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Home My WebLink About92-2533 BUILDING PERMIT Permit 2533 /~ c:2 -;28- --7:2 CITY OF ZEPHYRHILLS (813) 788-6611 N~ B~ ~.o. OD ~CT~ P~G P<operty Owne, ~~<<-/L!L Job Address: t -- //. 3 (J, zro C;CHA~sewe' Conn Water Conn: Date Water Meter: T,LF.'s: Parcel 1.0. # Zoning: Description of Work ....g E~Y Code: /0 Radon Gas: ~ J LJ,,o .- - r ~~r- - ~ FINAL~ -d Y -13 DATE 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 Inspector Permit Fee -..5 (). ~) SignatureL' C~ Company Address Telephone# Valuation or Contract Price CJ- t ov - 01) ) City License Registration # / / State Certified License# -" ~ _ MEC:ANICAL Breakers Ducts Insl. Compressor Final B~G-, ~?,~~L LECTRIC~ /0 ...... PlDMslNG ---... SLB Tub Set Water Sewer Final Tp. Serv, Rough In Meter Can Const, Pole Pool Pre-Meter Final Ftr, Pre SLB Lintel FRM. Insul. CL WL 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, APPLICATION FOR PER}IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Mark Rickard ADDRESS 6135- 20th st. PHONE '788-4292 '. OWNER M~rk Rirk~rrl' JOB LOCATION 6135- 20th st. LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~t n?-?h-? 1-n 1 gn_nnnnn_n 1/10 WORK PROPOSED:_New Construction ----Addition ____Alteration ____Repair ~Install _Sign/Temp. _Sign ____Hove _Demolish PROPOSED USE: ~Single Family ~/F _~~ of lTni ts , ._M / H _Commercial _Indust. _Swim,. Pool Other _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 FO~IS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction -2a..ELECTRICAL AMP Service Florida Power Corp, _W.R.E.C. -2a..MECHANICAL $ ?hnn.nn 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. ff City License Registration U ****************************************** J3UILDER ELECTRICIAN ~ _~...,;:t='-~""""' . Company '""Z--~ou-c;. t'i i;:'CI' ~2.(W' ~ ~ State Cert. or Regist. it ""j~,bo-- Sit>:natur ,. . City License Registration iF Ii) - ****************************************** Signature Company State Cert. or Regist. # City License Registration U ****************************************** . PLUMBER MECHANICAL Clayton Craddock Company r.r::lrlrlnrk' c; Ai r r'nnrli t i nni ng ~ ~ State Cert. or Regist. it R~n01g9'7 signature4. ~ City License Registration iF 18 **~************************************** OTHER Signature Company State Cert. or Regist. ff City License Registration ~ ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. ,'.- . ...,.......,......,..t~....J~..-...". Jk7""'.'1J'-~ ~. ;:-i- 'J'~~ .-:~.' L.... ~~ ~ ",,,~ .. --....._,~",,,II\.......-;tlI!oO~......_ .. ...., ~~...,..,....~.'. " I!",..,.....""...'"''(#...~''-'l'.?,'''''.!...., -..,;.',.;.......r'. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understands that this perlit lay be subject to "deed restricti~ns' which may b~ more restr.ictive than City regulations. The undersigned assuaes responsibility:~foT"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 statt and local regulations. If the contractor 11 not licensed as required by law, both the owner and contractor nay be cited for a lisdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131 788-6611. Furthermore, 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 Ire indicating that you, rather than the contractor, are responsible for the w~r~. If the contractor wishes y~u to sign as contractor that /laY be an indicatic,n that he is not properly licensed and is not enti tIed te, permi tting privi leges in H,e 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 Const\ucti~n Lien Law - Ho.eowner's Protection Guide" prepared by the Fl~rida Departlent of Agriculture and ConSUDer Affairs. If the applicant is SOleDne other than the 'owner', I certify that I have obtained a copy of the above described de,cument and pre'~li:e in ge,od fai th to del iver it to the 'owner' prior to cO.Dencelent. ..: E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in co.pliance with all applicable laws regulating c~nstruction, zoning, and land developDent. Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has cOlaenced 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 govern~ental agencies fiay apply'to the intended work, and that it is IY responsibility tel identify what actions I lust take to be in compliance. Such agencies include bllt ~le liCIt liaited to: . ~. #" I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering ~atercourses I Arty Ce1rps ,of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A' or 'A,etc.', it is understood th~t a drainage plan addressing a 'colpensating volume' will be sublitted which is prepared by a professional engineer fe~ist~,ed in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the wor~ and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iss\l~d :hall becole invalid unless the work authori2ed by such permit is co.tenced within six months of issuance, or if wOl'k authol lzed by the perlit is suspended or abandoned for a period of six lonths after the tiJe the Hork is co~menced. One 90 day e~ttnsioll of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six tonth period, or the project will be considered dbal~oned. 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 COMMENCEMENT". SIGNATURa~_Cicff~ ~~- OR AGENT SIGNATURE)~I1:AnJ~_~~~~ ~~TOR DATE ___.J.1JJ...~_2]--_1222--------------'------- DATE _ - ___.:J_uJ=_':L2]-,- _1222----- - --------- NOTARY AS TO . II' ..; /IIJ::'..ARY AS TO /I. J //1 , OWNER OR AGENT _'pj.-'iQ~_l--~_JY.93J1Al~r--T~ACTOR_-_Ql~ILa-_"".:__J-ld.Q9b~~ MY COMMISSION EXPIRES_~1~_3lL~_193~----- MY COMMISSION EXPIRES_~~-3~_129~- Personally Known Type of Identification Produced: Fl. Drivers License-R263-223-60-642 'i' DIANA L. JUDAH ... of Florida .., ea.n. Elq), JuIv 30, ,. Camat,'CC 131978 . 'i' DIANA L. JUDAH StaIB of Florida My Comm, Exp. duly. : 30, 1. Comm.' CC 131m