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Home My WebLink About93-3493 BUILDING PERMIT Permit 349311 9-IY~P3 BUILDING c:2. 6 - OV ~CTRIC~ CITY OF ZEPHYRHILLS (813) 788-6611 .3 ().. cH) 0"'ECHANI~ Sewer Conn Water Conn: N~ Date PLUMBING Pmpee'Y OW"" ~ ~ Job Address: ~- - 19J..~ -d-~ ParceII.D.# JI-dJ.b- ;;J..J-oojo //?t70- OLJ9D . Water Meter: T.I.F.'s: Zoning: . 19y Code: Description of Work ~-'- ./J..././#..~ ., r Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL C.O. -7'3 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~~ "' Signatura C-/J ..e-UOC-<.-c... Company Address Telep'hone# fllS -- ~!i"8'-2 'L,3 S... Valuation or Contract Price ~,~-P--r, It> City License Registration # _____ c....3 State Certified License# BUILDING PLUMBING Tp. Servo 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 ($15.00) 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. APPLICATIOIi fOR PERllIT CITY OF Zm-uIKHIT.U. BUIl.DIJIG DEPARIIIEIrr 0WlIER · S IiAIIE F LL E jJ S5J.7 ~/} /7Yl e. /..( )iJ C) i- f;l S/ fBOIIE .2 -f,1/s -7 <? J -/(070 OIIREK' S ADDRESS JOB ADDRESS LEGAL DESClUPl'IOII: IDI'(S) Jj-).. ~--J..I- PARCEL I.D.' 00/0 - 11)0 0 ~SOBDIVISIOB OOrO IiURK PROPOSED:_lIev Const:ruct:ion _~t.ion _Alt.erat:ion ~ir _Inst.a1.1 S' - I.gIl _lIove _Deao1ish PROPOSED USE: Si.ng1e Faaily _II/F _' of Units _11/8 _ec-ercial. _1Ddust:. _Swa. P001 Other ll_t:aorant: &: Hea1t:h ~t. Approval. BUILDING SIZE: x ~e Feet:. Height. RESIDENTIAL: aJIIIIERCIAL : ATI'AaI (2) PlDI' PIAIIS &: (2) SEI'S OF BUlLDIJIG PIAIIS &: (1) SEI' ElIERGY FORKS... ATrAaI (3) SEI'S OF BUIl.DDG PIAliS &: (1) SEI' ENERGY FORKS... ..OOPY OF OOIIT.RAcr JUIQUIIUID. PIlmITTS RmlJR.Cj;nm _BUILDING ~ ELECI'RICAL .i:::::JmawuCAL $. ;(0 a Val.uat:ion of Tot.a1 Const:.ruct:ion AIIP Service F10rida Power Corp. W.R.E.C. $. 1-~-~~~co VaJ.uat.ion of If.ecbanica1 Ins~t.ion -"LUHRING GAS ROOFING SPECIALTY TYPE OF OONSTRUC'J'IOIl: ___1ock _Fra.e _St:ee1 Other FIRISBED FLOOR ELEVAnOllS: Fr. IS PIlO.JECI' IN FLOOD ZONE AREA l' YES NO .......................................... ~CIUIl SItCI'IOII RmU)KR aJ!IPAIIY Sl:ate Cert:. or Regist:. . Sigoat:ure Cit:y License Regist:rat:ion , .......................................... :=-~ g~'" CDIl'MI' ..'~ ~ Z - State Cert:. or Reg-. 1= 5 0 0 <:) 00 -: -l: '.' ~ "l " "7. Cf?/"?J---- CHey Lic:eose llegistnlUan . Y y: '7 .......................................... ~ I PI..IJIIRER aJ!IPAlIY State Cert. or Regist:. . Sigoat:ure Cit:.y License Regist:rat:ion , ........~~~~.~/A,97,~c: . Cit:y License Regis t:ion' (~ =< .................................. ontIl:R aJ!IPAlIY Stat.e Cert:. or Regist:. , Signat:ure Cit:y License Regist:rat.ion , .......................................... JlPPLICArtOII - BY 11 rJ M-<:' .<~sJe A -11~ PIlIIIII1' OFFICBIl. 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 assules responsibility for co.pliance 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 IaN. If the owner Dr intended contractor are uncertain as to Nhat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, 18131 788-6611. Furtherlore, if the ONner 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 ONner 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 Departaent 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 Nith 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 lork Dr installation has cOllenced prior to issuance of a perlit and that all work lill be perfor.ed to leet standards of all laMS 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 inclu~e but are not lilited to: I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I 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 sublitted 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 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 cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of tI5.00. 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 COK~NCEKENT KAY 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 COK~NCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT". d~ cfJA~ SIGNATURE: OIlMER DR AGENT c:j~ c /lJo4<A SIGNATURE: CONTRACTOR STATE OF FlORIi? I' ;; II COUNTY OF tl---?/C~ [(~~ The fDregOing~.~:t47nt was/as~nowledged before me thi . , 19 ~~ by II/; /! rc![S 't' Ih u/ .j~ who is personally kn~ to me or who has produced as identification and take an oath;0~ ' ,~-1'--" ./ (Signature) 6~.//L t' r ~w/J1Ii/d (Name Typed, Printed or Stamped) NOT ARY PUBL I C Notary Public. Stat. of Florilla My Commission Explra Sept, 18, 1994 Bonded Thru Trey Fain. Inlurance lnc. woo did/did not ) ~~. fJ7;c:.rA/--id /(jC ~i ~ STATE OF FLORIDA /;'/ / L !- .--,...._ COUNTY OF d~.' ..--d--4/,.t.v' The foregoing instrument'was/acknowledged before me thi~.J#/41, 19~ by . {'hAH~ /-f J C tJ~ /loUJS who is personally known to me or who has produced ----- as identification and who did/did not take an Dat~ j' 0 ___//.? / i-i./~-<,--<./ ",-~j /)()-<'-1./'U'7<.-(/ (Signature) ') , h/;c.t:L 1(;)':"'~//,4'i./j (Name Typed, Printed or Stamped) NOTARY PUBLI C Ho'nry Public. Stat. of Florida My Commission Expires Sept. II, 199. Bonded Thru Troy Fain . In.uran~ IIlCo