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Home My WebLink About94-3982 BUILDING PERMIT Permit N C? PLUMBING ~--: H GCHA~ _ 3982 H )/- d./- ~ If CITY OF ZEPHYRHILLS (813) 788-6611 Date BUILDING ;;L. () . O? CLECTRI~ Sewer Conn Pmp'rty Own" ~ ~ Jab Add'.." ~fkn ._~ '\ . ~ Parcell.D, # Zoning: Energy Code: Description of Work~#-{~ .+/ L-- Water Conn: a~ O~ )V"'/A 0 Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAl~~ ZLf-<1 <-( DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector DATE Valuation or Contract Price 7?:9Y'~criJ 1/ Permit Fee Signature Company Address City License Registration # State Certified License# Telephone# \;;;4(12<<< /~7 BUILDING ELECTRICAL PLUMBING Driveway Tp. Servo Rough In Meter Can i -4t-(i'l~~ Const. Pole Pool Pre-Meter ~~.;\~ Breakers Ducts Insl. Compressor Final ~ Z '-f. , '-t SLB Tub Set Water Sewer Final ~cb 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 ($15.001 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 PERKlT CITY OF ZEPIIYRIIILLS BUILDIBG DEPAImIENT PHONE 7 f3,;:< ~ I (' I I /f-i/ g r . LEGAL DESCRIPl'ION: LOT(S) BI.OCIL-.-SUBDIVISION PARCEL LD.' WORK PROPOSED:_New Construction _Addition _Alteration ~pair _Install _Sign _Hove _Deaolish PROPOSED USE: Single F_ily _KIF _, of Units _K/H _~ercia1 _Indust. _Swia. Pool Other _Restaurant 5: Health Deparu.ent Approval BUILDING SIZE: x Square Feet. Height KESIDENTL\L : cottPIERCIAL : AtTACH (2) PLOT PLAliS &- (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORKS. ATI'AGH (3) SETS OF BUILDING PlANS 5: (1) SET ENERGY FORKS. PROPERTY SURVEY RIlQIllRIID FOR ALL ImW GONSTKUcrION. PERtUTS KEOOESTED _BUILDING $ Valuation of Total Construction _ELECIlUCAL AIIP Service Florida Power Corp. W.R.E.C. /? '7/~/. ~ $ Valuation of lIecbanica1 Inst:a1.lation GAS ROOFDIG SPECIALTY _HEGHAInCAL _PLUl'lBING TYPE OF GONS1'B.UCI'IOIi: _Block _Fr_e _Steel Other FINISHED FLOOR ELEVATIONS: FI' . IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... GONTKACI'OR SECI'ION BUlIDER GOIIPAIIY State Gert. or B.egist. , City License Registration f .......................................... Signature COItPANY h' L~-L. C ) A-.9 5 State Gert. or Regist. , O/-? // \;I' 7 City License Registration , ~~~' . ........................................ PLUlfBER IUtGIIANICAL GOtIPAIiY State Gert. or B.egist. , City License Registration , .......................................... GOtIPANY Ii ,,v -s ~/~ State Gert. or Regi.st. , City License Registration , .................................... Signature Signature C.a- }I,&Y tPv'7"7.;z OT'IIF.R GOfIPAIiY State Gert. or Regist. f Signature City License Registration , .......................................... APPLIClJIOR APPIlOVIlD BY '11<t1>~ ~ "/lEW PEIlIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that tbis pemit lilY be subject to .deed restrictions. wbieb lilY be lOre restrictive than City regulations. !be undersigned assUJeS responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas hired a contractor or contractors to undertake wort, tbey lilY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lilY be cited for a lisdeleallOr violation under state law. If tbe mmer or intended contractor are uncertain as to wbat licensing requirelents lilY apply for tbe .intended wort, tbey are advised to contact tbe City of Zepbyrhills Building Departlent, (813) 788-6611. FurtbeIlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe .Contractor sections. of tbis application for whieb tbey will be responsible. If you, as tbe owner sign as tbe contractor, you are indi_!i9, that }OU, riltller tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign as contractor that la,be an indication that be is not properly licensed and is not entitled to pemitting privileges in tbe City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. COlfSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, have been provided witb a cOPlof .Florida's construction Lien Law - BlBIl!OIIDer's Protection Guide. prepared by tbe Florida Departlent of Agriculture and COnsUler Affairs. If tbe applicant is SOJeODe other than tbe .owner., I certify that I bave obtained a copy of tbe above described docuJent and pIOlise in good faitb to deliver it to tbe Downer. prior to COIIenCellellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforaation in tbis application is accurate and tbat all work will be done in cOlpliance witb all applicable laws regulating construction, loning, and land developlellt. Application is hereby lade to obtain a pemit to do work and insWlation as indicated. I certify tbat no wort or installation bas COIIenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in tbe jurisdiction. I also certify tbat I understand tbat tbe regulations of otber goveruental agenCies lilY apply to tbe intended wort, and tbat it is IY responsibility to identify wbat actions I lUSt take to be in co.pliance. Sueb agencies include but are not liJited to: I Departlent of Envirolllelltal Regulation - Cypress Baybeads, Wetland Areas and InvirollleJlWly Sensitive Lands, lIater /lfastewater 'l'reatlent I Southwest Florida lIater ManagelBllt District - lIells, Cypress Baybea4s, lIetland Areas, Altering Watercourses I ArIJ Corps of Engineers - Seawalls, Docks, Ifavigable Waterways * Departlent of Bealtb , Rehabilitative Services, Envi:rouental Bealtb Unit - lIeIls, Wastewater '1reatlent, Septic '1anks * US EnvirODll!lltal Protection Agency - Asbestos abatellellt I also certify that, if fill aaterial is to be used in Flood Zone WA. or .A,etc.w, it is understood tbat a drainage plan addressing a .c~ating volUJea will be subllitted wbieb is prepared by a professional engineer registered in tbe State of Florida prior to peIlit issuance. A perlit issued shall be construed to be a license to proceed witb tbe 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 fIOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall beCOle invalid unless tbe work authoriled by sueb perlit is COIIenCed witbin sillODtbs of issuance, or if work authorized by the pemit is suspended or abandoned for a period of sil IODtbs after tbe tile tbe wort is co.enced. One 90 day utension of tile, lilY be allowed for tbe perlit witb fee charge of $15.00. 'l'be utension sball be requested in writing to tbe Building Official. An approved inspection lUSt be logged during eaeb sillORtb period, or tbe project will be considered abandoned. WARRING 'fO omR: YOUR FAILURE TO RICORD A NO'IIC! OF COIMDCIJIBNT MAY RlSULT IN YOUR PAYING "'IC! FOR IIIPROVIIImS TO YOUR PROPERTY. IF YOU IIlTBID 'fO OB1'AIJ FIWCING, COIfSUL'I WITH YOUR LIIDIR OR AI AT'fORIIY BEFORE RICORDIIfG YOUR MOIIC! OF aJIMEIfCIIIIIIT. JOBS OlDER' $2,500 IIf VALUI DO If 0'1 MIlD 'fO RICORD AND PaS! A 'IO'IIC! OF aJIMEIfClMlll'lI. ~~~ XJ ~ ' ( . SIGJIA'fURI: OOIR 0: ~ S'IA'l'I OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by who is personally kn01lOl to me or who has produced as identification and who did/did not take an oath. (Signature) (Rame Typed, Printed or Stamped) ROTARY PUBLIC r)d d or Stamped) Notary Public, State of Florida JlY._Comm. Exp. Mar. 17, 1995 ',i\ . Kinsey Central Heat & AIr-Concllllonlng 7718 Fort KIng Highway . P.o. Bac2209 Zephyrh1l1s, Aorida 33539-2209 (813) 782-2300 . - "-''''''~ --" --."-- ..~.._,.~... ..... _...._-.... 1 - IIATEPIIOIIISEO MlDII06 APNlTIlEIfT CITY - IIOIlEl -~. STIMATE o CASH o CHARGE " NATURE OF ...-"\. SERVICE ~ REQUEST OOAN. PART NO. DESCRIPTION -! ~, CV/,r SERVICE PERFORMED , /) ~ / V 7" AJ !. -I:;;l!l I-dJ U,AJ'" 1V.9-"y r/ 7F lU../UcP~ ;;f -I ~ Cry, P (?,~; ~ z:. F;vo (' aJ..p c h c:",v pl,J .f r; '.' - ~ =-;:;:: ;~a o.va",d 'f'flJq/"" "./ c ~~,:-1jMJ MlICOIIPlflED CASH ::-0-... "t- E ( .Q... ~ . ~ LJ . r; - ..-.......T\H / ( lUfM. lm.:tII. IElMCETM TAl