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Home My WebLink About93-3031 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _3031-41 Date d2 -/ R--7.$ -- BUILDING EL~~ PLU~ GEC~~NIC~ Sewer Conn Water Conn: Pmperty Owne' ift-;.. ~ f!t ~ Job Address: 3_~ 0 - _ ~_ are Parcell.D. # Water Meter: T,I.F.'s: Zoning: Description of Work .f) Energy Code: _ d--tJ _~~IL Radon Gas: FINAL "q--- /;;;... -7'.3 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# _.11 /A- 07' , Inspector ;;;~~::,:e ?:t:fK:~:A, Company Address Telephone# Valuation or Contract Price <=:- P~ING ............ e:CH~Ly BUILlJll\lG ~ICAL " Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. API>J.:i.C}\T][,O~ FOR I)P;R~nT GI'IY OF 7..EPUYl\:JII1..1..S nUH.DJUlllG nll:r.p!i.R'nm,NT OWNER'S NAME r.'~f 0 U~p; ~G,r", ~IO"r. ADDRF5S i:Jo 7j~(J7 2~T '- 'f ? ij / C) tb;;e; ,~c;J 1!' 7 ?~) -?/J?r Oh"h'"ER ' S ."JOB ADDRESS r//c- ~~frO'4 LE(",AL DESCRIPTION: LOT(S) I -" m.ocK -smmI\"ISION1 PARCEL I. D. ~ h"ORK PROPOSED:_!S!e'A' Construction 1-^,ddil:ion -4Alteration _Repair _Install _Sign _HoV/e _Demolish. PROPOSED USE: Single Falllily _H/F _~ of Unil:s _~i/ II 4- l,ofiDIllercial _Indus 1:. _Swig. Peol _____Other _Resltaurant Ii: nealth Uepart1lilent: Approval BUILDING SIZE: x___,-----'--, _____Square Fecl:,_. ~- He;i.ght RESIDENTIAL:. ATIACJI (2) PLOT PLA~S Ii (2) SETS OF mrrLDING Pti\INiS & (1) SET ENERGY FOR?'tS. H COMMERCIAL: ATTACI1 (3) SETS GF mJIJ.DIJNIG PIAN=> &(1) SET EINlf1:RGY FQR~tS. ~* ~~COpy OF cowrnAGX RE'QIJ.J)'][P.,El)" _BUILDING ~ G.- {eJt1> ,;,.[_"","-..ITS RF.Q11F$TfJl Val,uaLion of Total (".onsLicuction $ _ELECTRICAL -LHECIL-\};'"I CAT. AMP Service Plol:'ida PO\,Cl.- C:";~p. \i.R.E.C. $ ~c:::. t.eJ 0.-,1 c.-!- i'Valu.atim1c of iHechanicaL Tnstallation , _I-LU1'lBING GA,$ _ .__..___ROOFI~G ____5PEC1.ALTY TYPE OF CONSTRUCTION!: _Block ___Jra~ _ ___S t:eel. .other FIlIfISTlED FLOOR :ELEVATImUS- ~ ,?--.:,~ , IS FRe.JECT IN FLOOD zom:: :'\RE."-? YES NO ~~~~~~~~*~~~~t~~~~~~~~*~~~**~***t~~~~*~~~* Signature {<J ooJWTP..Acror(, SF.CT'TON n \TTT .0 Y.R Icmu' f\.f!\W State (;.::rt. or: Regi,~;;l:. if! Cl. ~ - gn.se j"{cgist~~.rat:ion # ~~.A.*~~*.~*~*~~.~~~t*~~*t~~t~**~~~'AA~~*ft~ F.T.F.CTRIC1AN U1ll'[P.Vi'Y ----.------- St:.at{~ 'CeJ:'t:. or ]t.eg~~.:;;:r.: #: C:it.-y I.icense Regis,lC,C;\1i:ion jft Signature *~t~~i*~t~~~*~*~~~~~~~~*~~*~~~*~*~~~~'~:~~~~~ LlOO'irA~1Y State Gert. or RegisL. ~ _.__ Cit:}". Ll'~'cdsle Regis !:.;c:;::'.".::.iCril ~~ '"2:-1: ~'9.:-E:: 'fl.:.-::-o:. i:~*-!k'.I:~-{J;;'fI::-!:*-S;'i!:-!!:*-S: ':i:~~ ~c: 'r-& -C: -!:'*'i: ~ i: ".::- ~~. .;.~.:,:~ -!!: * PUliMRER Signature Sicnature, , ~ tM ffe-~ OONP/!\ff,y.;;/jt-C./KS L: -{- A-l ItA/O State GerL or RcgisL iZ::if?;.'ol/ {".;Jc:JQ Git:,y I"icense Rel:>,ist:caLl.on :! -~ ~ HF.'ClTA ~"l CAT. OTlrrn COHI'AR.i' r:,~' >18lAA.~V"";:"-< Stat'~ CerL or RCl:>,isl:. ,.~--, Sieflatu~ofJ~t~.J .~. '__~_""'._----'''-----'--'' GH:y Lic~se~e~~I\>'~'x ., 'w. . ~ ,.~' ,.'. , ~'~bl>d'"''',",~'\\-~-.lblb2'*''''':''>I\.'Jl-*o!.;:.*1::'\-*i*>I\-**''''***''''.;I>'''.....;I!'~..,* , r t,_., . (..."':..~-'~...:~ APPLICATION APrRDVFD n-'~ PER.'fIT OFFICER. __... ___.__w ____---- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .Iay be subject to 'deed restrictions" which may be ~ore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPDNSIBILITIES If the owner has hired a contractor or conir,~:"'s t~ ~njertake "orK, they may be reou-i~~to-~-icensed in accordance with state and local regulations. If the contractor \S not licensed as required by law, both the owner and contractor may be cited for a lisde.eanor violation under state lailc If +h? owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended worK, they are ad~ised to contact the City of Zephyrhills Building Department, (813) 788-6611. Further.ore, 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 Mill 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 permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been pi ,'ided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Department of Ayriculture and Consumer Affairs. If the applicant is so~eone other than the 'oNner", 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. E. CoNTRACTOR'S/OWNER'S AFFIDAVII I certify that all the inforlation in this application is accurate and that all work will be done in coapliance Mith .all applicable laws regulating construction, zonin9, arid land development. Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or installation has co.tenced prior to issuance of. a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulatin,'s. and land develop~ent regulations in the jurisdiction, I also certify that I understand that the regulations of othe" governmental agencies may apply to the intended worK, and that it is my responsibility to identify what actions I lust takE to be in compliance. Such agencies include but are not limited to: I Departlent of Environmental ReQulatio~ - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Do(ks, Navigable Waterways . t Department of Health ~ Reha~ilitativ2 Services, Environmental Health Unit - Wells, Wastewater Tre.atlent, Septic Tanks I US Environmental Protection AQencv - Asbestos abatement T alsD certify that, if fil1 ~~tpr;?J it;. to bf' ....an in noon ")ne "AB or 'A.etc,", it is underste,od that a drainage plan addressing a "compensating {olu~e" will be sub~\~ied whIth 1~ prepared by a profrssiona. engineer registered in the State of Florida prior to permit issuance. A oerlit issued shall be construed to D~ 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 permit prevent the Building Official froD thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per~it issued shall becote invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of 5ix Bonths after the tile the worK is commenced. One 90 day extension of ti~e, 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 must be logged duriog each six month period, or the project will he considered abandoned. WARNING TO OWNER: lhUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS, CONSULT WITH YG!JR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMEHCEMENT". ../} STATE OF, ~LORI~ COUNTY OF ~ The foregc~i ng i T)!3J;~ was ~,jmowle,jged before me this/tf V"""""19.L2. by , ./ STATE OF FL~ COUNTY OF ./? ~~ ThE foregoing jn,strurr~t via,s dckno\.Jledged befeq-e me thi=>lJ~ ~, 192...i.- by (~, is persc,nall y kno\'jJl tl:~ or ".ho r.dS '-p10duceJ --;::-:-:-_~, as identificatiol-, ~nd I'lhe, ~~- t :' an oat,h. /1; ',L-x --~~ RAE I!IROW~ 12. 1993 or \'1ho has .... "'"' (Name Typed, Print NOTARY PUBLICt}