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Home My WebLink About93-3423 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 34238 ~- /3-9.3 OatH ~ ELECTRICAL PLUMBING Pcope"y Ow,", ~~f!::;I:xy Job Address: c.3 9 _ __ __-- Parcel 1.0, # MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.I=.'s: Zo"i"9' ~y Cod" Description of worr- ~ ~../t Radon Gas: NO OCCUPANCY BEFORE C.O. FINAl<:L- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Valuation or Contract Price C:.. 0 y ~( crv -' P.,mitFe~ Signatu,. ... - n . -. - - 4( Company Address City License Registration # --5 - 9'::2 State Certified License# Telephone# 73"/-6 ~Lf~ &'/7/1 J~~~~~L~ ~ ( ~)) ~c~ PLU"",""," Ftr. Tp. Servo SLB Pre SLB Rough In Tub Set Lintel Meter Can Water FRM. Const. Pole Sewer Insul. CL Pool Final WL Pre-Meter Final MECHA~ ------ 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. STRNDRRD HOME SERU I CE CORPORRTI ON · MRNUFRCTURER OF MOB I LE HOME ROOF -OUERS 1954 lak. Av.nu. SE largo Florida 34641 Call Ton Free 1 +BOO-624-0150 L.st'~';Fir~tl ~~.. '&l2cPc;t:, '., Rf{~~.#,'" ,."t'JO~'~:1 '.,' 'I Addri'ss I ~9?~q,~'3/-/hl/1l/.e ;1-4 l'lotNO.cl f City I A -e'ftJl, >>lIl ; /4 " .', I F('Zip" I I P..-k N~e/Private lot I &#"6~L-/TI.. I c~u~t\"1 I f1J;:f. Phon. I( g'8 ) .7Z?9-~.7Z g 3 1 "'ark Phon< 1('8' ,(3'.) 7q-~--J6~ , Cont.act Oat. I <p #..;2-/9..:s I Ci..'. Type !::R.al) R.nh1 1 K.y Nc.1 ~:.. D I ownship Rin9i Subdiv. Block ot o. lat Bk Pi9~ [PirC~INurr', .ber, I Legal Di'socription .' Specifications And Estt mate 1) Furnish & Install Aluma~Steel Roof-Over W'ith 2 inch thick Cellofoam insulation on Mobile Home Coach Approxi mate ~i": LOngh~, 7. ft K Width I 7'..;2-1 ft. 2) Over hang Roof-Over On Carport side ~ inches.., . 3) Over hang Roof-Over on Mobile Home Rai n Gutter side I / t inches. , 4) Over hang Roof~Ov~r on ~oblle ,Home sides I ((7 ~ inches, if no eXisti,n~ ~8i n Gutters. ' " 5) Over hang ~oof-Over on Mob!le Home front and rear If " inches, if no obstructing fascie, ' 6) Replace existi ng exhaust fan exterior roof vents and se\tler gas roof ventswtth ne\tlal umi num s~un vents. 1) furnish and.l.nst~.ll 5 inch Fascia around Mobile Home Roof-Over -'Color: ~ ~':fIIY I <(G. I' S) Circle type ,of heatinQ s\lstem: I Gas Electric I ~,- I 9) Speciel i nltructioll8 or other W'ork: STANDARD HOME SERVICE CORPORATION HEREBV AGREES TO FURNISH MATERIAl,. AND LABOR COMPLETE IN ACCORD AN E ,~THE ABOVE FOR THE SUM OF: "OLj &:::!:.O '," . $ \ 'Plus S.les Tax $ ...- (If Renta 1 land) = tt} T ati 1 nee PA ENTTO aE MADE,AS FOllOWS: ",;2 2.. ' AUTHORIZED SIGNATURE: NOTICE TO OWNER. DO NOT SIGN THIS HOME I MPROYEMENT CONTRACT IN BL K.' U ARE ENTITLED TO A COpy OF THE CONTRACT AT THE TI ME YOU SIGN. KEEP IT TO PROTECT YOUR LEGAL RIGHTS. THERE ARE ADDITIOIAL TERMS ON THE REVERSE SIDE Of THIS CONTRACT. CUSTOMER ACCEPTANCE, THE ABOVE PRICES AND CONDITIONS ARE .SATISF'ACTORV AND ARE HEREBV ACCEPTED, STANDARD HOME SERVICEtORPORATlON IS AUTHORIZED TO DO THE WORK AS SPECIFIED, PAYMENT Will BE MADE AS OUTL INED ABOVE . SIGNATURE: GNATURE: I S'J ~ :<. - {IV/',~vft. (J~[)6Nf~ f;. 12r~ 5 STHTE CER IFIED SPECIHTY TRUCTURIS CONTRaCTOR - SCC 114501 . _ Uo: ~ h"&rl' ...g~ 4 +- ~~ Ot!/4>1 (Ier, :{i~d<7.:zk3 ~ I~?J ~o-de/i ;; , -ruc./d Ilo.ulu~ APPLICATIOlNl FOR PERMIT CI'IY OF ZEJ.IIIYRHILLS BUILDDIG DEPARJ1IEKT OWNER'S RAKE f(p u B YOn (" k '\ ( CJ..uY(h j PIIOD (sui 7AA -3~3D , ~, . OWNER'S ADDRESS 3971,~ C fiCin c ey p. d. JOB ADDRESS :3 q 7.3 5 Chancey Ad, LEGAL DESCRIPl'ImI: I.Ol'(S) BI.OCK SUBDIVISION PARCEL I. D . :f WORK PROPOSED:_Nev Coost:ruction _Addition LAlteration _Repair _Install _Sign _!!love _Deaolish PROPOSED USE: Single Faaily _KIF _, of Units _H/H _~rcial _Indust. _Sw:t.. Pool Chuvr ~ Ot:her _Restaurant &- Hea1t:h ~t: Approval BUILDING SIZE: 7 .z X Y 2 , 1()2l.f Square Feet, Height J RESIDENTIAL: COttKERCIAL : ATTACH (2) PLOI' PI.MiS &- (2) SEI'S OF BUILDING PUUilS &- (1) SEl" ENERGY FORKS. ** ATI'ACII (3) SEI'S OF BUILDDiG PLUlS &: (1) SET ENERGY FORKS.** **copy OF COI!iTRACT ~1ITRIID. PERKITS RIDUESTED -LBUILDING $ ~. 