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Home My WebLink About93-3021 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N C? _ 302t8 r9-0< b7? ~EC~ Pmp,<tv Own" ]{; j:f;A ;- fir Job Address: ~ - 7. ~- Parcell.D, # 1/ - ~6 -;)./ - CJCJ/O - 0 ;;!.SC; CJ - 0/'/0 PLUMBING hJ Date;l - J 6 .- ? 3 J..Q::- ~HANI~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning' ~"9V CoO" Radon Ga" ~ ~';Z:"e': -- ;:!7!1'':;'~-Z~ - -"J'/~~ FINAL C.O. cJ' - .~ ~ Inspector~ I -r- NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee :z.s~ t77) SignaM" ;;i:. t::--C/. Company { Address Telephone# L; -.~ ( Valuation or Contract Price City License Registration # State Certified License# 3,Y--so. tio (,-5 PLUMBING Ftr. Pre SLB Lintel FRM. J -L-"i~ 6tlrL Insul. CL WL Breakers Ducts Insl. '3 - 2-~' ~ j$<?J&- Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In 3 -;-.:'1 ~ ~ Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 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. .--------- ~,..- "i:S-:~()c;;'t;;;; - 0 IVo Heat & Air-Conditioning 77'22 Fort King Highway · P,O. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 / ,/ " -', ....'(.J I ~ ,4 L 7-EK AOORES5 i? D tJ - /1 CITY 'MKE MODEL SERIAL NO, NATURE OF ~ SERVICE L..V REQUEST QUAN, PART NO, DESCRIPTION -, . ,,"::,<.' Ii,,,,,, / ' ,/; (( i. c1~" S-',/:>.() //; ;j I ) 1(, /l ,/t:), \ / /' ..---- /;, .J{, J,/' (I / 1-/ ,/ I (I,' ,( -I (! I / (/ /: I (, ),,' (~ I l'lf/~'/"(' L JIL'I/jl / / "':--/ j' ( ,r .:' ( / (I ,7 (-; f /. :'.' J ~, /) / / / r', j// (. 1\) (' ~~~, Ij,/c;?-,c 101/v SERVICE PERrORMEEl'( I /,' .0,,9 / ~s <: I_p, ',' f'Jd ) '( .TOTAL ~L-/V QO / E ' ~ --' ',,- . T ,V:'V /' r.:< 'r, .. MATERIAL ,,~ i fj (i,p cj 'f, 1,,/' (, 'U ' 7'" r, /, , TECHNICAL ~,.' ',,:;;;>I: ,", ~~0U1 / . SERVICETlME: In,~ ~~, ;//i.c::' /r,,/,_ ,1;/ .. ! -cf\' t'e ('\.- II f' -'!' ' '/: I' C ..' _ j ". (.. ,: /. /', c ", .. " rv c:/ 1.( /t 'I __.J ' 7~ ~I DATE COMPLETED CASH g~ ~~~~LETlON ~ TECHNICIAN CUSTOMER'S SIGNATURE t, ~ ,: C:' \ ;[ .J O~TE Of OROE~ _ ~ ////7'.3 \ OA~:=- I !~PARTMENT O/ESTIMATE o CASH o CHARGE PRICE AMOUNT I I .,..?,.;'SOIu'i) I I I I I I I I , " {/ ( -~-~-::-r::--::- , .c ,I, I ( " ~J ( (.,' 1__ (." TAX I I I I I I ;is,): (}'V " , ',.J TOTAL ,'f _-::')_ ""-~-'I.--. t?a~/(~ *- - APPLICATIOJSl FOR PERHIT CITYOFz.EPIIY.RI[ILLS BllJIIJ)lllJG DEPARl1!IElilT OWNER'S ADDRESS r.<.J /l- 11.p- r ~Bocf C 0/</ IV 11"('50 PIIOD ? ~S - ~9S;;;2 OWNER'S HAItE JOB ADDRESS c;-~~ LEGAL DESCRIPI'IOl'i: LOT(S) BI..OCK StDBDIVISIOJSl PARCEL I. D.# ! I - .2 th. - .2 / .... 0 C) / 0 - () ? S- 0 V - 0/ If 0 WORK PROPOSED:_JSlew Construction ~ition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: sing1e F3IIily _KIF _, of Units _K/H _~rcial _Indust. _Swia. Pool Other _Restaurant &: Health Depart:aent Approval BUILDING SIZE: x ~e Feet. Height RESIDENTIAL : COHKERCIAL : ATTACH (2) PL.OI' :PI.ARS &: (2) SETS OF BUILDING PU\.NlS &: (1) SRI' ENERGY FORKS. ** ATtACH (3) SETS OF BUIIJ)ING :PI.ARS &: (1) SKI' EINlERGY FORKS. u **COPI' OF CONTRACT lUlXlm.ilED. PEKK[TS REQUESTED _BUILDING :$ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power cOrp. W.R.E.C. _ttECIIAlUCAL s valuation of Kechanical Installation _PLUMBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FT. IS PROJECT TN FLOOD ZONE AREA? FINISHED FLOOR ELEVATIO~S: YES NO ****************************************** Signature COlHRAClUR SECTION ~ M f r'r L - ~ l-~ -'-1'1< (!,~ r~':t7: /' . e ~rt. or R~giSt..' ./C f<- ~S~ L I lI:y L1cense Reg1strat1on' . ********************************** BIJTI.DER COItPANY F,'/Z s t C / /r-S~. j;je.