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HomeMy WebLinkAbout92-2728 BUILDING PERMIT Permit 2728/fll /o,-;L6 ---7:1- CITY OF ZEPHYRHILLS (813) 788-6611 d..b. trD .3 CJ ~_ ~ate ~'NG ~,~ PLU~~'CAL '; Aew" Cone ~~'-~ '--'-=~' .~~ Water Conn: Pmperty owne:;R" <l ~~?1 ~ Job Address: ~_ - - --- NC! Water Meter: T,I.F.'s: Parcell.D. # Zoning: Energy Code: 4, ~ _ ::'d_: ~s: Description of Work /~'"7J rf.// ~!:::. <3 ~./,--"frY NO OCCUPANCY BEFORE C.O. FINAL L DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector c23 0-0. on '" Pe_mitFee ~- '''~J~ 5;9"0'"'0(: __ N ^<,. /~ Company Address Telephone# ,~~f" IV Valuation or Contract Price City License Registration # State Certified License# ING Breakers Ducts Insl. Compressor Final SLB ub Set Water Sewer Final Ftr. Pre SLB Lintel FRM, Insul. CL WL Const. Pole Pool Pre-Meter Final 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}lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Preston Townsley ADDRESS 6218 Cameo st. OWNER Same as above PHONE 813-788-7439 " JOB LOCATION same as above LOT SIZE_X AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) PARCEL I.D.n 00317-00019-00022-00000 BLOCK SUBDIVISION WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____sign/Temp. ____Sign _Nove ____Demolish PROPOSED USE: ~Single Family ~/F ____i~ 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 FORMS.** **COPY OF CONTRACT REQUIRED, PF.RMITS REOUESTED ____BUILDING $ Valuation of Total Construction 2QQLELECTRICAL 1sn AMP Service Florida Power Corp, _W.R.E.C, X"-MECHANICAL $ ?~nn nn Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUIT.DF.R Company State Cert. or Regist. # Signature City License Registration a ****************************************** F.T.F.CTRICT AN Richard Crandall Company Richard Crandall State Cert. or Regist. ii ER 0012910 Si2nature City License Registration a 240 ****************************************** 'PLUMRF.R Company State Cert. or Regist, a Signature City License Registration 1~ ****************************************** MF.CHANICAT. Clayton Craddock Company Craddock's Air Conditioning ar ~ State Cert. or Regist. II RM 0019937 Signature r '_ . /' ?"../ ~ ,./ City License Registration 11 18 ***;****~********************************* Signature Company State Cert. or Regist, # City License Registration a PTHF.R APPLICATION APPROVED BY ~:;~~**;:gl'*;~ -;;:,:;... "*,.. **....,.. -- . PERMIT OFFICER. ":.........~.~, '.......,-~_.. .,.. '<-;:0 ,;rf ~iof--."..".,:.! . .... .' CONDITIONS, OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The ,undersigned understands that this perlit lay be subject to "deed restrictions' which ~ay be more restr.ictive than City regulations, The undersigned alSUles responsibility;for, co.pliance with any applicable deed restrictions, , ' , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ollner has hired a cc.n,tractoror contractors to undertake Kork, they lay be required h 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 lisde.eanor violation under state law, If the [.wner [.r intended contractClr are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departaent, 1813) 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 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. Jf the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of 2ephyrhills. 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 Depart.ent of Agriculture and ConsuDer Affairs. Jf the applicant is SOlec.ne other than the "owner', I certify that I have obtained a, copy of the above described document and promise in good faith to deliver it to the "owner" prior to cOlmenceDent, 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 developlent, Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has COI.enced prior to issuance of a perlit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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 t[, identify what actions I lust take to be in cOlllpliance. Such agencies include bill ~1 e nc,l lil!ited to: . J _.,.. I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatlent f Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps ,of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~En~, Septic Tan~s I US Environaental Protection AQenc~ - Asbestos abatement I also certify that, if fill laterial is to be used in Flbod Zone "A" Dr "A,etc,", it is understood th~l a drainage plan addressing a "colpensating volute" Hill be sublitted which is prepared by a professional engineer fegist211?d in the State of Florida prior to per.it issuance, A perlit 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 Official fro. thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iS511~d ;hall becoae invalid unless the work authorized by such permit is coamenced within six months of issuance, Of if Hol'k authDllzed by the pertit is suspended or abandoned for a period of six lonths after the tiJe the Hor~ is commenced. One 90 day 1?~IEosioll of tite, 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 inspection ~ust be logged during each six lonth period, or the project will be considered abdlldoned. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE ~Jt.~{1L/'-;_____ SIGNATUa ~C~ r~----O~ER OR AGENT .~VC: ONTRACTOR DATE ___-Oc.~.26..r--~------------'------- DATE ___Q.G..t..Q..b-eL-2.9-,-JJJ2- ------ - --------- NOTARY AS TO /}' ._J~" NOTARY AS TO /7' ,J~ d 1 OWNER OR AGENT ~~~Q._,s . _~ONTRACTOR_~~~Qd2l~S ~aj(--/ Diana L. Judah ' ~ Dlana L, Judah MY COMMISSION EXPIRES__~_3D~-j 2~___---_ MY COMMISSION EXPIRES_~-3D~_j995_--- ~ DIANA L, JUDAH State of Aorida My ('.omm, Exp. July 30, 1995 Comm,' co 1~978 fJ(:..... iJll" DIANA L. JUDAH State of Florida My Comm. Exp. July., 1995 Comm. , co 1tt978 CRADDOCk'$"NR CONDITIONIH,G 3I43t CoR. 54 Eat .: . ZE&tVIHIUS. . Fl 33540 . :'........7IU426 I' '';/' "';,{ '."'IAL NO, NATU". 0.. Q' .."VIC. ".QU..T !.5CfZ:.~/) JI .: 1..,.b- aU.AN. 'A;;~~ :;;'Af:~4P.,?I"l1t? 9~9"S: :'WI1X~/la~n~H:~ ~ TAX ""'H.~'~_/~' OATe COMPUTBD CASH ONCOMPUTION TOTAL. " /. 7'1.. OJlWOflK_ I OFFICE COPY I hereby aooe. pi above performed ..tVlOe, .nd oh",ge.. .a being eallll- . .' . laG lory .IId ae; knowledg. 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