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Home My WebLink About93-3511 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N C? 3511 .L3 :T- 013 - f!3 . //~ ~ ELECTRICAL PLUMBING ::~:::,~:~e:;;&;:1~ ~ Date MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Codjj'f------ Description of Work '-11! t?V-e ~ Radon Gas: l)/q1 d-' I FINAL DATE 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. DATE Inspector permitFerl-~ ~ Signatur~ti' ~ Company Address Telephone# ~ 1.1 ;.124- -'2.. 7 rfl Valuation or Contract Price Aj/J City License Registration # S ;7 0 State Certified License# /)/~ 1J~ -.J "'oM, . a.b~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 - 8TH STREET ZEPHYRHILLS, FLORIDA 33540 PHONE (813) 788-6611 PERHIT APPLICATION TO MOVE A BUILDING PERMIT FEE: $100.00 liS"-..;T. LONG :? R'FT. WIDE OWNER f(IJJl/D/l-JJ; Yh o6ue-y LEGAL DESCRIPTION: ) 9 ~ II FT. HIGH (WHEN LOADED '-tes FROM 63~3 StA sf ~ (STREET ADDRESS) . Ot/,T tOr e/7)/ LEGAL DESCRIPTION: TO: ROUTE TO BE TAKEN: ~sr E#s~ ~o t/s3~/ eJcJ"/ t:J~ (!//Y , /l0~/,{ FIRE DEPT. J;1I E ~k of //)-1/- 93 /#~ 3~ J~ )/7, I DATE & HOUR WORK IS TO COMMENCE: APPROXIMATE TIME ON STREETS: USE OF BUILDING: OF LIVING UNITS WORK TO BE DONE BY DATE: 1P~/93 APPROVALS REQUIRED: POLICE DEPT. ELECTRIC COM PUBLIC WORKS DIR. TELEPHONE CO. ~ 1-.. . TYPE OF CONSTRUCTION: ~~/?~~ ~ a.uHffir APPROVED BY (BUILDING INSPECTION DIVISION) DATE: PERMIT NUMBER: NUMBER OF LIVING UNITS - ADDED LOST THE FOLLOWING MUST BE SUBMITTED WITH APPLICATION: (1) A MINIMUM 5" X 7" PHOTO OF ALL FOUR (4) SIDES OF THE BUILDING. (2) A SURETY BOND IN THE AMOUNT OF $10,000.00. (3) A CERTIFICATE FROM A LICENSED & BONDED TERMITE COMPANY THAT THE BUILDING IS FREE OF TERMITES & THAT THE STRUCTURE HAS NOT BEEN DAMAGED BY TERMITES. APPLICATIOII fUR PERllIT CI'IY OF ZlwBI.KH I'.L~ BUlI.DIWG DEPARIIIEID' 0WlIER' 5 ADDRESS OWNER'S IWfEJIJ tV da LL 5?J. fJ 3 .51::fL ~'l9m..c fYJab/e v / .FHOlIE Z lI-/lL5 I FL , . %13 - ?J8-7//6 JOB ADDRESS LEGAL DESGRIPl'IOII: IDI(S) ~SUBDIVISIOli PARCEL I.D.' IiORK PROPOSED:_lIev Coost:ruct:ion ~t:ion _Alt:erat:ion --.-.Repair _Inst:all _Sign ~ve _>>e.G1ish ~ing1e F-Uy PROPOSED USE: _"'F _' of Unit:s _"/H _ec-ercial _Indust:. _SwbI. P001 Ot:her R..~t:aurant: &: Hea1t:h Depa.rt:.ent: Approval BUILDING SIZE: ~8' X L)'-/ . /dtJtJ LJ I ~e Feet:. I QI / II _ / ~ Height RESIDENTIAL: aJItIIERCIAL : AtTACH (2) PI.OI' PLAIlS &: (2) SEI'S OF BOILDIlIG PUUlS &: (1) SEt' ENERGY FORKS."'''' ATI'ACR (3) SEI'S OF BOILDIIIG PIAIiS &: (1) SEI' EIIERGY FORIIS....... ......OOpy OF cotrl'BAcr .RIIQUIRIID. ~UILDING PIIRK''IS RF.OUF.STIW $. 73.000 ( 00 " Valuat:ion of Total Coost:ruct:ion F.T.RCl'RICAL AIIP Service F10rida PoIier Corp. W.R.E.C. --.JIECBARICAL $. Valuat:ion of "ecbanica1 Inst:allat:ion _PLlItBIIIG GAS ROOFIIIG TYPE OF OOIlSTRUC1'IOIl: _B1ock VFra.e _St:ee1 SPECIALTY Ot:her FIRISHED FLOOR ELEVATIOlIS: FI' . IS PllO.JEcr IIi FLOOD ZOO AREA.? .......................................................................................................................... YES 110 mmWol Qu~K fBfpARr < Sl:at:e Cert:. or Regist:. # Signat:ure^ '. Cit:y License Regist:.rat:ion , .......................................................................................................................... aJII'IHACIOR SECl'IOIl ~ R . Walswot?fh + S 'l) N 1 "74t!. v F.T.RCTRTCIAIl COIIPAIlIY Sl:at:e Cert:. or Regist:. # SiPDJllt:ure Cit:y License Regist:rat:ion # ........................................................................................................................ PI.JIMRRR aJIIPAlIY Stat:e Cert:. or Regist:. I Signature Cit:y License Regist:rat:ion # ............................................................................................................................ IlECRARICAL COIIPAIlIY Sl:at:e Cert:. or Regist:. # Signature City License Regist:rat:ion # ...................................................................................................................... OTIIRR COIIPAlIY St:at:e Cert:. or Regist:. # Signature City License Regist:.rat:ion # .................................................................................................................... APPLICATION APPROVED 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 eore 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 contr~ctor 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 lisdelea~or 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, 1813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 Consuaer Affairs. If the applicant is sOleonJ 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 cOI.ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all ~he inforlation in this application is accurate and that"all work will be done in co~liance 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 cO'lenced prior to issuance of a perlit and that all work will be perforled 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 co~liance. Such agencies include but are not lilited to: f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlV Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health 1 Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQencv - 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 per.it issuance. A per.it issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six .onths after the ti.e the work is cOllenced. One 90 day extension of ti.e, lay be allowed for the perlit with fee charge of SI5.00. 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 CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF t__~~~JN;~OO;DTD~~~~~ SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument(was acknowledged before me this , 19_____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLI C