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Home My WebLink About93-2985 BUILDING PERMIT Property Owner: Job Address: Parcell.D. # CITY OF ZEPHYRHILLS (813)788-6611 ./ ~6 ~AL P~ ( ~ECHAN~ cJff/f2 -7J!2~. Permit ~ ~;l.-1? Date --N(! 2985 ~- Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: /4- <J-D7' Radon Gas. .4/~- - n.grL)~L NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # 7/ State Certified License# Permit Fee Signature Company Address Telephone# ---- . Valuation or .J!b 4 9. .' ~ Contract Price II 0 {) ELE~ --- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final p~.. - '-7f1Z/J:;zM HANICAL BUI~. ...".., Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 ($15.001 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. . _Ji,iM;r,~' _""-,__. b .'_.. _ ,.- ~:- "<--l.~:,:, " K'insey Central Heat & Air-Conditioning 7'122 Fort King Highway. P.O. Box 2209 Zephyrhills, Rorida 33539-2209 (813) 782-2300 NAME ,ADDRESS CITY MAKE MODEL SERIAL NO. NATURE OF ~. SERVICE ILa,/ REQUEST QUAN. PART NO. DESCRIPTION c SERVICE PERFORMElj-1C4/ r/ cJ <3 0/ L! - J TOTAL MATERIAL TECHNiCAl SERVICE TIME 7~~1 DATE COMPLETED CASH g~;g~~ETIDN-+ -. (_ ~E "~DEf; ~ DATE PROMISED APARTMENT ESTIMATE o CASH o CHARGE PRICE AMOUNT TAX TOTAL TECHNICIAN ~~ 1/ ((~{L/'/ CUSTOMER'S SIGNATURE L( '1\ ,:. APPLICATIOII FOR PERKIT CI'IY OF ZEPIIYRJIII.LS BlITLDDiG DEPARnIE'Jn' OWNER'S liAItE j?/E)J5J<. 38'?s-.:< ~~r? ..(' --- mcc~ ;;2 ",d 4-v ~ mmm )~);<.(Y8s? OWIiER'S ADDRESS JOB ADDRESS LEGAL DESCRIPl'ION: WI'(S) ~smmIVISIOII PARCEL I. D.I . WORK PROPO":_lNI~ Const:ruct:ion _Addit:ion _A1terat:ion. _Repair _Install _Sign _Hove _Deao.lish PROPOSED USE: Single Faai.ly _KIF _, of lJInit:s _K/H _~rcia1 _Indust:. _SW":L.. Pool Other _Rest:aurant & Hea1t:h Depart:aent Approva1 BUILDING SIZE: x Square Feet:. Height RESIDENTIAL : COtftIERCIAL : A'ITACH (2) PLOI' PI.../UiS &: (2) SEIS OF BUILDIBG PLUS &: (1) SF:I' ENERGY FORKS. ** ATTACH (3) SEI'S OF BlJIIDDiG PLDS &: (1) SF:I' ENERGY FORKS. u. **COP1" OF COlNTRACT RIllllDIRED. PERl!lITS REQUESTED _BUILDING $ Va1uat:ion of Tot:a1 Const:ruct:ion _ELECTRICAL _KECllAlUCAL $ AIIP Service F.lorida Power Corp. / l' OZ< ~a1uat:ion of Kechanica1 Installation W.R.E.C. PLUMBING -..-GAS TYPE OF CONSTRUCTIOII' _B1ock BOOFlliG SPECIALTY _Pralle _St:ee.l Other FlliISHED FLOOR ELEVATIONS: FI' . IS PROJECT IN FLOOD ZONE AREA? YES NO ****************~************************* COIlTRACIOR SECTION BUILDER COIlfPMY St:at:e Cert:. or Regist:. , Signat:ure City License Regist:ration , ****************************************** ELECTRICIAN CO!IPMl:f St:at:e Cert:. or Regist:. , Signature City License Regist:rat:ion I ****************************************** PLDtBER CO!IPOY St:ate Cert:. or Regist:. , Signature City License Regist:ration I ****************************************** IlECHAflICAL aJlfPAIiY ;{;A; S ~/ C 1'...J,. ~ St:at:e Cert:. or Reg. t:. I t:J 03- /f<. Signature City License Registrat:ion I 7/ ****************************************** 011IER COIlfP.DY St:at:e Cert:. or Regist:. , Signature City License Regist:ration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. . , CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'lay be subject to "deed restrictions" which lay be lore restrictive than Ci,y' regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with state and local regulations. If the cuntractor ii, not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor 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 Departlent, (813) 78B-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cO'lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in coapliance with.all applicable laws regulating construction, zoning,and land develop.ent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co.tenced prior to issuance of. a pertit and that all work will be perforaed to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' . Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a "cotpensating volute" will be subtitted which is prepared by a professional engine,~egistered in the State of Florida prior to peni t 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 perlit prevent the Building Official fro. 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 pertit is co..enced within six .onths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six .onths after the tile the work is cOI.enced. 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 lust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: ?OUR 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 COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF..FLORIDA COUNTY OF The foregoing instrument befol-e me this was acknowledged 19_ by who is personally known to me or 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 oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC