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Home My WebLink About93-3546 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _ 354615 Date I(J -7-93 c9 ELECTRICAL PLUMBING :::::,~,:~e~-f;t -7;~/I: MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of wor; r? ~ ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O, 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 ~"~ Signature {-f. ~.# Company Address Valuation or Contract Price J, S- ()7) - cr-o , City License Registration # State Certified License# 1Y8~ LlY03 Telephone# ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~oDf Ff!.""", (~U- /0.-/3-43 1M ~ \O~ l~.q] REINSPECTION F~ES: When ~tra 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. . : t-.,.l '\. \. '-.. .~" ~,~ -j') ~,c~~ (,.:.. ~~ '-. ")ol(,. ;l~ f"\ "..'- -~" -.s tJ "'< (,'c..... ' J"'\ ~.i ,.) '1 "-,' \ ( tI,' ~.:v '-..) Y' ''':~' ;"116 G).. ~~.~ ~ ~ ~ t\ ~ \.( I ....-,.T "'- , v,':'" '1 '\ J I ...t.. 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N 0 , - "- ~~~ ,-~ ..., ~"'...- ...........1:100.. "I J"~~ 17'" ,~ '~.".,..... ,.to. UI_';lI;:lW_.,,__llt................ ~...... .,-_._~ ~~il'I"';~~~' -, . ..............lft ~r. y~' "'W'!~":,!l"",, ....~ - ,....~..:....." ....."""........,.......-..........~~..'... c -..",,, V'l ,~~ ~4 -r- ~ ~ ,. ',... ".. ---. ~-i ~ '", \:;:. ,l. " :.- '<'.t. ....... ~ ~~ "') ]~' \ o ~ APPLICATION FUR PERllIT CI1Y OF ~IKHIT.'-c; BUII.DIlIG DEPAImIEIIJ' OWRER · S IWIE \:\ fA \ f C () V\ "'-( I ( 0VlIER' S ADDRESS 52 ~ ~ ! B,~ S 1- - 2:.. l ~-1 II S / JOB ADDRESS ~3 0 19'I.+t- st ~~ll s i \J \~bt- LEGAL DIrSGRIPl'IOW: IDI'(S) \2. .\ ~ \~ es,<; . .BUJCI\..lJl..sUBDIVlSIOII r;~CKL I..D.t~ -;).(0 - J.l - COt 0 - I Ll eX),. b l z. 0 ~R.D? 7><~E<!.E(PT ') _ # IiORK PROPOSED:_~ Construction ~tion ~A1teration PIIOIIE IV~- Lfi(03 _Repair _Install S. - 19I1 _lIove _De.olish PROPOSED USE: /S'i.ng1e Fallily _ff./F _' of Units _ff./& _ec-ercia1 _lDdust. _Swill. Pool Other Rest:aurant &: Hea11:h ~t Approva1 BUILDING SIZE: x ~e Feet. Height llESIDERTL\L: COff.ff.ERCIAL : AtTACH (2) PLOI' PI.AIIS &: (2) SEIS OF BUII.DIIIC PIARS &: (1) SEt' EllERGY FORIIS. ** ATtACH (3) SETS OF BUII.DIIIC PLAIIIS &: (1) SEt' ElIERGY FORIIS. ** **mpy OF OOllIRAcr IUIQUIRIID. PIl:IIIlI1TS REOUESTED VBUILDING -J cP $ J,5DO- Va1uation of Tota1 Construction _ELECl'RICAL Aff.P Service Florida Power Corp. W.R.E.C. -.JIEQIAIUCAL $. Va1uation of ff.ecbanica.l Installation ~Uff.BIIIG GAS ~ ROOFDiG TYPE OF OOIlS1'.RUCI'I0lI: _Block V ~ _Steel SPECIALTY Other FI8ISRED FLOOR ELEVATIOIiS: n. IS PROJECT III FLOOD ZOIlE AREA! -L- YES NO ****************************************** aJ/II'I'KACIUR SECTION RmU)F.R aBPAIIY Sl:ate Cert. or Regist. t Signature CUy License Registration t ****************************************** RlJI'.crJUCIAR CDIIPMY State Cert. or Regist. I Silmlllture City License Registration t ****************************************** PlDlRER. CDIIPAIIY State Cert. or Kegist. , Signature City License Registration t ****************************************** ff.Il:aIAlIICAL CDIIPAIIY Sl:ate Cert. or Regist. t Signature City License Registration t ****************************************** OTIIJIR aJIIPAlIY S1:ate Cert. or Regist. t Signature City License Registration t ****************************************** APPLICATIOIl APPROVED BY ..many OFFICER. CONDITIONS OF PERMIT AFFIDAVIl A , ~OT I CE OF DEED RESTR I CT I ot!f~. The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be .ore restrictive than City regulations, The undersigned assules responsibility for co.pliance Mith any applicable deed restrictions, B. W~L I CENSED CONTRACTORS At.l~L_f;JJNTJ31i~LOR p'~SF:'_Q~EiI~I LIT I ~$._ If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance Mith 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 "hat licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, 18131 788-6611, Further.ore, 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 Mill 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 tay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills, (' TRANSPORTAl I ON ~ MF'ACL FEE~ ?-)ND ur I '=--lTY __COl~!::!FCTJ Ot-t. FEE,$., 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 Departaent 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 docu.ent and pro.ise in good faith to deliver it to the "OHner" prior to co.tence.ent, E. CONTRACTOR I S/m,Jt;JER' S AFFIDA_"!..!.I. I certify that all the infor.ation 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 .ade to obtain a pertit to do work and installation as indicated, I certify that no work or installation has co.tenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it is my responsibility to identify what actions I .ust take to be in co'pliance, Such agencies include but are not liaited to: , Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater TreatMent , Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Depart.ent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill material is to be used in Flo~d Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" will be subtitted 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 work 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 per.it issued shall beco.e invalid unless the work authorized by such perlit is coa.enced within six tonths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is co.tenced, One 90 day extension of ti.e, tay be allowed for the per.it 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 aonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCE"ENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C""'ENC~ U'DER 12,5 VAlUE DO NOT NEED TO RECORO ANO POST. "NOTICE OF CORRENCERENl". . SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR c::... was acknowledged , 19 9~ by COhh-(.,LL STATE OF FLORIDA COUNTY OF The foregoing instrumentlwas acknowledged before me this , 19_____ by me or who has who is personally known to me or who has pl-oduced as identification and who did/did not take an oath. () V re~ S amped) - (Signature) ! ....,..... LINDA KAY HARRELSON I,*i!\,.r~:. MY COMMISSION' CC 114006 ;.: : : EXPIRES: June 25. 1995 '%. ,,; 80ndlld ThI\I NotaIY PullIIC lJndBlWIl\II'I . , - ,,;~:;;;;'~;.""~""""""'''-' (Name Typed, Printed or Stamped) NOTARY PUBLIC