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Home My WebLink About93-3628 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N <<? _362811 Date //-/tJ -. ?3 ~ ELECTRICAL PLUMBING ::::::,~,:~~'~ i!ff ~~-~,;1:3- MECHANICAL Sewer Conn Water Conn: (~ t::4- Water Meter: T.I.F.'s: i- ./ /q ~ ?-/\ Parcell.D. # Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee f6-: ~~ Signature fA ~./ .. Company Address Telephone# Valuation or Contract Price ~ ij' 3.s: P7) City License Registration # 1/'1 / State Certified License# ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Driveway / !-ll-q3 fJ/3 . 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 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. APPLICATIOIi/ fOR PERllIT CIty OF :b:mIJCH IT.IS BOIIJ)llIG DEPAImIIlXI' _'S - ~~~J /0, d.lA-k7 OVRER'S ADDRESS, q 2f('/ / LJ. fLz--tw A1./ AY~/ , PIIOIIE JOB ADDRESS LEGAL DFSCRIPl'IOIIII: WI'(S) .BJ.OCX SUBDIVYSIOII b.J IIV78~' S PARCEL I.D.' IiURK PROPOSED:_1Jev Construction ~tion _Alterati.on _Repair _Inst:all S. _lIove _>>e.o1ish - :LgIl PROPOSED USE: Siogle Faai1y _fl/F _' of Units --1'118 _ec-ercia1 _Indust. _Swia. P001 Ot:her _Rest:aorant & Hea1t:h Depa.r1:JEnt Approva1 BUILDIIIG SIZE: x ~e Feet. Height RESIDERTIAL: COItIIERCIAL : A'lTAm (2) PWI' PIAIIS & (2) SEI'S OF BUII.DIRG PI..U'S & (1) SILT EllERGY FORKS... ATrAm (3) SEI'S OF BUII.DIRG PI.AIfS & (1) SILT ElIERGY FOIUIS... ..OOPY OF OOIn'KACl 1UlQUIIUlD. PERKlTS REOUESTED 1,;/BUILDIIIG $ /</%,,<'0 Va1uation of Tot:a1 Const:ruction _ELECl'RIGAI. AIIP Service F10rida .PoIier Corp. V.R.E.C. --1IECllAlUGAI. $ Va1uation of llecbanica1 Inst:allation _PLUMBIIIG GAS ROOFIIiG SPECIALTY TYPE OF OOIlSTRUCTIOR: _B1odt _Fra.e _Stee1 ot:her FIBISBED FLOOR ELEVATIOIIS: Fr. IS PIlOJECI' III FI.OOD ZOBE AREA! YES 110 .......................................... BIJTU)F.R aJIIII'DL\CIOJI. SECl'IOR (DIpAIIY6-ff/IY}JJ.SuN/2.v.;...(!eln,'O/I i- }Nr!..,. ;--j if) J St:ate Cert. or Regist! , ~l~'> ~f!:g. _ City License Registration' y<;/ ~ .......................................... Sigoat:ure 'RI.F.CTRTCIAII COIIPAlIY State Cert. or Regist. , SiPllRture City License Registration . .......................................... PI.IlllRF.R COIIPAlIY St:at:e Cert. or Regist. . Sigoat:ure City License Registration . .......................................... Illl:alARICAL (DIpMY St:ate Cert. or Regist. . Sigoat:ure City License Registration . .......................................... 0TIIIlR COIIPAIIY St:ate Cert. or Regist. , Signature Ci.ty License Registration , .......................................... APPLICATIOR APPROVIID BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assules 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 .ay 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, 1813) 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 Mork. If the contractor Mishes 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 LaM - Ho.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consu.er 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 pro.ise in good faith to deliver it to the "oMner" prior to cOllence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all MOrk will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a per.it 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 Mork Mill 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 .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: I Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health l Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environ.ental Protection Aqency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood lone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "co.pensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it 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 beco.e invalid unless the work authorized by such per.it is cO.IeRced 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 MOrk is co..enced. One 90 day extension of ti.e, .ay be allowed for the per.it with fee charge of SI5.00. The extension shall be requested in Mriting to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Co"~NCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"~NCE"ENT. JOBS UNDER S2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMENCE~NT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 _ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc,re me this was acknowledged , 19_ by who is personally known to me Dr who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLI C '. !"'. ',STANDARD FORM-. OF . AGREEMENT BBrWBEN CONTRACTOR AND OWNER " ,: mlSAcllEEMBIIT .... tbO'1-eN771 two. <IN of (V, j/ . Ninetee. HUDdre4 .. . I . T E ~' . ? -' by and be _""" (-i.ed? ~~ hereinafter caned ~ Coninctor. . .II 11* CT' Owner, WJtneaetb~' that theONatractor and the Owner for considerations DAmed agree at foUoWl: ".. I;'" '.,' I., the year relnafter called tho ARna.E I, SCOPE or ~ WORK The Conl{a.c:tor .~ 1unaIIIa'~ I .... maWiaIa and ~orm aU of the work awn OD the Drawing. and described in the Sped&catlon. - catl.... 0R./o!5'tLJ + /,: ~ 'fIo S ~plred ~ . . acting a. and in these CoDtract II entttW the., IIld sbaI1 do .Vel)'thlD' required by this agreement, the Beaeral conditions of the Contract. the SpeclIoattoaa dae Dra..... '~ . AM'ICL& L 'I'IMB or CX>>MPLBTION The work ID be perfonnecI........ Contract than be c:ommen~/l5 L~ n; ~~7Jir i.; ~E'lJdA -nd .hall be .ub........u, completecl J.. ""jn:#IN I)NG" ~~ ARTIa.B" "nIB COHTRACf SUM , ' The 0... ..... dae ~ for tile pedonDaace 1M Contract. '9bjec~ to additions and cleductlolll provlde4 th etn, in current fundt u folio_ 'I. ,>..QA OIVa-.77fotlSI9N /ZJt.u,7 I-IU/II~ 77,1/;e - A (J& ;)..16/ O() &I.... ..... die .p _ .-WIt, ual& pdcn, 01' boIb. u dedncl) " Autho..... a.,. Orden wiD be .utJmtUllcl by the Contractor for. all work not .pecl8eaUy iDcluded In this Contract. ARna.a 4. noc1lESl 'AnmNTS (1IuItt ... .., ......... _lie for die __ maiD.. ef_ die work ...dIet a certaJa Ita.. of _pletion.) ABTIa.B.. AOOEPI'ANCE AND FINAL 'AYMENT . Final paymeDt shaO be 4.... ,., 7Jl1T. d..I: IUbatantfal compJetloD of the work provided tho work be then fully completed and dMt Contract fully pedonned. , , ARTICLE" THE CONTRACf DOCUNBNTS The Ceneral CoaditIoDl or the 'Co~trlctil the SpeclIcatlonl and the Drawing., topther with thII Aareement, form tho Contract. and they are u fuDy a part 01 tbe Con~ u heretD attachocI or herein repeated. The followlnt II III ItemlzaUoD or other enential pertinent Infonaatfon: ' 'I". ' " : , . \\\\\\111 W 'III/I', ~\\\ f.- '. "'" ~,,,, ..~ \. ,..t "':Z ~ b,.""" ,.... ,~ ,f Q'~.:~o-rM\Y:.< ~:. g ... -.. ~ ~ i My Comm. Explr~s ~ E = : March 8. 1996 : E ~ . C 85307 : :: .. ;::-- e&MINOI.ll ..... .1. 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