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Home My WebLink About93-3078 BUILDING PERMIT Property Owner: Job Address: Parcell.D. # .-- ~ !22- j -~--,----- ~TRIr^l~ P~G ~ .~ '7-- ~~:tz -- . - ~. CITY OF ZEPHYRHILLS (813) 788.6611 Permit N~ _ 3078 e:.- .$,-9- 93 Date ~- ME~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: FINAl-L!-3o-2 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 Valuation or Contract Price #11 Inspector Permit Fee .P2:zZ' ..:1..2- Signaturej/" ~~ / ") -h7 Company Address Telephone# City License Registration # .-2-.1/'( t!id · State Certified License# EtI bOOO ~~D ~J7r "1" 151k[1; 11 .k!.~=JJ eo. ~~ ~_~ ELECTRICAL PL~'" ---- ME~NIe:1-\L - Breakers Ducts Insl. Compressor Final Tp. Serv, Rough In Meter Can ./ J-1-Y -:{ -i~ Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final ; .-3{)~q3 ~k~ 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. APPLICATION FOR PERKIT CI'IY OF ZEPIIYRHII.LS BIJlILDIBG DRPAR'DIENT \ \ \ OWNER'S HAKE,<.e l 01 '7 ", Jl' vV\ ~ 't Y PHONE ~~:~=s ~": ~~~~~~~L[:\O- &411 LEGAL DESCRIPTION: WI'(S) BLOClC_SUBDIVISION ~Iud) Pf.\"i:>h,ol"\ l:Sv~ PARCEL I. D.' WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _l!Iove _Deaolish PROPOSED USE: Single Faaily _KIF _, o:f Units _K/H _~rcial _Indust. _S~. Pool Other _Restaurant &: Hea1t:h ~t Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COKHERCIAL : ATTACH (2) PLOT l'I..AliS &: (2) SETS OF BlJlILDllIG PLANS &: (1) SET ENERGY FORKS. ** A'ITACH (3) SETS OF BUllDDilG l'I..AliS &: (1) SEI' ENERGY FOmtS.** **mpy OF mNTRAGT REQUIRED. PERKITS REQUESTED _BUILDING $ Valuation o:f Total Construction _ELECTRICAL AItP Service Florida Power Cbrp. W.R.E.C. _KECllANICAL $ Valuation o:f Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FraBe ___Steel Other FIIiISHED FLOOR ELEVATIONS: FI' . IS PRO..JEC'f IN FLOOD ZONE AREA? YES NO ****************************************** cmaTRACIOR SECTION BmT.DEI! COKPANY State Cert. or Regist. # City License Registration # **************************~*************** Signature :::~ ~ h m1IPAIOY MOifJd-I' 8<< rf-- 6-leJ . State Cert. or Regist. i t::c .- 0 0 <:; 0 3 ;2 0 Si ture . ~. R fA Y' of- City License Registration I , ****************************************** PLUKBER COKPMY State Cert. or Regist. :j Signature City' License Registration I ****************************************** KECBAliICAL CO!tPANY State Cert. or Regist. I Signature City License Registration I ****************************************** O'TIIKR COKPARY State Cert. or Regist. I Signature City License Registration :j ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. Ii!:t '"C~~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peraitaay be subject to "deed restrictions" which lay be .ore restrictive than City' regulations. The undersigned assuaes responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or ,contractors to undertake work, they .ay 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 aay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are adviseD to contact the City of Zephyrhills Building Depart.ent, 18131 78B-bbll. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 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 LaN - Hoaeowner'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 docuaent and promise in good faith to deliver it to the "owner" prior to cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, 'and land developlent. Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no Nork or installation has cOllenced prior to issuance of a perlit and that all Nork will be perfor_ed to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is ay responsibility to identify what actions I lust tak2 to be in coapliance. Such agencies include but are not liaited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways " f Departaent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent 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 sublitted Nhich is prepared by a professional engineer registered in the State of Florida prior to perait issuance. ,. A pertit 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 frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such perlit is cOllenced within six tonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six tonths after the tile the work is co.aenced. One 90 day extension of tile, .ay be allowed.for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approve~ inspection lust be logged during each six lonth period, or the project Nill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"HENCEHENT HAY 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 CO""ENCE"ENT. 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 10 ......., , "'1_ ....., STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged bef8re me thi5 , 19_____ by STATE O~ FLORIDA COUNTY OF The foregoing instrument befcq-e me this 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 RJ:CK HARDWJ:CKE 277 IINI ,'-"'Ur,P.0.1, ~~S~ ~V1~ \ ~l-ecf) ^~PI.'}:CATX01lll FOB. :pERKX,T CI'XY OF ~ .UJ:I.D~IIG 'DEPA:KrKE:tIT 0WNEIt · S NA>OE \~ O"j'; ~ \(,.". S 'y ADDRESS lli S W OO.J. S't 1:\ ed-- HOdc:.e ~~~ , 1'l10ME ~ yc, SQ~ ~(c.. OWlrElt. S Joe ADDllESS LEGAL DESCltXPTXOllh t.Dr(S) II.T ~ SUBD'IVIS'IOM :P,AJtCEL X.D.. WOJUC P.R.OPOSED:-----"'ew Conscruct:ioo ~t.ioo. ~teratiOD _Repat'E' _'Inscall ---1>ian ~"e --->>~l.ish 'PROPOSED IISP.:: sing1c F_l:Ly --ft/F _. or Un:l.cs ---"I tt _ec-erci.e1 T >Ados t.. _Swi.a. Pool. Ot:her _Restaurant &: ueo.1l:h Depar-=-o.t Approva1 BUJ:LD'..LJ(G SIZE: x Square Feet. Hei.ght RES'J.DENT1AL: cottIfERCIAL : A'l'TACIt (2) PLOT PLAJIS .. (2) SETS OF BUXLDIlfC :PIAlllS &: (1) SEX' 2NERGY FOIUtS.*. A'l'TAC11 (3) SETS OF BUJ::J.D'IlIG J!'LAlliIS &: (1) SEX' ENERG1t' FORMS... ....COPY' OF CONnlAcr llEQUXRED M f'I!'RIPUTS 'REQtJRSTED ----..BU1:LD'IRG _ELF..crR'ICAI. --.-JfflCIIAMICAL ~'J:"G s va1_t:l.oo 0:1: Toeal.. COnstruction .AMP Service F10r:lda :P(JlollleT CO:q>>. V.It..E.C. s Va1_~1.oa. of Hecbanica1 'IDsbL11at::lol1 CAS ROOF:t:IIG SPECIALTY TYPE OP CONSTKIJCT'ION: ~J.ock _~ _Stee1 Ocher IS PROJEcr IN n...ooD ZONE AREA" YES NO ..........*....***...**...........**... S COlH'ANY Sl:.ate Cert. or It.eai.st. . Cit:y L1.cense Re&'ist'E'att.on . ....*.*............**..............*....**...**. COItlPANY State Cert. or Rea:;ist. . C:t~ T_-lcense Regist:rat:l.ol1 . .........*........**..*....*............*....... CXJMPAIIY SI:ACe Cert. or ltegisl:.. ., ct:t::r L:l.c~e Reg"ist:ral:.:i.on . .~..........*...................***.......~* PT..IJK8F.R. Signat:.ure COIfPADIY. State Cert. or Regi.st. . Ci~ License RegistratlOI1 . ....*..............~.**....*...*.....*..**...... KP.:CRAN'TCAL SilPlAcure CIOIlfPAJIY Stal:.e Cert. or Reg~t_ . C1.cy L1.censc aes:l..tx-.t.:l.on . *...*...*...*...**..**...~*...*...***.***. Q"I"IIER Siatnature APPLl.CAfiOR A"PPROVF.D BY ~ PERKIT OFFICER.