlient of Agriculture and Consuler Affairs. If the applicant is sOleone otber 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 COllenCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVl'l' 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, laning, and land developlent. , Application is hereby .ade to obtain a perlit to do work and instailation as indicated. I certifr that no worl or installation has cOllenced prior to issuance of a per.it and that all work will be perf oIled to leet standards of all lals regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies lay apply to tbe intended wort, and that it is Iy responsibility to identify Ihat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: t Departlent of Envirofilental Regulation - Cypress Bayheads, Netland Areas and Envirofilentally Sensitive Lands, Water/Nastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Natercourses t Ar.y Corps of Engineers - Sealalls, Docks, Havigable Waterways t De artlent of Health' Rehabilitative Services EnvirODlental Health Unit - Wells, Nastewater rreattent, Septic ranks t US Envirofilental Protection Agency - Asbestos abatelent 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 "cOlpeDsating volOle" lill be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. . A per.it issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official IrOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Everr pBIlit issued sball becoIe invalid unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if wort authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, IaJ 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 lUSt be logged during each six IOnth period, or the project will be considered abandoned. NARNIHG TO OIINER: YOUR FAILURE TO RECORD A HOTlCE OF COHHEHCEHRNI HAY RESULT III yoon PAYIHG nua FOR IHPROVEIIEIIrS TO YOUR PROPERTY. IF YOU IHTEHD TO OBTAIH FIHANCIHG, CONSULT IIITH YOUR LIHDER OR AH AnORIIY BEFORK RlCORnIHG YOUR 1001Ia Of' COHMKHCBHENT ~ JOBS UHD ,500 IN VALUE DO HOT HBID TO RICaRD AHD POST A "HOrICE OF C CIMENJ" . ~ ~ STATK OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATK 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 bas 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 OWNlm-mn I.DER ^FF I D^VIT ST^'IT: OF F LOR I J)^ r:nPNTY OF p^SCn IH\HJRI: mr, t h 0 1 I II,) " I~; i oR II" <I nil LiltH' i t Y , p01sollill1y npprlllrd --1b.QY11q..5__kl'-tz~k.~" who brillg by 1111' filst <IlIly SI,'O'"I1, 1111,)"1' onth, drpnsps nil,) S 1.11 I.,.'; /10' [0 Iloh'O': ,) n I I rIP h y s I, P n I" / n [ f i I III : Tllnt 010,711 thr 1'T('1'01 ty ,)rs('] ihpd ns __!25__~J.L~;;2) -..0_' ~q_ -:.....rf2.C!f!.o...o.-O'l?Jo..._ _ . L oJ t:F tjj u=- bO.jQ R :d'{)l: LV<< ~ t3~\ 1?14 -e ft If p" ..)C lJisclosuI0 St.11."l1lrllt P Y j :1Inl,' 1,1\0' 1"('(1\1 i r0r~ COII~; I. 1"11<' t i Oil !, " 1 1)11 dOllP I,v 1 i C01''''',j (,0I1111>('1.01~;, Y('l! "fJ ',' (' npI' I i ".I f"1 n J"'IT11il lll1d"l" nil 0XPflIptioll to thr l/1h', Tltr PXPT11l"ioll nllov.'s YOll, ns Iltp O\,'IIPI "r \,,1111 IlJ "J"') I\', to /lcl IlS YOUI' OWll COil! Ine!"1 (,V(~II f Ilouglr yo" do llot I1nv" /I I ;"PIIS,', YOll rnll~:1. ,';)II"'I\:i;.r Ih" COIIsl,ruction yours"lf, YOII mn\, hlliid 01 irnplovP n ()llr-fnl11ily or I'd'- fnlllily r('sid(,llCP or n fnrm ollthllildi1lg, You mllV n1so hlli1d or implovP fJ COll1mrlCiil1 hllildill,g ,''111 cost of $7,),OOO,()() or lrss, 'I'h r h 11 i I dill oS mu s t h r f 0 ,.. yo 11 lor,' 11 lIS r ;] II d o C (" lip illl ,~ Y , 1 t rnny 110! hn bu ilL for Sill r 01" I "'ilSr, If YOll s('11 or I(,ils" n building YO!I 11I1'd' l)1)il1. y()uIsr]f ,dth!n 011(0 Y";lr nfl.pl' tllr ::onsLructio11 is comr1"t(', th(' lnh' h'i11 PIP- ':11111 P t h n t v 0 u h 11 i I fit" f () r S n I r 0 l' II' n S P, I,' h i chi S n v i () 1 n f: .i () 11 0 f f: his (' x P I1l I' t i 011 , 1'011 l1lil\" lIot hi r" nil un 1 i r'f'ns pd pr rson ns YO'!: r:nn t.rne tor, ltis your rpsponsihilitv h") milk(' Sllr'" th;]!. flrOl'l(' PIll)'loy('d hy YOII hnv0 lic('lIs('s rp'llJin~d hy Slnlp Inw l111d by COUll!:V or mllnir:il'nl 1 i (~f\'IS; tl.P: ()r"cl i rlnllr.~""s. ,^,ny person working Oil yoU! 1111; 1d in1\ wllo is lIot i C (' n S (' d I1lll S!. 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