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Home My WebLink About93-3194 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 319413 "Y-:2J ~ '7-3 Date C;:I~ PmpertyQwn" ~~J;p~ Job Address: --.3 9/ c/O - EL~L "'-- PLUMBING MECH~sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D, # fj E~rgy Code: ~~ il'/Y~ A...o7J"n,., . .., R.~ :.:. / : ___?~J ~ "'l- - 7/ Zoning: Description of Work .A.-LAu 4 NO OCCUPANCY BEFORE C.O. FINAL b - '3 - q DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Permit Fee Signature Company Address Telephone# ~o-~ +-~ ~. Z .- ,.c--'- ,~;-, _ / -.,~y ,.t.c-'.' '-_~__~ " Valuation or Contract Price h t/?'J - criJ City License Registration # /-r3- State Certified License# ~'~'~~ ____ - ~BUILDING '~; E~ _____ Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can PL~ -- M~CAL ~ Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. ~--_.._~ r~---~ EX 1.5 T ,__ jf~ : .') ((-J;': JL i i . i ~- . K. ---, I L ,,'.':>; c"'~i- : . E"'TEA./JI ~! I I /L~ Sel, e:E,t i h_~2 ~. -rj,' , ~ -I~" ~c-c:-- 1 I/'...-- -- h~___..W~ .1"\ c k i "- {/ I.- ':lJ .-/';/ < f({r: (.. I I t I .-., f--.+ ( L S L-~- ......,. f - '> ~. .u I: //') PC} ~I I - u____-L lI!!!r APPLICATJ:OlNl FOR PHRMIT CITY OF ZEPJIYRIITLI.5 BrJJD:.Dll!i1G DEPI\RTHRlN1T Oft"N'ER r S NAME '. (\]//7 -!'L I ;), ~" -, f4F1? i~ Sr.))i OWNER r S ADDRESS ,7 c.-) / {* (.. I) TfJ /7 ( ) i= / .JOB ADDRESS , <) / '77/7 7 .-;:::.- PI 10 !!liE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDH"ISION PARCEL LD.# / "'URK PROPOSED:_lMew Construction _Addition ;/ Alteration _Repair _Install _Sign _Iliove _DeJllolish PROPOSED USE: ,. . · Single Fauily _KIF _, of Units _M/H _Cowmercial _Indust. _Swim. roo 1 Other _Restaurant & Health Deparl:lllC'nt Approval BUILDING SIZE: '!. x/!. . -;C- ./\ c j::A ~<ty(,,,, Square Feet, /9 (' / . PH~ight RESIDENTIAL: COHHRRCIAL : ATTACII (2) PLOT PL.i\NS' & (2) SEIS OF BTf,llDING rI.ANlS & (1) SET ENERGY FORMS. ** AlTACJI (3) SETS OF BUllDllilG PLANS & (1) SlIT ENERGY FORNS.~~ c!:c!:COPY OF CONTRACT RE:Qm:RED. PEIDfITS REQUP_<iTEf) _BUILDING $ I'.r."'r-.".~ ~Y{ ( Valuation of-Total Constnlction _ELECTRICAL AKP Service Florida POl-"Cr COrp. \i.R.E-C. _MECHANICAL .$ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECL\LTY TYPE OF CONSTRUCITON: _Block _FraJlJe _Steel )7 / c" /,i Other FTNISlIED FLOOR ELEVATIOiNS: PT. IS PROJECT IN PLOOf) ZONE ARE~? L// c!:*c!:*c!:~~~*c!:**.*******~*c!:*c!:*c!:~**c!:*********** YES NO CONTlU\CT'OR SRCT'TON Signature r-~-"" ;/ '. f , #-./// ~ (YJ? . .,"; ;,--( / '- / ~./ ) .--- ----- COiHPAlNY Ii,,) --;> CtJ,IL '~,J State Cert. or Rcgist. #. L'A) ( Z',S::;-;Y'! / CitY License UegistratioIl #: I '5';;- ********~.*******~************c!:*********** nVIT.DY.R ELRCTRICIAN OOHPANY State Cert. or Rcgist. # Siro'lature City License Registration iJ ***********~***.****************~********* PUJKBER COMPANY State Cert. or Regist. # Signature City License Registration ~ *c!:**c!:*c!:***c!:*************************~***** Mt?ClTMUCAL COMPANY State Cert. or Rcgist. if Signature City License RegistratioIl ~ c!:******c!:c!:*************c!:*c!:***************** m COHPAHY State Cert. or Regist. # Sienature City License Registration III *************.*************************~** APPLICATION APPROVED BY PP.:R~T OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A~ NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait .may be subject tD 'deed restrictions' which aay be Gore restrictive than City regulations. The undersigned assules responsibility for coapliante with any applicable deed restrictions. B. UNL I CENSED CONTRACTORS AND CONTRACTOR Fj,[;.qF'QJiID.IJ3 I LIT I E8.. If the owner has hired a contractor or contracto~s to undertake work, they may be required to be licensed in accordance with state and local regulations. If the- tanhador is not'.'licensed as required by lal1, both the ('I1ner and contractor uy be cited for a lisdeaeanor 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, (B131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the 'Contractor .Sections' of this application for Mhich 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 per~itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTlQl\j FEE~, D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'FIorida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is SOleone other than the 'oMner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'oMner' prior to cOI~encelent! E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance Mith .all applicable laMS regulating construction, zoning, ~nd land developlent. Application is hereby tade to obtain a pertit t~ do Mork and installation as indicated. I certify that no work or installation has cOI~enced prior to issuance of. a pertit and that. all Hork will be performed to seet standards of all laws regulating construction, City codes, zoning reg'ulations, and land developlent 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 lust take to be in compliance. Such agencies include but are not limited to: f Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environ=entally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar IY Corps of EnQ i neers - Seawa 11 s, Docks, Havigab 1 e Ha tl!TKays- - ' . Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, Wastewater Treataent, Septic Tanks f US Environmental Protection AQency - Asbestos abatement 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 'coJ!lpensating volule' will be subaitted whicb}s pr~p_ared by a professional engineer registered in the state of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed Kith 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 periit issued shall beCOie invalid unless the Mork authorized by such permit is comlenced within six lonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six lonths after the tiDe the Hork is COQgenced. One 90 day extension of ti~e, lay be allowed f?r 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, Dr the project will be considered abandoned. HARNING TO OHNER: Y~UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR rAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 was acknowledged befc,\-e me this , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before 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 pl-oduced as identification and who did/did not take an oath. (Signa tun::, ) (SignatUJ-e) (Name Typed, Printed or Stamped) NOTARY Plll)L I~ (Name Typed, Printed or Stamped) NOTARY PUBLIC