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Home My WebLink About93-3356 BUILDING PERMIT (} ,- .:>W> ' Cl7) ~~TRI~ CITY OF ZEPHYRHILLS (813) 788-6611 ~, ciV c;LUMBIN~ Permit N~ _ 335615 7 -/3 -- .7...? /CJt:;, lJV ~~~ BUILDIN ". Pmperty Owne, t--;. +.f1~ Job Address: _5 h .. Date M~L Sewer Conn Water Conn: Water Meter: cz... 0 T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Wor~ ~ ..,j~.J-dZ-~ A ~4 Radon Gas: jU'" ~ -/ NO OCCUPANCY BEFORE C.O. FINAL -1'0 C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee A50. 00 Signatur~8y- Company Address Telephone# Valuation or Contract Price /?~. tIV 3R-r Ftr. Pre SLB '],2..,,- "'~ B~ Lintel FRM. ?-1'-0 (; 'B8 Insul. CL WL Tp. Servo Rough In 7~21-q?> Meter Can Const. Pole Pool Pre-Meter Final o f.IW l (j;,.- vP:J(~ 1.- tj- 't 3 ~ f!b.8/:q,~~: set7 - 2/-93 t'6 Water Sewer Final Breakers Ducts Insl. Compressor 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 ($15.00) 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. APPLICATION FOR. PERKIT CI1YOFZIIPIIYRIIILLS BIlIILDIBG DEPARIItENI' OWNER' S RAKE 0(2. N,t:>. DAVE 1'5 T:!:t ME. I 5 i1f AUG. ?ff g' f/ 7 *'PIIOD ZePHVIl..H1LLS. FL -' -Z(5{.) HY fL1-tt LL S , FL. 0WIiER' S ADDRESS . '3 Bt ( (p 3~( ICo JOB ADDRESS LEGAL DESCRIPl'IOII: I.DI'(S) BLOCK SUBDIVISION PARCEL I.D.' WRK PROPOSED:_5ev Construction _Addition VAlteration _Repair _Install S' - I.gD. _!!love _Deaolish PROPOSED USE: Si..ng1e Faaily ..k:::::..~rcial _"IF _' of Units _K/H _Indust. _Swia. Pool Ot:her --.JIes1:aura.nt &- Beal.t:h Depar~t Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COHKERCIAL : ATI'AaI (2) PLOI' PlANS &: (2) SEIS OF BUllDDIG PIAIIS &: (1) SET' EllERGY FORMS. ** ATtACH (3) SEIS OF BUII.DDG PlANS &- (1) SET ENERGY FORKS. ** **COPl' OF COIITRACT RD!OTItED. PEmtI'IS REQUESTED ~BUILDING V ELECI'lUCAL ~ $-' 7 ,000 - Valuation of To1:al COostruction rzoo AKP Service V Florida Power Corp. W.R.E.C. -.JIECBAIUCAL s Valuation of Mechanical Inst:a1lation V PLUKBIBG GAS ROOFDiG TYPE OF CONSTRUCTIOR: _Block V FraIIe _Steel SPECIALTY Ot:her FInSBED FLOOR ELEVATIONS: FI' . IS PROJECT III FLOOD ZOO AREA? v"'" YES NO ****************************************** CDm'RACIOR SECTION BIJTT.DER - COIIPMY GULFSf1t{L 0evet...c::Jp fU9.Jf' ~. ~ ~~ State Cert. or Regist.' C't=-r- 003"7~'1 Signature ~ City License Registration' ~~ ****************************************** ELECI'lUCIAH OOlIPuf ~Lfr A. ~fI; Vt-t € i/: ~ ~ tate Cert. or Regist. 1 'cease Reg1s ******************************* PLIItBER ~~/. III OOlIPMY V State Cert. Signature '- ^ - City License Registration f ****************************************** KECllAlUCAL OOlIPMY State Cert. or Regist. . City License Registration . ****************************************** Signature ,,'" '-II O'TIIF.R OOlIPANY Sblte Cert. or Regist. . City License Registration f ************************************* Signa PERIIIT OFFICER. 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 cOlpliance with any applicable deed restrictions. B.UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both )he ow#er and c~~\ra~t~~.~~b~ cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertaiq,as 'tpwhat licensing reQuirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, (8131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 - Ho.eowner's Protection G~de. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", 1 certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "ow~er. 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 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 lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQe.ent Di~trict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environaental Protection Agency - 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 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 perait 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 bee ole invalid unless the work authorized by such perlit is COllenced Nithin six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the Mork 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 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 COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCE"ENT. JOBS DER 500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COKKENCE"ENT". SIGNAT 5( J6l r~ ,.~ STATE DF FLORIDA COUNTY OF /-1 It..