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Home My WebLink About93-3519 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 3519 J3 9-~/-93 Date ~ RIIII DI~I<:;-/' ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ::~::~,~:~'s-~6f;;: :f3rY~ Parcell.D. # Zoning: -=;"') Energy Code: D..o';p.;on of wo,; fr ~ '9 Water Meter: T.I.F.'s: Radon Gas: FINAL C- -93 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. Inspector Pe'm;' Fee ~e Signature i ~ Company Address Telephone# Valuation or _ :< Contract Price ~ / ? (? J cJ7J City License Registration # ,,~ State Certified License# ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. INVOICE ( ------..-----------..--.------ - ....., NO. PREMIER SUNCOAST ROOFING 37325 S.R. 54 West Zephyrhills, FL 33541 DATE YOUR ORDER NO. OUR ORDER NO. ~\\\\q~ 00 -z.. 0 - - -_. --------_. -~-_._..._._--- '-~C:l r) Hi SHIP TO: ~'{\v'-~J 'bu.-Qtr, - 7C:C,Z- ~8 1-3 ~& ~ ~ 6;;J141<e}:':> 'Sce- ~~~ CD: kcL~-J~R:~~'--I~~~ ~~__ _ '.'= --, y~::L~';:I~^ LHIPPHJ11'1~~ "~~:u~ ~o~ +- nPRI~E-IP-'H!~~~U,;- IL'fli v.u, 1I\v? ~ , ,~~~ ~ ~ (2.~ ~ /Yv--o..\...UA..",16-l) ,.. ~\-V~. I I I~:S- tL'-' ~G:e~J L>upo \ S 110 · '" <.9{ Y "\'iUJ) ~ ' + i i - I ~ '~ ~~w\4 ~~ ,. D I 1 I i ~t~ ~\ eocQ'^^\ ~"'-<..W ~~ r?;\QO<2S! j . G:,~\'~C/U cJ2Y ~- ~\, I i I ~~ ~~ w~.. ~t.~ I ~~lM^-'~.6 JL~~' J~ ~ J j ,.,--,pr = FORM "f]' 'J '- J _,,_ J ,j _ 1,_ Ir-.; 1_;' S::. ~ APPLICATIO~ FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ----A.-1/ 4/ fJa .{ 1 c r I f)t~ 5-:1. S 0011"':. PHONE 7 f3;1- .). 87 Y ADDRESS ,. J I tj OWNER JOB LOCATION S /..( ;'Y1 t. LOT SIZE_____X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~F..:,--f J - 2. t - 2 / - t? /J J tJ - f C( J CJ ('J - tJ I (f I? WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F _# of Units ._M/H _Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x :.1 tJ I':JIJ Square Feet,~ - Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ J/fttJ.(J(J Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _____W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~B10ck ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature OTHER Signature J# ~- Company ~1 m V J:)/ L '11/' . State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY ~*********~************************** .A'~ct ~ ~/)!)~r- .. : . , PERMIT OFFICER. ." ... .. ., ,~:;&II...;.:, ,. . j CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules 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 .ay 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 lisde.eanor 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, IB13l 78B-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the ccntractorlsl 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 th~n 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 pertitting 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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I haVf.~tained a copy of the above described docuaent and promise in good faith to deliver it to the "owner" prior to COI.encelent. 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 perait to do Morkand installation as indicated, I certify that n~ work or installation has cOllenced prior to issuance of a perait and that all work will be'perforled to meet standards of all laws regulating construction, City codes, zoning regulations, and land development 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 ~lt iif not Ii.ited to: . Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitiv~ l~nds, Water/Wastewater Treatlent . Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent. Septic Tanks f US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill lat~rial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer registEied in the State of Florida prior to perait issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffieid] from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d ;hall becole invalid unless the work authorized by such perlit is c[t..enced within six lonths of issuance, or if liork authtll lZed by the perillit is suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~te~SJDII of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An appro''t'ed inspection lust be logged during each six lonth period, or the prctject wi II be cc,nsidered dbdildCtiied. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". :::::~:~~o ~-~--~---/a;J~::::~-:~--~-~:j;7;:----7;7d7 OWNER OR AGE ~~~ CONTRACTOR_~~~~ MY. COMMISSION EXPIRES .. """""SMtoff'larflt 'MY COMMISSION EXPIRE~ ~....... -..-..........""" -.. r-nli.... bpfttf"IfiC.WJ" ..=~~.........-- .... .........,......... .. -....... lion ExpIres Dee. 29, I. ~ .... _u.. ................. ~._--- --~'--