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Home My WebLink About93-3255 lUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit NC? ~ 3255.8 r-,;Lo --93 Date E~ Pl~ JOb:::,~:~~j-1% b MECHA~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: {;Ar~;- Radon Gas: /~"Xc29/ ~~y Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. ~\ '~I Inspector' DATE NO OCCUPANCY BEFORE C.O. DATE Permit Fee Sig11ature Company Address Telephone# 02~~ y 565' ~ ~ -r[ €... i2..J Valuation or Contract Price ~ CJ ? 5-; 00 City License Registration # 7.7 State Certified License# ~L~;t;~ CUILV Ftr. Pre SLB Lintel FRM. Insul. CL WL ~~~~ El~ PlUM~ MECHAN~ -- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Roughtn Meter Can Const. Pole Pool Pre-Meter Final 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 PER}lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION McK I1CCM.T4ef ~tjliJ 5 D ~#IG bArt~ 84116 z/ftus PHONE ?~ ?-;2-11 APPLICANT ADDRESS OWNER LOT SIZE_____X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D . ~F WORK PROPOSED:_New constructionv;.ddition _Alteration _Repair _Install _Sign/Temp. _Sign _Nove _Demolish PROPOSED USE: _Single Family _M/F _IF of Units __N/H _Commercial _Indust. _Swim. Pool Other ~ ... _Restaurant & Health Department Approval BUJLDING SIZE: Ih x.af/-. Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1.S.""': ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. fd **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL If _MECHANICAL AMP Service Florida Power Corp. _____h'.R.E.C, $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature / rX/~le ~~ CONTRACTOR SECTION s) Company d~~~ State Cert. or Regist. # City License Registration # ****************************************** A-t; d I( t',v' cJ 'I 77 BUILDER ElECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. 1F City License Registration # **********************p******************* PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration ~ OTHER Signature *******+********************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICl~Q~S The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore resttictive than City regulations. The undersigned assules responsibility fDr cOlpliance with any applicable deed restrictions. ' B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPDNSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may-be required ~icensed in accordance Hith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensino 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 Df the "Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractoi, 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 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 LaN - HOleONner'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 doculent and prolise in good faith to deliver it t" the .owner. prior to co..encelent. ~, .l 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 I a~plicable 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 cO.lenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lans 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 Nork, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artlent of Health ~ Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f 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 pla~ addressing a .colpensating volule. will be sublitted which is prepared by a professional engineer registered in the state of Florida prior to per.it 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 ~erlit prevent the Building Official frol theieafter requiring a correction of errors in plans, construction, or violations of any code." Every perlit issued shall becole i0valid unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the perffilt is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day extension of ti~e, ~ay 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 lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'fOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~ --====."D,___// ~nl...r~"'~ ( '. GENT ~ ~~J . - _....... ..L, I CO'TRACTOR STATE OF FLORIDA COUNTY OF The foregoing in~;r~nt .a. acknowledged before me this , 19____ by I15C~ STATE OF FLORIDA COUNTY OF The foregc.ing instIllment before me th is 5 r/V r IIs'co __ vl3S acknovd edged I 19~ by who is personally known to me or who has pl-oduced as identificat. did/did not take an oath , who is personally known to me or who has produced a. identificatiC'/. 31..d.. who did/did not take an oath. ~~ (SignatLn-e) . / (Name Typed, Printed or Stamped) NOTARY PUBLIC --- Notary Public Pasco Co. FL My Commission Expires May \3. \995 (Si gna tLll-e) (~ame TYP2d, Printed or Stamped) NOT A~~Y P!JBL I C br PaSCO Co. fL No\a~ ~u lEc ires May \3. \995 My CommiSSion xp SITE PLAN (RY3LDr~TIJ\L USE ONLY) (lA-ReEL I. D. SEe Twl' lUJr..; :; UBlJ L,I)JL:}~ i ~ ()' 1 ~IROrEHTY HEASUHEMENT ~ 9/0-.s- fJJ f<_~~_ _____.~({;C{.g_____._______. ___ CUlmEN'!' OWNEHS lJtd E All drawings shall be dravn to Bcale for nll parcels or lots five acres or less. P 66 <- . &!CL.OSvU; I 15 [ '{-f51(<!C/ f.<& us-' t::- I, f r :;> , , ..:>D -;-; I AJ'STI(-L~ I ~ '{ C). 7 C#. fd IL""- / /~r~~_ SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVlIJC Dl}U11ISIOW) AIW SI:l"Ei\ClS, J..LSC) , ANY BODIES OF WATER AND HO,^J)I.JAYS (INCLUDING ~;MtES) AD.]J\CE:;T 'Jr)j']i,:: Wil E;~rl. THE SIZE. YEA.R, AND Nl'J-IE OF M'JIHLE; SUCH AS 12' ^ 60'. 1':)8;'. I'L:::::T"C,C:,). All"EASEMENTS", "RIGHT-OF-\/AY" and "JURISDICTU:';;i\L Lit,l'::';" j:lu;,l L" .',!i~,',,'i '".l ;,Li. ,;,:rc, ;:i.i;;.:'. i ~;:/l('i:\':': 1 ~ '; r r ~ , . J.. . l .J .1. '..~ {. ._ .. " ~.../ ./ ..' /' ,- / " ..b----:::-) i: ~ ~ ~ / / ~ / ~ / ~ -- \.f) ~ ~ IV ('~ ~ 'S ~ r:1) 'f--~ i~~ '- Jilf t'age I~U. '''I (" :' i ~JL~:>, .Sd~~. .- '-' ..-~ '.." _~C_" '~~I~~ STP,TE AlU!\I!NUV 37528 SR 5l!N(~s' iEPHYRHILLS, f i. j :::',L. ' (813) 788,: j08 S\ J'r PROPOSAL ~U.BMITTED TO i'- STREET .:: ~ CITY, STATE AND ZIP CODE " ( DATE OF PLANS ARCHITECT We hereby submit specifications and estimates for: .~ ,-' PHONIC I::E JOB PHONE e-;:i;.';"1C' 1 ;.... Dr 'ropol1l' hereby to furnish material and labor - cOm'Jlete in accordance with above specifications. for the sum of: Payment t9,-be made as follows: ..f' ", ." All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. ( . 1\tttptunrt nf 'rnpnsul- The above prices, specifications "d conditions are satisfactory and are hereby accepted, You are authorized +l1e work as specified. Payment will be made as outlined above, ""~nce: JOB NAME JOB LJCATION ,.~~,.~ ~) ,,,.' dollars ($ . /luthorized Signatu re Note: This proposal may be withdrawn by us if not accepted within Signature PRODUCT 118-3 (iVifiiS}.lnc.. Groton, Mass. 0147 . To Order PHONE TOLL fREE 1 + 800-225-6380 Signature Y - "; ), days.