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Home My WebLink About93-3392 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ 3392/1 BUILDING ~vtTV 0:ec TAl V PmpertyOwne, l)1:tttffJ-7J/]~ Job Address: '-- ~ ~/ - - ---"~ ~ Parcell.D. # / / -:J- 6 - d-/ - 00/ {) .- to "/70CJ Date K d.--?3 PLUMBING d~- tTD GECHANIC~ Sewer Conn Water Conn: Water Meter: T,U::s: - 0 0-.5..---V Zoning: Energy Code: Description of Work ~ "A/0 A-/ c.. ~ ~~ <~ -4:1 4 ~. ~ oJ r /lYtAR-ft t LL~ /(j cy.... Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector City license Registration # State Certified license# 7/ Permit Fee Signature Company Address Telephone# ... \t) . CJ[) .L f;/Z'/I.} f- =~ Valuation or Contract Price :2-9' Fl)"crv , BUILDING PLUMBING Driveway Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ~<.- )'-f1(~ . ~. ~~r3 ~L#? REINSPECTION FEES: When extra inspection trips are ne~ry 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: Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB lintel FRM. Insul. CL WL 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. APPLICATIOIi FOR PERllIT CITY OF ZIl;puIKnn.Lc; BUII.DI.liG DEPARIIIElIT OWNER · S lIlAKE (Vl C< R ~ fL-.{!f! 15 r he !c/V~ PROBE 7 B l? ,- :/ 0 ~ S-- $-Aq II ?-O ~ 5'1/ s;'A--VY? e 0WlIItR' S ADDRIrSS JOB ADDRESS I.EGAL DESCRIPl'IOII: I.OI(S) JU:.OCIt: SUBDIVISIOII PARCEL LB.' / I -~ - ::1-/- h t? / /2- 0 '7 '/ 00- t!J OS-O WORK PROPOSED:_lIev Construction _Addition _Alteration _.Repair _Install S. - J.gIl ~ve _De.olish PROPOSED USE: Single F~i1y _fl/F _, of Units _"/H _ec-ercia1 _Indust. _Swia. Pool Other _Restaurant &: Hea1th Depar~t Approva1 BUILDING SIZE: x ~e Feet. Height RESIDENTIAL: aJIIKERCIAL : A1TAaI (2) PI.OI' PLAIIS &: (2) SEIS OF BUlLDDfG PLAIIS &: (1) SET ENERGY FORlf.S."'''' ATrAaI (3) SEI'S OF BUllDllIG I'I.AliS &: (1) SET .EIIER.GY FORlf.S....... ......Wpy OF WlI'IRAct KIlQUIRIID. PDDII'lS REOUESTED _BUILDING $ Va1uation of Tota1 Construction .--JtEmARICAL s AIIP Service Florida Power Corp. oV 7- S ifz) , Va1uation of "ecbanica1 Installation W.R.E.C. _ELECTIUCAL _PLmtBING GAS ROOFIIIG SPECIALTY TYPE OF WNSTRUCl'IOII: _Block _F~ _Steel Other FIIIISHED' FLOOR ELEVATIOIIS: FT. IS PRO.JECI' III FLOOD ZOIlE AREA'! YES NO .............................................................................................................................. aJlI'I'KACIOR SECl'IOR BnTT .DO Signature aJ!IPAliY State Gert. or Regist. , City License Registration . .............................................................................................................................. S. aJ!IPAIIY )j:: /"c <:.. t (fJ J d-S.s t:/ e c t/ . e- State Gert. or Regist. . Elf? do ,; r::..--,/ 7 City License Registration' / <;- 'i' ............................................................................................................... ' / PU-.RD Signature aJ!IPARY State Cert. or Regist. , City License Registration . .............................................................................................................................. Signature ~ /7i- aJ!IPAIIY A f' IU S.9-....-:;- L-~.r State Gertf. or Regis~( . t!) 6).:> C/ / ~ City License Registration . 7/ ........................................................................................................................... IIECIIAlIICAL 0TRll:R Signature (DIpARY State Gert. or Regist. t City License Registration . .............................................................................................................................. APPLICATIOIl API'BOVIlD BY '11,1 At l' ~ ~ o.A/11.:Y PEHIiIT OFFICER.. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay 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 the owner and contractor lay 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 Departlent, 18131 788-6611. Furtherlore, if the owner has hired a cDntractor 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 tD 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 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 co.pliance 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, Metland 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 Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Mastewater Treatlent, Septic Tanks I US Environlental Protection Aqency - Asbestos abate.ent 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 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 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 perlit is suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of SI5.00. 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 CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CDn"ENCE"ENT. JOBS UNDER S2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKnENCE"ENT". ~~~ 4~~ SIGNATURE: OMNER OR AGENT .... ....... STATE OF FLORIDA Il /10 COUNTY OF f-/a,5 L.- The foregoing instrument before me this ff -~ was acknowledged , 19.:t3 by rttckn e)) STATE OF FLORI~ COUNTY OF ~ The foregoing instrum before me this ~ nt was acknowledged , 19..f2- by who is ersonally has produced as identification and who did/did not take an oat~tLL )JMd- (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLI C ~~\-:t.~~ TERESlL.8OUIdl i*: ~*; MY COMMISSION , CC26II62MXPIRES ~""' Marth 18. 1997 "~"' IONDEO THRU TROY FAIN 1IiISIJIIAIa. INC, ;';(.t.tal'/ F;~~":;>, Lil ';"';j;,:.: .My Comm. L:qJ. j\I'::r. 17, .lJu.~j