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Home My WebLink About94-3845 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 384513 Date a -/0- 9';' .yo .CTD BUILDING 3-.5--: d'Z) ELECTRICAL 3..s-= O""p PLUMBING ~(), cro MECHANICAL Sewer Conn Water Conn: P<aperty Owne' &~6.~ Job Address: S _ I _~J-eA. Parcel I. D. # Zoning: _E~.r~ Codr--,--- _~don Gas: DescriPtionofWork~ ~; ~,- Rt:t7r~I7~r- /' Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. 3-7~ / 0 // FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee~' + Signature . !..-7~ .J'________ Company ~__ Address Telephone# Valuation or Contract Price City License Registration # ~b State Certified License# BUILDING ~~h ELECTRICAL~ ltll~{~ PLUMBING Y??-~ A~ ~+~L MECHANICAL 7~ ;.J ../7(. a. ~ Z;-L Breakers Ducts Insl. Compressor Final 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 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. APPLICA'1'TiU~ FOR PERlltIT CITY OF ZE:PHYRIJILLS BU,ILDING DHP~KENT OWNER'S N..o\K.E j///h-LJ . ffu.e. :3 g ';;;-/7 ttV/ AJLJFc.ocU~~ " ,Z";;a1YA,~ I k4r 33S7'O ~ PHONE f/3 r- 7%2 ~2-2 7(. OWER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D . # WORK PROPOSED~ew Construction _Addition _Alteration _Repair _Install _Sign _I!tove _Deaolish . ".. ~" . - , " . , PROPOSED USE: Single F3IIily _KIF _' of Units _eo-ercial _Indust. _SWI... Pool _Rest:aurant &: Health Departaent Approval BUILDING SIZE: 28 x5b J5t:.8 Square Feet. ~H/H Other RESIDENTIAL: COHHERCIAL : ( ::':'70 12.7 Height ATTACH (2) PLOT PLMS &: (2) SETS OF BlITLDHiG PIJ\NS &: (1) SET EliERGY FORMS. ** ATTACH (3) SETS OF BUILDDlG PLAlNlS &: (1) SET ENERGY FORKS.** **COPY OF' CONTRACT RE'QUJTlRED. PEBMIYS REQUE..'iTED ~ BUILDING ~ELECT.RICAL ~HECHANICAL ~PLmmING $ ,e 1 fg'() I~o Valuation of Total Construction AKP Service ~_Florida Power Corp. _W.R.E.C. s 13s:o Valuation of Mechanical Installation GAS ROOFDiG /YLl-+--. SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr.-e _Steel MH. Other FInSHED FLOOR ELEV'ATIOIWS: YES ~ NO FI' . IS PRO.JE:CT IN FLOOD ZONE ARE.~? ttttt~t~tttt~tt*tt~******t*******tt~~*~t** CONTRACTOR SECT'ION ~ // OOHPMWI..J'R.. T~ J ~"~ State Cert. or Regist. # Signature . C9S"~ City License Registration # / ****t**t~*-I:*"'*"''''*t*t**".. ~**********i!c***t*** mo. {tv. 2'",lC._ 8UILDER 35C:. ELECTRICIAN amiPANY (! , II. ~ d~ El~r;t:;zc; Stat.e Cert. OlVRegist:. #i: City License Registration ,.3.!;; ***~~*t*~~~~~~~~*********~***** Si PLUlKBER ~. cmtPMrr ;J c k<r?J ~ /"1-,..-,..J . &~ Stat:e Cer!:. or Regist.. :f# Signature ~t*****tt~~***~~~~*;~~::::*~::~:~::~~~: I /~g KECHARICAL ~ cmtPANY !3AIfI2S /'/do/l/WG 6A5 State Cert. or Regist. :f# Signatur~ ~ ~ ~ ~ City License Registration 1'1 . t*~~**~~K*t~~*~~~t***~~~~~***~~~~t**~~*tt~ * /'MfJ/'t1.Jt!: 78 OTHER. (;::l}ID'A.VY State Cert. or Regist. #i: City License RegisLra~ion * *****t*~~t*********~**y~***~*****t**t***t* Signature APPLICATION APPROVED BY l~ ~ \k~."'''. " PERMIT OFFICER.. ,r------ ~. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitsay be subject to .deed restrictions. which lay 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 ONner has hired a contracto~ or Fontractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is no~ licensed as required by law, both the owner and contractor lay be cited for a lisde.eanor violation under state IaN. 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 Department, (BI3) 7BB-MI1. 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 Nhich 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 FEE~ D. CONSTRUCTION LIEN LA~ (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 document and promise 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 regtlations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay 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 Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . f Departlent of Health L Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone .A" or .A,etc.., it is understood that a drainage plan addressing a .colpensating volule. Mill 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 frol 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 work is cOllenced. One 90 day extension of tile, lay be allowed ~or 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CD;'ENCE'ENT. JDDS ONDER' 500 IN VAlOE DO NOT NEED TO RECORD AN~D~~" SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF f) A S CD The foregoing instrument was acknowledged before me th i s ~AIJ<AR.'I '1, 19 -P:L by STATE OF FLORIDA COUNTY OF -P 1+ S c..-O The foregoing instrument was acknowledged before me this ~~g~, 19~ by }/ E/-SoJl ~y )~A AJ who is personally known to me Dr who has pl-oduced as identification and who did/did not t_l~- ~3ild~ .. (I. ,6/k~ t'Siqnature) Z; I~ 4-TJ-fL,e-r ~} .J:.)7.; Rt3-r;J;J (Name Typed, 'r i -nted Cll- Stamped) NOTARY PUBLIC N ~LSD,.j 7?y M It'; who is personally known to me or who has produced as identification and who did/did not ta~~ y ~Uf~--' ~ignatLll-e) {/ "'AmL EEJ<J ~ 13 R i/W.2J.. (Name Typed, Printed Dr Stamped) NOTARY PUBLIC tI'.~"t, . '1.... ..~. ~(' ~ .. ..'''''' '. j.,;g .~.;....,........,." KATHLEEN J. BROWN Slate of florida My Cot'l1ll1. Exp. April 2. 1_ Carom. , CC Q95817 ~"lI. ~;" ~ KA THlEEN J. BROWN State of FIoIIda My Corrm. ExIt. AId 2, 1995 CoRm.' tc 095617 -........,,~., '.' . , .I' .',f.1, ;'.i' " , .. '.';'''' . .~. .'. d ' . '!" .,'