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Home My WebLink About92-2126 BUILDING PERMIT BUILDING ;;l () , tTD ~0RICV P<operty owne'~:~' ~ Job Address: c -/ - / I Parcell.D. # )/~6-:L/ - 0 tJ/ t7 - CJ/d- tJtJ- CITY OF ZEPHYRHILLS (813) 788-6611 66. tJD ~;:;;;~ Permit N<! 212611 : Date ;).. -- /3 - 7':J... PLUMBING Sewer Conn Water Conn: Water Meter: T,I.F.'s: oU~- Zoning: Energ~: Description of Work 11LA..AJ C.c.. Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee L~--o g ~ Si!tnature (': Company Address Telephone# Valuation or Contract Price ~ 7 tT7J, #V City License Registration # / r State Certified License# f' [~Lid )/c ~HANI~ Breakers Ducts Insl. Compressor Final B~G --..~ &9t ~~ CL~ Tp. Servo SLB Rough In Tub Set Meter Can Water Const, Pole Sewer Pool Final Pre-Meter Final P~ING --............. 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 ($15.00) 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Rafael Rodriquez ADDRESS "3Rn51- 14th ST. Zephyrhills. Fl 33540 PHONE '783-3590 OWNER R a fa e 1 Rod r i q'U e z " JOB LOCATION 38051- 14th st. Zeohvrhills, LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~ 11_26_21_0010-01200-0135 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ~Single Family ~M/F ____t~ of Uni ts . .____M I H ____Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval 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 FOR}lS,** **COPY OF CONTRACT REQUIRED. ~ERMITS REOUESTED _BUILDING $ Valuation of Total Construction -K,LELECTRICAL 15n AHP Service Florida Power Corp. _W,R.E.C. -X2LMECHANICAL $ :noo . 00 Valuation of Mechanical Installation . _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. lj City License Registration # ****************************************** BUILDER :T~~ companyz..-~u."E<..ECr' $;:w ';..- - - . State ?ert. or R:giS t. Ii ()U (j . t' c...i'<- C1ty L1cense Reg1strat1on # I ***************************************** Signature Company State Cert. or Regist, lfr City License Registration # ****************************************** ,PLUMBER Signature rr~rlrlnck Company Craddock's Air Conditioning State Cert. or Regist. lFRM0019937 City License Registration # 18 ****************************************** MECHANICAL rl ~ytnn OTHER Signature Company State Cert. or Regist, # City License Registration # :.:~, ~********~~************************ d,A...J'f-;j '., """''''':l....y . , .. . j ,01 " j I ." PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The.undersigned understands that this permit may be subject to "deed restrictions" which may be more restr.ictive than City regulations. The undersigned aSSUIRS responsibilitf~for, coaplianc! with any applicable deed restrictions. .,< . ~ B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor ~r 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 ftay be cited for a tisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 7BB-bb II. 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 per&itting 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 - HOleowner's Protection Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is SOlec.ne other than the "owner", I certify that I have obtained a, copy of the above described document and pro~ise in good faith to deliver it to the "owner" prior to com.ence.ent. ; 'j ", ,~~ E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a permit to' do work and install~tion as indicated. I certify that no work or installation has COllenced prior to issuance of a permit and that all worK will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern~ental agencies may apply'to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le nc,llillited to: '" . Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses . Arty Corps of EnQineers - Seawalls, Dods, Navigable Waterllays I Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~En~. Septic Tanks I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understoc,d lli3t a drainage plan addressing ,a "colpensating volule" will be submitted which is prepared by a professional engineer regist2rl?d in the state of Florida prior to permit issuancl?, A pertit issued shall be construed to be a license to proceed Ilith the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issu~d ~hall becole invalid unless the NorK authorized by such permit is cOllenced within six months of issuance, or if work authol lzed by the perlit is suspended or abandoned for a period of six tonths after the tiJe the worr. is co~menced. One 90 day e~t~~sioll of tite, lay be allowed for the perlit with fee charge of ~IS.OO, The extension shall be requested in writing to the Building Official. An approved inspection ~ust be logged during each six month period, or the project will be considered dballdoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATUR~,(~{~~f:!:~,:~--i Ia,' ' &1 SIGNATURE~t:.:-~..~ f) OWNER OR A'17"T r- fl- 'f-f. ~~TOR' DATE_______~lL~l'.i~---------------------- D~TE___r:LL~_~"i~~______________________ NOTARY AS TO {\, -' ---r;~ OWNER DR AGENT~!-~.-- -----~:..-.., " Notary Publi . Stale At Ulfge. Flonda. MY COMMI SSION EXPIRES My commission Expires July 30.1995 _________~HH~----- NOTARY AS T~ - CONTRACTOR_~~_ ;-Florida. .. My C mission Expires July 30. 1995 MY'COMMlSSION EXPIRES________CC1V~Z~---