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Home My WebLink About92-2459 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2459 M 7--;) -?~ Dalte ~., ELEC~ PL~ :::::;,~s:~"'3g,~--.- -?f?i.-':l. ~CH~ Sewer Conn Water Conn: Water Meter: T,IF.'s: Parcell.D. # Zoning: Description of Work Ene~e: Radon Gas: A-IL ~-R/~a~ / NO OCCUPANCY BEFORE C.O. FINAL 2- 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 pe'':':~;;'rtt P?J .:+ <3 (). OV ~. Sign e ~y~ Company Address Telephone# Valuation or Contract Price ~ ,/ '16: (j() / City License Registration # / / JV" State Certified License# SLB Tub Set Water Sewer Final ~ Breakers Ducts Insl. Compressor Final c- eUILDING. , <:::::::e.LE CT R I C A L -- ~~MBING -----.... Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 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. APPLICATIOI1 FOR PERKIT CI'IY OF ZEPHYImILL.S B1JIIJ)DIG DEPA1l1IIE:I11' OWNER'S NAME ~ L S-.> I E /I AT( .D 1 mONE '7:l- ~r- r( 2- I "1-" {/ OWNER'S ADDRESS :S~f ~5 ~ (0 A-1JE. ~~ff//...lS Fe.- 5Jsrr JOB ADDRESS :5 f (37 - ( U If'UE. A' LEGAL DESCRIPTION: LOl'(S) BI.OCK SUBDIVISION ~UAt:.... f? t/,L rfcE.H ~ V-' ?-JOA/' #.6+? "7't, 1'-7 c~ h~~ 5/...v 6' 'U.Ah;--' PARCEL LD.' WORK PROPOSED:_l1ev Construction _Addition _Alteration _Repair _Install _Sign _!love _D~lish PROPOSED USE: ~ing1e Faaily _KIF _, o:f Units _MID _~rcial _Indust. _Swf... Pool Other _Restaurant &: Bea1t:h ~t Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COttKERCIAL : ATTACH (2) P1.OI' l'IAI1S &: (2) SEIS OF BUILDING PLMilS &: (1) SET ENERGY FORMS. ** A1TACH (3) SEIS OF BUII.DDiG l'IAI1S &: (1) SEI' Eml'RGY FORMS. '*'it **COFY OF CONI'RACT BIlQtJJIRIID. PERl!lITS REQUESTED _BUILDING $ Valuation o:f To1:a1 Construction _ELECTRICAL J KECHAlUCAL AfIP Service Florida Power Corp. W.R.E.C. $ :2, Iff!Y , Valuation o:f Mechanical Installation _PLUMBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTION: _Block _Pralle _Steel Other FInSHED FLOOR ELEVATIOI1S: FI' . IS PROJECT lli FLOOD ZONE AREA? YES NO ****************************************** COWTI'RACIOR SECTION BUILDER COKPANY State Cert. or Regist. , City License Registration , ****************************************'** Signature ELECTRICIAN COKPMY State Cert. or Regist. , City License Registration f ****************************************** Silmature PLUKBER COKPMIY State Cert:. or Regist:. , City License Registration I ****************************************** Signature KECHARICAL .' 7 COKPANY /1- / A-?j) &K. ,~ '- /,-7 tfl~ _ State Cert:. or Regist. I C A- I f'lf~ 3 Signa~~ ~- City License Registration" 1 J ~ ~ ****************************************** OTHER COKPANY State Cert. or Regist. , City License Registration I ****************************************** Signature APPLICAnOlr APl'IIOVED BY /1" /h 1 >fj ~f)..0 PERKIr OFFICER. _ _ _ ' CONDITIONS OF PERMIT AFFIDAVIT A. _ NOTICE OPDEED' RESTRICT 10NS- The ~nd~rs.~gne~, 9nd,.r.~lJdsthiltthis penit.aybesubject to, "deed restrictions" which uy be lore re,strictlve ,tnan Ci ty ri!~llnl\r~; '~UJl4~t!!i~.;~ -t.~~j,inY,f~r,~};~~t!',i~hal\'tlflP Ii c~Ie'4e.d re'tr itti,rls. . ,,' , ' " ... " " . ' . ' , ,.,', ~,." ," 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 aay be cited for a lisdeaeanor violation understate ,~; iftbe.JJ",,~,Or~~~9~edcontractor. ,ar~ uncedainasto what lil:ensing requireaents aay apply for the intended lIor!:, they are advised to contact thee Ci ty of Zepnyrllillstliilfd:l'1lf}.t$f~t, (~13) 7BB-bbl1. ' ' Further.ore, if the owner ha!! hired a contractor Dr contractors, he is advised to have the I:ontractor(s} sign portions of the "ContractDr Sections" of this application, for wh~ch they will be res~nsitlle. " If you, as the owner sign as the contractor, you are indicating that you, ratberthiln ,thecontrai:tor, are r~'~onsible for the lIC1rt. If the contral:tor wishes you to siqn as contractor that aay be an indication that he is not properly litensedarid is notentitled.to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided lIith a copy of "Florida's Construl:tion Lien Law - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is soteone other than the "ollner", I certify that I have obtained a copy of the above described docutent and promise in good faith to deliver it to the "ollner" prior to cOltence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all 1I0rk will be done in coapliance with all applicable laws regulating construction, zoning, and land developtent. Application is hereby aade to obtain a pertit to do lIork and installation as indicated, I certify that no lIor!: or installation has cotlenced prior to issuance of a perait and that all lIork lIill be perforled to teet 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 governlentaI agencies lay apply to the intended work, and that it is ty responsibility to identify what actions I tust ta!:e to be in I:olpliance. SUl:h agencies include but are not lilited to: J Departtent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent J Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses J ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways J Departlent of Health ~ Rehabilitative ServiCES, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks J US Environlental Protection AQency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a "colpensating volute" will be subtitted IIhich is prepared by a professional engineer registered in the state of Florida prior to pertit issuance. A permit 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 perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code, Every pertit issued shall becole invalid unless the work authorized by such pertit is cottenced within six lonths of issuance, or if lIork authorized by the perlit is suspended or abandoned for a period of six tonths after the tile the work is COI.enced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of ~15.00. The extension shall be requested in IIriting to the Building Offil:ial, An approved inspection lust be logged during each six tonth period, or the project will be I:onsidered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". .,-7 ......--/ / SIGNATURE: OWNER OR AGENT who is personally known to me or who has produced as identification and who did/did not take an oath. STATE OF FLORIDA p1 COUNTY OF / /..N'E/t~ -- The foregoing lnstrument was acknowledged befL,\-e me th i tlCl7?- , 19 q ').. bY R" w kt- J;> b. frt-c.. M aA.. who is pers~,nall k~ .wn to me or ,..-' . produced ' as identification and who did/ 'd <e (lath. ~- d ,Lr.-e) STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me this was acknowledged , 19_ by (SignatUl-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC DIANE F. MAKIN l~. NoIaly PubliC. Slate 01 FIoricla z, . ('\ My Comm. Expires Aug. 27, 1995 .t,.- No. CC139595