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Home My WebLink About93-3696 BUILDING PERMIT ~ Pl?F 6 tJ. ~'ri) dl70. 0lJ ~DI;Y P,"perty Own., .3iJIt;7;Jf:fjf ~~ ::',:: ::,~, Job Address: 3'?r t) A TLF. s. Permit _3696L$ 1.2 -b -9-? CITY OF ZEPHYRHILLS (813) 788-6611 NC! Date ELECTRICAL - - PLUMBI~ MECHANICAL Sewer Conn /6.5-: CJ() Parcell.D. # Zoning, En.,gy c~ De,e,ip"on of Wori< -4 ~ &. Radon Gas: / (;" " , NO OCCUPANCY BEFORE C.O. FINAL C.O. ~ C; '-/ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee Signat Company Address Telephone# Inspector Valuation or Contract Price -3 ~ lJ7J7J. b1) City License Registration # If?'" State Certified License# ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compres~or Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel 12 28 93 nTH FRM. Insul. CL WL c..~ 1- 7 -tt'f 813 ~riveway ~ 02/01/94 BJB /)11/1 Oi^J(..fW t.} /..-L.- SHFA'IHING~-V1_1j9L B.TLL.-... C(i..u..- s'fF.E.'- PARAPET WAl:.'C urr~~ /-3'1'-1 ~J3 H./,~'4'f ~tiJ/)~ ~-1!J13 REINSPECTION FEE~: 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. ? t\ f\ ci2-- 3 ~t-"\s€--\) VV\G...\)tLAi- ,rJtf:l') gu,)(" UI0(T 'C' SHELL 0,....\:..., 6f\:)~~ {)(..j '(ti~,--rfi- 0 i= L.!5 0 CJ r------~------, \1-1.._..:_.....1 23} ODD I VdIUC:ll.IUII'1 ;;> _ I . /Sq~ft~i~i~~;6X-"fftf f 270,.00 NA N/A- N/A__ ___ S_~btptal_ 2:1t2_,,-- D t:> __ ________9redit ~_faO___C> 0____ Total Z. 0, ..:,<':> Permit Fees: Building Plumbing Electrical Mechanical I~.::----=--_-r-:::---------- ~t. O!~~~y(~___1 . ~ ':~ ,iC Si J 7 5" ~ r -l: (^rZK'Nb Connection Fees: ---.- ______ Sewer N / Pr Water It -:3- Meter to tJ. 0 Q Total I b5, C;V 5Hl~LL ONLY ""--- ~~~:: ~~ IJttq~~- -I [=---T~I-~F:;I _ ___J l!~t~_______ l APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~ DlU\'.J \J"' <t.W '(\\J~\ ~c..t f\r-\s ADDRESS ~3,jS Gu.\l ~\\jd ~ ~ 2h~ l~ OWNER "0'-0 l\)\! \ t.. ~J 'fN Ed " C' 0.\ V\~ ts JOB LOCATION 2:>t'\ ~\,- ~ Yj 'i?o~ PG.r~t\JEfS~'1 f PHONE (~\j ) 1 K'3 -~~ 'f () 'Poet N~fS hLf ~ed\~c....\... 'f\(\~ ~\-. LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F 2\1- ~$ - ~ \ --C;;6oo -CCJ60-C6od WORK PROPOSED:~New Construction ~ddition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _41 of Units .~/H +commercial _Indust. _Swim. Pool Other ~estaurant & 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 REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONT~~~:n~ECTION ~G.~d~ ~~u. cPo ~w<L State Cert. or Regist. # ~~lJ\oct~.3 t ity License Registration # ****************************************** Signatu ET,F,CTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Si&.mature Signature Company ~;:t~<t:\-t- ~ ~u.~~; kJF; / State Cert. 0 egist. # F 6<1 1Y City License Registration # * ******************************* Company State Cert. or Regist. # City License Registration 41 ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ***********~~;'*************************** APPLICATION APPROVED BY '1f"""""A~ _"VJ ~r PERMIT OFFICER. CONDITIONS OF P~RMIT AFFIDAVIT A." NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it aay be subject tD "deed restrictiDns" which lay be tore restrictive than City regulations. The undersigned assutes responsibility for cotpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay 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 aay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to "hat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (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 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 COllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work Mill be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a perlit to do work and installation as indicated. [certify that no work or installation has cOltenced prior to. issuance of a perlit and that all work will be perforled to .eet 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 IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not litited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks I US Environlental Protection AGency - Asbestos abatelent I also certify that, if fill .aterial 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, 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, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six .onths after the tite the work is cotteneed. One 90 day extension of tite, tay 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, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR l NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C "ENCE"ENT. JOBS UNDER $2, E DO NOT NEED TO RECORD A D POST A "NOTICE OF COMMENCE NT". STATE OF flORIDA ~ '() COUHTY OF _~ 0_ ~ Q.,\('I{j The foregoing instrument was ;jk~OWledged befe.re me th i s ~~~ l , 1 by ~o"'~ ~. ()G.f\\tl who is nail k to me or whct has produced as identification and who did/did not take a h. STATE OF FLORIDA ~ COUNTY OF '\" ~ '\ C 0 The foregoing ~trument was ~7~nowledged before me this~C!- \ , 19~ by who i has produce as identification and who did/did not take an~~~~~~ (Signatur~~~ .. \ ~ (Name Typed, Pri d or Stamped) NOTARY PUBLI C "t..: (Name Typed, Pr NOTARY PUBLIC .,.,~ BrnY JEAN 7..~..J '~~""..;;. f:: ~*\ MY COMMISSION II CC 233547 ~~. . EXPIRES: October 6. 1996 1(~ IloIIdId lhnI NolIIy Public lJncIIIIM\f8IS .....-.-....-.-...,.;- ~ c..r--- ed or Stamped) ......... Dt:'I"r'\I JEAN n-ON it-'!\'I".~~ IJII;I" rl' f*rl;i." !*! MY COMMISSION' CC 233547 ~~~-lf.l EXPIRES: 0cIDblIr 6 1896 ':'~iif.,~~~ tJondId l1InI NolIIy PublIc ~