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Home My WebLink About93-3402 BUILDING PERMIT ,30, tTD Date J- _ 3402)1 6-?J CITY OF ZEPHYRHILLS (813) 788-6611 Permit N 4? BUILDING ;;lb.-' o-i) ~~ PLUMBING ~ANICV Sewer Conn Water Conn: Pmpe"v ow"e'4k43./~~L~ Job Address: ...s I. - Parcell.D. # /1- -;).. b - OL I - () 01 0 .... /'j 'J CJ V - ~/ '70 Water Meter: T,I.F.'s: Zoning: Energy Code: Description of Work -;If ~ A- / L. Radon Gas: FINAL DATE 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. Inspector Permit Fee -...s "V . Ol.> ~/"d -'<- ./ / Valuation or Contract Price City License Registration # State Certified License# 7?" , Signature Company Address Telephone# :;. J.S7J. cJ-D / BUILDING &&- ~+/I/c PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. 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. ... '" APPLICATION FOR PER!'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER Bohr's Propane &as ~ Ale,' Xnc, 4441 Allen Roca B( del 0 (" BrUld a Buchan ail JOB LOCATION '5134 q+h s+rea PHONE 78a ~ ~~o 13 APPLICANT ADDRESS LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.'.! /I-3h-JI- 0010- /Q400.... 0/40 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____~F of Uni ts _____M / H ____Commercial ____Indust. _Swim. Pool Other .~.,: !' _Restaurant & Health Department Approval BUJLD1NG SIZE: X_, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S. ** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*~ **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ~"'1E:tHANICAL AMP Service Florida Power Corp. _h'.R.E.C. $ .2 I-SO. 00 Valuation of Mechanical Installation _PLt'MBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # '*.**"**'*"'*":::::::"'~:::;:*.;:}I~;Z5 ~~ State Cert. or Regist. # City License Registration # * *~********************************* l/ BUILDER Signature I~q Company State Cert. or Regist. " City License Registration 1 ****************************************** PLUMBER Signature .. Signature 7 .J--8~ ~ ****************************************** Company Bohr's Propa-rle G8s ~. /tic .Jnc. State Cert. or Regist. j,! CAC04b.q 48 City License Registration 'fr '7 S" MECHANICAl Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~~~~~***;J1***~********~*~~~~~~~~W~~~*~ "'4 ;/WJ>.. r" .. 0/ PERMIT 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 tha~ 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 .ith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay b~ cited for a lisdeleanor violation under state IaN. 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, {S13l 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions Df 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 aay 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 LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien LaN - 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 t,< the "owner" prior to cOlaencelent. ~ ! 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 a~plicable laws regulating construction, zoning, and land developaent. I 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 laris 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 aay 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 tc,: f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artaent of Health l Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environ.ental Protection AQency - Asbestos abatelent . I also certify that, if fill .aterial is to be used in Flood Zone "A" or 'A,etc,", it is understood that a drainage plan addressing a "colpensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perait 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 thereafter requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becole in,alid unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perilt is suspended or abandoned for a period of six lonths after the tile the work is comaenced. One 90 day extension of tile, ~a, be allowed for the perait 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 COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'lOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 by who is personally 'known to me Dr 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC