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Home My WebLink About93-3553 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _ 3553 E DatE! /tJ '-JY-~ .=? - BUILDING ~TRIC~ ;'~ Property Owner: Job Address: )"7 ~;-.. ~ .3 JYcf-Y Y Parcell.D. # II -;;l b -~/ -00/0 . /"730 D ". t?t:J/O PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: z:9 Energy::ode: /" Description of Workt ~.r1'~.J? e,/~J-.? Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL /() .. I ~ - 93 DATE Complete Plans, Specifications and Fee Must Accompany Application. C,Q, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee~- ~ Si'gnature t? -/-<-c-e - ~~R Company Address ~~A- City License Registration # DL VI) State Certified License# Valuation or Contract Price Telephone# 7?"f(~3/~b BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~Ic(a, Cj-fA~&- I lo ~/l-93 ~-y /"lWS SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICAnOli fUR PERltIT CI1YOFZEPIIYRIlILLS BUILDlliG DEPAImIEIiIT OWJIER'S IWtE A G'tU I~ Cd- A/ ~LI N OWNER'S ADDRIrSS .151. L/ ~.-Ih IJt. tI E JOB ADDRFSS (]fJ'Itj ~-7/1 4Vq LEGAL DFSCRIPI'IOIIIl: wr(S) #- BLOCK: PH)IIE <!(j- '}gt'-- 0 I !L Jj~t/Q ] ?jY{) ZF IIj( (jr(.tf/L (Y ) pc. I I .71Z /IJ /... Vie III C{ y' I Fe. , / I SOBDIVISIOlI PARCEL I.D.' / / - :2 Co - ().v ( - () C) /0 -- /7"] 00 - () c / d - WORK PROPOSED:_lIIev Construction ~tion _Alteration _Ilepair _Inst:all _Sign _Hove _De.olish PROPOSED USE: Single F~ily _"IF _' of Unit:s _M/H _ec-ercial _Indust. _S~. Pool Ot:her _Rest:anrant & Healt:h Depart:aent Approval BUlLDIJlG SIZE: x ~e Feet, Height RESIDENTIAL: A'l'TACII (2) PlOT PLMS & (2) SEI'S OF BUllDIJIG PLAIIIS & (1) SEt EllERGY FORMS. ** roItttERCIAL: ATtACH (3) SEI'S OF BUII.DDG PLUiS & (1) SET EIIERGY FORMS....... ......oopy OF ooIn"RAcr ~tDlBED. PERKI'IS RmOESTED _BUILDING ~EuCTRICAL --lfECIIANICAL $ Valuation of Tot:a1 Construction f,')() AIIP Service v/ Florida Power Corp. W.R.E.C. $ Valuation of ltecbanica1. Inst:allation _PUJMBING GAS ROOPDiG SPECIALTY TYPE OF mNSTRUC'I'IOII: _Block _~ _Steel Other FIWISBED FLOOR ELEVAUOliS: FI' . IS PROJEct III FLOOD ZONE AREA? YES NO .......................................................................................................................... COJn'RACIOR SEC1'IOII CO!IPANY St:ate Cert. or Regist. . City License Regist:ration . .......................................................................................................................... RmTDER Signature ELECTRIJg-1 ). CO!IPARY ce /J C 2. f'/tJ/tLL j/ / ;/ (1 // /) 7 St:ate Cert. or Regist. . Sitmatur {(?LC~{ /' <( _/ /i.-r~~d City License Regisl:nltion . ............................................................................................................................ aJIIPAIIY State Cert. or Regist. # City License Registration . .............................................................................................................................. PI .I1MRF.R Signature ml!lPARY St:ate Cert. or Regist. . City License Regist:ration . .............................................................................................................................. MECIIAlIICAL " Signature COIIPAIIY State Cert. or Regist. f City License Regist:ration . ............................................................................................................................ nTIIF.R Signature APPLICAnOR L~ffi~i. " ~ 1..bI'IQl:o. ~" !,.i*" ~:?f:jf $ d'~,~ ~\i"'1'- . . . m_.._.._.. . ,PEJIIlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 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 ONDer 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 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 contractor Is) 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 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 work or installation has cOllenced prior to issuance of a per.it and that all work will be perforled to .eet 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 .ay apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlV 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 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 beco.e invalid unless the work authorized by such per.it is cOllenced Nithin 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, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT 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 COKKENCEKENT. ~OBS UNDER $2:;00 IN VALUE DO NOT NEED TO RECORD AND p~ 'NOTICE OF CO"KENCEKENT:. P< C'~ ~, (k,c',(6-.j! ;? C~-fi.-a( SIGNATURE: OIlNER OR AGENT . SIGNATURE: CONTRACTOR STATE OF FlORI~ COUNTY OF fA.s c u The foregoing instrument was acknowledged befor: e thisOC;r)~(' ~9~ by "-' c'z{Ct-~/( ,t.c:<-4'..)!.ad wh IS personally known to me or who has produced as identification and who did/did not take a 7oath. ~/ (Signature) STATE OF FlORJPA COUNTY OF ~SC 0 The foregoing instrum~t was acknowledged before me this (JeT t!1!.. , 19.23:.. by )€ LEe-u/:S CO NkL/IJ who is personally known to me or who has produced as identification and who did/did not take a9,~thY'~~_~_ .~./c {Si9;:~~::rL~' /~/'v, I. ROBERT L, JOHNSON State of Florida My Comm. Exp. May 8. 199'i (Name Typed, Printed or Stamped) NOTARY PUBLI C 00 ~~~-: I (Name Typed, Printed or Stamped) NOTARY PUBLI C