- L-.s Ao /CO V!/-/./ The foregoing i;1~~~was ~~OWledged befc.re me this ~ ,19 by Jl/Il/B:~// E 'p/f(/~ who is ~ersonally known to me or who has produced as identification not take oat (S.gj)ature) :z/l fLl,fP.(2 /l. )J g U /JJ .IV 11 j (Name Typed, Printed or Stamped) NOTARY PUBLIC t,;":}'r::1 ;")'r"UC 5'i;:~c (;F ",~<,,;'.~ ::f\" CC:'~:\"': '::,. >.;'. ,.. ' ,,:;-';. r..:.(:~;::;) ';~~~".'; '.;~~~/~.".:,,:~ J.:'~,'-'~,.. -~- SIGNATURE: CONTRACTOR STATE OF FLORID~ COUNTY OF -.f-----u The foregoin~ instrument was a~;Wledged befc.re me thIS /9 ~ ' 19 by CJreptf80 12-. Co(2{l.ei A who is p'el-sc.na 11 y known to me 01 "he. A,,3S Pf'oduceel a. ielcnti ficati..... dlld wno did/did mot ~;.::; '-z? U7~ (Signatw-e) (Name Typed, Prin ~ NOTARY PUBLIC i~.. ...'" --.---- APPLICAnOIl FOR PERIIIT CIIYOFZEPBYRHIU.S BUll.DllIG DEPAImIENT OWRER'S RAIlE PIDIE OWlIER'S ADDRESS JOB ADDRESS LEGAL DFSCRIPl'IOII: LOI'(S) BI.OCK SOBDIVISIOII PARCEL I..D.' '- IiORIt PKOPOSFJ):_lIev Construction -J\ddj.tion _Alteration --.Jlepair _Install S. - 19I1 _tIove ~lish PROPOSED USE: Single Faaily _"IF _' of Units ---1IIH _ec-ercia1 _lDdust. _Swia. Pool Other 'R~sblarant .. Bea1t:h Deparblen.t Approva1 BUILDDIG SIZE: x ~ Feet, Height RESIDENTIAL: COtIIIERCIAL : A1TAaI (2) PLOI' PI.A1IS .. (2) SEIS OF BUD.DDIG PI.AIIS .. (1) SEI' EllERGY FOBHS. ** A1TAaI (3) SETS OF BUD.DDIG PLUS .. (1) SEJ' EIIERCY I'ORIIS.** **OOPY OF OON'I'RAcr RIlQUIRIID. PERKIlS REOOFSTED -BUD.DIIIG $ Va1uation of Tot:al Construction _ELECTRICAL AKP Service Florida Power Corp. V.R.E.C. -.JIEQWIICAL $ Va1uation of 1lechanica1. IDstall..ation ~DlG GAS ROOFDIG TYPE OF OOIlST.RIJCTIOII: -Block _Fraae _Steel SPECIALTY Other FIIIISIIED FLOOR ELEVAnOllS: PI' . IS PIlOJECT III FlOOD ZOlIE AREA! YES 11I0 ****************************************** aJII'I'RACIOR SECrIOII BITTT .Dm CD!IPANY St:ate Cert. or Regist. . City License Regist:.ration . ****************************************** Signature ELECTRICIAlI CD!IPAH :~ {1 ~ Stare Cerl:. or !legist. . . ~ t City License Regist:.ration . ****************************************** PUllBER CD!IPAliY State Cert. or Regist. I Signat:ure City License Registration . ****************************************** KEalAlfICAL CD!IPAH St:ate Cert. or Regist. I Signature City License Regist:.ration . ****************************************** on:rF.R CD!IPAIIY State Cert. or Regist. . Signature City License Regist:.ration . ****************************************** APPLICAnOIl APPIlOVED BY PEIIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~s that this per.it .ay be subject to "deed restrictions" which .ay be .ore 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 .ay 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 .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, (8131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to bave tbe 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of 2epbyrhills. 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 - HOllowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the "owner", I certify that I bave obtained a copy of tbe above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforlation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work Dr installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaae.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environ.ental Protection Agency - Asbestos abatelent I also certify tbat, if fill .aterial is to be used in Flood 20ne "A" or "A,etc.", it is understood tbat a drainage plan addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A per.it issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, ~r set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeole invalid unless the work authorized by such per.it is co..enced Mithin six .onths of issuance, Dr if work authorized by the perlit is suspended Dr abandoned for a period of six lonths after the ti.e tbe Mork is COI.enced. One 90 day extension of tile, .ay be allowed for tbe perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY 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 COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COONTY OF The foregoing instrument before me this was admowledged , 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) (Signatu\-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC