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Home My WebLink About92-2421 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<.? 242111 Property Owner: Job Address: Parcell.D. # IfD.(/t:J ~ GECHANI:V Date b' -/ b -702. BU~ Sewer Conn Water Conn: Water Meter: T,I.I=.'s: Zoning: Description of Work Energy E097: Radon Gas: A-/C U{4-~J-e - ~".fr NO OCCUPANCY BEFORE C.O. FINAL ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector (i? cf Pe,m;' Fee AirV Sig~ure ~_~- Company Address Telephone# Valuation or Contract Price ~ 9:StJ/- trD , City License Registration # 0~- State Certified License# ,- /~ dJ (~HANIC~ ~ Breakers Ducts Insl. Compressor Final B~ -----.- Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ~RICAL ~ P~G --... Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~'e Eleclr;?;'-c- ADDRESS .zq III p##i~ RcL OWNER ULtJ I~ /J1 /lAI"/ JOB LOCATION ~.3 Cf5 ~ ~ PHONE 7<<Z-3.~/ q LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move _Demolish _Commercial _Indust. ____Swim. Pool _____M / H !If dz~Lt}~her PROPOSED USE: ____Single Family _M/F ____# of Units _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 FORMS. ;,* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING ~ECTRICAL "'MECHANICAL $ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ tfrbl ~ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block _Frame _Steel _Other FINISHED FLOOR ELEVATIONS: FT. t ****************************************** CONTRACTOR SECTION BUILDER Company State Cert. or Regist. ff Signature City License Registration # AN ...........*....*:::::::.*.~~..~;~ :E:IOT # ~N /') s~ate ?ert. or R:gist. .4F G L- dblJ5' /Z7 .sigllili!!!:~ ~~ C1ty L1cense ReglstratlOn 4F tJS'/ --- - - ....*.*....*........*........*..*.*.*..*.. PLUMBER Company State Cert. or Regist. ff Signature City License Registration 'F ****************************************** IJECHANTCAJ. Company ?~ ~ # IV Q State Cert. or Regist. 4f ," eA '()l,qz,t.I or Signature '/1 /~f. - City License Registration ;f _ ,,"> .S" , J ****************************************** Company State Cert. or Regist.# City License Registration # OTHER Signature APPLICATION APPROVED BY *~**********:"'**o7***, *********;:~****'**, **-f: H"'~~ 2S....,zA.?>-' .' . . .PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it aay be subject to "deed restrictions" which lay be more restrictive than City regulations. The undersigned iS5Ules 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 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 lisdeleanor 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 City of Zephyrhills Building Department, (813l 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl 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 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 - Ho.eowner'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 to the "owner" prior to cOI.ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. 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 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 governlental agencies lay apply to the intended work, and that it is IY responsibility tc. identify what actions I lust take to be in cDllpliance. Such agencies include bllt ~ie not lillited tD: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDnmentally Sensitive Ldnds, Water/Wastewater Treatlent I SDuthwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~'RehabiI;tative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is tD be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "coapensating volute" will be subaitted which is prepared by a professional engineer regist€r~d in the state of Florida prior to perlit issuance. A perlit issued shall be construed to be a license tD proceed with the wDrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frDm thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~haJl become invalid unless the wDrk authorized by such perlit is coa.enced within six months of issuance, or if work authoflzed by the perlit is suspended or abandoned for a period of six months after the tile the work is commenced. One 90 day e~t€hsioli of tile, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspecticln must be logged during each six Mnth period, clr the prc.ject will be cc.nsidered dbalJdoned. 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 COMMENC ENT". SIGNATUR~~~~~ SIGNATURE DA TE________t:.__-=LE-~L2____.___________ DATE L_ LS-- ~ --------~--- --------------------- NOTARY AS TO n /J // /) OWNER OR AGENTl,[~~~_~~---- MY COMMISSION EXPIRES 6' - 3 -,7'5- ---------------------- ~~~~=~C~~R~~~~~--~~-- MY COMMISSION EXPIRES_~_=~~_~~~~____ P /( i JIllPl16ttI PATTIE ELECTR!C & REFRIGERATION 39111 PATTIE" 'iJ. ZEPHYRHILLS, FL 33540 (813) 782-3319 Paqe No. of Pages 002829 PROZ-S~;ti:;;E) TO STREET 53 5 CITY, ~TE AND}'PJ:ODFjj G'- M;li~ ARCHITECT PH' '2 _ 2-310 JOAb--/~ ~~ -Ff,4 JOB NAME JOB LOCATION DATE OF PLANS I JOB PHONE I I We hereby subml! speciflcalions and eSlimates for: ~ ChaM-)L- th;-- ..Pa4Hi7 ~. ~7~ toJ-tA pi{ I-la-~ / t.1 ~ Ren:r fJ()t4tl) nf/..y- C/1.'iC;~OV~ t~~ ~.,f_ eeM~eJK/1.3 ,4'0 ~~ tA1f - ...1'1;'Yl(5l'OZ4I1A - A3rw 611417 ~-kz~. (;v}ll (/Yt..sM-u- pf ~w ~n'1~ ~ ,? /a4 /k A~t.0 S'1~~- Wt'f-,L cJ~,~ I}.L b(;;T~.kom b I k t3tlYPMf e(e~,u~ . (HA'>e -~ *~" ~! ~ (/Mk? &7Crl1kl ~~ &U( '1:tL ('~tL/J4d{ p~ .- 6J'h4 ~ 4~'V~FL ~ '7) C~ .../" (AL.. &/~7inJ Qoff U),'7ic. ~ aV- rt~(1L ""'-. /Ifk;-/J-et vttrTyr 64~dI tA"l ~ Ii dzc! ), - U' All matenal IS guaranteed to be as specified. All work to be completed in a workmanlike m" anner according to standard p,ractices, Any a"lteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra I charge over and above the estimate, All agreements contingent upon strikes, accidents or I delays beyond our control. Owner to carry fire. tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. -------.------_.--- ------"---"----- --- - r FORM 65103, RAPIOFORMS, INC, THOROFARE, NJ 08086.9499 .~ days, --- ----- // - - _.,~ !I ii i: Arrephtnrr of Jlropo6cd - The above prices. specifications and conditions are satisfactory and are hereby accepted, You are authorized to do the work as specified, Payment will be made as outlined above, DATE OF ACCEPTANCE' SIGNATURE 0-16 -cz, --_.- ..____.__~__ __~~l_.___ ~--~--------------~,- i, I. ~) / 1289