0 11 t 00 . Valuation of Total Const:ruction _ELECTRICAL AKP Service __Florida Power Corp. W.R.E.C. _HECllANICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFIJlG SPECIALTY TYPE OF CONSTRUCTION: _Block _F'raIIe _Steel Ot:her FllIISHED FLOOR ELEVATIONS: FI' . IS PROJECT lli FLOOD ZOI!iE AREA? YES NO ****************************************** BUTT.DER Signature {) (~~ COJn'RACIOR ,SECTION CDfIlPMWS-rahdal'"d Hotl-., 5e....v.-[e GOYf'- ~~ State Gert:. or Regist:.' S L c., 0 y I) 0 7 :2 City License Registration' 5"" ~ , **** *********************************** ELECTRICIAN CUltPMY State Gert. or Regist. , City License Registration I ****************************************** Silm;llture PI.DlBER Signature CUltPAPJY State ~rt. or Regist:. #1= City License Registration :f ****************************************** KECIIAlITCAL Signature CUltP/.JfY State Gert:. or Regist:. I City License Registration , **********************~******************* OTHF.R Signature CUltPiRY__ StaLe Gert. or Regist. , City LiLG'~'~e Registration i ***********~****************************** APPLICATION' APPROVED BY '1!~~ 1 . . ::if t7../) A'l\...J-- PERKIT OFFICER. CD"~ I T I uf-.lS OF PEt~1'1l T AFF I DA'v' I"'" A . NOT I CE OF DEED RESI . CT IONS The undersigned understands that this perlit 'lay be sub~2c~ to '6~ej restrictions" which lay be .o~p. restrictive than City regulations. The undersigned assules responsibility for cOlpli~nce with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor ~r F~~tractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is ~ot ~icensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing requirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813) 788-6611. 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 tay be an indication that he is not properly licensed and is not entitled to pertitting 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 Depart.ent 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 promise in good faith to deliver it to the "owner" prior to cot.encelent. 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 .ade to obtain a perlit to do work and installation as indicated. I 'certify that no work Dr installation has cOllenced prior to issuance of a perlit and that all work will be perforled to teet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulatio,ns in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not litited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, WaterlWastewater Treataent ' f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigabl~ Waterways f Departtent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environtental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.", it' is understood that a drainage plan addressing a "cotpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit 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 pertit prevent the Building Official frot 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 pertit is COI.enced within six tonths of issuance, or if work authorized by the pertit is susp~nded or abandoned for a period of six lonths after the tile the work is rOllenced. One 9Q day extension of tile, lay be allowed for the pertit 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 tonth period, or the project will be considered abandoned. WARKING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT "AY 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 CGKKEIICEKENT. JOBS UNDER $2,500 III VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~ue~ {J -II ~~;-- SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUIITY OF P n A..r-o- The foregoing instrument was acknowledged before me this &t~ /1 . 19~ by yJ";,,,i- (' H f)RL 'Es ~ , jil?fJClz who is personally known to me or who has produced D L :# as identification and who did/did not take an oath.. ~ / ?-('J _~-<~ .J'X.Ah><4- (!Si~nature) , ,odd J-Iu vi ('") r I< (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA COUNTY OF P ,.. ~ L .A--' The foregoing instrument befcq-e me th i s ~I /1 \.-las ackno\.-Jledged , 19 -5?1.L by who is er~onall or who has produced as identification and who~did not ~a~/~/41~ ~~ature) v "/'odd 1-/11-1.// DC/<: (Name Typed, Printed or Stamped) NOTARY PUBLIC ..***-. .,~IolW~" OFFICIAL SEAL ~_) TODD JOHN HAYl.OCK ' My Comm'tslon Explr.. . July I'. ItCUI ~ClI'~' Comm. No. CC ;110'0 ...... ...~*~ OFFICIAL SEAL I ~\ TODD JOHN HAYLOCK : ' ! 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