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Home My WebLink About93-3584 BUILDING PERMIT Permit N ~ Property Owner: Job Address: Parcell.D. # ~D~ ~ECTRI~ ~. 0fh?o:/td~.;;rJ~. CITY OF ZEPHYRHILLS (813) 788-6611 _ 3584 ~ / IJ ~.:2:< - 95 Date ~ ~sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energ:r;e: ~ c::--- ~ lH.(! _~'don G.. .~ t gi.hD FINAL DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector DATE Valuation or Contract Price Pe,mit Fee~ ,.JL!c' Signature .J..... I! (j~~ L'1 A ~I Company City License Registration # 2.1/ iJ ~. Address State Certified License# Telephone# ~ %8'-,'3,"7'6 rS?~Il#A4I0--/JI 8.&-=;6. ~ .ING / ELECTRICAL PLUMBIN~ ~ M~ 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 REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CI'IY OF ZEPHYKHIU...S BUILDlliG DEPAImIEIIt OWRER'S IWtE j;J P,/ iLl CJ d Ij ~1 . ?'/; .J// 'I ..7'1" <' r OWlIER'S ADDRESS .J L/ ~ Ie> ,:><'<J v JOB ADDRESS -)L) L( ~ 7/J' 17 S r; PIIOIIE ~A:fAC/t(l/c[( ,-, PL I I / 2ELJII </1?4cit ;}f Fi. / I ?(f('( ~. ~i'y~ 7 .53 S-Sk) j;) 3,$'- Y6 LEGAL DESCRIPl'IOI!J: UJI'(S) PARCEL I.D.t /;;;. -;;2 ~ - .2 I, oeO 6C1 - BI.OCX SUBDIVlSIOIJ oL/8'o 0 -- do /CI WRK PROPOSED:_!Ilew Construction _Addi.ti~ _Alteration _Repair _Install _Sign _Move _ne.olish PROPOSED USE: Single F~ily _K/F _' of Units _K/H _ec-ercia1 _Indust. _Swill. Pool Ot:her _Restaurant &: Hea1t:h Depart:.ent Approva1 BUILDIliG SIZE: x ~e Feet. Height RESIDENTIAL: COItItERCIAL : A'ITAaI (2) PLOI' PI..OS &: (2) SEIS OF BUIlDIJiG PIAIIS &: (1) SEt EREKGY FOIUtS. ** ATI'AaI (3) SEI'S OF BUILDING P1A5S &: (1) SEt EIIERGY FORKS. ** **mpy OF CORTKAC'l RIlQm:RIlD. PERKl'l'S KEOOESTED _BUILDIlIG ~ELECI'RICAL --1IECIfARICAL $ Va1uation of Total. Coost:ruction d2 (). () AtIP Service ~lorida Power Corp. W.R.E.C. $ Va1uation of llecbanica1 Inst:a11ation _PLUKBIliG GAS IlOOFDIG SPECIALTY TYPE OF mllSTKUCl'ION: _Block _Fra.e _Steel Ot:her FIRISHED FLOOR ELEVATIOHS: FI' . IS PIlOJEC'l III FLOOD ZOIfE AREA? YES NO ****************....****************..**** CDm'RACIOR SECI'ION CO!tPAIIY State Cert. or Regist. , City License Registration , ***********..***************************** BmT.DF.R Signature ~ .~ ELECI'RICIAN>7 _I CO!tPARY/Il'::--.4 I+d (J. Lr2./lN%:;lft L J3LiC[T; L'd /f..JT. ::~- (/? 0./' State Cert. or Reg1St. ,-If! (:'1~;Z 9/6 S . '-(>~-~,tY" (', ( .~ ct.L-~L..e( City License Registration' e>( CJ ..*..*********..*****..***..************** CO!tPOY State Cert. or Regist. , City License Registration , **********..****************..************ PUllBER Signature CO!tPARY State Cert. or Regist. , City License Registration , ***********..*..************************** KEalAllICAL Signature CO!tPANY State Cert. or Regist. , City License Registration , *..*********..****************..********** OTRF.R Signature -=--~ APPLICATIOll APl'ItUYY..U BY '. .. '.'~ . ... ., ; '. ....6i~:t ,." . .... ", .w. "., ,,,,," L....,,,,, I h.'........." ~r lj .'. ...,....-.....-.-&11 ~BR...'.,;, . .';",',) i ~,~'.:w::. .) , i A. < ...'-,cd',"........., .i. ..,~,._,>\:~!'...~,..iJ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject 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. 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 .isde.eanor 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 Departlent, (813) 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 Nork. 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 per.itting 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 ~ide. prepared by the Florida Depart.ent 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 cOlaenceaent. 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 perlit to do work and installation as indicated. I certify that no work or installation has cO'lenced prior to issuance of a per.it and that all work will 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 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 but are not lilited to: f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water HanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY 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. Dr .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, Dr 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 becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllented. 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"MENCEMENT MAY 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 COKKENCEMENT. JOBS UNDER $2,500 I VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.. ~~~j r: (1~J)cU-1' , SIGNATURE: CONTRACTOR STATE OF FLORjDA COUMTY OF fJ;}6 C() The foregoing instrument before me this /()-,;L! was acknowledged , 19 <73 by STATE OF FLORIDA COUNTY OF P/t5 co The foregoing instrument befc,remethis /0-2-( was acknowledged , 19 93 by -------=~- who i~~ly known~o me or who has produced -- as identification and who did/did not take an~h. /~ ~ ~ O~H?'/,/.7, ~_/ 6... ./ ____ (Signature) ./ who is ersonally knownjto me or who has produced as identification and who did/did not take an ~~~~~L- (Signature) / / (Name Typed, Printed or Stamped) NOTARY PUBLIC - ' (Name Typed, Printed or Stamped) NOTARY PUBLI C 'i' R08EfITL..IOHN8ON State of FIorfda My CoIml. Exp. May 8. 199'1