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Home My WebLink About94-4325 BUILDING PERMIT Permit N,~ CiTY OF ZEPHYRHILLS (813) 788-6611 4325/1 BUILDING ~cT~ Pmp.", Own.' t!<<~ Job Address: <.3 _:;L .0 Parcell.D. # / Y-:J...b --(1/ - I' L? (). Zoning: Energy Code~ Description of Work }1, 1'.-1...) 1/ c-- PLUMBING ...5 (j , vi) ~~~LJ Date 9 -ol3 -7' Y :;Lb. dl) Sewer Conn Water Conn: CL.NL t'J (9 .:l. 17 0 - CJ /") CJ lJ Water Meter: T.I.F.'s: Radon Gas: FINAl~r NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordar~e with City Codes and Ordinances. Inspector City License Registration # State Certified License# J if <( Permit Fee Signature Company Address Telephone# Valuation or Contract Price eX ~ KS-. c/D '" BUILDING ~,y1~ ELECTRICAL~ ~rd~ .%y&/ PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final/O--) 4...( ~- SLB Tub Set Water Sewer Final 6cb Breakers Ducts Insl. Compressor Final /('>,- 5 ~t.{ . Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a charge of Fifteen and 00/1 00 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. 0-1 -I '" m -1-1 0-1 >-1 :r:tl 0 }! Z ;:::II m;:: :II;:: >- -I 0 m~ j;!m ~m :tl" > JJ Z p:l :II < ,- -I -I m Cl )( )( ;:: I Gl m 0 m ;= 0 * m ~ <n !I: ;= ~ m r- ~ :i: " ::f :D m !I: i. ;, m ...z~". e<~" o Z 0 1-1 JJ JJ JJ JJ ~ ~ ~ ~~ ~ ~ ~ g c g "'~ ~ d ~ )> ~ )> U1z ~ r m r- )> r -tm m m :IJ ~ ~~ 8 ~ ~ ' m ..,,)0 ...) ill :;! jj " p m mD mOOD mD ~D ~DDD ~D o :;! 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Z ~ '0 ,..... en m ~l ::l'~ " "~ ~ !j ~ :> '0 m m J:: en 0 o O:D ill ........ili........"tr" " ~ r ). ~ 19 \ ~ ........"........ " ~ ,~ " 01 +=000 -:J 01 APPLICATION FOR PEBIIIT CITY OF ZEPHYRBILLS BUILDING DEPARTHENT OWNER'S NAKE PHONE SUBDIVISION t)~-m~/1rW? (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ---..Addition ---..A-lteration ---Repair -_Install _Sign ---1Iove -PeIIolish PROPOSED USE: _Single Faaily ----.Jt/F _, of Units ----.Jt/H _ec-ercial _Indust. _Swia. Pool _Other -Restaurant & Hea1th Departaent Approval DESCRIPTIOR OF WORK: BUILDING SIZE: x Square Feet, Height RESIDERTIAL: COHHERCIAL : ATTACH (2) PLDT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOlUtS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UlLDING $. Valuation of Total Construction RT.RC'l'lUCAL AIIP Service Florida Power Corp. W.R.E.C. --1IEaL\IIICAL $. Valuation of tlechanical I.nstallation -----PLUtlBIRG GAS ROOFING SPECIALTY TYPE OF CORSTRUcnON: --..Bloclt _Fraae _Steel Other PDlISBED nooR ELEVAnORS: Fl. IS PROJEct IN FLOOD ZONE AREA! YES NO .......................................... CONTRACTOR SECTION Bml.QER COtIPARY State Cert. or Regist. . City License Registration . .......................................... Signature COMPANY State Cert. or Regist. , City License Registration , .................................... , ) :;1:' PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . .............................~............ tlECBABICAL COtIPANY State Cert. or Regist. , Slgoature City License Registration . .......................................... OTRRR COMPANY " State Cert. or Regist. . Sisoature City License Registration . .......................................... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that tills penit laY be subject to 'deed restrictions' which lay be .re restrictive than City regulations. !be undersigned asSUle& responsibility for capliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas bired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb the owner and contractor laY be cited for a lisdell8allOr violation under state law. If tbe owner or intended contractor are uncertain as to what licensing requirl!l8Dts laY apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of tbe 'Contractor Sections~ of tbis applicatioo for which tbey wi11 be responsible. If you, as tbe owner sign as tbe cootractor, you are indicating that you, ratber than tbe contractor, are responsible for the IIOrk. If tbe contractor wi_you to sign as contractor that .y be an indication that he is not properly licensed and is not entitled to peIJit.ting privileges in tbe 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, tbe applicant, have been provided witb a copy of 'Plorida's Construction Lien Law - lDeoImer's Protection Guide' prepared by tbe Florida Departlent of Agriculture and ConsUlet Affairs. If tbe applicant is 8OII!OIle otber than tbe 'owner', I certify tbat I have obtained a copy of tbe above described docuent and prOlise in good faitb to deliver it to tbe 'owner' prior to co.enCl!lel1t. