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HomeMy WebLinkAbout92-2590 BUILDING PERMIT Permit 2590/VJ ft- ~() - 9' ;J- ::Lb . 50 BU~ GE~ -=' PL~ Pmperty Owoe" ~tJ..... .~ ~ Job Address: --.s<r_ __ _~ Parcel 1.0. # / I - d/;' ;L/ - 00/ 0 .- 0 06 () () .~ 0/ I I ' . Zoning: Energy Code:. ;,~a~on_~as: Desc';pt;ooofWo,k '--/;j'-JJ / ~( C~~<2 - ~ CITY OF ZEPHYRHILLS (813) 788-6611 ~Ol-- N<! Date Sewer Conn Water Conn: Water Meter: T.I.F.'s: FINAL C}_' ~7L DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector '> Valuation or Contract Price ~ '/tt7) . c7V City License Registration # / g;--- State Certified License# Pe'm;t Fee ~~o;;; Vt.J Signature r;:~: L;:: ... _~~ '"--_ Company Address Telephone# (;'~M/I 62Y/J ~c~~~ Tp. Servo Rough In Meter Can P~G '" Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final ~/~ ~N~ Breakers Ducts Insl. C.ompressor Final "-.",BUILDING -------. 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 ($15.00) 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 Evelyn Bassett ADDRESS 38236 North Ave. PHONE OWNER JOB LOCATION Same as above Same as above '. LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LDT(S) BLOCK SUBDIVISION PARCEL I.D.l~ 11-26-21-0010-00600-0111 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair XXX Install ____Sign/Temp. ____Sign ____Nove ____Demolish PROPOSED USE: XXX Single Family ~/F ____l~ of Uni ts , .____M / H ____Commercial ____Indust. ____Swim.. Poo 1 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 FOllIS. ~,* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ~ELECTRICAL XXX MECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ $2400. nn Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CDNSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration ff ****************************************** BUILDER ELECTRTCTAN Richard Crandall Company Richard Crandall State Cert. or Regist. l~ ER0012910 Silmature City License Registration l~ 240 ****************************************** Company State Cert. or Regist. # City License Registration l~ . ****************************************** PLUMBER Signature Company Craddock's Air Cnnri it inn i nCJ State Cert. or Regist. l~ RMnnn 19917 City License Registration # 18 ****************************************** Signature Company State Cert. or Regist. ff City License Registration ff OTHER ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY HAGCA. .J AMAta Mt~tc..... _.. : ~ .lI.\f1 ..!MIOO ...u q,..>tl.;xj, ~ '''' - CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understa;ds that this perlit lay bl subject io "deed restrlctl~ns' which may be lore restr.ictive than City regulations. The undersigned iSSUles responsibilitf;for"colpliance with any applicable deed restrictions. , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor ~r contractors to undertake work, .they lay be required to be licensed in accordance with statt and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor lay be cited for a tisdeleanor 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, 18131 788-bbl1. Furtherlore, 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 Construction Lien Law - HOleowner's Protection Guide" prepared by the Fl~rida Departlent of Agriculture and Consuler Affairs. If the applicant is s~le6ne other than the "owner", I certify that I have ~btained 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 compliance with all applicable laws regulating construction, zoning, and land development. . Application is hereby aade to obtain a pertit to'do work and install~tion as indicated. I certify that no work or installation has cOlaenced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laws regulating construction, City cod~s, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governf.lental agencies rlay apply' tel the intended lIork, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~l e IlCll limited to: .... I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understood th~t a drainage plan addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer regist~(ed in the Stale of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and nol as auth~rity to yiol~te, cancel alter, or set aside any provisions ~f the technical codes, nor shall issuance of a permit prevent the Building Official fro I thereafter requiring a correction ~f errors in plans; construction, ~r violations of any code. Every permit issll~d ;hall becole invalid unless the work authorized by such permit is cOlmenced within six months of issuance, or if work authorIzed by the perlit is suspended or aband~ned for a period of six lonths after the ti,e the wDrk is commenced. One 90 day e:tensiOII 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 !!lust be logged during each six I~nth period, elr the prcljed wi 11 be cClnsidered dbillldc.ned. 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". SIGNATUA~_~~~~~--- ~~~ Clayton Craddock- Personally DATE__~~9~2-~-2g~-_1~22______-_-----~~_own SIGNATUERE-l-{~~~B-O' ERt-tO~~------- ve yn-~-~~~~t . DATE )~!::m_u_sJ~-_~.o-,_-1221--------------'------- /J NOTARY AS TO /7' J~'.;)" CONTRACTOR_A.k'~.a-_~-'.L.!,Ur,,~ -- .~. . ~ Diana L. Judah MY COMMISSION EXPIRES___~1~-~r-j~~5 NOTARY AS TO OWNER OR AGENT_____________________________ Diana L. Judah MY COMMISSION EXPIRES_;llLl~-3LL~-1235------ 1D produced: DWIA '-.,- _" - Mr=~~