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Home My WebLink About94-3990 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 399011 ~-d~--7Y Date ELECTRICAL PLUMBING MECHANICAL Sewer Conn Pmp'rty own"_11i!4 Z Yld Job Address: -.5_ _ __/ __~ Parcel LD, # Water Conn: Water Meter: T.I.F.'s: 9'1 E~r3J COQe: U-dL4"J _/~.A Ldon Gas: ~.?J / Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL -27-'1'c..f DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Inspector :~;:~::,~~ ~ Compan __ Address Telephone# - Valuation or Contract Price '" f tJ. trz} City License Registration # .....s~ State Certified License# ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~ - ::) ~ ~ < 't C O"lOVl =. , - U"O \; ....J Q)~ ~ Vl~O ~ CD +J U l.&J OVlQ) ....J .....J I1:l a:: ~I ::JS:::1O UVI-' VI ;;:;a -. :z:_~ =='~ _D- ~~:E ::i;;><t <t01- :>u.lV\ V) I-V\V\ 00- _a:l:C -:i.... u.I .'!. ........ on ... 5 .. ~ >- ... >- '" ::> lit ~..1...._ ~ ..._"!':' .. ....~ . ~ si ,~ r'. . \ .:"1 "~ ~:::i , ....../ L ,_ r='~~.,.=1~'~::, . " ~4i ~ . ::::i..- :"""..! \. . '. , '.~ ......... {\.j 0:.:("'\ ': ......::~ ". ....... t' 1...._ r-.... I ~....... ('.... '. 1 .,-~:J r:'::~~: .! ..... .......... ::.:.':.. :':; .. '. .o.o&" I .$ . [ih ..$'~~ (' .0 . k~.~ .~<E r c <n ..... u z - . i\'~~"',~l.i.' ;9' ,.'-.),>. Jr ",~,~:. . o ~ VI l.&J ~ < - u o VI VI < ~., '., ~ . . .cs /~.~ -L3.Je-Y~&:- #..L W ....J uJ :::l l.&J C C l.&J ex Ll.. u ....,---....;._....,...;;.,~;.:._;:~.< ___I 1/ ESTIMATE licensed Bonded Insured -2e~ F~D Specializing in Chain link & Wood Fences New & Repairs Free Estimates · Senior Discount "Quality is Priority" I-I INVOICE JAMES M. KELSKE (813) 783-9214 NM1E: DATE: C;7 - c:;J-6- '/ Y ADDRESS: :ITY: STATE-ZIP CODE: TELEPHONE II ~ IC/~ I /~/,. ~ ~rW~ .. , q' ~/~ ~ ~ f' ~C/O ~ %/~ ctf'~ ~ ~ A--1 .~ ZEP7 E'~ ~ APPLICATION FOR PERKIT CITY OF ZEPIIYRIIII.L<<i BUILDING DEPAImIKNT OWNER' S RAIlE /('f/ I L c.. I ~ OWNER'S 'ADDRESS~s- '/ ') Y JOB ADDRESS ~ , ~,Ii? Cc----J tP 10Th'" 51 PHONE 7 f ~ D I' 5"6 LEGAL DESCRIPrlON: LOT(S) BWGK SUBDIVISION PARCEL 1.0.' WORK PROPOSED:~Nev Construction _Addition _Alteration _Repair --K.Install _Sign _Hove _DeIIOlish PROPOSED USE: X Single Faaily _"/F _' of Units _"/H _~rcial _Indust. _Swia. Pool ;-Cr>/( 6~ Other _Restaurant&: Health Depar~t Approval BUILDING SIZE: x ~e Feet. Height RESIDENTIAL: COftKERCL\L : ATtACH (2) PLOT PLAI!DS &: (2) SEI'S OF BUlIDING PLANS &: (1) SET ENERGY FORMS. AtTACH (3) SEI'S OF BUILDIBG PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL liEW CONSTRUC'l'ION. PERIlITS REQUESTED _BUILDING $ Valuation of Tot:al Construction _ELECl'RICAL AIIP Service Florida Power Corp. V.R.E.G. _ttECIIANICAL $ Valuation of lIecbanical Insta1lation _PLOfIBING GAS ROOFING SPECIALTY TYPE OF CONSmDCrlON: _Mock _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FI' . IS PRWECr IN FLOOD ZONE AREA? YES NO .......................................... CORTRAcroR SEC'ITON BUILDER GOttPAIIY State Cert:. or Regist:. . City License Registration . .......................................... Signature F.T.F.CIRICIAN COHPANY State Cert:. or Regist:. , City License Registration . .......................................... SiPJl:llture PLUKBER. COHPANY State Cert. or Regist. , City License Registration . .......................................... Signature IlECBANlCAL COHPAIiY State Cert. or Regist:. . City License Registration . .......................................... Signature OTRF.R . A I /V7 COHPARY ? e~ y.L r-e-/I.---" c. ~ ':-:> State Cert. or Regist:. . r -~ _City License Registration . z:: ~ .......................................... Signature APPLICATION APPROVED BY I'ERllIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this pemit lilY be subject to 'deed restrictions' wbich lily be lOre restrictive than City regulations. !be undersigned aBSUIe& responsibility for cmpliance 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 .isdelleaDor violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing requireJellts lilY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich 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 lilY be an indication that he is not properly licensed and is not entitled to perIIitting 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, bave been provided with a copy of 'Florida's construction Lien La. - lkIIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUIIeI Affairs. If the applicant is SOJIeOIle other than the 'mmer", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the "owner' prior to COllellceJll!llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation 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 Jade to obtain a pemit to do work and installation as indicated. I certify that no work or installation has ~ced prior to issuance of a perIIit and that all IIOrk will be perfol'led 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 governJelltal agencies lilY apply to the intended work, and that it is If responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lilited to: It DepartJent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnvirolllM!lltally Sensitive Lands, Water/Vastewater !reatJent It Southwest Florida Water Managetent District - Vells, Cypress Bayheads, Wetland Areas, Altering Watercourses It AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways It Departlent of Health i Rehabilitative Smices, EnvirDJlll!Dtal Health Unit - Wells, Wastewater !reatJent, Septic !ants It US EnviIOllll8lltal Protection Agency - Asbestos abateJent I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'COIIpeDSating volUle' will be saitted 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 sball issuance of a perIIit prevent the Building Official fIOt thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perIIit issued shall beCOle invalid unless the work authorized by such pemit is cOIIeIlced within sillODths of issuance, or if IIOrk authorized by the pemit is suspended or abandoned for a period of sil IODtbs after the tile the IIOrk is co.enced. One 90 day utension of tile, lilY be allowed for the perIIit with fee charge of $15.00. !be l!Itension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned. WARRING !O OVID: YOUR FAILURE 'fO RECORD A MorICE OF C<IIMBICBIII1l' MAY RlSUL! II YOUR PAYING fiICE FOR DIPROVIIIBIl'S !O YOUR PROPERft. IF YOU IJIDIID !O 08!IIX FIWCIIG, COISUL! WID YOUR LBIIDIR OR D AnoRDY BIFORI RICORDING YOUR DICE OF COMMI!fCEMEll'. JOBS OlDER *2,500 II VALUE 00 !for IUD !O RlCORD AID POS! A 'lorlCE OF C<ltMDCBMIIfI'. SIGI1!URE: COH!RAC!OR SIGlAt'URE: OOER OR AGm S!A!E OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SUfE OF FLORIDA coum OF Tbe foregoing instrument was acknowledged before me this , 19_ by wbo is personally known to me or wbo bas produced as identification and wbo did/did not take an oath. wbo is personally known to me or wbo has produced as identification and wbo did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC