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Home My WebLink About93-2947 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2947/1: BUI~ ~b ' Of) ~EcT;~V PL~ JtJ, iTU ~HA~ Date / - .:L (J - 93 Sewer Conn P,"perty ow"e'::J11"r~ ~ Job Address: ~_ - ~ Parcell.D. # Water Conn: Water Meter: T.I.F.'s: Zoning: Ene2:2e: Deoc,;p';O" of WO'k# i ~<! Radon Gas: ~ NO OCCUPANCY BEFORE C.O. FINAL 2-I-q3 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.O. Inspector City License Registration # 7 / State Certified License# Permit Fee ....s""V r c:n..:> ~ s;g"a'u'"-9~~ ). ( Company Address C Telephone# Valuation or Contract Price q 'I r t:J, c/(..J BUILDING PLUMBING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final 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. Kinsey Central Heat & Air-Conditioning 7722 Fort King High'"lJay · P.O. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 CITY MAKE MODEL SERiAl NO. NATURE OF ~ SERVICE IL,/ REQUEST o ESTIMATE o CASH o CHARGE . QUAN. PART NO. DESCRIPTION PRICE AMOUNT I ,- (' ,- . SERVICE PERFORMED TOTAL MATERIAL TECHNICAL SERVICE TIME TAX 7~~1 DATE COMPLETED CASH ~:~~ETION-+ TOTAL TECHNICIAN ~ /) CUSTOM"'S SIGNATURE ~ .r A /.2C:~oV~ . APPLTCA'fION FOR PHR1IIIT CITY OF ZEPIIl'RIIILLS BllIILDIIlIG DRPAR'I1IfE1'i1T OWNER · S NAME if'ag% 'tree kfV~ /7 / 9~5t:J PHONE 7g ~ ~? () ;2... ~ OWNER' S ADDRESS JOB ADDRESS <>' ?.:H 2F? f? LEGAL DESCRIPl'ION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' WORK PROPOSED:_lSJew Construction _Addition _Alteration _Repair _Install _Sign _HO'\l'e _Deaolish PROPOSED USE: Single Faaily _KIF _, of Units _HID _~rcial __Indust. _Swi..-. Pool Other _Restaurant & Hea1t:h Depart:.ent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL : cotmERCIAL : ATTACH (2) PI.OI' PI..ANS & (2) SEIS OF BmLDIHG P:IJ\JiS & (1) SEI' ENERGY FORMS. u ATTACH (3) SILTS OF BUllDDilG PJfAHS & (1) SEI' EHRRGY FORMS.** **COPY OF CONTRAcr REQmRIlD. PERl/fITS REQUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL _MECHANICAL ,. AMP Service Florida Power COrp. ;;< Y S?Q ~ ValuaUon of Hechanical. Installation W.R.E.C. _PLlJHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fi:'3IIle _Steel Other FIlIfiSHED FLOOR ELEVATIONS: FI' . IS PRO..JECT IN FLOOD ZONE AREA? YES NO ****************************************** CO~CI'OR SECTION BUILDER COIIIi?MY State Cert. or Regist. , City Liceru:~ Registration , **************************~*************** Signature Si COIfPMY State Cert. or Regist. , City- License Registration **************-ik:"....******************* 77?07~ ~ // .-L- ~~ E/I~ I # ~I PIDtBER KECllANICAL CU!lP.OY State Cert:. or Regist:. if# City License Registration , 4I!I!l..- *********************~******************** lDIPMlY X?""~ C~o<:~ State Cert:. or Reg - t:. , e rJ ~ City License Registration j ~/ *********************~******************* f Signature r- Signature 011IER CO'IIPA:;W State CerL. or Regist. if# Signature City License Registration IF *************~*********************.***..* APPLICATION APPROVED BY PRRKIT OFFICER. %TI CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject tli "deed rHstrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance wi',h any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ollner has hired a contrachr" Dr contractors to.undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as r~Quired by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to con,act the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the "Contractor Sections" of this application for IIhich they lIill be re<ponsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the worl:. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licellsed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILJTY CONNECTION FEE~. 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 ConSUtpr Affairs. if the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above descrih,~d doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIr I certify that all the inforlation in this application is acclirate and that all worK will be done in cOlpliance with all applicable lalls regulating construction, zoning, and land dev21op.ent. Application is hereby lade to obtain a perlit to do 1I0rk and instailation as indicated, I certify that no worl: or installation has cottenced prior to issuance of.a perlit a!ld that III work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land Aeveloplent 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 ty responsibility to identify what actions I lust take to be in crlpliance. Such agencies include but are not litited to: f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterways ' f Departlent of Health ~ Rehabilitative Services. Environmental H~lth Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental ~rote(tion AQ~f1Lf ~ ~:br~t~~ :h~tement I also certify that, if fill taterial is to be used in Flood Zon[\ "A' ~r "A,etc,", it i~ understcod th~t a drainage plan addressing a .colpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the worK authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six tonths after the ti.~ the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extensiOll shall be requested in writing to the Building Official. An approved inspection,lust be logged during each six tonth period! or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT 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 COHMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT .-- was ackn~wledged , 19__ oy STATE OF FLORIDA COUNTY OF The foregoing instrument beTllre me this STATE OF"FlORIDA COUNTY OF The foregoing instrument before me this was acknowledged 19_ by who is personally known to me Dr who has produced as identification and who did/did not take an oath. who IS personally known to me or who has produced as identification and who did/did not take an (lath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC lName Typed, Printed or Stamped) NOTARY PUBLIC