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HomeMy WebLinkAbout99-8826 50.~ BU~ING ELECTRICAL PLU~NG Property Owner: k~r e.o/ ~h.^ ke Job Address: "'] ~ r I , f ~ c. (d y p ks Or. Parcell.D. # DJ -) b - '21- t!)2'f 0 - OoootJ .' 01'70 Zoning: Energy Code: Radon Gas: DescriPtion of Work ~'~c..tr:t ..f!o.r Shl.(.UerS BUILDING PE,RMIT, 8826 CITY OF ZEPHYRHILLS Permit (813) 788-6611 Date ~ I" I 'i 9 MECH~ICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. 9.. IS: '1 DA Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# Jl~) ~:~;:::,:e?~ ~. Company Address - Telephone# ~ 6<g-3 ? <;;-05 ()I..~3 ? ~ Valuation or rC EJIl Contract Price 511 00 . '. B ILDING ELECTRICAL ME Driveway Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00) shall be made for each trip for each trade: 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 JOB ADDRESS ;(7?r~f/./~ OWNER'S N OWNER'S ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' t') d.. - ;;;J.'?; - ;X I - () ~ V O-{) OO{5r) -{)/7fJ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -ftlteration _Repair _Install _Sign ----"ove _Deaolish PROPOSED USE: _Single Faaily ----"IF _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other Resta~anl/ & Health De~rtaent Approval DESCRIPTION OF WORK: 1J(7p/l h /f;r 1;1 , '( b tZ1./1 P C7,AAO d?lPF( ~ 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. ZIRC ELECTRICAL $ PERMITS REOUESTED s-r On t/ 0 Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. ---1IEGllANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF GOBSTRUCTION: _Block _Fraae _Steel Other FDlISBED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION COMPANY State Cert. or Regist. . City License Registration . ~....................~........ COMPANY ~ ~ N7pll. _ 'Pf, It- Rn/!;! - f,{J Y State Cert. or Regist.' "t:;:,.- A ~/? )V~~ City License Registration' a I ....-.:.i .......................................... BUILDER Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... PLUMBER Signature COMPANY State Cert. or Regist. t City License Registration . .......................................... MECHANICAL Signature COMPANY State Cert. or Regist. f City License Registration . .......................................... OTR'RR Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.... NOTICE OF DEED RESTRICTIONS -lb. under.Igned understands th.t tbI. per.It .,y be .ubject tu 'd.ed restrIctIun.' shIeh say ba aur. restrIcti.. tboo City regulations. rbe undersigned assUles responsibility for co.pliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe ..... loa blred · runtr.ctor ur runtr.ctur. tn und.rtele work. tb.y say be reguIred to be liceooed io accooIenca .ith .t,t. and loc'l r.gul.ti.... If the contr.ctor i. not licen.ed as r"luired by las. bolb tbe ..... and conbolotor IOf be cited lor · .Iad.....or .iol.tion und.r .t.t. I... If tb. ....r or Intended contractor are uncerlaio as to aIot liceosing cogolr....t. say 'pply lor tb. int.nded NOrk. lb.y .r. edvI.ed to contect the City of Zephyrbill. BoIldIog Deporlaeot. (813) 788-6611. Furtberaur.. if tbe ooner 10. bIred · CORtr.ctor or contr.ctor.. b. i. 'dvised to 10.. tbe ,,"tr.ctor(.) .Iga porlJ... of 1Io 'Cootractor Secti.... of thI. applIcation for aIIIeh tbay .m be res_Ibl.. If roo. as tbe Mer Riga .. the contractor. roo .r. IndIcating th.t roo. r.lbor lion lbo contr.ctor. .r. respon'Ibl. for th. ..rl. If the contractor .lBIoa roo to Riga as contractor tbat .ay be an indication that he is not properly licensed and is not entitled to peDlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'l'ILI'rY CONNECTION FEES ,.< D. CONSTRUC'l'ION LIEN Lnw (CHAPTER '113, FLORIDA STA'rUTES, AS AMENDED) I certify lb.t I, ibe applIcant, b... been pro.Ided with. copy of 'YlorIda'. Con.truction Lien Lao _ 8Dae0a0er'. Protecti.. GuideN prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant i8 sOleone other than the .....r.. I certify tbat I b... obt.ined · copy of tb. above described doc....t and proai.. 