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Home My WebLink About94-4241 BUILDING PERMIT Permit N'~ CiTY OF ZEPHYRHILLS (813) 788-6611 4241/1 y~ cJ:S ~ ;' 'f BUILDING -.:?-.S --.. cJl) ~A~ P,"perty Owne, \~~4-_ ~_ {'L,.A<L Job Address: {, 0 L Parcell.D. # c9 -.;16 --;;L/ - 6tJE-O - ~ ().JfcJ CJ - 00/0 ;L6 ~ o'C) =-- ~ECTRI~ Date PLUMBING Sewer Conn Water Conn: Water l\i1.!!jer: T.I.F.'s: Zoning: Energy Code: Description of Work '--I/.~) ~ c Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL J'" ~ J - ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordart::'e with City Codes and Ordinances. DATE Inspector .--c'..... ~"t-i..... Permit Fee .~ .~") .. u (..J' /' S;gnaMe lfie'.<.). ~"'" Company ~_ Address Telephone# Valuation or Contract Price, ?~ J?J - o---v ./ City License Registration # 7/ State Certified License# BUILDING JP tA~At/d/ ELECTRICAL oZY 0 PLUMBING /i.(~ ~~ MECHANICAL Tp. Servo 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 REINSPECTJON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b, Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g, Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. Kinsey Central Heat & Air-Conditioning 7718 Fort King Highway . P.O. Box 2209 Zephyrhills. Aorida 33539-2209 (813) 782-2300 MlllIUl cAy- / S" -I ('//N ....,ol STIMATE o CASH o CHARGE C11Y PIIOIlE IIMIE ... _10. NATURE Of ......... SERVICE LV REQUEST ~CE AMOUNT ~~ PERfOR~ ~ I://r Q .//VCIcLJ-. .. '. V$ / rl/I: J: 5' Ic~ p,-v ~.'- ~/V J' [/~/'I /UtJ E /,p #O()/t, Y lOTM. IMlBIW. 1lQIICM. IEIMCE TIlE t.''''''- I f .",..."..-'~. ....-\' TAX 7'-' 11--' DA1I CllIIPU1BI CASH ::m* ~ TOTAL TECHNICIAN CUSTOMER'S SIGNATURE APPLICATION FOR PERKlT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE Fi,' <:J. if- cA y/ os />/f.?1.. Chc:~ n-_.{'(P r~IoNE OWNER'S ADDRESS ~'O l./ 0 <R-'''1J 5 ~ JOB ADDRESS LEGAL DESGlUPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (/ d< -'d.~ -ozl-006o- OO",dt7- OO/triBTAIN FROM PROPERTY TAX. NOTICE) WORK PROPOSED:_New Construction ----Addition ----Alteration ----Repair _Install _Sign ----IIove _DeIIOlish PROPOSED USE: _Single F_ily ----II/F _' of Units ----II/H _ec-ercial _Indust. _Swill. Pool _Other ~estaurant & Health Depar~ent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: AtTACH (2) PLOT PLANS & (2) SETS OF BUlIJ)ING PLANS & (1) SBT ENERGY FORMS. COMMERCIAL: AtTACH (3) SBTS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Valuation of Total Construction _ELEC'l'RICAL AHP Service Florida Power Gorp. $ (5,2 So... (..~ Valuation of Mechanical Installation W.R.B.C. ~ ---"BClWflCAL -----PLUHBIRG GAS ROOFING SPECIALTY TYPE OF CORSTRUcnOR: -Block _Fr_e _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEct IN FLOOD ZONB AREA'l YES NO .......................................... G9tJTR4GJOR SECTION' cotIPANY State Cert.. or Regist. . City License Registration . .......................................... .. BUILDER Signature :E:~:::~ ..1 ~ . COMPANY~c4111( f}C/~ftt'r/Jt/fJ[ ,r/.€'c:7I'</cAL LiJ;;r x/" /.;J ,." . J,~ State Cert. or Regist. . .~A"L~<...,,<")' L~ceV City License Registration' ..-..( 71) , .......................................... PLUflBER COMPANY State Cert. or Regist. , City License Registration . ...*...................................... Signature Signature ~ COMPANY ~'N~' ....~_ C.o..-vclr.c.c/ State Cert. or Reg{st. , OCJS-y'/..2- City License Registration . ? / .......................................... tlEGBANlGAL OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATION APPROVED BY 7'h~~ I!i~~ PBRHIT OnI,CD. .,. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit laY be subject to 'deed restrictions" Ihich laY be lOre restrictive than City regulations. Ihe undersigned assUl8S responsibility for COIpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake IOrk, tbey lay be required to be licensed in accordance lith state and local regulations. If the contractor Is not licensed as required by lal, both the owner and contractor .y be cited for a lisdeleanor violation under state lal. If the owner or intended contractor are uncertain as to what licensing requirelentB laY apply for the intended IOrk, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. · FurtberlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this a~plicaUon for which they lill 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 tbe contractor lishes you to sign as contractor that laY be an indication that be is not properly licensed and Is not entitled to peraitting privileges in the City of Zepbyrhills. . 