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HomeMy WebLinkAbout93-3467 BUILDING PERMIT Permit 3467 t3 9-~-93 CITY OF ZEPHYRHILLS (813) 788-6611 NC? ~(), dfJ C)..(j ~ 0~1~G;~ Water Conn: ::~:;:,~,:~e6~~"';~ $: O~- ~~ ;~:e:,Me,", Parcell.D, # C)- ~6 - .;1-/ - lYocf'?:J -~ 0-0/00 - 0 0 Y / Zoning: Enjrgy COde:, _ _ Radon Gas: De,c,;pt;onof.I/Vo<k t~~o ~L...J 4-L/l.;/.#L ~ ~o ~J Date PLUMBING MECHANICAL Sewer Conn NO OCCUPANCY BEFORE C.O. FINAL C.O. ~ 1/ Inspector DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee ~ 0 .- d7J Stgnature~ Q2~ Company Address Telephone# /} n - 3 ( gcg Valuation or Contract Price ~S'2::rv. tTV " City License Registration # ;;:J"j~ State Certified License# PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. ~..'t"3 ~'" o...Q Insul. CL WL Q-/t{..q6 Bt& Breakers Ducts Insl. Compressor Final Tp. Servo Rough In tj-/-t4:j 3 Meter Can Const. Pole Pool Pre-Meter Final -:k SLB ~ > Tub Set Water Sewer 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICAnOR FUR PERllIT CITY OF ZEfII1'RIIIUS BUl.l.DIIiG DEPARIIIMT 1 cr- ~~~~ OWIIER'S lWIE ()1/1 If. 14-2 1j6 R I , C /1 /F TO t- _ ~ .' . OWNER'S ADDRESS U/?6 J,'J., _/!/""' ,2 -~J2e...1 JOB ADD:m;S -S- -/l /11 L' FmIlE 7?t;:-3Ig~ LEGAL DESCRIPl'IOII: IDI'(S) ~SUBDIVISIOII PARCEL LB.' ;J - d. b - 1)1- De${? __ 0 C> 100 - 00"1/ - IiORK PROPOSED:_lIev Ccmstnaction _Addition XAl~eration _Repair _Inst:all S. _ 1.8D _Move _DeIIo1ish PROPOSED USE: Sing1e Fa.ily _tJ/F _, of Unit:s _If/B _ec-ercia1 _Indus~. _Stria. P001 Ot:her Restaurant 5: Bea1t:h J)eparblent.: Approval. BUILDIliG SIZE: l:l X ~D . , ~e Feet. Beight RESIDEIITIAL : COIIItERCIAL : A'lTACD (2) PI.OI' PLAIIS 5: (2) SEIS OF BUl.l.DDIG PLAIIS &: (1) SEI' EliERGY PORtIS. ** ATrAaI (3) SEI'S OF .BOII.DIIiG PLUS &: (1) SEr ElIERGY FUIUIS. ** **OOPr OF OOliTRAcr .RIlQU.DUID.; PIlmIlTS REOUESTm ~BUILDIliG ~ELECJ'RICAL tJC" $ 7.u (JO Val.uation of Total. Ccmstnaction MIP Service F10rida Power Corp. W.R.E.C. ---1IEGBAIf.ICAL $ Val.ua~ion of Ifechanical. Installation _I'LUKBIliG GAS ROOFDiG SPECIALTY , TYPE OF OOliSTRUCI'IOII: _B1oclt _Fra.e _S~ee1 Ot:her FIIIISBED FLOOR ELEVAnOllS: Fr. IS .PRO.JEcr IIi FLOOD ZOIlE AREA! ****************************************** YES NO aJIIII'RACI'OR SECl'ION RIJTTJ)RR CUlPAIIY ~ w: 1(/ /flu'? Ce-..,A./S/..-fc..JC;z. ~>"'f L:.-t,~ - 9;2 / 1\ l..tlh/ '"" State Cert. or Regist. , Signature ~r'...p.e (ft/..-e:-a ~.."..--.(!::) City License Regist:rat.:ion' ~.~ 51' **********....**************************** ~ ~,d,.w C~IW/OItLL ELE,r<r,u<- UUTj,1Ici?". . / /} U ~ (/...(f.M , S~te <<:ert. or R~gist. -' J:f(<JcJ/2,7/0 - - - .......------:.~\. f..::_/_.--l~{ ~~ C1ty L1cense Reg1st:rat1on' :;J.. ~Cl **....** ******************************* PI.DIIRRR aBPAIIY Stab! Cert. or Regist. , Signature Cit:.y License Regist:ration , ****************************************** IIIl'.CIIAlIIICAL aBPAIIY Stat.:e Cert.:. or Regist. , Signature Cit:.y License Regist:ration , ****************************************** OTIID aBPAlIY Sta~e Cert. or Regist. , Signature City License Regist:ration , ****************************************** APPLICAnOli APPIlOVIl:D BY PEIUIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assutes 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 .hat 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 contractor or contractors, he is advised to have the contractor Is) 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 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 cOlpliance 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 cOltenced 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 Environaental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands, Mater/Wastewater Treat.ent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Metland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection Aqency - Asbestos abatelent 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 subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 perlit 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 pertit is cOltenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six tonths after the tile the work is cotlenced. One 90 day extension of tite, tay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six tonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF ~"ENCE"ENT. JOBS UNDER $2,50~ ,I VALUE DO JOT NEED TO RECORD AND POST A "NOTICE OF COPIftENCEtlENT". IVWd ;;f;. 7 (;)~ '~ _ / f)~ . -p' .~ lU:- 0 ~ c~ 0 SIGNA RE: OIlNER DR AGENT SIGN TURE: CONTRACTOR W If;).c'' -S53-,!j3? STATE OF FLORIDA COUNTY OF J?aseo The foregoing instrument before me this 9/1/ was acknowledged , 19-21- by STATE OF FLORIDA COUNTY OF Paseo The foregoing instrument before me this 9/1/ Mike Williams was acknowledged , 19~ by whc. has ( ignature) Sandra L. Carvalho (Name Typed, Printed or Stamped) NOTARY PUBLIC t::: H who is personally known to me or who has produced Florida Drivers Lie. as identification and who did/did not take an oath. who (Signature) Sandra L. Caryalho (Name Typed, Printed or Stamped) NOTARY PUBLI C T""' . . ,.... .,,, '''95 Dr-i \o.L~~:o~,'.."...., "_: ,,~.~f, I JI eonded Tbl'lJ lrol Fain ~ lmuronce Ine..