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Home My WebLink About92-2695 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2695 A j Date / I:J - / '/ - 'Y .;L ~ PLUMBING ::~::~;~:~:S~~- ~ ~1~ C:::H~ SeWE!r Conn Water Conn: Water Meter: T,I.F.'s; Parcell.D. # Zoning: Energy Code: Radon Gas: DescriPtionofWC:;; R~AY~~~ ~ - .4v'~ ;L~L4 , FINAL 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 Valuation or Contract Price -53. 62/. 0-0 , Inspector Signatur Company Address Telephone# City License Registration # 3 ~ ~[ State Certified License# 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 ($15.001 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. APPLICATIOl!il1 FOR PERMIT CITY OF ZKl"'lY}u~ LLLS mrrI.DIl!iI1G DEPARlll'JIE'.l!iI1T OWNER'S NAME e i 1-1 01 Z ~A 7; A,. / /s OWNER'S ADDRESS S-3 ,3' ~ Y /-J; sf. PlIONlR 7~S'- ~313 33o~CJ .7 rA Jr/'; //5 I PI JOB ADDRESS StC.-me- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION! PARCEL LD.# WRK PROPOSED:_~ew Construction --^ddition V.lUteration _Repair _Install _Sign _l!Iove _DellOlish PROPOSED USE: Single Faaily ~CoI'IIIIercial _KIF _:If of UJni~s _HIll _Indust. _Swi.. Pool Other _Restaurant & Hea t th ~t Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COKKERCIAL : ATTACH (2) PLOT PLM~. & (2) SEI'S OF BUILDING PL.M~S Ex 0) SET RHERGY FORMS. u ATTACH (3) SETS OF ElULDDifG PLANS & (1) SET ENERGY FORHS.H 1I'1I'COPT OF COwrRACT R ~Qmr:RED. PERIPII'IS RFJ)UR.<iTED .,/ BUILDING $ J3, (,d1./' cC) Valuation of Total Construc~ion _ELECTRICAL AMP Se ~'Vice , Florida Pm..'>er Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation --:.:.PUlKBING _".._,,___GAS ____KOOFTIiG SPECIALTY --~'.-...-.- TYPE OF CONSTRUCTION: _Block _F'nmle _Steel Other FIIfISHED FLOOR ELEVATIONS: FL IS PROJECT IN FLOOD ZONE ARPA? YES NO ...*.**.~~...*.****.*...*.***.***.******** BUIT.DRR mnRACIOR SECTION ml!fPANY 7l7. If. 71/c 1(' e r 5 O,)L, In (!... State Cert. or RegisL ,ill CC::> C. 047.;)0/ City License Registration #' 3~ ('l **.*.~****.***..**.********....**.**..* Signature ELECTRICIAN WlfPANY & /'(ih 1:/6.<7; I C , d.6!,~ Stcat;e CerL or Regisr. # <. SiJ!Jl.3ture 6/~ 'I:aZ?! City License Registration I //"'-:{' {~ "." **.~**.**.*******..********.*..**.*.. ml!fPAHY State Cert. City Lic *******.~*.**.***.*.******. . PLUKBER Signature or Regist. '4# egistration I **.***-.t-.*.. ( Signature ~" ml!fPANY ~71-----:r-""~- 1 /J (1 State Cert. or ReglsL I /t/---Jt:::.7 rY1u~.f (.r~i1 City License Registration j / *******.~*.**********..**.~.***********.** rV\ () 0 j;"{ f~ k:' ! ff 2-. MECHANICAL COlIPANY State Cert. or Regist. '4# City License Registration '4# *******...'-1..'*********.***...*............********* l1CXM~"~ ~Q/14,^'J . OTHER . Signa l:u.re APPLICATION APPROVED BY PER.\fIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay be subject to '~~sd restrict:ons" which may be more restrictive than City regulations. The undersigned iSSUles responsibility for com~ii~nLJ with any applicable deed restrictions, B _ UNL I CENSED CONTRACTORS AND.. CONTR{:~CTOR F:E?J~~pl\I~E.~.).h.I"1::JE~ If the owner has hired a contractor or contractors ~o undertake work, tr.2Y ~ay Je required to be licensed in accordance with state and local regulations. If the'contrdctor is.~o~ licensed as required by law, bo~h the owner and contractor lay be cited for a lisdeleanor violation under ~tat~ :o~. If the owner or intended contractor 'are uncertain as to what licensing requirelents lay apply for the intended work, \h~y are adviseo to contact the City of 7ephyrhills Building Depart.ent, (813) 788-bbl1. Furtherlore, if the owner has hired a contractor or contra[tor~, ~~ l5 advised to have the contractorls) sign portions of the "Contractor Sections" of this application for which they Hill be res~ojlsiblE. If you, a~ the owner sign as the contractor, you are indicating that you, rather than the contractor, are respJnsible for the work, If the contractor wishes you to sign as contractor that lay 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 CON~~CLIOI\J-EEE? D. CONSTRUCTION LIEN LAY- (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien LaH - HOleoHner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the ,applicant is someone other than the 'oMner', I certify that I have obtained a copy of the above d2scribed document and promise in good faith to deliver it to the "oMner" prior to cOlmenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work Hill be done In compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereb~ lade to obtain a perlit to do work and installation ~s indicated. I certify that no Mork or installation has cOltenced prior to issuance of a perlit and that all work will be ~erfor~ed to leet 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 governlental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I aust take to be in cOlpliance. Such agencies include but are not liaited to: t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater TreatMrnt t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Nav)gable Waterw~ys f Department of Health L Rehabilitative Services, EnvironmEnt 1 Health Unit - Wells"Wastewater Treatlent, Septic Tanks t US Environlental Protection AQency - Asbestos abatement I ~lcn certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a "colpensating volume" Mill be sublitted which IS plepared by a professiondl eny.neel reg;stEfej in thE StJt~ ~f Florida prior to perlit issuance. A perlit 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 permit prevent the Building Official frol thereafter requiring a correction of errors in plans, constructio~~ ~or violations of any code, Every per~it issued shall becOle invalid unless the work authorized by such perllit is commenced ~hin six Ilonths of issuarkE, or if work autheorized by the perllit is suspended Dr abandoned for a period of six tonths af~ the tile the work is COffi~enced.' OnE 90 day extEnsion of tile, lay 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 Ilonth period, or the project will be (onsidE~Ed abandoned. WARNING TO OWNER: ~OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR HOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COMMEI1CEMENT", SIGNATURE: CONTRACTOR ....- .---,-. SIGNATURE: OWNER OR AGENT was acknc,wledged , 19_ by STATE OF FLORIDA COUNTY OF The foregc,ing before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this instrument was acknowledged 1q_ by -_._---~.~"'.."._-~ ~--_. .- who IS personal~y known to me Dr wno has pl-oduced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification aGd who did/did not take an oath. . (S i gna tLll-e) (Signature) . (Name Typed~ Printed Dr stamped) NOTARY PWpLLc:;:. (Name Typed, Printed or Stamped) NOTARY PUBLIC ,~l)Q\l~ ~~ Ulill, ~ ~~~~ 11- ~-qd-. \\-5-Gd.-.. ll- ~-'1~, 6o-t.. GO~ 6~