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Home My WebLink About93-3358 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _3358~ 7-11-73 Date Property Owner: Job Address: Parcell.D. # ~~,~" ~:#-~~g; 0 . Sewer Conn ~" Water Conn: Water Meter: T.I.I=.'s: Zoning: Description of Work Energy coZ ~ ~ -1lfi-14-LJ R:O~ (. q--1~./ FINAL .f! /~:2 ~' 7-7-/ DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. City License Registration # State Certified License# ~~o C!~ Permit Fee Signature Company Address DATE Valuation or Contract Price Telephone# r;;: uJl;-~. (!/id41 at' aIlJ2 BUILDING-'-'- ~ECTRIC~L" '" ') PLUMBING..--------" ------ ,- -- ~ -" ME GJ:!.ANtCA L --- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ~ ~~1J4ylj.3 ,S,I" Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. AI'PLlCi\TIO:1lI FOR I"lmal'T CITY OF ZEI"Jll'lRIITLLS llnrrlllJL~G DEI'A]lrr1rre~IT OWER · S HAHE;:;; (() 1../- I OWNER' S ADDRESS ~<) if -3 I s1'3'/ JOB ADDRESS ;/rN'14. f - -rh. If_ :sT I (f-7 j, 5 r SIC. PlIO'1l.1E 21i IJ/, v'r( I-I-/L L5/ Fe- 'I ' Z~/,fA f ~ !-IfLCs I ;::L 3' 3 sLjo g 3 S-tjd LEGAL DESCRIPTION: Lar(s) Blf...oc.X SUJBDH"ISION PARCEL LD.I 1/2- c,;;.!- ()dl- 0;V-'000d50 "'JORK PROPOSED:_lNJe:r.v CmlStruct 0l!l _Addition _Alteration _Repair _Install _Sign _I!foVle _Demolish PROPOSED USE: Single FaGlil)' _H/F _, of lJ'lnIi ts _M/H _Coaaercial _fudULSt. _Swim. Pool Other _Res1taurant &ealt:h Deparbment Approval BUILDING SIZE: x '- Square Feet. Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT Pi ,\~S & (2) SEIS OF BUILDIlNIG J>L\~S & (1) Sf:T ENERGY FORMS. ** ATTACH (3) SETS e BlJTIlllllilG PI.ANS & (1) SET EfN'E~~GY FORMS. i':::!l: ~::!:COI'Y OF CO~ITRAC !\lEQIDPJID. PElRIDTS REQ1JJESTED _BUILDING V"ELECTRI CAL $. Valuation of Total Consltn.lction c2d L) AL'fP Service ~ Florida Power Corp. W.R.E.C. _MECHANICAL 1) Valu.ation of i!'lechanical Installation _PLUMBING Go'\'s ROOFIJiiG SPECL\LTY TYPE OF CONSTRUCTION: _Bloc! . _Fra!l:l!2 _Steel Other FINISHED FLOOR .ELE:VATIm~S: lP'l" . IS PROJECT IN FLOOD ZONE AREA? YES NO ~~~~~~ ~**~*~~**~~*~~**~~~*~~:~**~~~~~*~~* OOJ1lJTRACJrOR SF.CT'ION BUILDER OOlHPANY St:.a1te Cert.. or Regist.. #f: Signature City License Regis~ration :# ~~~~~~ ~~~~~~~~.*~~~~~~~~~~~~~~~~~~~~~~~~~ RI.ECTRICI;e iC'O'lWk"lrY fjei'f ~IJ C2A-~~OJtL-L ,flE~/cA L C-OJTNtte-T(}JZ / ! / 17 _ State C~rL or RegisL #< E~ 00/,;) 9/cJ Sirolature /c>'t~~' (,/i.d-z~-f Ci.t.y License Registration I C2 7"6 ~~~~~~ .~~~~~~~~~~~~~~~~**~~~~~~~:~~~~~~~:* Signature a:m:pAn State Cert. or Regist. # City License Registration # ~t~~~~2~~.*~~~~~*~~.*~*..******~~~~~~t~~~~ PIDIBER MEClIANICAL CDl!fPANY State Cer~. or Regist. ~ Signature City License Registration ~ ~~~~&~ ~~~*~~~*~tt*~*~~~~~~~*~~~~~~~~~~~~~ 011IER CO'!'WA~"Y State Cert. or Regist. ~ Signature City License RcgistTation 1# *~~*k1 ~~~*~*~~~~*~~*~~~*~*~~~t~~~~~~~~~~~ . 1 J -<:~ ':~~::~:.; -,,' -;~',~ i APPJ.ICATION APPROVED BY' ~ . - "Om{: :1 Ll :"",~;, \ri;;;;__ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this f?rmit 'may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes fesponsibility for compliance with any applicable deed restrictions. B. UNL I CENSED C01:rI:.I3..AG}:~IB.9.._(i!'