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Home My WebLink About93-3280 B~ ./ ~D ~CTRI~ P~ :::::,~:~e' c!;f/J1- t(~~~~~ ~ ~. //f-...2~-~/. D/^~/O-Or)~C)O- ot'J6/J BUILDING PERMIT Permit N~ _ 3280/l? Date, s- .27- 93 CITY OF ZEPHYRHILLS (813) 788-6611 ~D"; ~ANIC--;>.. Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # 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 Zoning: Description of Work DATE Valuation or vii 'J LlO ' ~ Contract Price T GX J - T I () City License Registration # / {;} I State Certified License# t! A- aiJ ~'!:) -17.:31 Telephone# Breakers Ducts Ins!. 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 ($15.00) 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; APPLICATIo.N FOR PERllIT CIlY o.F ZEPIIIRBIU.S Bm:LDDiG DRPARnIENT PIIOIIE 90 If - r:; 6 r; - 1-- C i tJ / , tJ J (. 1 i '::: L- /105 jot/,h /1-I-I}..5T 5r """ e LJ IJ" t< /, /I/j F L I / BlOCK h SUBDIVISIo.lJ OO( 0 .., 006 tJO -- {)IJGo OWNER · S ADDRlrSS Jo.B ADDRESS 4' r ~j 5 () (/ t I? LEGAL DESCIUPl'IOlI: IDI(S) 6 PARCEL I.D.' I Lf... J- b - J- I .- OWNER · S IIAKE won PROPOSED:_lIev Construction _Addition _Alteration _Repair J Install S. - J.gIl _Hove _ne.o1ish PROPOSED USE: \ / Sing].e Faai1y _KIF _, of Units _"/H _~rcia1 _IDdust:. _Swia. P001 o.t:her ~t:aorant &; He.a1t:h >>epan:.ent Approva1 BUILDIIIG SIZE: '}tJ J-x:J..-& . J 9 7 ~e Feet, 10/ Height RESIDENTIAL: ATrAaI (2) PI.OI' PLUS &; (2) SEI'S o.F BUllDIIIG PIAJIIS &; (1) SET EllERGY Fo.RMS. ** COItIIERCIAL: ATI'AaI (3) SETS o.F BUlLDIBG PI..MS &; (1) SET DIERGY FORItS. *... "'*ropy o.F rotfl'KACI' lUlQm::RIlD. PERI!IITS REQUESTED _BUILDIIIG ~ELECl'RICAL ~CAL $ Va1uation of Tot:a1 Construction MIP Service F10rida Power Corp. W.R.E.C. $ 1'100 Va1uation of tlechanica1 Installation _PLmIBIIIG GAS KOOFDiG SPECIALTY TYPE o.F mllSmUCTIo.N: _B1ock LF-ra.e _Stee1 o.t:her FIllISHED FLOOR ELEVATIOIiS: Fr. IS PHOJECT III FLOOD ZOO AREA! YES NO. *****......*************......****...*************...* COlII'I'RACIOR SECI'Io.R RUTTJ)ER aBPAIUY St:ate Cert. or Regist. I Signature City License Registration I *...****......***************...*****************... ~:~ ~ OOIIPMY ROLf f/z r liU C 112'1 <- St:ate Cert. or Regist.' 1t'~oo I 2 2 2 r -=-II!!A~ ~ City License Registration 'V .~ '3 ( '** ****...****...***************************...... . OOIIPANY State Cen:. or Regist. I City License Registration , **...***............**............******...**...*****.........******...* PLOKBER Signature ItEaWlICAL OOIIPMiY 0 'f) IJ ~ /FV'Q /) ~ A;,,{ d/ltll 'II ',;;/;. D~j /-Ie.9 J /" J ..- ~/i'~ State Cert:. or _. It./! c "J/ Signature ~L/h-.. '/ / City License Registration' . I ;;... I *******...*********************************... 0'nIm OOIIPANY St:ate Cert. or Regist:. , Signature City License Registration , ...**...**********...*****...***************...***** APPLICATIo.N APPROVED BY PERIIIT o.FFICER. - .' . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules 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 MOrk, they lay be required to be licensed in accordance with state and IDcal regulations. If the contractor is not I icensed as required by law, both the owner and contractor .ay 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 Depart.ent, lB131 7BB-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 ZephyrhilIs. 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 doculent 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 Dr installation has cOltenced prior to issuance of a perlit and that all work will be perforled to leet 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 lust take to be in cOlpliance. Such agencies include but are not li.ited to: f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water ftanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health l Rehabilitative Services. Environlental 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" Dr "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in .riting to the Building Official. An approved inspection lust be logged during each six lonth period, or the project Mill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKftENCEKENT ftAY RESULT IN YOUR PAYING TWICE FOR IKPROVEftENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CDKKENCEftENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COftftENCEKENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19 _ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by 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) (SignatUl-e) (Name Typed, Printed or Stamped) NOTARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLIC