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Home My WebLink About93-3230 BUILDING PERMIT CITY OF ZEPHYRHILLS ~B. (}7) (813) 788-6611 -oiJ B~ GC;:'0 PLU' ~-' Pcop,rty Own" ~:r ell ~ . Job Address: ~Y'':.- _ - ~ ~ _ . -~ Parcell.D. # / / -r2h -.;L./. () 0 I 0- /J / ;;L C/ 0 - 0;;)/ D Permit N ~ 323011 Date ~--6 -?.$ Sewer Conn Water Conn: Walter Meter: T,I.F.'s: Zoning: Energy Code: < Description of Work '-/1..t?.A'.A l' ~/ ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 0"" 0 - .3 DATE 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# h9 Inspector Permit Fee ~-::s-" cTD Signature ~ /W\rt~....J::;td Company Address Telephone# IV Valuation or Contract Price J / Y tJ" 117) / 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 ($15.001 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Jack's AIC & Heating ADDRESS 12601 Abbey Drive, Dade City, FL 3352~HONE (904)521-0420 OWNER _ JOB LOCATION 5430 8th Street, Zephyrhills LOT SIZE_X Fred Shaw AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F 11-26-21-0010-01200-0210 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ~Single Family ____M/F ____~F of Units .____M / H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BlJ,ILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ~i' ~MECHANICAL $ $3190.00 Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER Company State Cert. or Regist. # Signature City License Registration # ~::A~ ~.............****:::::::**~;;~::;..~~c . ;, // S~ate ~ert. or R:gist. . # E/l..ooiUl "1 ________ ~_ C1ty L1cense Reg1strat1on # c,. (.,] :'- ****************************************** ,;J7,/ , Company State Cert. or Regist. # City License Registration # *********************~******************** PLUMBER Signature MECHANICAl" Company Jack's AIC & H~ic62T g~~ ~ State Cert. or Regist. il 220 Signature ' ..l ) City License Registration ~F 69 . . . . '.*.*..*...*....**.*.*..*...*..*.*..*.*.. Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be lore restrictive than City regulations. The undersigned assu.es 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 may 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 .ay be cited for a .isdeleanor violation under state law. If the owner Dr 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 Depart.ent, (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, 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 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 Law - HOleowner'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 docu.ent and prolise 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 or installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: I Departlent of Environ.ental ReQuIation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent . Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health & Rehabilitative Services. Environ_ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zon~ "A" Dr "A,etc.", it is understood that a drainage plan addressing a .co.pensating volule' will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it 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 aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of ti.e, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection Gust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COH"ENCEHENT "AY 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 V E DO NOT NEED TO RECORD AND POST "NOTICE OF COMHE CEKENT". STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged before me this April 26, 19 93_ by Frederick A. Shaw who is personally known to me or who has produced as identification and who did/did not take an oath9J2,^ ~ill~h (Signature) John T. Kutsch (Name Typed, Printed or Stamped) NOTARY PUBLIC JOHN T, KUTSCH Notary Public, State of Florida My Comm. Exp, June 9, 1995 STATE OF FLORIDA COUNTY OF PAS CO , The foregoing instrument was acknowledged befcl\-e me this April 26 , lq~ by John T. Kutsch who is personally known to me Dr who has produced as identification and who did/did not t~~tL,a~ (Signature) Rit'R T, Rpnnit'r (Name Typed, Printed Dr Stamped) NOTARY PUBLIC RITA L.llEDDI1T Notary Public, Stale of Florlcla My Comm, Exp. May 19, 1995