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Home My WebLink About93-3595 - BUILDING PERMIT BUILDING ;LO . a-u ~C;RI?0 PLUMBING ::::::'~':~"'Llh~ti :'O'~ Parcell.D, # /}/ -dJ-b -~I '"7',') 000 ... D LJC)...O Q .~ C) aDD CITY OF ZEPHYRHILLS (813) 788-6611 ~~vO GHANI0 Permit N ~ _ 3595/1 Date /6 -~-V Sewer Conn Water Conn: Water Meter: T.LF:s: Zoning: Energy Code: Description of Work c.;t.~A.-J #' C Radon Gas: FINAL C.O. 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. Inspector DATE Permit Fee .y~ ~' Signature'//? . // ~(:J:.:o~ Company Address 'Felephone# CJ'll, b-)?-,'5 - --::2..;2"3,p- Valuation or Contract Price 1..s' S 7. d7J City License Registration # L/~7 State Certified License# BUILDING 63 PLUMBING Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS PHONE / -'j'"/-./ ;; s> z - C .YeJ Y APPLICANT Lf7 OWNER . {T / JOB LOCATION L,[. f..1'ljIv'LIJf/ cr/v{ (-/..1r/'V.. y (/..'I.JL LOT SIZE - ')!J M Ii BLOCK X AREA SQ. FT. SUBDIVISION'Lv'Y {'/'~T'A"~ ;r!chr/e iliml'" lor!:::... -~ LEGAL DESCRIPTION: LOT(S) PARCEL I. D. i~ WORK PROPOSED:_New Construction ____Addition _Alteration _Repair ~Install _Sign/Temp. ____Sign ____Hove _Demolish PROPOSED USE: ____Single Family _M/F _t~ of Uni ts , .-4-M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'lS.** **COPY OF CONTRACT REQUIRED. PF.RMITS REQUESTED _BUILDING ~'// ELECTRICAL ~MECHANICAL $ valuation of Total Construction AMP Service ./' L.,' c;> '-). ,) J .J /..) f- Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. n City License Registration ff ****************************************** nUILDER ::::~~~~/ Company &P kM};~f"t0)~ \ State Cert. or Regis . t~ .~ (0 - '=... ',VI r , .' i@-2- City License Registration" ****************************************** Signature Company State Cert. or Eegist. # City License Registration 0 ****************************************** PLUMBER OTHER Company -Ace \(f'Q~9JEJ f~~0() Irk State Cert. or Regist. iF cACnZ-.L,C\"1 ~6 City License Registration iF ~3 ********************************** Signature Signature Company State Cert. or Regist. ff City License Registration 0 ****************************************** PERMIT OfFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . Tht undtrsigntd undtrltands that this perlit lay bl sub~tct to "deed reltrictions" which may be more restrictive than City regulations. The undersigned assules responsibility~for. cOlpliance with any applicable deed restrictions. . . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner 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 lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhil1s Building Departlent, (813) 788-6611. Furtherlore, 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 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 sOlec.ne other than the "owner", I certify that 1 have obtained a, copy of the above described document and promise in good faith to deliver it to the 'oNner' prior to cO.lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developDtnt. Application is hereby .ade to obtain a perlit to do work and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies may apply'to the intended "ork, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le not limited to: .... I also certify that, if fill laterial is to be used in Hood Ze,ne "A" or "A,etc.", it is underste,(.d that a drainage plan addressing a 'colpensating volume" will be sublitted which is prepared by a professional engineer reqist~ied 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 yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.1 frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iS5\1~d ;hall becole invalid unless the work authorized by such perlit is cOI.enced within six months of issuance, or if work authol lzed by the pertit is suspended or abandoned for a period of six lonths after the ti,e the work is co~menced. One 90 day e:tensiol\ of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n J!lust be le.gged during each six lonth period, or the project wi II be [C,nsidered dbdlldoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 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". c/.. ./ ;' SIGNATUR~_~_L_~~~_~~----~~~~-~~~~--~-~---- QI...JNER OR AGENT DATE _d::1!c:L.!;LG.r.LEf:..:J-----------.------- NOTARY AS TO _----I /. Q '--L/~7 /. / OWNER OR AGENT ~'-;.;;._--L.,ajd::~.!--.L~~ tlo.., Ju. SfatI of "ortle MY COMMISSION EXPIRES_...~~J....1J9.. Ion4.teI ThN Troy Fain .Insuren..ln," './ // /i _ / II .' 1/ ! 1/ SIGNA TURE L!.LL;..L:..::...i!::;..__~:4(.L...4~~C::l:..\..- CONTRACTOR ) /1: DATE__{f{/t:;;:id.k/-L.2Y:..,;E------------- NOTARY AS TO(~ j;1---7"f/? / / CONTRACTOR __M'::'k-~--_--_~';k:S..J--'~L'''-/( - .. ..., MIle. Stat. of FIorWcl MY COMM I SS ION EXP I REy","C&ftiI\IftItl111pbd1lpttHi1994 Dondld Tluu 1roy Fa;n .In.Ula_11Ko