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Home My WebLink About93-3138 BUILDING PERMIT Permit _ 313Sy8 /j-~-93 -- CITY OF ZEPHYRHILLS (813) 788-6611 ,/ ~D ~. _%#~~~ N~ {)D ~~ Date ~ Q----::J ~RI~ ~L Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # Water Meter: T.IF.'s: Zoning: Description of Work DATE NO OCCUPA FINAL Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE :~;~~:;:ej~ffkL 7~ Company _ _ _' Address Telephone# Valuation or Contract Price BUILDING Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final '-{-2 ~-~3 Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water sewerv1J f 4-]-] {11? Final Breakers Ducts Insl. Compressor Final *~ 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. Housing Rehabilitation Project Community Development Block Grant Program City of Zephyrhills, Florida Unit: 5613 18th Street Zephyrhil1s, FL 33540 Project Number: ZH-5.82-2 OWner: Mrs. Violet Heyer Proposed Improvements: 1. Replace roof (and over screen porch area) Cost $ 2. Replace soffitt/fascia as needed, Remove gutter on south side of house Cost $ 3. Replace pane in bedroom/screen porch windows (2) Cost $ 4. Replace gas water heater with electric water heater Cost $ 5. Install electric smoke detector Cost $ 6. Install GFI in kitchen/bathroom Cost $ 7. Replace sewer line Cost $ 8. Paint walls and ceiling in first bedroom and ceiling in family room (leak damage) Cost $ .TOTAL BID: $ APPLIC..ATIOJN: FOR -PRmUT CITY OF ZE.'PIIYRIITLLS BlJJILDUl1G DEPAR'1l'fE',N'T ;;b'7-j9':3~ ~ 01 OWNER'S NAME .1, ... ,. ;); 0 t~,.I-Iff j(ER-, st/~ . . /~ff ';;1- 3"~~ P1tO~E 7gY:L-(06~b OWNER'S ADDRESS JOB ADDRP..sS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION! PARCEL LD.# h~RK PROPOSED:____~ew Construction ____Addition ____j\lteration ~RePair ____Install ____Sign ____Hove ____Demolish PROPOSED USE: )( Single F3IIIily ~K/F ____it of Units _M/H _Coaaercial ____Indus t. _Swim. Pool Other _Restaurant &: Health Deparbment Approval BUILDING SIZE: x Square Fee t. Height RESIDENTIAL: COHHERCIAL : ATTACIT (2) PLOT PLAN!~ &: (2) SETS OF nutLnING PLANS & (1) SET ENERGY Fb~~.** ATTACH (3) SETS OF BUILDING P"LANS &: (1) SET ENERGY FOR~IS. H :!-:!-COPY OF CONTRACT RlJ'.QUIRllD. PRlMITS RF.oUP-'iTED L-BUILDING XELECTRICAL {I/ It- MECHANICAL $ ?c//s Valuation of-Total ConstnJction MfP Service Florida Prni'er COrp. W.R.E.C. s Valuation of Mechanical Installation XPLUMBING GAS X ROOFING TYPE OF CONSTRUcr:rON: ____Block ~Fraae _Steel SPECIALTY Other FINISJIED FLOOR EL.EVATIm~S: FT. IS PROJECT IN FLOOD ZONE ARR~? *:!-:!-:!-:!-~*********************:!-************** YES NO ro_'::~F.CT5d'#,t?Y' ~c7J ~ .L~ State Cert. or Rcgist. lit t!?.4Jt!! O/P~.,:2..J City License Registration # ************************************* HI.RCTRI CI AN , ampANY (VI (J./1-,,,,- (f t <- 'f.r. ~ 7fl /1. ?" ~ _ L Stat.e Cert. or l~egist. ifi: CI(N) (/110 ~1T [J-.. f ~~ City License Registration # r;,,J ********* *****.****************~********* Sismature ,/ PfE'.Cl1'ANICAL coHPANY-:,4c ~ ;!-/~S/rl-5 // . State Cert. or RegisL t# ~ ~ City License Registration i ****************************************** PI.UKnER Signature ~k! Signature GO'lfPANY State Cert:. or Regist. if City License Registration ~ ~~*XZ~X*X~.~*X*~**~~*~~~~~*~~~~~~~ 0"TlTY.R , _ . /?Oi,fJ~r /' S1gnature roHPANY State Cert. or Regist. * City License Registration * ****************************************** APPLICATION APPROVED BY PERMlT OFFICER. '" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it 'aay be subject to .deed restrictions' which ~ay be more restrictive lhan City 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 contracto\s to undertake work, they may b;-;~qjuired ~lcensed in accordance with state and local regulations. If the' cbiit'r act or is not"licensed as required by law, both the owner and contractor uy' 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 Department, (813) 788-6611. 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, rath~r than th~ tbntractor, are responsible for the work. If the contractor wishes you to sign as contractor that eay be an indication that he is not properly licensed and is not entitled to per~itting privileges in the City of 2ephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTlQN 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 Depart.ent 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 document and promise in good faith to deliver it to the "owner" prior to cOllencelent! E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has cOI.enced prior to issuance of, a perlit and that all work will be performed to 5eet 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 governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: . Departlent of Environ_ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands, 'Yater/Wastewater Treatment . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treataent, Septic Tanks . US Environmental Protection AQency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "Ii" or "A,etc.", it is understood that a drainage plan addressing a .compensating volule. wilt be sublitted "hic~_is pr~~ared by a professional engineer registered in the state of Florida prior to perait 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 froD thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becote invalid unless the Mork authorized by such permit is coalenced within six mcinths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the tile the work is co~~en(ed. One 90 day extension of ti~e, lay be allowed for the perait with fee charge of $15.00; The extension shall be requested in writing to the Building Official. An approved 'inspection must be logged during each six month period, or the project will be considered abandoned. IlARNING TO OIlNER: YtlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT HI YOUR PtWItlG mCE FOR IHPROVEtlEHTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COI1I1ENCEI1ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD -AND POST A . NOT I CE OF COMHEIJCEHEHT'. .~___L __ SIGNATURE: OIlNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc,re me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument before me this ~'Ias ac kno~.1l edged , 19_ by who is personally known to me or who has ~n)rll'cf'rl as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) tyOTARY PUpLI~ (Name Typed, Printed or Stamped) NOTARY PUBLIC "~~~~:,~~s;;=~f.~~~~~~~t~U1frr~/~"~~.~~~~~';b~;~~)~~~~~~:d~;j}3ik~~~~w~~'7~r~~-=~:=~:;"Z;ZL~~"'~;:;~'~.>"'~~.,~.._-- - Housing Rehabilitation Project Con~unity Development Block Grant Program city of Zephyrhills, Florida Unit: 5613 18th street Zcphyrhills, FL 33540 Project Number: ZH-5.82-2 Owner: Mrs." Violet Heyer Proposed Improvements: 1. Replace roof (and over screen porch area) Cost $ 2. Replace soffitt/fascia as needed, Remove gutter on south side of house Cost $ 3. Replace pane in bedroom/screen porch windows (2) Cost $ 4. Replace gas water heater with electric water heater Cost $ 5. Install electric smoke detector Cost. $ 6. Install GFI in kitchen/bathroom Cost $ 7. Replace sewer line Cost $ 8. Paint walls and ceiling in first bedroom and ceiling in family room (leak damage) Cost $ .TOTAL BID: $ ST~jfj"n.oJ A::J \:! 1. o-r~ (padwp~s JO paluTJd 'padAl aWPNI J I lr]nd ^:~\j ION (padwP1S ~o paluT~d 'padAl aweNI ,. ::-, ~ '\:i \'!, I f'l T \~ ~ ( a ..m 1 p!! fj T S I '.-i .. ;;":]. --:: '::- ::.; ~ ~ ..., -. - , .... .... , , -.., ..-, r- ..- f'-'