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Home My WebLink About93-2941 BUILDING PERMIT Permit 294lA' /-17-9.1 CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date (:U'LDI0 ~ ~ M~ Peeperty Owne,:" e A ^-~_ a.....L Job Address: ?r~ s3l.:?~ ~/ ~~ 41. Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: ~En;J~Y Code: Description of w~ ~~L.R_ /\.At FA R9 -+- 1 NO OCCUPANCY BEFORE C,O. FINAL C,Q. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Permit Fee oiL ("; (J:J.2 Signature ~ 4-.. ~ Company Address Telephone# Valuation or Contract Price I / tT7J - o-u City License Registration # J) {) State Certified License# El PLU L Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insu\. 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. APPLICATION FOR PERMIT GIn OF ZEPlIYRHILLS Bllflj.~"T~ DHPAR1'1!iiEM OWNER'S MAKE Larry Crosby OWNER'S ADDRESS 7359 Jason Dr. PHONE Zephyrhills, Fl. 33541 782-1729 JOB ADDRESS 5313 19th St. Zephyrhills, Fl. LEGAL DESCRIPTION: L.OI'(S) BL.OCK SlDBDIVISION PARCEL I. D. t WRK PROPOSED :~Nev Construction _Addition L-Alteration _Sign _Hove ~D~lish _Repair _Install Remove existing roof rafter Replace rafters and roofing PROPOSED USE: Single F8IIily _KIF _, of Ulnits _H/H ~~rci.al _Indust. _Swi8. Pool Rental Other _Restaurant &: Healt:h Depar1:llent: Approval BUILDING SIZE: 14 X 30 , 420 Square Feet. 8 Height RESIDENTIAL : cottMERCIAL : ATTACH (2) PLOT PLAWlS &: (2) SEIS OF BUILDING PLAWlS &: (1) SET ENERGY FORKS. ** ATTACH (3) SEIS OF BlJILDDilG PLMiIS &: (1) SEt' ElmRGY FORKS. ** **COPY OF COftRAGl' RlrQllTfRED. PERMITS REQUESTED _BUILDING $ 1100.00 Valuation of Total Construction N A ELECTRICAL AMP Service Florida Power COrp. W.R.E.C. N A MECHANICAL s Valuat:ion of Hechanica1 Installation ~PLmmING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'I'ION: _Block .JQL.Fr~ _Steel .. Other YES XX NO FIKISHED FLOOR ELEVATIONS: FI' . IS PRO.JECT IN FLOOD ZONE AREA? ****************************************** COl8JTRACIOR SECTION BUILDER ~Z~ OOOW~ Gordon Ten Brink State Cert. or Regist:.' CGC Cit:y License Registration , ****************************************** 043422 110 Signature ELECTRICIAN CDlPMY State Cert. or Regist. , Cit:y License Registration t ****************************************** Sifr08t:ure PUJKBER CO'IfPARY State Cert:. or Regist:. , Cit:y License Registration I Signa t:ure ~~~**~~~~~~~~~~t~~~~~~~~~~~;~~&~~~~~~~~~~* KECHARICAL COIIPMilY State Cert. or Regist. I Cit:y License Registration t ****************************************** Signat:ure OTHER S ignat:ure COlIPARY St:at:e Cert:. or Regist. ~ City License Registrstion . ******~*~****************************~**** -... j APPLICATION APPROVED .Hl', ~ _,' . 'PERMIT OFFICER. fP'ii.la'r CONDIT~ONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait ..ay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or c9ntractors to undertake work, they lay be required 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 aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131 788-6611. Furtherlore, 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 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 docu.ent and promise in good faith to deliver it to the "owner" prior to cOlaencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this applic~tion is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby aade to obtain a perait to do work and installation as indicated, I certify that no work or installation has cOllenced prior to issuance of.a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress ~ayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment t Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' t Departaent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatement I also 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 volule" will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A per.it 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code, Every perl it issued shall becole invalid unless the work authorized by such perait is co..enced within six lonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six aonths after the tile the work is coaienced. 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 month peri~d, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOP. IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CON~~LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COK"ENCEHENT. OBS UNDER $2,500 IN VALUE DO NOT ":ED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~..~2L/ S~GNATURE: CONTRACTOR STATE OF FLORIDA ~ COUNTY OF J':. A- J C 0 The foregc. i ng 1 ilS (~llment vIas a~}~ncl\.'Jl edged befclj-e me th i s -I-r .:j)rI , 19z.L- by , Q on. "f o;..J ~N h/l..-, ~ k. who is- pel-s.ecnally kno\.'1n to me <IT wl,,_, t,a.S J'l"1 1:1 J L."..:t?d as identifi,c-, ion a.ll.d w~7 ~/Jjd not :zal oa -d:k~ (Big -t 1I-.r 5 / I- I 1'~fi1.,:) U~ L6-.J (Name Typed, P~Intcd or Stamped) NOTARY PUBUC"""'.offtorfAt "-'" ..... . JloalJlpbso..29.199' ",., .....,.....,._.,. STATE OF FLORID~ COUNTY OF ~~c.....O The foregoing lnstrllmen~was acknowledged before :roC' t!:'..s ~ ~.::;[fi ; 1Q.:i1_ by ~A"-I\-?t C~(Lo~ b~ who is per onally kno~'lll to me C>f" ~I,C' h-ets p,oduc:ed as identi ication and who ~/did not take n at ~--4f-de/~ (Bi"~'71A~ . 5- :5 cl~kl (Name Typerl, ...!'ri,nted c,,- mar.:;:>ed) _ NOTARY PUBLiC. ....,.....tf~ -., CiII..... ExPra Dee. 29. 199~ ~A/ n.... f...; '"Fa. """"'1"0'_ ".,