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Home My WebLink About93-3443 BUILDING PERMIT Permit N ~ CITY OF. ZEPHYRHILLS (813) 788-6611 3443 t3 ?('- ~3 - 73 30 . ()'P ~~ Water Conn: P t 0 ~ ~ W""Met" J:~:~:res:~e3 . ~. T.I.F.'s: Parcell.D. # /Y-,.J6'~ ~/- eJ/bO .. OC>OGJCJ -.. o.yt!Jo~ o~/ f) Radon Gas: ;?, ~6J... Date ELECTRICAL PLUMBING MECHANICAL Sewer Conn Zoning: 7Y Code: Description of Work _ /~ --.I- ~ 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. FINAL -93 DATE Inspector P~rmit Fee~ 0 ~ Slgnatu~~_ Company Address Telephone# Valuation or Contract Price ~ .y~. ~-V / City License Registration # / ~ () State Certified License# ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set 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 ($15.001 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 CITY OF ZEPllYRBIu.s BtlIILDDiG DEPARnIE'BT OWNER t S NAHE_~ ~ fL ~ I.llkl:1S 6: f.,.. ~(L OWNER t S ADDRESS '~=< 'iI () 5'0 .L. ~t:J 1./"15; A- ..(' JOB ADDRESsn7=If~rJ.i/1 J..,E~pJ)/-1-.r .of(. - PIIONE '78'02-;u, 7~ ,D.e.... , I1IArt#A~ W/~l)!r PI' P!A~ LEGAL DESCRIPTION: I.DT(S) BLOCK SUBDIVISION PARCEL LD.I /1/- ;)/:'"7.:2.1... /? IbD .... t!)()O~tJ~ <.1 y~o - L/ ~/O . IroRK PROPOSED: view Construction ---.J\ddition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: t--s ingle F3IIily _KIF _' of Units _M/H _eo..ercial _Indust. _Swi.. Pool Other _Rest:aurant Ii: Health Depar-=-ent Approval BUILDING SIZE: /t.( X /J... , 7'12 Square Feet.---.J''' TO ~ ' Hei~t RESIDENTIAL: ATTACH (2) PI.DT PI..i\Ns Ii: (2) SEYS OF BUILDING PI:..MS Ii: (1) SET ENERGY FORMS. U COHKERCIAL : ATTACH (3) SETS OF BUILDDiIG PI..ANS Ii: (1) SE.T ENERGY FORMS. ** . **COFY OF CONTRACT RE.QllT.IRIID. ~UILDIHG PERIIIIYS REQUP..5TED $ ~ 't J'" 1>. [)tJ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Cbrp. __W.R.E.C. _MECHANICAL $ Valuation of Mechanical. Installation _PLUMBING GAS ROOFlliG SPECIALTY TYPE OF CONSTRUCTION: _Block _Pralle _Steel Other FIHISIIED FLOOR EI..EVATIOBS: FT. IS PROJECT IN FLOOD ZONE ARE..I\.? YES NO *****.************************************ 8UILDER C01'll'RACJOR SECTION . CO!fPMW /1c;~ ....9~ U~ . /J~_IJ St:ate CerL or RegisL' ac::..O ..J1'6RO .ILf4. Ale--- City License Registration' /J,O ****************************************** Signature ELECTRICIAN CO!tPMiY State Cert. or Regist. #. City License Registration f ******************~********************** Sismature PLUKBER CO!IPMiY State Cert. or RegisL ., City License Registration , *~**~~.~.~.A~~~~~~~~~~*~~~*~~~~~*~~A~~~~L* Signa ture lfECHAHICAL CO!fF-Alfi St:ate Cert. or Regist. , City License Registration I ***************~************************** :; igna t:ure }IH~ COlfPMfY St:ate Cert. or Regist. , City License Registration , .*************.****.*******~*.*.********** :; ignature lPPLICATlON APPROVED BY '1/(14tl-c'fr :.,,!JJA.<Tb.; PERMIT OFFICER. CONe I T I ..,:,,8 OF F'ERI'1 I T AFF I Ni'v I T A. NOTICE OF DEED RESTRICTIC~S The undersigned understands that this perlit 'Iay be subject to "deed restrictions' which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlplianc! with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESF'ON~IBILITIE$. If the owner has hired a contractor or [ontractor~ to undertake work, they may 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, [813) 7BB-bb 11. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions of the 'Contractor Sections' of this application f~; which they will be responsible. If YOUr 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 ZephyrhilIs. 