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Home My WebLink About92-2619 BUILDING PERMIT Permit 2619/1 ! 9-~-?02 CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date -~ ~..Q..trl2-..- (/-e~L~~ P~ Pmp,ny own'~ 1i~j~- Job Address:' ? - .;-... - ". (.l-(,~ Parcel I. O. # I J - ,::) (; - ~ / - 0 c:9 / 0 - 0/9 0 U -/ u 0 d- () Zoning: Energy Cog,e: Radon Gas: Description of Work A-/ L. ("'~1 v o:-t.A f ,1,s.:.Le~ ~;~) Sewer Conn Water Conn: Water Meter: T.I.F.'s: FINAL~2 -.;1 Y-r3 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 Signature Company Address Telephone# ~~~n_k~ Valuation or Contract Price ~-5- tJ?). tf{) City License Registration # J r State Certified License# BUlL '---/?/;~A/ ~~Lff fV ~LLid..~ -- ~~. Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo 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 ($15.00) 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 RafaelRodriauez PHONE 783-7590 ADDRESS 38620 North Ave. OWNER Same as above' JOB LOCATION Same as above '. LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~t WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install 11_26-21-0010-01900-00020 ____Sign/Temp. _Sign _Hove ____Demolish PROPOSED USE: ~Single Family ~/F _~t of Uni 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 FORt-lS.,H **COPY OF CONTRACT REQUIRED. }'RRMTT~ REOUESTED _BUILDING $ 1500.00 valuation of Total Construction ~ELECTRICAL X X X MECHANICAL AMP Service Florida power Corp. _W.R.E.C. $ 1500.00 Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR ~RCTION Company State Cert. or Regist. !F_ City License Registration # *********************~******************** J3U1LDER f.LECTRTCTANRichard Crandall Company Richard Crandall State Cert. or Regist. ~F ER0559, Signature City License Registration 1F 240 ****************************************** Signature Company State Cert. or Regist. 6 City License Registration # ****************************************** PLUMBER MECHANICAL Clayton l.rt='lrlrlnr.k Company .c]addock's Air Conrlitinnino State Cert. or Regist. ~F-B.Mnn 199,7 Signature City License Registration il: 1 R ****************************************** Signature Company State Cert. or Regist. # City License Registration # OTHER ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY f.~--"""'--"'-.'\:r""~ ,. -'''._.~'- ..., ; ....~.."'';l'..I~........ . ,,.,_.,...... ..~;....."..~:.".~..lo. "",~..~". ,..,....~""..._.., ""., 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~ J~re restr.ictive than City regulations. The undersigned assules responsibility;for, cOlplianc! 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 r~quired 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 lay be cited for a lisdeleanor violation under state laM_ 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, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the 'Contractor Secti~ns' of this application for which they will be responsible. If you, as the owner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that Jay 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 sOlec.ne other than the 'owner', I certify that I have obtained a, copy of the above described doculent and promise in good faith to deliver it to the 'owner' prior to cOlmencement. :' ,"; ~~'. >'. 1, ; 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 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 cOllenced 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 may apply'to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include hllt ~le IlCot li.ited to: ..... I also certify that, if fill latl?rial is to be used in Hood Zc,ne 'AK or 'A,etc.', it is understcl(,d 1I1ol a drainage plan addressing a 'colpensating volule' will be sublitted which is prepared by a professional engineer regist2ied in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.1 frol thereafter requiring a correction of errors in plans; construction, Dr violations of any code. Every permit iss\l~d ;hall becole invalid unless the w~rk authori2ed by such permit is commenced within six months of issuance, or if wOI'k authpllzed by the per.it is suspended or abandoned f~r a period of six lonths after the ti,e the work is commenced. One 90 day e:tE~siDII Df tile, say be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspecti~n aust be logged during each six lonth period, or the project will be considered dbdlJdoned. 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". -- -~~ NTRACTOR Cla on Craddock DATE__~~piJ__l~-j33~----------------- NOTARY AS TO /J . ~~ ~ CONTRACTOR_~..&a....~~ ~~ ~ Diana L. Juda MY COMMISSION EXPIRES__J~JJL_204__1225- SIGNATURE~~~~~~f~~~---------- Ol.-lNER OR A~T Rafael RodrIguez DATE ___~.~p.!_._-l.z._J.J~f_-------------'------- NOTARY AS TO 4 " J~.P /1..;._ /1 . OWNER OR AGENT ____~a...:5. ~ Diana L. Judah ' MY COMMISSION EXPIRES_J~_20~__~25------ SIGNATURE 'i: DIANA L. JUDAH State of Rorida My r.amm. ExIl. JuIv 30, 1895 Comm. ,ce 1$1978 'i: DIANA L. JUDAH Sta.. of FIaItda My ('.amm. Ex@. .... 30, 1. Comm. . ce 1$1978