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Home My WebLink About92-2541 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 diCJ. 00 ~G GECT~ P~ Pmparty Owna' ~~ jAff Job Address: ..s- .A Parcell.D. # / d--f)..~ -;J-/ - 0(') Y () /J ~~-lJ 0 Zoning: Energy Code: Description of Work ~-€A.J A-/ c.... Permit 2541/1 /- 3/-;9 :J... N<! s.s --: o-v GCHA~9' Date Sewer Conn Water Conn: Water Meter: T,I.F.'s: -("')0 00 Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL ~- -q'L DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price ~ / -.5CJ i cr-o '" City License Registration # J f'" State Certified License# Inspector ~~ Permit Fee . I ..,,/ S;QnaM~ ~ ~~"" ~ Company ~ Address Telephone# Ftr, Pre SLB Lintel FRM, Insul. CL WL Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 Thom8s Rlp.c;c; ADDRESS 5404 23rd st. 7 p r h yr h ill C::, F 1 7) 7) c:; LL n PHONE 780-6314 OWNER JOB LOCATION Same Same '. LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) 6 BLOCK 5 SUBDIVISION Z Hts 1 st Add PARCEL I.D.# 12-26-21-004n-nnsnn-nn6Q WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Ins tall _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family ~/F _t~ of Units , ._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 FOR}lS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING -LELECTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp, _W.R.E,C. -L-MECHANICAL $ 3150.00 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 ff ****************************************** nUTLDER f,LECTRTCTAN Richard Crandall Company Richard Cr~nrl811 State Cert. or Regist, # 759 City License Registration iF 240 ****************************************** SilZnature Signature Company State Cert. or Regist. # City License Registration ff ****************************************** , PLUMBER MECHANTCAL Clayton Craddock Comp~ny Craddock's Air Condi tioning ~., ,.,L y:? #/ ~ .d State Cert. or Regist, iF RmOO 19937 Signature ~ ~ ~_ City License Registration iF 18 ****************************************** OTHER Signature Company State Cert. or Regist, # City License Registration 0 APPLICATION APPROVED BY ~*********~************************ t{ 4/1 ~'(} _17~ ...rvJ , PERMIT OFFICER. CONDITIONS~OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be more restr.ictive than City regulations. The undersigned assumes responsibility~for, co.pliance with any applicable deed restrictions. i.- . , 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor 'or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor lay be cited for a .isdeleanor violation under state law., If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 per&itting 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 Const\uction Lien Law - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleCone 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 cOllencelent. I .:' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. ' Application is hereby .ade to obtain a perlit to' do Mork and install~tion as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work will be performed to leet standards of all laMS 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 ~ay apply'to the intended work, and that it is IY responsibility to identify what actions I lUSt take to be in COMpliance. Such agencies include bllt ~le not limited to: . ",.~ I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment i Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps Gf EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat;en~. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill .aterial is to be used in Flbod Zone "Aft or "A,etc,', it is understood tll~t a drainage plan addressing a "compensating volute' will be sub.itted which is prepared by a professional engineer fegist~ied in the State of Florida prior to perlit issuance. A per.it 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 per~it prevent the Building Official fro. thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issued :hall becole invalid unless the work authorized by such permit is comlenced within six months of issuance, or if work authDrl~ed by the per.it is suspended or abandoned for a period of six .onths after the tiJe the work is commenced. One 90 day e~tt~Sioll of tile, may be allowed for the perlit 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 lonth period, or the project will be cDnsidered dbdlldoned. 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". SlGNATUR~-- Rjl~_~__________ SlGNATU~ ~~ OWNE~-AGENT NTRACTOR DATE___~_L2J-~1-~----------------'------- DATE____:1-L~:l~~------------------ NOTARY AS TO J . "',,./ j "\.... A ~ . n ~ NOTARY AS TO OWNER OR AG5/~---'!_~",;--~ CONTRACTOR_ MY COMMISSION EXPIRESWo1ary Publi~. State ~f Florida at Large MY COMMISSION -My-E>ormms'Slel'l"'EKplras Aug~T994 ~, ~ ~ c: 0 <( 3 \)c, Cj ~_____.. _}n~~~ EXP I RES~~~~~,_S.!81~Q.I.f]Ql:jda..at Large My commiSSIOn Expires Aug, 28. 100. ~ .4f c Co ~3l>h ')