-lQ_CON.JRACTpR F;r:::SF'C:H'~S I B IL I TIE:::; If the owner has hired a contractor or :ontradors to-;:;ndertake;;rk,--th~y' ~~y"b~~-~q~i-red-t~-i;~-'-i"icensed in accordance with state and local regulations. If the crntractor is not licensed as required by law, both the owner and contractor may be cited for a lisdeleanor violation undei state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intende, llDrk, they are advised to contact the City erf Zephyrhills Building Deparhent, (813) 788-6611. Furthermore, if the owner has hired a [Jntractor or contractors, he is advised to have the contractor(s) sign portiDns of the "Contractor Sections" of this applicat:cn for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather thin the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that ~ay be an indicatio: that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TF:ANSPORTATION H1Pf CT FEES AND UTILITY cor\'~L~_IJ:S;~N FEES D. CONSTRUCTION LIEN 181 (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have l reD provided with a copy of "Florida's CDnstruction Lien Law - Homeowner's Protection Guide" prepared by the Florida Depart~, nt of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtaine': a copy of the above described document and promise in good faith to deliver it to the .owner. prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in his application is accurate and that all work will be done In COMpliance with all applicable laws regulating constructio', zoning, and land development. Application is hereby made to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has commenced prior to is uance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, cllning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the reg"lations of other governmental agencies may apply to the intended Hork, and that it is .Y responsibility to identify what act ons I must take to be in co!pliance. Such agencies include but are not limited to: I Department of Environ.ental Requlati '~ - Cypress Bayheads, Wetland Areas and EnvirDnmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water Manaqement D,strict - Hells, Cypress Bayheads, Hetland Areas, Altering Watercourses I ArlY Corps of Enoineers - Seawalls, ~ocks, Navigable WaterM3Ys I Department of Health & Rehabilitativ' Services, Environmental Health Unit - Wells"Wastewater Treatment, Septic TanKS I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill material :s tD be u;p~ in Flood ?rne "AU Dr "A,etc.", it is understood that a drainage plan addressing a "compensating volume" wil be submitted which is prepared by a professional Engineer regIstered in the State of FIDrida prior to per~it issuance. A perait issued shall be construed to'E a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technj,~al codesf nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in pi ins, construction, or violations of any code. Every permit issued shall beco~e invalid unless the work authorized by such periit is commenced within six months of issuance, Dr if work authorized by the permit is suspended or abandoned for a period of six .onths after the tile the work is cOmmenced. One 90 day extension of tiIDe, lay be allowed for the permit with fee charge of $15.00. The extension shall be reqUEsted in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RE(JRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FH ':lICING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN Vi ,UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~~ pGtf-=~ . SIGNATURE: CONTRACTOR STATE OF FLORIDA~ L1 6/7 , 1 COUNTY OF ~ L-- V The foregoing instrument WiS acknowledged before me this 7-/ l../ 19~by STATE OF FLORID?l ~ A ~ ~, COUNTY OF ~ ~ ~ <::: C-,I T~e foreqoinq instrument was acknowledged befcl}-e m~ th is ? - / '/' , 1 ~ by .~---- ---.- who is ersonally known t, me or who has pl-oduced as identification and who did/did not take an oath. who 's personally , me Clj- ~"Iho has produce as identification and ~"Iho ( id/did not take an oath. S66~ ....... 'CIx311lU1O:) An ~ 1tPtM3I::l '0 ePJlS NOSNHOt, J.HHOtI ROBERT L JOHNSON Stale of FlorIda My Comm. Exp. May 8. 1991;