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Home My WebLink About92-2463 2463fj Date 7-&,-q~ B_UILDI~_ ~ ~ ~we'cooo ------ ti ~ Water Conn: P<aperty Owoe' ~ 3: . . ~ ~s;:g "7/ltJ;..wote: Me.ecfb. (, - :8-<J~ Job Address: --.t/ ~___ _ Tl,F,s, Parcell.D, # A r ~ I BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Perrnit N~ Zoning: Description of Work NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE ",...-'J'~ . Inspector Pe'ml, Fee 4- '-:3o:i"' ~ Slgnature~ Company Address Telephone# Valuation or Contract Price \ City License Registration # State Certified License# ELECTRICAL ......-.-- ME 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. BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2464 - ..B Date '7'1:>' q~- :JJ3l)~ BUILDING Property Owner: Job Address: Parcel 1.0. # ELECflCAL PLUMJf'NG ~~~~ S335e \ q'T~ .9d:J' MECHrCAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work Energy Code: ~-~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL ,1 L DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. C.O. Inspector LJ DATE Permit Fee Signature Company Address Telephone# ~. Valuation o~ $ '"'5" E ~ Contract Price 0 ..... -.,J City License Registration # '1 7 State Certified License# I 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 Insl. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. -' ~ i ::..nd .estimates for': REROOF OF RESIDENCE. n Ii Z6 ,i 1'~',t1etR OF SQUARE;:' .------. c.""t b-ft- Tree. c;. I-"'\.. to II - hEI1,jVE EX I 51' I NG ~)H INGLES. DR I P EDGE, AN[, FELT _ 'k - I NST ALL NEW 30 LB. FELT DRY - IN 7;;04 f:;('€..- J) /''1 J ~ ~ Cc>vU >I;j<re II.STALL NEW VALLEY METAL AND FLASHING 1301(( J)kfw.I;€-Yl 80j~~1rC?Q, I II - I NSTAL~ NEW -1W~ ALUM 1 NUM DR I P EDGE :, - I NSTALL NEW VENT BOOTS he~d-'f,o"+ '$" - NEW WGOD ALLOWANCE 'J(w\~ I vIA", k/1"- I l,."kW' rz. { "- (Q ~PO/! r fP$.' _ II INSTALL m YEAk MANUFACTURERS WARRANT 1 Ef\!5 P.iF-Ft9L&\ZJ\H~GLES:! BRAND : ~llO"'( r.\.r", \ V\a - COLOR : '~ I J L.. 0"":> S (0, f e.._ /~..., ( S''' I '^) (~;;:, ("V, It,:', '- - COMPLETE TRASH REMOVAL V ' I ~ r-z.- r..= 7'- p ...>v./~=- II ~ iI ~COUNTY PER111 T 1 NCLUDE[i II I - 5-YEAF\ ,CONTRACTOR'S LEAl'~ WAF:RANTY ~-:-~- 1.1 l Nt.I-\( 'Co.J/-<>c-f A (/IAv..., fc.<uQ" \ Soq;~~Z,S-'1 J C'O !I I \. ~. ~ ~..zl I TOTAL COST: ~ II I 1/2 !:IT. COI'1MENCEl-1ENT, BALANCE AT COMF.'LET ION'. II " f'f=Y~~r=-6>-Yy'r=fB:5=5-=e1t6 II . zA " I~ff f;-y \Jh.+cur,cj7"- app...-o>,~O I I CONTRACTOR Ii I 5i.nature/Jf:.J.?,fl .1 I'.-IR.Ht II I ~ i gn;:,t ur~ "it !j)/, } l~ ~' /_1( d[/li j! j II I '. .. '~ 1J' . CONSTRUCTION C; 0 . ;::" r'\. lJ L SCFIAPER ~ RESIDENTIAL & COMMERCIAL Registered Building rnntractor Registered Roofing Contractor RB 0032524 He 0056763 53.2 So iJ t h F 1 ,. ~":11O' ~ 10' II o r 1 C1 a ,j. 0.___. L.;..J ;. 7/4A-eL ~ 7'f{, -<{ F- If Phone: J8 Zra8tO& I Date:~; - (:;-- 9 d ,TOB NAM'E: A ' I ~,? II I '\..Q....) r ct v -, 6 1___ II :1 :i Ii : ~ Highway 98. Dade City, Ph0ne I (9041567-8560 Bonded and Insured ,I 'r--- PROPOSAL SUBMITTED TO: ,NAME' ;I:fo7J-~~r : 53)tJ /1'~5r :'.____ ___ZP.1l A<~_~.Jf1-, i:Wb hereby-'tl,biHi,t specific;;;tions ..-L-.. _ _<~ : 1 .~' -) i.-j [I & t. '= _._-_,c__ ..A_.,u _.,.....~-____ 1...---.. ,__,_,.,_,__ __......__,.._.,__,__ _,____., ,_.'"__ _____ -.-.-.-.----.--.----.---'--,- .. !I II :1 it !l ,I ,J - I' ,I jl 11 II I' II Ii ~ II " I II :1 il II APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT '-----~.( / ::::55 ~r~: { 5338' JOB LOCATION ~c if 92PT' {1; Ue, {,n,,( l r>'^' s to ~7; -fad!. ~~ PHONE 6-//LL- [/ /;~_ /7 fA. sf-. LOT SIZE_X $7- t;/5~O AREA SQ.FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F WORK PROPOSED:____New Construction _Addition /'/2.f? -A 00 f _Alteration ____Repair ;}-~ ~ ' _In tall _Sign/Temp. _Sign ____Move _Demolish PROPOSED USE: _Single Family _M/F _4F of Units __M/H _Commercial _Indust, _Swim. Pool Other , _Restaurant & Health Department Approval Bu:hDI:NG SIZE: x Square Fee t , Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR."1S."">' ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ~1 _MECHANICAL AMP Service Florida Power Corp. _H.R.E,C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION ^ <- __ / /J _ / . /. Company ~ C-t'-1o/-I/' 'L&tt.J "f-ruc W ~:........- State Cert. or Regist. 4F City License Registration # ********************************** Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration 1 *********************~******************** PLUMBER Signature Signature Company State Cert, or Regist. # City License Registration # ****************************************** MECHANICAl Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY PERNIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be .ore restrictive than City regulations. The undersigned assules 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 iicensed 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 Departlent, (B131 788-b611. 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 aay 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 - HOleowner'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 document and promise in good faith to deliver it to the "owner" prior to cOlaencelent. ) E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infonation in this application is accurate and that all Ij(lrk will be done in cOlpliance with all a~plicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and installatiou as indicated, I certify that no work or installation has cOllenced prior to issuance of a perait and that all work will be perfor.ed to teet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent 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 cOlpliance. Such agencies include but are not Ii.ited to: f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t De artlent of Health ~ Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks t Environ_ental Protection AQency - Asbestos abateaent I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer registered in the state of Florida prior to perlit issuance. A perait 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every perl it issued shall becole invalid unless the work authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, .ay be alloNed for the perlit 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 lonth period, or the project Mill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING THICE FOR IKPROVEKENTS 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 "NOTICE OF. OMKENCEKENT". ~~I1~/J'att- ~.~ I i1f~1E: OW~EP/J. AGENT .~#,?'~, STATE OF FLORIDA ~ COUNTY OF 10 <<eo The foregoing in~trument before me th i s T7 b was acknowledged , 19~ by cU 'ID-+I- me e-F ~4hcl ha-s STATE OF FLORIDA ~~ COUNTY OF l) The f oregc< i ng ins tn/ment befcq-e me th i s 7 u; was acknowledged , 19~ by f~%Qr- aNd t:1rold who is personally known to ..producod as identification and who ~/did not take an oath. R 0 ~ l' Ii' 0-.. \. -j..;o 1 Ul *- who is ~;.1ailiy C-~~~~1\e I:r1 ,..I'L' I,d::' ~f3c5duCE:E1 ~ as identification and who d.+&/did not take an oath~ ,~/ 4- ~J,r-~ 1?J!J~\:::1a.1J.4A (Signature) 'i:> ~ + ~e 6QLQa.. r::g ~ (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (SignatLll-e) R e.b~C!!.C\. ~\A~+ (Name Typed, Printed Dr Stamped) NOTARY PUBLIC