~/ ( ~ State Ce~t. or Regist. " E-,e CPO I / L~/? City License Registration' /..5-Y ****************************************** 00lfPANY: State Cert. or Regist. , City License Registration , ****************************************** PLUKBER Signature Signature OOlfPANY /{(' N oS ~ /' C- -k' ..v if" ..J State Cert. or Reg~t. f 0 6J s;-y / ..2- , City License Registration it ? I ****************************************** MECBAlUCAL COlIPDY State Cert. or Regist. , City License Registration , ****************************************** OIBER Signature APPLICATION APPROVED BY /1(1M./'~~Q~ PERKIT OFFICER. CONDITICj,', .., PCr11'1IT (.')FFIDri'v'IT A. NOT I CE OF DEED RESTR I CT::- ':'~h Ie' The undersigned understands that this perlliteay'b;";uojeci 'I) "c;eed restrictions" which lay be lore restrictive than Citl. regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. ' B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake Nork, they may be required '~icensed in accordance with s~ate and Ioc~l regulatio~s. !f the contractor is not licensed as required by laN, both the C:lmer and contractor .ay be clte~ for a .lsde.eanor vlolatl~n under state law. If the ONner or intended contractor are uncertain as to what licensing requlre.ents .ay apply for the Intended work, they are-advised to contact the City of Zephvrhills Building Depart.ent (813) 788-6611. " Further.ore, if the ONner 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 Nork. If the contractor wishes you to si~n as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting 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 L~H _ Ho.eowner's Protection Guide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone 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 cOllencuent. . ::-. ", E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this .'pplication is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cottenced prior to issuance of a pertit and that all work will be performed 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 ~ther governmental agencies lay apply to the intended work, and that it is 'Y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: f Departlent of Environtental ReQulation -Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treattent f Southwest Florida Water ManaQetent District - Wells, Cypress Bayheads, Wetland Arfas, Altering Watercourses f Ar.y Corps of EnQineers - Sea~alls, Docks, Navigable WaterNdYs ' f Departtent of Health & Rehabilitative S~rvices, Environ.ent~l Health Unit ~ Wells, Wastewater Treatment, Septic Tanks f US Environ.ental Protection AQency - ~sbestos abatement I also certify that, if fill taterial is to be used in Flood Zcne "A" or "A,etc,", it is understood that a drainage plan addressing a "compensating volume. will be subeitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 tiside any previsions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiri~g a correction of errors in plans, construction, or violations of any code, Every pertit issued shall becole invalid unless the Nork authorized by such per.it is cOlmenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six .onths after the tide the work is commenced. One 90 day extension of time, lay be allowed for the permit 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 month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO:.tii:.NCEHENT MAY RESULT IN YOUR pr;YING TI/ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~.,. SIGNATURE: OHNER OR ~ tiG~/. ~~ t 'lot (Name Typ d, Printed [I NOTARY PUBLIC Notary Public, State of Florida My Comm. Exp. Mar. 17., 1995 i)f :FJ'! f'ub:ic, 3'o'c of Florida ikl CO!'ill" [~p, Mar. 17, 1995