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Home My WebLink About94-4139 BUILDING PERMIT Permit N.C! CiTY OF ZEPHYRHILLS (813) 788-6611 4139J.S 7 -.s-- <; if . Date ~IL~ ELECTRICAL P,operty Ow",, ~ f.? , :-, Job Address: i Lt)/ ~ R-;:ZZ Parcell.D. # PLUMBING MECHANICAL Sewel" Conn Water Conn: Water Meter: ./r T,I.F.'s: Zoning: Energy Code: Description of Wor~ Kq ~ Radon Gas: FINAL 1-/z -- rp DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordar<:,e with City Codes and Ordinances. c.o. DATE Inspector City License Registration # 9 I State Certified License# Pe'm;l Fee~ ~~::c - - - ~~~ Address Telephone# Valuation or Contract Price /;'/ 6 0 . ()l) , ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNERtS ADDRESS ~9o/ J,/ PHONE ~/3- 7?;(- 3ft) f( ,2~,//./'{ .1.3~~o , JOB ADDRESS f /Sl /t"t ~ LEGAL DESCRIPTION: LOT(S) / BWCR SUBDIVISION PARCEL I.D.'/'/-,(b- ,2/- DO//)- O/~(}{)- 00/0 (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install ____Sign ____Hove ____Deaolish PROPOSED USE: ~single Fa.ily ____H/F ____, of Units _K/H ____<=<-ercial ____Indust. ____Swia. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: ;/0 ~ , ~/'h I e. ,f ~ rE>o)C Wi -I ~ ~ ~)rJ- , .5~//(/fk J , BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ CtttO Valuation of Total Construction ____ELEC'fRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECllAlUCAL $. Valuation of Mechanical Installation ____PLUKBING GAS )( ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____PrOle ____Steel Other FIIIISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ************************.*****.*********** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , City License Registration t ********************.*****....**.********* Signature ELECTRICIAN COMPANY State Cert. or Regist. # City License Registration , ****.******.**********.***********.******. SillflAture PLUMBER COMPANY State Cert. or Regist. t City License Registration , ***.*.***********.********.*************** Signature MECHANICAL COMPANY State Cert. or Regist. f City License Registration , *******************.****************.***** Signature Signature COMPANY ~Jw C %we-I/ State Cert. or Regist. , /PC ()O ~~ oS" IS- City License Registration' ~I ****************************************** OTRF.R APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this perait JaY be subject to Ideed restrictions I wbieb Jay be lOre restrictive than City regulations. !he undersigned assllleS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they .ay 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 .isdelleallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirellellts IIilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtherJOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the IContractor Sectionsl of this applicatim for whieb they will be responsible. If you, as the OlDer 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 IIilY be an indicatim that he is not properly licensed and is not entitled to peuitting privileges in the City of Zepbyrbills. 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 IFlorida's COnstruction Lien Law - lmeoImer's Protection Guidel prepared by the Florida Deparl:lent of Agriculture and ConsllEI' Affairs. If the applicant is SOIeOIle other than the lownerl, I certify that I have obtained a copy of the above described dOCUllellt and prmise in good faith to deliver it to the "owner I prior to C~CMent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlition in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, lOOing, and land developlent. Application is bereby lIilde to obtain a perllit to do work and installation as indicated. I certify that no IIOrt or installation bas CDlenced prior