10 good f.Ith to deIl.er It to tbe Nowner" prior to COalenCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the infor.ation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. I Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a per.it and that all work will be perfoIJed to leet standards of all lar8 regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber govecn.ental agencies aay apply to the intended worl, and that it is .y responsibility to identify wbat actions I .ust take to be in co.pliance. Such agencies include but are not li1ited to: t Departlent of RnviroD8ental Regulation - Cypress Bayheads, Wetland Areas and RnviroD8entally Sensitive Lands, Water/Wastewater Treablent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of Engineers - Seawall's, Docks, Navigable Waterways t De artlent of Health & Rehabilitative Services EnvirOD8ental Health Unit - Wells, Wastewater Treatlent, Septic 'anks t US EnviroDlental Protection Agency - Asbestos abate.ent I also certify that, if fIll .aterial is to be used in Flood Zone NAN or NA,etc.N, it is understood that a drainage plan addressing a .co.pensating VolO8eN will be sub.itted which is prepared by a professional engineer registered iD the State of Florida prior to per.it. issuance. . A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical' codes, nor shall is~u~ce of a per.it prevent the Building Official frUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall beCOll invalid unless the work authorized by such per.it is cOllenced within six IOntbs of issuance, or if work authoriled by the petlit is suspended or abandoned for a period of six IOnths after the tile the work is c_enced. One 90 day eltension of u.e, ., be allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. In approved inspection .ust be logged during each six IOntb period, or tbe project will be considered abandoned. WARNIlfG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING l'IlICE FOR IHPROVIIIDrS fO YOUR PROPERTY. IF "YOU Ilf1'END ro OBTAIN FIIfANCING, COltSULT WIra YOUR LENDER OR Alf ATrORln BEFORB RBCORDIItG YOUR lfO'l'ICE OF ClIIIIIm...~~ ,:LlItl -=- IIICORD AJD rosr A · aIIIlIII ___ ..d/ C~- SI ArU. OR AGBltT " I STATE OF FLORIDA COUlf1'Y OF The foregOing instrument before me this was acknowledged , 19_ by STATK OF FLORIDA COUlITY 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 JQ. 40-00000-6)11 () MEN CEMENT PARCEL 1.0. NUMBER 1111111111111111I111111111111111111111111111111111 99083955 Rcpt: 340011 Rec: 6.00 DS: 0.00 IT: 0.00 07/02/99 Dpty Clerk JED PITT"AN, PASCO COUNTY CLERK 07/02/99 10:26a. 1 of 1 OR BK 4181 PG 1311 STATE OF FLORIDA The UNDERSIGNED hereby gIves notice that Improvement will be made to certain real property and In accordance with Chapter 713, FLORIDA STATUTES, the followlng Informallon Is provided In this Nollee of Commencement. LEGAL DESCRIPTION . ;:~~;~R~~:~~ OWNER INFORMATION NAME Ii L f 1" .Q. d INTEREST IN PROPERTY ') I ~D~~nK.e- CJ U</VtO /l- - AO~":S? ~ ~\~ ~' - F~- \L3Q~~tfJ ius, J)r " n: A/f} .. ... 1// f)- NAME & ADDRESS OF FEE SIMPLE TITLEHOLDER (if other th~owner) GENER~L ..9ESC~IPnON OF IMPRO~~NT :J/k:.~JI}II _~~/1 /11 ,dfi f/ J:lpn -S, :'If!';-V''::"o;,, "~ ~. CONTRACTOR BOND AMOUNTS /1/11 /l/f) fi/j} ADDRESS NAME & ADDRESS OF SURETY 10601 Oak Str. NE, St. Petersburg,FL.33716 NAME Jerry Hicks, Prime Marketing Group/Qualifier 1//l- v LENDING ORGANIZATION (Name and Address) P . / ersons WIthIn the State of Ronda, designated by owner upon who notices or other documents may be served as provided by SECTION 713.13 (1) (a) (7). FLORIDA STATUTES. Ii L tr~. J ~.e, ~~ \1\ \{..e ~DDRESS~? 3 \ I . t Lt C Q Lfi"J ius .j) r ; v<-. . ^ R (1 h ~ 1I -s f= I :33 5' 4 0 In addition to himself, oWner deslgnat.es of N.AJ.-1E (Name) to receive a copy of Uenor's as provided In SECTION 713.13 (1) (b) FLORIDA STATUTES. EXPIRATION DATE NOnCE OF COMMENCEMENT (Address) Signature of Owner Ott/rwi Jjc:i;-yy t~ Printed Name /7 L j- '-R 1-;- JJ 8 1-"- .JIlt/ I{ E (One year from date of recording, unless specified) STATE OF Fc CERTIRCATION - ~ l.:OUNTY OF I {( ') C c) ._ "1.A-~ .199~ by A(.(' fel (3-t:' j) rv kc f . as Idenlifi~lio>~~1!~mcf&= take an oath. Commission Number Expira8 June 08. Ml'I (Stamp) The foregoing Instrument was acknowledged before me this ..;2 ~- day of -".":-'Yknoon ":.~