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Home My WebLink About93-3510 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _3510)1 9-ZJ....7!3 Date BUILDING ELECTRICAL PLUMBING C:;;~NI~ Sewer Conn Water Conn: PmpenyOwne' &~ Job Address: 9___ _ _~. Parcell.D. # Zoning: Energy Code; -I Ra~on Gas: /! DescriPtionofwork-A-/c. _~ ~ .A4~/~ ........-._ ~~~ +- d'YvJ ~ .~ Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL 1? ?O_Q~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector R.L. Y(XJMANS City License Registration # State Certified License# /27 Permit Fee Signature Company Address Telephone# ~7:)~ 6~ Valuation or Contract Price tf':?-(fV . tJ7) , J'/l- .?,)S-" J'cP7 '/ BUILDING ELECTRICAL 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 Insld'lJ-l/~2. ~-- 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. APPLICAnOW fUR PERKlT CITY OF ZEPIIYRIIILLS BUII.DllIG DEPARIl'ltlXr OWNER' S RAKE _'S~ ~~~~ JOB .ADDRESS ~ PROIIE LEGAL DESClUPI'IOJI: wr(S) ~ PARCEL I. D. t')( won ~~ED:_lIev Construction ~ition _Alteration _Repair _Inst:all BJ:..Oat SOBDIVISIOlI S' - J.gI1 _Move _De.o1ish PROPOSED USE: Single Faai.1y _fl/F _, of Unit:s _fl/D _~rcia1 _Indust. _S~. P001 Ot:her _Jlest:aurant &- Hea1t:h ~t Approva1 BUILDING SIZE: x ~e Feet. Height RESIDENTIAL: COIftIERCIAL : AtTACH (2) PIDI' PLAIIS &- (2) SEtS OF BUD.DDIG PLAIIS &- (1) SET ENERGY FORKS..... ATI'ACR (3) SEI'S OF BUII.DDIG PIAIIS &- (1) SKI' ENERGY FORIIS..... ....mP!' OF mIlTRACI RIlQUIlUlD. PERKrTS KEOUESTED _BUILDING $ Va1uation of Tota1 Construction _ELECl'RICAL ~CAL AtIP Service Florida Power Corp. V.R.E.C. $ r s:-- cT7J . c.rz;:> Va1uation of flecbanica1 Inst:allation / _PLtDtBING GAS KOOFDiG SPECIALTY TYPE OF mNSTRUCTIOIl: ___..B1ock _Fra.e _Stee1 Ot:her FIlfISBED FLOOR ELEVAnOliS: FI' . IS PROJEct III FLOOD ZOIlE AREA.? YES NO .................................................................................. COIIIRACIOIl SECI'ION BffiTJ)ER CDlPANY Sl:ate Cert:. or Regist. , City License Registration t ................................................................................... Signature 1tI.F.CTRTCT All aBPMY State Cert:. or Regist. t City License Registration t ................................................................................. SilmAture PUllBER aJ!IPAIIY Sl:ate Cert. or Regist:. # City License Registration t .................................................................................. Signature Signature ~ t- h, ~~~?fy ~ ~ City License Registration t .................................................................................... ~ IlECllANICAL 13 c; ~ , OTRF.R CDlPAIIY State Cert:. or Regist. '_. Signature City License Registration # ................................................................................ APPLICATION' - ... J1'd4iLd ~~ PIlIBIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay be subject to -deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes 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 Departaent, 1813) 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 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described doculent and pro.ise 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 co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced 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 coapliance. Such agencies include but are not lilited to: f Depart.ent of Environaental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anage.ent District - Wells, Cypress Bayheads, Wetland 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 sub.itted 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, Dr 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 per.it is cOlaenced 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 $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, Dr the proiect will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"ftENCEftENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKftENCE"ENT-. PM f( r!~ SI6NATURE: CONTRACTOR Robert Eugene Co 11 ins was acknowledged , 19-2l.. by STATE OF FLORIDA COUNTY OF Pasco The for~going instrument(was acknowledged before me this Sept 22 , 19~ by STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument before me this Sept 22 Khaled Yasser Kazbour who is personally known to me or who has produce6Dr Lis Fl. K216 519 44 300 3 as identification and who did/did not ~~~. G ~RbD (Signature) 'AA-754L(IU 'RAn; t.<l ~ T()n~S-,._____" (Name Typed, Printed or Stamped) NOTARY PUBLIC .~;.,." ~: ';, , 1Iota~ "ublIC. 'State of ".."III' IIJC~-......an..,...... Feb. 28, a~' Robert E. Collins who is personally known to me or who has produced Dr Lis F1. (452 76S 4R 425 ~d~~~~~~ation a~ who did/did not ~ ~ ~~ (Signature) 14-A-1~-l.{41 0 Ro'1it~ G TQr:tQ~ (Name Typed, Printed or Stcimpedj NOTARY PUBLI C !!?tary Public. State .., Ftorfcfe ~-'IIlR~"" Fe. 28, 1 i94