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Home My WebLink About93-3582 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 3582/'1 / tJ --:;J./-73 Date BUILDING ELECTRICAL PLUMBING ~~~9 Sewer Conn Water Conn: Pmperty Owne' J4~i':' 41f1l Job Address: .3 irl'" 'I ~ -5 ~ Parcell.D. # /J- blfo-:J../ - () 01 0 - I ?3o o. 0 01 D Radon Gas: Ph-'!..b.,v<-. "e, R 4t ~ Water Meter: T.I.F.'s: Zoning: Energy C~: Description of Work ~ ~A-J A c.. c;~k Valuation or Contract Price .:L!::>--=s-n-, /nJ FINAL NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# 7Y > Sign Company Address Telephone# S ("'3 -7 S 3-37::>..1, BUILDING ELECTRICAL PLUMBING Breakers Ducts Insl. lOt 2 ?, ~ 2, ~ Compressor Final ie? 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 00/1 00 Dollars ($ 1 5.00 I 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. A'PPL,IGATION fOR PERnIT CITY' OF ZIl:PlffRHILtS BUIWIIIG IlEPARlftH.NT otiNER"S "^"E Ib-~WL'~ eoN fit Iv ..c-h': ~ rT~ G '1 ~ .fHOlIF. 388 /f<I 5~/tue "388 cfv S--t6. /fv~ 813- 7RB-otlfp ;Z ~/17f-"J' Is H. 2c-ptlyllA'rI/<; ~( OWNER"S ADDRIl'SS .JOB ADDRIl'SS LEroAL DF.S(:'RIPTIOW: wr(s) RIncK SUBIHVlSION PARCEL I.D.I / / -;7 (; - ;}-/- 0 OlD - i ],100- 0 oi 0 _AddU ion _AlteraLion _Repair ~nstall WORK PROPOSIID:_1NIew ConstrucLion _Sign _Hove __De-.o.lish PROPOSED USE: / Single Fa.ily _KIF _' of UnlLs _K/8 _~rcial _Indust. _Swill. Pool Other _Restaurant 5- Health Departlleflt Approval RUH.DING SIZE: x Square Feet. Height RESIDENTIAL: (:omtERCIAI~ : ATTACH (2) PLOT PLANS 5- (2) SI!:IS OF BUILDING PUUilS &: (1) SEI' ENERGY FORKS.u ATTACH (J) SETS OF BUILDING PLANS &: (l) SKI ENIIRCT FORKS..... ......ooPT OF OOINlTRACT RtrQIHRIlD. PERlIIl.TS REOUESTED _RUU,DING $ Vah.ation of Total (:.otJstn.ction _ELECTRICAL -LKHCHAIHCAL NIP Service Florida Power Corp. W.R.R.C. $ r? D~19 ' '9..9 Valuation of Kecbanica.l Installation _PLUKBING GI\S ROOFING SPECIALTY TYPE OF CONSTRUCI'lOlli: _Block --"'ra.e _SLee.l Other FINISHED FLOOR RL,EVATIOJriS: FT. IS PROJECT IN fLOOD ZOBE AREA? YES NO .......................................................................................................................... C05I'RACIOR SECI'ION Signature COMPANY State Cert. or Regist. , City License Registration , .......................................................................................................................... BUILDER ELECIRlCI.AN Silmature mtlU"MfI' State Cert. or Regist. , City License Registration , .......................................................................................................................... Signature COIfPAR1' State Cert. or Regist. , City License Registration , .......................................................................................... PLUllBER WJlPMfY &~~~~. / ~ ' State Cert. 0[' Reg1st. I 0 q;;;l. ~ ~ 7 City License Registration # ~~ ..................................................................................................................... OTHER COPIPMn' State Vert. or Regist. , Signature eit.y License Registration , .......................................................................................................... APPI.ICAnON APPROVHD BY J1.r1'~'~~O~:J-- PEIlIlIT OPFlCER. CONDITIONS OF PERMIT AFFIDAVIT A. NOT I CE OF DEED RESTR I CT I ON~:; The undersigned understands that this perlit lay be subject to 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuees responsibility for co'pliance with any applicable deed restrictions. B. WNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contrartor Dr contract~~-~-t~-;~dert~k;-;ork, th;:r-;;y-'''b-e-;:;qui~-;dt;b;-iicensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the o"ner and contractor lay be cited for a .isdeleanor violation under state law. If the o"ner Dr intended contractor are uncertain as to "hat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, !8131 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) sign portions of the "Contractor Sections' of this application for which they "ill 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 ZephyrhilIs. c. TRANSPORTATION H1PACT FEES AND UTILI TY.J;::ot\jNF:C1JON. FEE!?. D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided Hith a copy of 'Florida's Construction lien law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Constller Affairs. If the applicant is sOleone other than the "oNner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the .oNner" prior to COllencelent. E. ~ONTRACTOR · S/m'JNER 'S AFF I DllY-.!.::r I certify that all the inforlation in this application is accurate and that all Hork Hill be done in co'pliance Hith all applicable laws regulating construction, loning, 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 perlit and that all Hork Hill be perforled to leet 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 governMental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cOlpliante. Such agencies include but are not lilited to: , Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treat.ent t Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Departlent of Health l Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks , US Environ.ental Protection ~ijency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A' or "A,etc.", it is understood that a drainage plan addressing a "colpensating volu.e" will be sub.itted 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, Dr violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such perlit is coalenced within six .onths of issuance, or if work authorized by the per.it is suspended Dr abandoned for a period of six .onths after the ti.e the work is cO'lenred. One 90 day extension of tile, lay be allowed for the perait 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, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEMENT "AY RESULT IN VOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"MENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"ENT'. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged before me this October 20, 19~ by LEWIS CONKLIN SlATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged befcl\-e me this ~. ;;t...o , 19~ by ~ p~-- who is persc,nally known to me or who produced FL DL#C524-520-13-290-0 as identification and who did/did not tal::; an oath.~ ~ (SignatLu-e) Lewis Conk in ~~t~ (Name Type , PrInted or Stamped) NOTARY PUBLIC lEIGH J. CLMS NOTARY PUGLle, STATE OF FLORI6~ My commission exp:rcs Mar, 21, 10~1. Comm:ssion No. C C 2 7_ 0 3 d }. has whc. has Yvt , R~-f RVl 55 t ((.. _'~ J -................ ~.~f\n1V (~yt\/Jl1 . 11-. c c {) '13 Q fa 1