to issuiJDce of a perait and that all IIOrt will be perforlled to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developElt regulations in the jurisdictim. I also certify that I understand that the regulations of other goveIDJental agencies lIily apply to the intended 110ft, and that it is .y responsibility to identify what actions I lUst take to be in ccmpliance. Sueb agencies include but are not lillited to: t DepartEnt of EnvirODJental Regulation - Cypress 88ybeads, Wetland Areas and Envirolllentally Sensitive Lands, Water /Wastewater 'I'reatJent t Southwest Florida Water Hanaql!lellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArIy Corps of Inqineers - Seawalls, Docks, Mavigable Waterways t DepartEnt of Health & Rehabilitative Services, Invirouental Health Unit - Wells, Wastewater !reatlent, Septic 'I'anb t US InvirODJelltal Protection Agency - Asbestos abatl!lll!llt I also certify that, if fill IIilterial is to be used in Flood ZOne IAI or IA,etc.l, it is understood that a drainage plan addressing a lCOJpenSating vol.1 will be saitted whieb is prepared by a professional engineer registered in the State of Florida prior to perllit issuance. A pemit issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perllit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peuit issued shall becme invalid unless the wort authoriled by sueb perllit is COll8llced within six moths of issuance, or if IIOrt authorized by the perJit is suspended or abandoned for a period of sil IOnths after the tiJle the IIOrt is co.encecJ. ODe 90 day l!Itension of tile, laY be allowed for the perait with fee charge of $15.00. '!'be extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil moth period, or the profect will be considered abandoned. "mUG '1'0 (MIBR: YOUR FAILURE '1'0 RECORD A MO!ICI OF CCIIMBIfCBllllff MAY RlSUL'I' 1M YOUR PAYIMG 'I'IIICE FOR IJIPROVBMBII!S '1'0 YOUR PROPIIITY. IF YOU IIlIBIfD '1'0 OBIW FIIIBCIMG, COIfSUL'I' WID YOOR LllfDIR OR All A'I"I'ORIIY RICORDIRG YOUR IO'I'ICB OF COMMBIfCBHBIfI. JOBS UIfDBR '2,500 1M VALUE DO MO! IfBED '1'0 RECORD AIfD pos IMO!ICI · ~~/J SIGIi!URE: R OR AGBIl'l /~ p. ,.,,_. 1.,. . ""./ ~.,... ~!P,-:o;~~ cK n" ,"+-'1 1"''' L~~ -1'- 'rnpnsnl JOHN C. YOWELL 2220 Old Cypress Creek Road Land O'Lakes, Florida 34639 (8131949-4561 License #RC 0025515 Page No. of pagas <~X PHONE ?f~- <lIOY JOB NAME DATE - 6- 9 t/ JOB LOCATION Me-- DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: k4r 0 It/' 7/"/.e ,fOD JC (k4v tAl' ~ lMul ,9,v-9Y 4/1 fr~.J-< fI~/hc;f! ~IV/ rol/t'v "'-IAMb"" /9-1- ~~P/"'" pry ,A/ w;l~ I/V )19/1 A/eA.J r<~/hc:.e /N >1"9 /1 I./. ,.1. -u~ J '/"- ~~r/ lJl" ~ ~ /e'- S ",.-' 7' J~ 16. re/T ,'f $ VeAl) e f"91 t' O/b'" w~,'f~ V Ae.tlc( Ikof~ s ~ t^./~./ ~" lor - 7,^o~. V/It. (f~ II. S yr /);"'l. ,c I( ..5. 110 loe- ..j. I~ .11"9 /1 br 4~le" (jO JCT (/~",I" r,djc:- ~ c:J /0 Y' CJA ,is- lu .,. f<</ m4.J"-'eT AYOf.i",e( )j..,,,,,,e-- 10 ;,,/ek '1/ ~.#.se.. /VIJ./IJ . I/;- ~,- ;1.1- 0010- 01<300- 00/0 ) Cl fy ~-Li. ~ 7 0" :{-3---c" SoOlt/e/' S' 'C='cc~orK h7t1.,-v f~;P DI.r 'rnpns.r hereby to furnish material and labor - complete in accordance with above specifications. for the sum of: tl.f60~ " / dollars ($ 1 I ) . All material is guaranteed to be as specIfied. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica. tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All alr.ements contin.ent upon strikes, .ccidents or delays beyond our control. Owner to carry fir., tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. :10 days. Signature , Atttptatttt of Jlroposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified, Payment will be made as outlined above. DatE' of Acceptance: {- /? - 9 'I .Pad n IJ . Signature d ~ ,q ~A.,