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Home My WebLink About93-3695 BUILDING PERMIT , 9tF,(),n; CITY OF ZEPHYRHILLS (813) 788.6611 02.!>-. ,'i) ~~ MECHANICAL Je2JI IJl) ~ ELECTRICAL ::~:;~,~s:~j ~fft!f;7-21i~~ IJ Parcell.D. # Permit N '! _ 369511 Date I,;l.. -(;-7!3 Sewer Conn Water Conn: Water Meter: / ~..5-: dZ> T.I.F.'s: Zoning: Descriptio 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. Valuation or / Contract Price b _ j tJ-iItJ, tJ7) City License Registration # / r State Certified License# FINAL Y t:9 ~ -9 DATE c.o. DATE Telephone# Ftr. Pre SLB 12-16-93 BILL Lintel 17-~_q~~, '3 ~M~"1 UN"!: /- 1.1 If FRM. Insul. CL tPL~'\o.jVtlfut~ I-"I-f'-j 513 .s~~fl~ItJ.~ ,-j-1t.l (3B DrivewS'y NTERIOR F<XJl'ER 12-16-93 BILL ~WI\)lNU-(,J.~u.. "B 0JI.lM0l 02/01/94 IlJB ~ fJ-rfiJi-L. 1-~4'1 0 fOs.i1~D~1( Cf8tf'l SILL REINSPECTION FEES: When extra inspection tnps are necessary due to anyone of the following reasons. a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: ELECTRICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB 17.-1 i:i-q~ {tTH. Tub Set Water Sewer Final 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. MECHANICAL Breakers Ducts Insl. Compressor Final The payment of inspection fees shall be made before any further permits will be issued to the person owning same. She! (<r)'1/1 ';0,- fA .~ 5> 10 b f' /'oucfh p/UI1A /;. !Sq. Ft. Livlngl~z. _Al9 K ~ t/96 I ~F-t~th;r]l5:--~-~6~~~...1 85 X 5e~7,5 s.P. fb~M~ .. -r tf/, A ( C , Cln/I- 3 r- --, \1"1.."..;,,,,..1 / "2 ~~o I VdIUdLIUII'llOeJ, LY I f Permit Fees: --------- Building Plumbing Electrical Mechanical Subtotal --_._--- Credit Total Connection Fees: --.--.-.--- Sewer ..--..----- Water ----------"-- Meter Total ~~----- ~~ 'LaS', ~ she (/ --- t~~::~ ~e:~ 57:2- 7Q [~~~-=~T .I.-F:;r-- tYh_____J , [J---~--------- Total: __~_______~_ ____________ l APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT \ OLU N\J \ <t.\.U ~~ c>. \ ~"'-\.. 'A, '-So ? Cor \- ~E (-S ~.\ f ADDRESS ~~~S Gv-\.~ ~\~J~ ~ 2~'l \\) PHONEC~\~) 'l~J- g4c;6 OWNER "cw 't0~ \ 't.,-,- ') 'N\ ~c\' \ ~CA.. \ '\\1' \ ~ ~ G f =t \\.Yt'f ~ kLp JOB LOCATION 3 'la) ~ - 31EO:2. V\tved.'\ C' c.. \ Anof Ct-; LOT SIZE X AREA SQ. FT . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F 31-~S-~1 - 0 tJo{) -otx3 M -Ooeo WORK PROPOSED:~New Construction ----Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____S ign _Move ____Demolish PROPOSED USE: ____Single Family f-commercial ....,.--Restaurant ~/F ____~~ of Uni ts .~/H ____Indust. ____Swim. Pool Other & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: 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. ~ECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signatu SECTION ~ ~ ('\ \.L.. Company a. ~ \,j , '- c. r ~Q. . State Cert. or Regi ,4F ~\\c:.C\ oct ~ ~ 'ty License Registration 4F ****************************************** ELECTRICIAN Company State Cert. or Regist. # Sismature City License Registration 4; ~ ~ #' . ~~............................ . PLWftla< ~ Company ~l~t:''''h.\. QI",,,, \.I>..l~ State Cert. or gist. # ~rC-()~ , y Signature City License Registration # ****************************************** Company State Cert. or Regist. 4; City License Registration 4~ ****************************************** MECHANICAL Signature Company State Cert. or Regist. 4F City License Registration # OTHER Signature APPLICATION APPROVED BY ~******~***************************** dAU'1 . . t1~ PERMIT OFFICER. CONDITf6NS d~ PERMIT AFFIDAVIT 'A.~ NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be tore restrictive than r.ity regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the Dwner has hired a contractor Dr cDntractors 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 tay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections" of this application for which they wili 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 Departlent of Agriculture and Consuler 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 "owner" prior to cOllencelent. 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 cOllenced prior to. issuance of a perlit 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 govern.ental agencies .ay 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 Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health & 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 volule" will be sublitted which is prepared by a professional engineer registered in the state of Florida prior to per.it 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 per.it prevent the Building Official fro. 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, or if work authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the Mork is cOltenced. One 90 day extension of tite, 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 .onth period, or the project will be considered abandoned. 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 ANCING, CONSULT WITH YOUR lENDER DR AN ATTORNEY BEFORE RING OUR NOTICE OF CO ENCE"ENT. JOBS UNDER $2,500 N VAl DO NOT NEED TO RECORD AND OST A "NOTICE OF COMMENt ENT". who is produc as identification take a oa was acknowledged , 1~ by STATE OF FLORIDA \') COUNTY OF '" CLS C. ~ The foregoing i~trume~t before me this B't-~ \ was aj~'Wledged , 19 by STATE OF FLORIDA ~ COUNTY OF Vc...S~o The foregoing i~trument before me this ~ \ ~ who is has produce as identifica lon an w 0 di /did not take an ~t*. . ~ \L ' ~ (Signatur~~~~~~ (Name Typed, Pri d or Stamped) NOTARY PUBLIC me or who has ,...'.t....... SETlY JEAN TIPTON .t~.r~.. i.:~:.j MY COMMISSION' CC 233647 ~. . i EXPIRES: 0cfllbIr 8. 19116 ....~Rr..lli IIondId Thru NolIry PublIc UncIIIwIlIIrI .~-._...,- BEm JEAN TIPTON MY COMMISSION' CC 233847 EXPIRES: 0cIllbIr 8. 19116 Bonded TIlIu NolIry NIle LkldIIWIlIlII'l