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Home My WebLink About92-2746 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N? 274SM //-i/ -7;2- Date B~ ELEC~ -- ~ PLU~ GiCHA~:..~'~) Sewer Conn Water Conn: Pmp,rty Own." ~ Job Address: ,{/ - -;l ~ --P- Parcell.D. # Water Meter: T.I.F.'s: Zoning: Description of Work Ener~ O/~ ' 710 ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL //- / ,8-'1 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector 6?Cf Permit Fee~' .-: tft) Signature -tA/ Company ~ Address Telephone# ~~ I Valuation or Contract Price '-5 b cr-o - OV City License Registration # 7/ State Certified License# ~allll DING ~ICAL ~BING ~ ;a:f!: Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. APPLICATIOIl FOR PERHIT CITY OF ZEPBYRlilLLS Bm:LDUIG DEP.I\KDfiJ:NIT OWNER'S ADDRESS .D y^ . 1/ TIt) 0 I S-I S-;Z d-.I J 51. )/7--,-yl--l PIIO~ '? $3~ ~ / I ? .$ OWNER'S BAKE JOB ADDRESS LEGAL DESCRIPl'IOl!lll: IDI'(S) BLOCK SUBDIVISIOlNl PARCEL I. D. f WORK PROPOSED:_llev c;.onstruction _Mdition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: Single Faaily _KIF _, of Units _M/H _eo..ercial _Indust. _Swa. Pool Other _Restaurant &: Health Deparblent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL : COHKERCIAL : ATTACH (2) PLOI' PI.A5S &: (2) sns OF BUILDIlNIG PLAlNIS &: (1) SET ENERGY FORMS. ** ATTACH (3) SETS OF B1JJTI.DllIG PI.A5S &: (1) SET RlNIERGY FORKS.'H ......COPY' OF COlNlTRAC1' REQm:RED. .. PE'mfiTS REOUESTED _BUILDING $ Valuation of Tot:al Construction s ~h AKP Service Florida Power Corp. ~ 0<:9,. ::..---- Valuation of Mechanica.l Installation W.R.E.C. _ELECl'RICAL Y KECHMUCAL _PLUMBING GAS ROOFD/lG SPECIALTY TYPE OF CONSTRUCl'IOlNl: _Block _Fnmle _Steel Other FnnSHED FLOOR ELEVATIO~S: FI' . IS P.R.OJE:C1' IN FLOOD ZONE AREA? YES NO ~...~~...~...~~......~~~**~**......*...**~......*...*~~*~*~~~*** CDl!IIITRACI'OR SECTION COKPMilY State Cert. or Regist. * City License Registration * ~*...*...*~~********...***...~...*~**...~~*...****~**~** BUILDER Signat:ure Sismature CO!IPAlNIY State Cert. or Regist. * City License Registration I ...~*...*...~~**...*...*~~*****...***...*~*~~...*******~*... ELECl'RICIAN PLOKBER COKPAlNIY State Cert. or Regist. * Signature City License Registration I ...*...~******...****...****...*~*...**...*............*~~****** KECHANIC.U. ~ COIIPAn /; '" ~v L .a-~ I~~ f3~ /_) J" State Cert. or Reg-u(t. *. 0 () s:-V! ~....... Signature ~{/{ /. It. . City License Registration :f 7/ ~"'***"'il:"''''****''''''**~**'''*''''''*~'''*''''''*~~****il:'''** OIHER. CO'!IPMiJY State Cert. or Regist. * Signature City License Registration i **"'~"'*"'****"'**"'****"'*il:"'*"'**"'*"'~****~~il:~*~* APPLICATION APPROVED BY '-II tlMh(J ~ ~ PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersi~ned understands that this per.itlay be subject to "deed restrictions' which may be lore restrictive than City regulations. The undersigned assu.es responsibility for cOlpliance Kith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the Dwner has hired a 'contractor or contractors to undertake Mork, they may-'be r~qui;;dl~licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the {twner and contractor lay be cited for a lisdeaeanor 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 Department, (813) 788-6611 . Furtherllore, if the owner has hired a contractor or contractors, he is advised to have 'the contractor(sJ 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 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 CONNECTION FEES D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOlleone 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 cOllencelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation 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 perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a permit 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 governmental agencies may apply to the intended workf and that it is IY rirsponsibility to identify what actions I lust take to be in compliance. Such agencies include but are not limited to: I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatDent, Septic Tanks I US Environ.ental Protection AQencv - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a 'compensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official froD thereafter requiring a correction of errors in plansf construction, or violations of any code. Every permit issued shall becole invalid unless the Mork authorized by such pertit is co..enced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six tonths after the tile the work is comienced, One 90 day e~tension of time, lay be allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR 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 LEHDER 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". ~ vie '- STATE OIJLOIl~ COUNTY OF ' Q The foregoing instrument befclj-e me this 1\ - ~ was acknowledged , 19~by S OF FLORIDA COUNTY OF The forego i ng i ns tn,~t vias ae knovJl edged befcq-e me this 1/ ~ 19..i2....- by (Si9~ (Name Typed~ Printed Dr Stamped) NOTARY PUBLIC t' ~"c,ry r l",)"2 S'::'l,~):::,:s JeF1'l:lfyII 19~;'. !,.i.: Notary Pubi;c. Statu of ;';'.1::"'. .M~yomm.fxp.Mar. 17. 1SS;,. l...~~ _....-~ -<":~,~J~!' -- ~. J . _,"1;...:', Kinsey Central , \ , Heat & Air-Conditioning 7722 Fort King Highway · P.O. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 t? <~ ~~;} ~:,~fDE~ :,2 DATE PROMISED NAME , ------------ APARTMENT ADDRESS ;< / / 5 I. s- 5----;1 CIT'! ErtSTIMATE o CASH o CHARGE SERIAL NO MODEL MAKE NATURE OF ~ SERVICE LV REQUEST PRICE AMOUNT --r- QUAN PART NO, DESCRIPTION (...'.i .(J 1 -76.' ".,.-I-"D (/L~ f~ -----1- 1 \- L- \ 1- +--- \ SERVICE PERFORMED TOTAL MATERIAL TECHNICAL SERVICE TIME --i-- \ \ ~-t- '7 / A-- lkh-j _~ I)(/'\.U~ TAX 7~~! DAlE COMPLETED CASH g~ ~~~~LETlDN ~ TOTAL TECHNICIAN CUSTOMER'S SIGNATURE J:' /x- LY ~ , \ \ \ \ \ j \ i \ \ \ \ \ \ l 1 \ \ \ \ i \ 1 \ \ \ \ \ \ \ \ \ I \ I