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 - HOleowger'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 aboY~ desCLibed document and promise in good faith to deliver it to the 'owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work Hill be done in coapliance with .all applicable laws regulating construction, zoning, and land developlent. Application is herebyaade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a pertit 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 regula~ions of other governmental 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 to: f Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment t Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . t Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environlental Protection AQency - Asbestos abateaent 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 subaitted which is prepared by a professional engineer registered in the State of Florida prior to pertit 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 pertit prevent the Building Official frol 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 per.it is cOltenced within six Donths of issuance, or if work authorized by the per.it is suspended Dr abandoned for a period of six aonths after the tiee the lIork' is comaenced. One 90 day extension of tile, lay be allowed f~r 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 Donth period, or the project Hill be considered abandoned. WARNING TO OWNER: YdUR FAILURE TO RECORD A MMENCEMENT HAY RESULT IN YOUR PAYING THICE FOR IMPROYEMENTS 10 YOUR PROPERTY. IF YOU AIM FINAN ,CONSULT WIT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHEN JOB $2,500 IN VALU NOT NEED TO CORD AND POST A "NOTICE OF COMMENCEMENT'. SIGNATURE: OWNER OR AGENT Il/UL SIGNATURE: CONTRACTOR STATE OF ~LORI~. COUNTY OF 0 The foregoing instrument was acknowledged before me thisR----ZQ~_., 19'1):. by STATE OF FLO~DA COUNTY OF 'lKu:> ' _ The foregoing instrument was acknowledged before me this R:_z-Q.~, 19!f2_ by has known to me Dr who has who is personally pl-oduced as idel i fi at iClJl take a clath;lt (Sign UTe) -r r-tC...(..~/ .J./ 114u>1r::.r T~~ (Name Typed,'Printed or St~mped) NOTARY PUBLIC )IOTNl! pUBLIC STATE r:E FLOftI~~ Mr C()ttUSSIOH up. JULY 106,1 ~ !iIlW GIIIBUL D1S. UIID. ... (Si tu e) -S €.L'-:r 1-1. MtJ't-Tt.T J'1l... (Name Typed, Prlnted Dr StBmp~dJ NOTARY PUBLIC IK>TARY PUBLIC STATE OF FLORIDA MX' cotMISSION EXP. JULY 106,1995 BClCIJW %HiW GIIIBlW. DI&. WID. -" 38545 Palm Grove Drive Zephyrhil1s. Florida 33540 ACE ALUMINUM . Job No. Phone: (813) 782-2616 f\ , SOLO TO A..L\L- ~6- .l; f4:l-E:S" ADDRESS ~ rI-'-/ I ...71'~ 0 .LEP/lJI)/A-S /JA.. ~ SHIPTO _ Ze:.PJ-l7'J2...J..//LJ--~ r,//7. ~7rV,/ DATE ___ >- OJ/)- 9..3 PHONE 7g~ .... J....2 7 ~_ . X,JIf s: );P:D X. ;;'-:5 ~,/;-A!.//ttJ~ or ~ - - - .- - -- .- - --. - '.' .- - PERMIT I PRICE TAX The undersigned agrees to pay TOTAL PRICE ~ JM7;f': at) . INSTALLERS IN fULL ON COMPLH DEPOSIT ltj')(/.2 /C'" , -- .. \ ,0 RkL- Rep. BALANCE C.O.D. "_.'- - OWNER __~ CIT'l OF ~tBPIIYRlIIL'.S DUILDIt'G DKPARTHEU'r \-\~R-, ._~___ LV J+~ekE..L,.. JOB LOC,~~TION ~'-*"_~..L. ~ Rl>.5'O .1..EO/J/iJIAS Oil. , J Lj-- J.'" 21.:: {)/6tJ - tJpPtlP - t'/#lJO. ()Ij-//J PARCEL LD. # 7~~ SHOW P.M, EXISTIIlIG & NlOPOSEq STIUJCTURES GIVING DIMENSIONS & SE'rBACKS. I 1""-' ..-..., 1 ., . , i'.'; ! i " ;.:, 1; ""'~_---_.,,-" . . ,r I ! f ': : ;: ~. ~ ! ~ ' I I, I: .. , . ~ ' ..' ~:;. , ~ i ; " ~, : 1:. ,i:; i'. . ---;.... --~7~: l: h+ -: t 1 ; + i '~-f' (/ -.,.. i ,11 i! : i ; ,; i I I " I ' .: :'i i-I n,'-!I, ' IJ ,.! i'; .... '1 j I' I,!, --.tI -'''i-i;'I:-r l':l':! " ~ .. '1:::II,~ll.l !..!~'I'IJ'~': . ,'" i ": ,. I j ." . I : I , l..~",~. ';i:__(f.: IT ::iT~'::" f. 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