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HomeMy WebLinkAbout92-2177 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2177;;t $-~-9::L ~ E~ ~- ::::::,~,:~"' !lf1~i'!:~~:o~ Parcell.D,# /-P.-;:26- :2.1-00/0 - 0 DloD -DD~D tt:- ~;:,~ Date Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work 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. DATE Valuation or i~ ("'J 9 · ~ Contract Price ) 7 ~ Inspector P."m;' Fee~'- SlgnaM' . - : -. - t! . Company Address J:fMo~ City License Registration # /ot>- m..~fl State Certified License# PL 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 Ins!. Compressor Final 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 PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT CLARENCE PAPINEAU 5114 20TH STREET PHONE 780-6210 ADDRESS OWNER SAME AS ABOVE JOB LOCATION SAME AS ABOVE LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) 0060 PARCEL I.D.# 512 T26 R21 BLOCK 00100SUBDIVISION PINECREST WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install _Sign/Temp. ____Sign ____Nove _Demolish PROPOSED USE: ~Single Family _M/F ~# of Uni ts ,_N/H ____Commercial _Indust. ____Swim. Pool Other ~ ! ____Restaurant & Health Department Approval BUtLDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.*~: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ____ELECTRICAL ~ME~HANICAL AMP Service Florida Power Corp. _\-l.R.E.C. $ 3,489.00 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. # City License Registration # ****************************************** BUILDER ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Si~nature Signature Company State Cert. or Regist. j~ City License Registration 1 **********************ft******************* PUJMBER MF.C~ ~ Company SUNCQAST SERVICE CENTER. INC. 1/ ~ ,L?' State Cert. or Regist. # RM0030862 Signatur f/lrktfl b ,....?.. City License Registration l~ ****************************************** Company State Cert. or Regist. # City License Registration # c5if$,..~~;;:tt**... OTHER Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to 'deed restrictions' which tay be tore restrictive than City regulations. The undersigned assules responsibility for cotpliante 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 tisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills 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 work. If the contractor wishes you to sign as contractor that tay be an indication that he is not properly licensed and is not entitled to pertitting 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 - Hoteowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it t" the "owner" prior to cOllencelent. '~ 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. J 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 perlit and that all work will be perforled to leet standards of all la~s regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not litited Ie,: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De arttent of Health ~ Rehabilitative Services Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "cotpensating volute" will be sublitted which is prepared by a professional engineer registered in the state of Florida prior to pertit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code.. Every perlit issued shall becole invalid unless the work authorized by such perlit is cot.enced within six tonths of issuance, Dr if work authorized by the permIt is suspended Dr abandoned for a period of six lonths after the tite the work is cOltenced. One 90 day extension of tile, jay be allowed for the pertit 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 tonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'rOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~ SI'GNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA .-- 1 . ,) }/ COUNTY OF /~.~~,::J..'" The foregoing instrum,nt was acknowledged befcl}-e me this ma<.vk 3 , 19 '12-- by -?;J/ ~'t! c:Z 2~{l~~.e-- who is pel-sonall y knc,w.D to me Dr who has produced as identification and who did/did ~,t ta~;e., a,'lil) oath./ rt1:~ K/ _ ~ !- '-. ""'.~ t, fA, c./&~ ~ ,d- . (1!~ture) (Name Typed~ Printed Dr Stamped) NOT ARY PUBLI C JOSEPH WHITE HOPE SR. NOTARY PUBLIC STA TE OF FLORIDA MY COMMISSION EXPIRES 12/1.3/92 STATE OF FLORIDA COUNTY OF The foregoing instrument before me this who is personally known to me Dr who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC Clarence Papineau 5114 20th Street Zephyrhills, Fl 3:J540 Karch 10, 1992 City of Zephyrhills 5335 Eighth Street Zephyrhills, Florida 33540 Reference: Permit #2117 Name Clarence Papineau Address : 5114 20th Street To Whom It Kay Concern: I Clarence Papineau had Central Heat and Air installed in my home on Karch 5th 1992, by Suncoas t Service Center, Inc. I am satisified with the work performed and do not wish tha t the auxiliary drain line moved from it s present loca tion. All the homes in my area have the auxiliary drain line in the same location and being that we all look after each others homes it is convenient. Suncoast Service Center, Inc. has agreed to move to meet code of Zephyrhills. However, I do not wish it moved. Thank you for your consideration in this matter. Sworn to and subscribed before me this ~day -MCUt.l:l9 ~ ~ /) (~;/ W-~ ~ .4-. Notary ublic ~ term expires JOSEPH WHITE HOP( Sfl.. NO!ARY PUBLIC STA TC 0, I LOR.OA MY COMMISSION EXPIRES 12/13/92