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Home My WebLink About92-2418 BUILDING PERMIT .::;r , 7fR r /0.CJf) CITY OF ZEPHYRHILLS (813) 788-6611 J., -y I. 0 tJ -30. l) 0 f) '"- "' ~ o<...O_~ ~L~ ~ PLUMBING ~;NIC.0 pmp'rtYOwn",~. ~~'~!i-- ~ ~~ Job Address:-3'<r 7/~ _ 7__ Parcell.D. # Zoning: Energy Code: Description of Work---;(.i.-fl. J'AI'7' ~ Permit N<! 2418 E Date b - /\S-- 7~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: FINAL C.O. NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE DATE Inspector Valuation or Contract Price 70 1JtiV. o-i:> 1') LL (- City License Registration # ~ T~ State Certified License# Po,m;"oo ~<2/'~ Signature ~ ( Company Address Telephone# Ftr. Pre SLB Lintel FRM. fJ-h-tjl h.ul Insul. CL WL Tp. Servo ~ ~ Rough In ~'7."Il.. ~ Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Driveway Breakers Ducts Insl.?-b-~t Compressor Final ~c~ 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 PERKIT CITY OF ZEPIIYRIIILLS BIlIIIJH.RG DEPARnIE1ifT OWNER'S NAME f3~ 1 Sf ~? OWNER'S ADDRESS to IJ~ L.-[o).oo 5/: fl..e47 ~ JOB ADDRESS 38.7/ () j AI/e.- PHONE 3L-(Lf- I b/ I 2.e ~A. v.e.;-./, //(' I I 3) 7yry (5r J;5ej/1 &/)////C (/",.<4 ) LEGAL DESCRIPl'Imi; wr(S) BI.OCK SIlIBDIVISION PARCEL I. D. t WORK PROPOSED:_Nev Construction _Addition -X-Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: Single Faaily _"IF _' of Units _KID _~rcial _Indust. Swa. Pool (,1&1" ct Other _Restaurant &: Heal.t:h Departaent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHKERCIAL : AtTACH (2) PLOT PLAliS &: (2) SEIS OF BUILDING PLUS &: (I) SEI' DERGY FORKS. u ATTACH (3) SEIS OF BUllDDilG PLAliS &: (1) SEt' ENERGY FORMS. ** **COPV OF COIITRAC1" KEQIlIIRED. PEKKITS KEOOESTED LBUILDING ..LELECTRICAL ~KECllANICAL $ 7', 17(){') , Valuation of Tot:al Construction AMP Service Florida Power Corp. V.R.E.C. s Valuation of Mechanical Installation _PLUMBING GAS ROOFDiG SPECIALIT TYPE OF CONSTRUCTION: _Block ~FnDiie _St.eel Other FUrrSrtr.:i) FLOOR ELEVATIONS: FI' . IS PROJEC1" IN FLOOD ZONE A.REA? YES NO ***********.*********************~******** Cjj.;j7; ~IV(' (~/1/ST C'(). =, ~ ~. S Ceet. or Regist. , C":: r;:: C 0(/ (j '7 (.) f). -...... it:y License Registration , :1 '1S- ************...*************************** ELEcygCIAN ,L ~ . I S1e:nature I ?~ .~ CO!IPANY ~ State Cert. or Regis!:. , t: I? () 0 -1171( I City License Regist~tion I ....'?~? 7 ****************.********************~~*** PLOHBER !/Iii- CO!IPMlIY State Cert. or Regist: , City License Registration , ******************..********************** Signature Signature rJ./ /f'~~J - "7 CQlPAn' .:rePYf -= /ff~b /',: . / S1:4t:e Cert. or Regist. , u~ CitF License Registration I ****************************************** C 1'1 .- Co S'> '-I '7 ;l. /(51 b ~CAL 0'l1IER .uIWJOO" NlAlRNI IIlIlIA .........,.. ... pf!'cY_ cmtPAlWY State Cert. or Regist. , City License Registration , *************************************** PERKI'r OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait 'aay be subject to "deed restrictions" which' lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay 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 aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the Cily of Zephyrhills Building Departlent, (BI3) 7BB-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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2. 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 Departaent 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 docu.ent and promise in good faith to deliver it to the "owner" prior to cOI.eocelent. 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 co.pliance with all applicable laws regulatih~ construction, zoning, and land developlent. Application is hereby made 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 laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treataent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify thdt, if fill aaterial is to be used in Flood Zone "A' or "A,etc,., it is understood that a drainage plan addressing a "colpensating volule" wiil he suhaitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code~ Every pertit issued shall becole invalid unless the work authorized by such perlit is cotlenced within six tonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is cos.enced. One 90 day extension of tile, lay be allowed for the perait with fee charge of $15.00. The extension ~hall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six aD nth period, or the project will be considered abandoned. WARNING TO OWNER~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST "N CE OF COMMENCEMENT". ~l..''t O. ~ fu If?t:--Q ) SIGNATURE: OWNER OR AGENT~~ STATE OF FLORIDA~ COUNTY OF ~~ ...v . The foregoing in5tru~en!-was acknowledged before me this Oh / L~ , 19 901 by /J I' (J L ~lk~// L '-1_ff;1U~t2> )-J who is ~ersonally known to me or who has produced as identification and who did/did not tar,:e a oath. (Signa tun:! ) P8r.l!.Jc64 (Name Typed, Printed Dr NOT AF:Y PUBL! C Notary Public, Stat~ of Florida M): Comm. Exp Sept. 3. 1994 STATE OF FLORIDA nt"' f\ ~ comITY OF t Lrru J ROJ)) The foregoing instrument was acknowledged bef()!-e me th1SC)b.lhd \ \, 199..~ by &J 0 0 n c (" (~. C:'.nu/JQQQ J~ LO whc. is pel-sona 11 Y ,:nO\'Hl to me -Eo+' \JI._ h!lii prQI;h..lc{;1g ;v J t:+- iil. i.doptifictL _...e 'II',!'! did/did not -ta:~~~1 Dath. /) ') . t1 X2.ly. J )/J A () ? ~-.;. {J Lf~ t~ ~' L (Signatw-e) (Name Typed, Printl NOTARY PUBLIC j Cl)- S~~-...A ...,~ II ...... ..i 'IlII....... t1._ ",.00_ t :'....., . r \/"" ....;\ '{ Ii Cl,ll \ .'. ., I (,-- .'..J 7t.-/ ( uD ,,,, . > L'~ '.' \)~'\ " DU !,-" ~N 1-~ PLl) \. ~", f"~ r t if" r I. ..., t. ,. . -~41.. Or.} N/f1 30,,00 f\,^' .. ., \ ' .,' . 'e. ",' 4.1_. \, i' \ ,...' \. . :.,' .\ - ~),"i 00 """"'~'-'~ t , , ~~1J b~'1 j,.. ~ ,,", C-"t..~~ 'f,> -~ 5C,1.5o '10.00 1 ~ , 4 .:.J[' i>' 5~L50 u,~rJ r;C, t6,J FE Lt; ;"/)1 " K. H t>t:rJ r G'A l\ ;' /' 1";/'-1 lif.$ tJ)i1 ---r-,:,,- (u, ,''\ li!:) i;-\ .. - .- .- '5dJ. So