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Home My WebLink About93-3561 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ 3561L1 /0 -/3-75 ~,o-v QLECTRI~ 026). cJ7) 0LUMBIN~ Water Conn: Water Meter: Job Address: Parcell.D. # Zoning: Description of Work DATE C,Q, DATE Inspector Jim, crl) i5 .4 ~ !:...6~) ./ 51?" 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 Ins!. 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 ($15,00) 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, - -Q ,c.-:--j 0 r> (._/C r. !.!- _/ I >.s ~-~, KL1 C:cJJ-J ~.t:~- ~LV~' '-eJL I f) e.CX_--L&\~J --:J - u:.,...-f:- /1 '. . /. /~ ;J{- , '-/~ ,y / I 2.. Sr~;:-d<:;;- ~i/+ Cf&&;}-~e;- <V--~'-?~ ()' cL LfV-_f.. -d~, 7tJ-Lo-u 'J; ~ I /'-l/rJ. . ~ ~.. {)/~-:)>U. j2f,t<4<-1~~~-:l- J:0t-tf /ltLyGL' 2~/l ~. ~~~ " APPLicinOli fOR PERllIT CIlY OF Zm'8IKH I U_C; BUIlDIlIG DEPAImIEIIT OVlIER'S IWIE /(d f 5 0/ E. jl/ e. f: r!. 2/i /;; /J E/v 12/9 kt PIfOflE O1iJIER'S ADDRESS vO 4/ Y -cl <::.J-.. - ~ _. c> --t-( r; 1- ' / JOB ADDRFSS ~ '/ U rY./' -r- J / I;;" " ~ - w~/e;f' '7J'J- /7:-<?'S'- LEGAL DFSCRIPl'IOIIIl: wr(S) ~SOBDIVISIOII PARCEL I.D.' / / ~ d 6 - ~/ - 00/ CJ ~ J 9.3 c'? D.- <5/3 U 1iORK PROPOSED:_lIIev Construction ----.JWdition _Alteration _Repair _Inst:a1l S' - 19I1 _lIove _De.olish PROPOSED USE: Single F_ily _II/F _' of Unit:s _II/B _ec-ercia1 _Indust. _S~. P001 Ot:her R~St:aurant & Hea1t:h Depart:aent Approval BUILDIJlG SIZE: x ~ Feet, Height RESIDENTIAL: aJItIIERCIAL : AtTACH (2) PLOI' PlAIIS . (2) SEIS OF BUILDDIG PIAIIS . (1) SKI' ElIERGY FORKS..'" ATrACH (3) SEI'S OF BDD.DllIG PIAIIIS . (1) SKI' EIIERGY FORIIS....... ......oopy OF OORDAct lUlQUIRIID. PJr.IUfT1"S IdtoOESTED .-BUILDING $ Valuation of Tot:a1 Const:ruction F.T.RCl'RICAL AItP Service Florida PoiiIer Corp. W.R.E.C. ----1IECllANICAL $. Valuation of ltecbanica1. Inst:a11ation ---.J'LuttBIJIG GAS ROOFING SPECIALTY TYPE OF ooJlSTRUCl'IOIl: _Block _~ _Steel Ot:her FInSBED FLOOR ELEVAUOIIS: Fr. IS PROJEct III FLOOD ZONE AREA? YES NO .............................................................................................................................. BmTDRR allIDIACIOR SECl'IOII -H 0.,... cOw........ c r lDIPBY ~ A . .-;?~C:::>/ ^ Sl:ate Cert. or Regist. I 70-- ~ ( ~ City License Regisl:nltion . ............ ......................................................................................................... Signature F.T .Jl'..crRI.CIAN SiPQAture.. /'~~~~~) aJIIPAIIY /--=- e c... _~; )'?' St:ate Cert. or Regist. . EfO'b~~h /7'6" -;f~ t::/~~ City License RegiSl:nltioo . -J ~:) .............................................................................................................................. PI .lIIIR.JI:R r\ aJIIPAIIY TY) ~ ~ p~ ~~. . ' State Cert. or Re ist. . ~ Sf ; v I .. ...~ h\~ City License Regist:ration f ~ , . ............ ............................................................................................................... Signature Signature al L/ ~R. State Cert. or Reg1st.' C!)" City License RegiSl:nltion . A .............................................................................................................................. aJIIPAIIY IlEalAllICAL 0'I'1IRR lDIPAIIY Sl:ate Cert. or Regist. . Signature City License Registration . .............................................................................................................................. APPLICAnOJl APJ.IROVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIQAVIT A. N,OT IJ;:E OF._DEED_RI;:STR I CT I ONI>. ~ The undersigned understands that this per.it lay be subjert to "deed restrictions" which .ay be .ore restrictive than City regulations, The undersigned assu.es responsibility for co~pliance with any applicable deed restrictions. B. !:Jl"L I CENSED CONTRACTORS f!N!;L~QtJJ1<Al;.:_'nJR .J3E:,p.LQ!~E!.I B_1 '-=.IT I ~9. If the owner has hired a contractor Dr contractors to undertake work, they may 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 .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813J 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 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 .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. c. TRANSPORT A T I ON U1PACT FEES AND UT I L I TY J:ONNECT I 01'( FEE$.. D. CONSTRUCTION LIEN 1::-1211. (CHI,PTEF: 713~ FLORIDI) STATUTES, r,s f)NHJDED:> 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 docu~ent and prolise in good faith to deliver it to the "owner" prior to cOllence.ent. E. CONTRACTOR' S/m,JNER' S AFFIDf:!~lJ.,I I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance Nith all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated, I certify that no Mork Dr installation has co..enced prior to issuance of a per.it and that all work "ill 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 lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater TreatMent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.v Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks J US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood lone "A" Dr "A,etc,", it is understood that a drainage plan addressing a 'colpensating volule' Mill be sub.itted which is prepared by a professional engineer registered in the state of Florida prior to perlit 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 fro. thereafter requiring a correction of errors in plans, construction, or violations of any code, Every per.it issued shall becole invalid unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of time, lay be allowed for the per.it 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, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF conMENCEMENT nAY RESULT IN YOUR PAYING TWICE FOR InPROVEMENTS 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'. SIGNATURE: OWNER DR AGENT SIGNATURE: CONTRACTOR was acknowledged ~ 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument1wC\s 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 pl-oduced as identification and who did/did not take an oath. (Si gnatLu-e) (Signature:> (Name Typed~ Printed or Stamped) NOT ARY PUBLI C (Name Typed~ Printed or Stamped) t!QTAR'CPUBL I C