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 lith a copy of 'Florida's Construction Lien Lal - HoIeowner'8 Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUl8r Affairs. If the applicant is sOleODe other than the "OlDer", I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the "olner" prior to COIIBDCelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in thiB application iB accurate and tbat all IOrk lill be done in COIpliance lith all applicable lals regulating conBtruction, laning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that DO IOrk or installation bas COIIeRced prior to issuance of a perlit and that all lork lill be perfoIJed to leet standards of all 18ls regulating conBtruction, City codeB, loning regulations, and land developleDt regulations in the jurisdiction. I alBo certify that I understand that the regulationB of other goverDIeDtal agencieB laY apply to the intended work, and that it is IY responsibility to identify Ibat actions I lust take to be in coapliance. Such agencies include but are not li.ited to: t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Ireatlent . t Soutblest Florida Water Managel8Dt District - WellB, Cypress Baybeads, Wetland AreaB, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways t Departlent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Ireatlent, Septic lanks t US InviroDleDtal Protection Agency - Asbestos abatl!lent I also certify that, if fill laterial is to be used in Flood Zone "A' or 'A,etc.', it is understood that a drainage plan addressing a 'cOlpensating volUl8" lill be subtitted Ihich is prepared by a professional engineer registered in the State of Florida prior to perlit iSBuance. A perlit issued sball be construed to be a license to proceed lith tbe lork and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall iBsuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIllt Issued shall becoIe invalid unless tbe lark authoriled by sucb perlit is cOllBDCed lithin sil IODthS of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of slllOnths after the tile the IOrk is couenced. One 90 day l!Itension of tile, lilY be allowed for the perlit with fee charge of $15.QO. Ihe extension shall be requested in lriting to the Building Official. An approved inspection lust be logged during each six IOnth period, or the profect lill be considered abandoned. WARMIIG TO OWlIlR: YOUR FAILURI TO RlCORD A .IOTtel OF C(lNICEIIW MAY RESULT II YOUR PAYlIG TWICI FOR IMPROYIIIID'S TO YOUR PROPIRTY. IF YOU II1DD '1'0 OBTAII FIIANCIIG, COHSULT WITH YOUR LIIOIR OR AI AnORlIY BEFORl RlCORDIIG YOUR IOTICH OF COMKENCEHlIT. JOBS UIDER $2,500 11 VALUE DO NOT NEED TO RlCORD AlfD POST A 'IOTICl OF ClIIMEICIDIIIJ1. f2 DP-C/~?~ ~ STAT! OF FLO~A COUNTY OF -r~ The foregoing instrument was acknowledged beZ;i:#:t~ 19~ by who is personally known to/me or who has produce t:ZdfU Of) O~ ~ (..) ~ as id l.fication and wh did/~ not ta oa h. STATE OF FLORIDA COUNTY OF PASS,) The foregoing instrument was acknowledged before me this /\UGlIST 23, 19~ by ALONZO ~~HIT':: KI~SEY who is personally known to me or who has produced J:'l ')(;1 I 9/\ QI"> I II'=-?,> I T CEI'i1SI=' as identification and who did/did not ;;r";e t.~/rlAf (Sig ure) ~- RI)RTN qlIlFRJ:'q (NilIIe Typed, Printed or Stuped) NOTARY PUBLIC (Name :J,!yped, Prin (J or Stamped) NOTARY PUBLIC,... ..~~... OFFICIAL SEAL l ~\ BARBARA A. HuppERT i. i My Commission Explr.. ~. ; Nov. 27. 1996 ..~~ClFf\.~.. Comm. No. CC 240384 ......... . ".~i.n::,.. ;,uBiN LEE S1LVEREST ~Y:''''''''iA f..:~.~:~ t>;if COMMISSION' CC lIlIlI2I4 ~~ ~ EXPIRES: December 14, 1997 ~Rl'" .,' llandBd 11Iu NolIIy PIIIIIo lftIIndIII