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Home My WebLink About94-4152 BUILDING~ PERMIT Permit N.C? CiTY OF ZEPHYRHILLS (813) 788-6611 (.> S B~ C;~ ~ C;; ::::::,~,:ne' 9?if ~y-'~ . Parcell.D. # ~/- f).{p -If - 0 (J I {) - ()::? I{)() - 013 I Radon Gas: ~ ,.q Ie!-+-- ~AA0 ~ a LV- \L ~ $/,0 Zoning: Description of Work Energy C~ r2 ~ --'- ~ Date _ 4152/1L 7-/.:2'- '71 Sewer Conn Water Conn: Water Meter: TI.F.'s: NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordaf't:'e with City Codes and Ordinances. Valuation or Contract Price iJ.i2. ~. () .s-O. . Permit Fee Signature Company Address Telephone# City License Registration # 7 / State Certified License# ~ ~~~~ ~ LECTRI "f'/,.$ PL Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~ 7-13-~~ 50lr SLB Tub Set Water Sewer Final FINAL ':1-~S- DA c.o. DATE Inspector . /-~ != ~1::.d HANICAL ) Breakers Ducts Insl. Compressor Final 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. ~ .. Kinsey Central Hat a ~..... ,{ 7718 Fort King HIghway . p.o. Sew 2209 Zepbyrhm.. Florida 33539-2209 (813) 782-2300 . '""'?- 'i".'.."'.. , ',r,,!," . t;..fi': i.. -- MWmIBIr CRY ... .... -- , .'!.s,i ~'?i / fMTURE Of ~ SERVICE LV flEGUEST ' ~t:)liMATE > o CASH o CJW:IGE,L, ;2 1-;z6 ,,19". (JO 10 - () (J./ 0-0 -() {~ ( 7~ t-J MlIClllIPLiiii CASH ::n--t llIrM. MIlIlllML --- --- SERVICE fIEJFORMBj T~~ mAl TECHMcwI\- CUSlOMER'S SlGlMTURE .., ~Wc . .~l... ~ APPLICATION FOR PERK1T CITY OP ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME !p q v r: d Sl rl'f ~)-; 4 f:g C{,:;<, ,/ t ~ ~ r/. ~~( PHONE OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BWCR SUBDIVISION ~ I ,? / 1/ - 0 /31 PARCEL J.D.' ~ -" 6 - 7 ....<9<0/rJ - 00< 10-0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign ____Hove ____De.olish PROPOSED USE: ____S ingle F8IIily ____HIF ____, of Units _M/H _eo..ercial ____Indus t. _Swim. Pool _Other ____Restaurant~Health Department Approval DESCRIPTION OP WORK: ~ ::2.. V~ 11--/ C- ( BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OP BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OP BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service ~ ~OS-({)'" Florida Power Corp. _W.R.E.C. ____MEGllAlfiCAL $ Valuation of Mechanical Installation ____PLUKBING GAS RooPING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Fr8lle ____Steel Other PIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION' BUILDER COMPANY State Cert. or Regist. t City License Registration . ****************************************** Signature c7Gc{ COMPANY Fut (J~!:6 State Cert. or Regist. f City License Registration t ******************************* /$"tf PLUMBER COHPANY State Cert. or Regist. , City License Registration t ****************************************** Signature HEGHANI~ COHPANY r..~.(J s ~... C.a.~v I-~ ~ :9// I J /' State Cert. or Regi t. f ~ t!J .>"1/ :::z.' Signature :r ./(J II --r. City License Registration' 7 / ~ L ****************************************** r JlIB.Im (_/ COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PElUJIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT "A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to Rdeed restrictions" which laY be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance 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 lisdeleanor violation under state law. 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 Departlent, (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 RContractor 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 - HOJeOWIler's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOBne other than the "owner", I certify that I have obtained a copy of the above described docUJent and prOJise in good faith to deliver it to the "ownerR prior to COIlellCl!l8llt. 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 bas cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: t Departlent of EnviroRleRtal Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, EnvironJeRtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroRlental Protection Agency - Asbestos abatelent I also certify that, if filllaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a 'cOJpeRsating VOIUleR 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 frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOJe invalid unless the work authorized by such perlit is cOllellced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the work is c~ced. One 90 day extension of tOe, laY 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 .ost be logged during each six IOnth period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEHCEIlEH'I' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMDTS TO YOUR PROPERTY. IF YOU IH'I'END TO OBTAIN FIHAJlCING, CONSULT WITH YOUR LENDER OR All AnoRm' BEFORE RECORDING YOUR NOTICE OF COMMENC H'I'. JOBS UNDER $2,500 IN VALUE 00 NOT HEED TO RECORD AJID POST A "NOTICE OF COMMENCEMEH'I'". ATE OF FLORIDn:2 coum OF v &~W The foregoing instrument was acknowledged before me thi~.1 , 19~ by 1/::f2AA.Ar><~L ~//LA ~ '-. /- who i~ personally known to me or who has produced as identification t ke ath. ;c ~.~ " IGNATURB: OWHER OR AGEH'I' ,., J j _.. ~~~~ STATE OF FLOR. I~ COUHTY OF ~ The foregoing instrument was acknowledged before me this' , 19.J.y by p~J o ( ame Typed, Printed or Stamped) NOTARY PUBLIC ~ Wo'DrY 'ubt!c. ~ta'e of FtorMa Mv Commiuicn bpires f!left" 12, '\:J · J Bonded Tnru Tl01 fain .ln~U[Qo<. Ill.. _-