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Home My WebLink About92-2853 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2853 Ai Date /D' -~-7:J... ELE~. PLU~ M~L ::~:::,~,:~ed~ h~ ~~. Parcell.D. # / ~ - c;L 6 . J-/ - {) 0 'O-CJ .- 0 u ;;.... 0 0- 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zonin~: '~iEn gy Code: ~ ~ Radon Gas: DescriptIon of Work _ _ ~ ----'l-::Y~..rL7!;:;: q_ ""'..If ..A .P ~A'? ~ ~A' ~ ~1. ~~. 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. Valuation or Contract Price cl. rJ.. CJ CJ. v--o , Permit Fee Signature Company Address __ ,r Telephone# Inspector City License Registration # ~ 9' -.3~.:? - ~/ State Certified License# "') t:U1~~ ~~1. Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final -~AL ------ SLB Tub Set Water Sewer Final ~ M~AL -- Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor 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 ($15.00) 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. '/' 'j:l. ;? J _ J "'oG VJ' 1) ~. ',L{ -6J L-- APPLICATION FOt{ PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Ken Wiley Construction-Maintenance, Inc. ADDRESS P.o Rnx 109 r.rYRtrl1 ~princrR 1<'1 PHONE 7'H? nl:iLlF\ OWNER Eleanor Sims '. JOB LOCATION 38007 Bridae Ave. LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .1~ -0lteration _Repair _Install WORK PROPOSED:_New Construction ____Addition ____Sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: ~Single Family ~M/F ____1~ of lIni 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 0"UILDING ____ELECTRICAL $ :A .20ZJ I Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame Steel Other - .ftjyb rJ ( JJ Y 1- cJI ~).f)Ol()S ~ rrJ &k157?AJ6 sc/~,AJ ****************************************** ~A\~ A/1 CONTRACTOR SECTION ~YL/'v l RUTLDER,:,Ken Wiley Const-Maint, incc. Company Kpn wi 1 E'Y C'oruiit Wi int. Inc. State Cert. or Regist. U City License Registration Ii b '7-# 3g 3 -41 if I ****************************************** FINISHED FLOOR ELEVATIONS: FT. Signature Signature Company State Cert. or Regist. ff City License Registration ff ****************************************** F.l.ECTRTCTAN Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. D City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. D City License Registration ff PTHF.R ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The,undersigned understands that this perlit lay be subject to "deed restrictiDns" which lay b~ "Dre restr.ictive than City regulations. The undersigned assu.es responsibility:;for,colpliance with any applicable deed restrictions. i,.' . # B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a cDntractor 'or contractors to undertake work, 'they lay be required t~ be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be cited for a lisdeleanor violation under state law. If the owner ~r intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Depart.ent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised t~ have the contract~r(s) sign portions ~f 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 peraitting 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 SOleone 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. :j-.,':' E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 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 pertit 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. I also certify that I understand that the regulations of other govern~ental agencies ~ay apply'to the intended work, and that it is ty responsibility tel identify what actions I lust take to be in compliance. Such agencies include bllt ~le HC.tlillited to: .r I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.', it is understood tl.~t a drainage plan addressing a "c~.pensating volule" will be sublitted which is prepared by a professional engineer regist2ied in the State ~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 viol~te, cancel alter, or set aside any provisions ~f the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correcti~n of errors in plans; construction, or violations of any code. Every permit issll~d :hall beeole invalid unless the work authorized by such permit is cOlllenced within six months of issuance, or if Hork authorIzed by the perlit is suspended or aband~ned for a period of six lonths after the ti~e the work is commenced. One 90 day e:tE~sioll of tile, lay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection aust be logged during each six .~nth period, or the project will be considered ~bdlldoned. 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 0 RECORD AND POST A "NOTICE OF COMMENCEMENT". __ _ _ _ _ ___~~l SIGNATURE__Z,{)~ OWNER 0 I AG T~j- CONTRACTOR DATE__________~Y.T_'~--l~Ll-lS.'L~:::------ DATE_~- \ ' SIGNATURE MY COMMISSION " ___52~_3~~~----- NOTARY AS TO OWNER OR AGENT MY COMMIS ~~~", ..... . ~ ~ MELVIN JAMES MARSHALL Notary Public. State of Florida My Comm, Expires Sept. 3. 1996 N~, CC 22,57f;fJ .~._", .... . ~ 't MELVIN JAMES MARSHALL Notary Public. 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