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Home My WebLink About94-4225 BUILDING PERMIT Permit N.~ CiTY OF ZEPHYRHILLS (813) 788-6611 42258 r-II-?Y Date ~ILD~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: PcoP"'Y Own." ~ _ ~-- Job Address: ~ ;1.:1.../ -. ...... Clu--<2-- Parcell.D, # //-!}...6 --d-/ -6010 -/~U 0 - /jC) 7() Water MJ!ter: T.I.F.'s: Zoning: L/ / Energy co~ ". Radon Gas: Description of Work L C. L ~. ../.4/1 A~ <"f'../L J NO OCCUPANCY BEFORE C.O. FINAL ---t~ - /5"'~ DATE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordar<:,e with City Codes and Ordinances, Inspector Pe'mit Fe. ~-~ V Slgnatur.e _~~ _~ Company / Address . Telephone# Valuation or Contract Price ~ t!tJ - t7V City License Registration # ~ ~ State Certified License# BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp, Servo Rough In t-- Meter Can Const, Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 ($15.00) 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. licensed Bonded Insured /~ ESTIMATE -~F~n Specializing in Chain link & Wood Fences New & Repairs Free Estimates · Senior Discount "Quality is Priority" / / INVOICE JAMES M, KELSKE (813) 783-9214 NAME: r ADDRESS:~~ DATE: ~- /0-- ry sf?'7d)/ :::ITY: ~A/'~ S-~7' ~~_ STATE-ZIP CODE: cr/~ TELEPHONE If tF/) .21:...) / j/O /r-r- / ~ ,;2 ~"" <r/' ~ /~ ~ A/~ ?~ .-- /' /--/ ;1-tl-fl-- A--d~ /9'OV ~ ------------ k V) / '/If r , '\ '- 1(P \I' "" ]0 30r 9/ / ,\, APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE ; c72o/ S AJ /(- IN r;:> C>- 0, I 5- /: r/ OWNER' 5 ADDRESS ~ L /' (7- JOB ADDRESS .\ a ~ PHONE 7tf.2 I ~(O ,/fv'E . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: -New Construction ----^ddition ----^lteration --.Jtepair _Install _Sign ---.JIove _D~olish ~ PROPOSED USE: _Single FSIIily ---.JII F _, of Units ---1t/H _ec-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Depar~ent Approval 'Y r ~~~ BUILDING SIZE: x Square Feet, f~. _______________ Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT 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. PERKITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrSlle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEct IN FLOOD ZONE AREA T YES NO ..*.*.**.******************.************** CONTRACTOR SECTION" GOKPANY State Cert.or Regist. , City License Registration . **.......*..*********..*.**************.*. BIJIIJ)ER Signature ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration , *.....*..*****.*************************** SianAture PLUHBER Signature COMPANY State Cert. or Regist. . City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. , City License Registration . ****........*.***.******...***...***.**..* Signature OTRRR Signature h::::?,/V1 ~ I COMPANY State Cert. or Regist. , ity License Registration , **.*...*.***.***...** *****..**....*.***** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to 'deed restrictions" wbicb laY be lOre restrictive tban City regulations. Ihe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 188-6611. FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections' of this a~plication for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that JOu, rather. than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay be an indication that be 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, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOIDer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUlef Affairs. If tbe applicant is sOleone otber tban the 'owner", I certify tbat I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the "owner" prior to cOlleDcelent. 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, loning, and land developleDt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOlleDced prior to issuance of a pertit and that all work will be perfoIJed to teet standards of all IllS regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: * Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Vetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses * Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health' Rebabilitative Services, EnvirODleDtal Health Unit - VeIls, Wastewater Ireatlent, Septic lanks * US EnviroDleDtal Protection Agency - Asbestos abatelent I also certify that, if fIll laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood tbat a drainage plan addressing a .cOlpensating volUle' will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance, A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid unless the work authoriled by such perlit is cOll8nced within sil IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sillOntbs after the tile the work is cOMenced. One 90 day extension of tile, laY be allowed for the pertit with fee cbarge of $15.00. tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb sil IOntb period, or the project will be cODsidered abandoned. )lAMING TO OlRfER: YOUR FAILURE TO RECORD A IOIICH OF COIIHBRCEllBNT MAY RESULT II YOUR PAYIIG DICE FOR lMPROVBIIBI1'S to YOUR PROPIRTY. IF YOU IIIIIND to OBTAIN FlNAlCING, CONSULT VIm YOUR LINDIR OR AM AnoRlD BIFORB RICORDIHG YOUR lIorICH OF COHIfBNCBHBHT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RICaRD AID POST A 'NOflCE OF COHHBNCIHENT'. SIOOMl:MlRUm ~; 2~~ STATE OF FLORIDA COUNfY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNfY OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name 1yped, Printed or Stamped) NOTARY PUBLIC