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Home My WebLink About93-3694 BUILDING PERMIT ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 c:L5'.cJ7J ~~ Permit N ~ 36940 9RF '6~.()7) ij~"(f. ~i) 0~DI~ Date /d--~ -9 S MECHANICAL Sewer Conn ::::::'~':~3fi5r;;.v<~'!!tf~~"i~frA Water Conn: Water Meter:~ T.I.F.'s: Parcell.D. # Zoning: Envode:.J ~~n Gas: ci}~. ? De,e,;ption of Wo" ~_, "__ _ _ ~ /-f _ --:;,.~ ~ ~ . -I =-t.t 7?~1 ~<'?7~ ~ - NO OCCUPANCY BEFORE C.O. FINAL ~-;J..6 - 9 tf DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE .~ Valuation or Contract Price / /-.5-; t:I?z;. C/?) , City License Registration # /?, State Certified License# Telephone# /-4< L1 /lei' ' BUILDING ELECTRICAL g. t7Z~~ r9 V PLUMBING - / MECHANICAL SLB 12-15-93 BILL Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Tp. Servo Pre SLB 12-16-93 BTT.T. Rough In ~~,f J~i18/-=-~lJY~B Meter Can FRM: Const. Pole Insul. CL Pool WL Pre-Meter Nl'ERIOR F<XXJl'ER 12-16-93 BIlBnal Driveway Dl~Il)11\l6- 0f~u- C.QWKJ\Hbo-#t..tS i-7 --1'" B6 CiJ...U.... ~-n:.,i.(... ~t.I. {-7-1'1 fJt3 / - 34L-{ db 1>2/01/94 HlB f'~SI ~'4 ~-I}.~'" ~t( REINSPECTION FEES: When extra inspection trips are necessary due to /ny one of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~ \ ~G..\.. '{\,\- Qo.{ t\\J~( (")c...\.\.. ~\~c\:\t.=L 2"'\\\~ PHONE OWNER ~6\..U N\.l" t.lt.J ~tc\\ Q..G..\.. '(\f\~ 'QC:.li \ ~ tV S'^-\ \f JOB LOCATION :s~~\~ -::/\8D1J-. ~\~\. 'Aft tt,LOT SIZE X '1 r3-&'~1 AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) d ~ - ~S- ~ l-oCl C cJ -DOJo() -000 t) BLOCK SUBDIVISION PARCEL I.D.4F WORK PROPOSED:~New Construction _Sign/Temp. ~ddition ~lteration _Repair _Install _Sign _Move _Demolish PROPOSED USE: _Single Family +commercial _M/F _tF of Uni ts .----YI/ H _Indust. _Swim. Pool Other ~estaurant & Health Department Approval BUILDING SIZE: X Square Feet. 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 FORMS.** **COPY OF CONTRACT REQUlRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ----YlECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONIllA= ~~CTION ~ d ~ (' <:+ Company \\J U. \..-0 ' - ~. State Cert. or RegistJ ~C OlCCf,v 'ty License Registration # ****************************************** Signatu Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCTAN SilZIlature Company ~~O~f~ ~ t~~i ~ State Cert. or egist. # f DC,., V City License Registration # * ******************************* Company State Cert. or Regist. # City License Registration 4F ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~******~************************** :A'tA&\f . ;AAl"'vtY PERMIT OFFICER. CONDIT!ONS OF PERMIT AFFIDAVI1 A~ ~NOTICE OF DEED RESTRICTIONS . The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be tore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner 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 Dr intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, 18131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 pertitting 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 Depart.ent of Agriculture and Consu.er 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 cOllence.ent. 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 develop.ent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOI.enced 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 .ay apply to the intended work, and that it is ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treat.ent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating 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 fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall becote invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the tile the work is cot.enced. One 90 day extension of tite, tay be allowed for the perlit with fee charge of tI5.00. 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 COMMENCEMENT ~Y RESULT IN YOUR PAYING TWICE FOR IKPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE IN YOUR NOTICE OF COM NCEMENT. JOBS UNDER $2,50 E DO NOT NEED TO RECORD A D POST A "NOTICE OF COKME CEMENT". \c.<\.:\ who is pe e or who has produced as identification and who~did not) take av,~,,\~~ _ (Signat~~ -S~ \-\ i\-<J~ (Name Typed, ~nted or Stampe~ NOTARY PUBLI C STATE OF FLORIDA (\ COUHTY OF V c:-...,S Q. ~ The foregoing i~t~ument was ac~n~Wledged befcore me this ~ \ , 19 by -SCC{ O'M.l:J l.:J \hi \U.( who is ~r~y kno~o me or who has produced as identification take an th (Signatur 'Qa..~~ D The foregoing instrument was acknowledged before me this ~"t..~ \. ,19:1l by STATE OF FLORIDA COUNTY OF .......... BETTY JEAN TIPTON ~i~'f.t'~., i.i \.\ MY COMMISSION' CC 233M7 : ~ EXPIPfS: 0cIDber 6. 1996 . ..t:.' BandId TIvu NolIIy PublIc UndIIwIIWI BETTY JEAN TIPTON ... MY COMMISSION' CC 233M7 ~j EXPIPfS: 0ct0bIr e. 1. r,.'<t..- IlOndId 11wu NoBy PublIc UndIIwlltIII '.TMA~ dr;/ j 11 sf;e(( {Ju I~ u~tC; f . .slab ( rotJ94 p(Ll&tAb rsq. Ft. Livingkz::~ XZ,4(7! rsq. F-t~h-;v5:~ x 8~~:1 8E x .5{~1. 5' StF.ibf'fu~r I ( r- ---, \1.........;"....1 11,r-~c> -I v dIUC:UIUII.\ ...::J / CA.I , I Permit Fees: ----, Building Plumbing Electrical Mechanical -.-.----. Subtotal ----____._0 Credit Total Connection Fees: Sewer iilA----- _________ Water ;;}{-=~ Meter ~s. ~ Total ~ - t~;::~ ~:: 2 49~~ r=-=_ T .I~-F:;l IfM _____J ! ,. [J--;]-------- _!_~-~!!_~~_._----____._I