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforlation in tbis application is accurate and that all work will be done in COIpliance witb all applicable laws regulating construction, loning, and land developlent. Application is hereby lade to obtain a perlit to do wort and insWlation as indicated. I certify that 110 IIOrk or installation bas CDleDced prior to issuance of a perlit and that all work will be perfomed to Jeet standards of all laws regulating construction, City codes, looing regulations, and land developJeJlt regulations in tbe jurisdiction. I also certify tbat I understand tbat tbe regulations of other goverDll8Dtal agencies laY apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lillited to: t Departlent of BnviroDl8lltal Regulation - Cypress Baybeads, Wetland Areas and BnviIOlll8lltally Sensitive Lands, Water/Wastewater TreatJent t Soutbwest Florida Water Managl!lel1t District - Wells, Cypress Bayheac1a, Wetland Areas, Altering Watercourses t ArIy Corps of Bngineers - Seawalls, Docks, lavigable Watenays t DepartJent of Bealtb i Rehabilitative Smices, BnvirODl8Dtal Bealtb Unit - Wells, Vastewater !reatlent, Septic !anks t US BnvirODleDtal Protection Agency - Asbestos abatl!lellt I also certify that, if fill uterial is to be used in Flood Zone 'A' or 'A, etc. " it is undentooc1 that a drainage plan addressing a 'COJpeDSating vol.' will be sw.itted wbich is prepared by a professional engineer registered in tbe State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a penit prevent the Building Official flOl tbereafter requiring a correctioo of errors in plans, construction, or violations of any code. Bvery per.tit issued aball becaIe invalid unless tbe work authoriled by such peIlit is COIIeIlced witbin sillOlltbs of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sillOlltbs after the tiJe tbe work is CDleDcec1. One 90 clay 81tension of tile, lay be allOlled for tbe penit with fee charge of $15.00. !be 81tension sball be requested in .riting to the Building Official. An approved inspection at be logged during each sil atb period, or the project .ill be considered abandoned. WARRING !O 0Iftf1R: YOUR FAILURE 10 RlCORD A IOIICB OF alllDCBIIDI HlY RlBUL! II YOUR PIYlIG !IIICB FOR DIPROVIIIII!S 10 YOUR PROPBRTY. IF YOU mIlD !O OB!UI FIIWICIIG, COISUL! VI!B YOOR LDDIR OR AI AnoRDY BlFORI RICORDIIG YOUR DICB OF COMMBIICBIIBII!. JOBS UlDIR $2,500 II VALUE 110 IOIIIID !O RICORD lID POS! A -IOIICB OF aJIIIJfCBllBll!-. SIGIIA!URI: OOIR OR AGBII'l SIGIA!URI: COJIDAC'lOR STATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATI OF FWRIDA coum 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 oct,tb. (Signature) (Namp. Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC APPLICATION FOR PBRKIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT 41/1/tlAJ/1 jJu~.htr 'lk r;; OWNER'S ADDRESS -?Rt!J/?7 /~h~ t/I! 5~/ PHONE ZI:l- .?~1:5 OWNER'S RAHK JOB ADDRESS LEGAL DESClUP'I'ION: LOT(S) BLOCK SUBDIVISION PARCIlL LD.' (OBTAIN flIOH J.'BOPIlBTl ~l WORK PROPOSED:~ew Construction ----Itddition ---...A1teration --Jlepair __ TOAtall _Sign --.JIove --Peaolish PROPOSED USE: _Single Fsaily ---..J4/F _' of Units ---..J4/H _ec-ercial _Indust. _Swia. Pool _Other ---..Restaurant & Health Departaent Approval DESCRIPTION OF WORK: /,.(/:5 /Ak"/ ",A/~R.J {6r.--/.t"~ A&=4~/-v~ ... ~OL/;V{;; P'A.I/rs BUILDING SIZE: x Square Feet, Height RESIDEIITIAL: ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS" (1) SET ENERGY FORMS. COHKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~UlLDING $ PERMITS REQUESTED Valuation of Total Construction z: AIIP Service Florida Power Corp. W.R.E.C. $ ;z;~ Valuation of Mechanical Instal1.ation _PLUKBIRG GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: -Block _Fraae _Steel Other FIIlISBBD FLOOll ELEVAnONS: n. IS PROJECT IN FLOOD ZONE AREA' YES NO .......................................... CONTRACTOR SECTION BIITlllER COKPANY State Cert. or Regist. . City License Registration . .......................................... Signature RT.RCTRICL\II SilrflAture V' CotIPANY State Cert. or Regist. . City License Registration . .......................................... PLUKBER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature Signature KECllANICAL COKPANY Gf/iJGt'/~ A~r/-t/y ,;. C:4:Jv";(, State Ceri. or Regist. . 4"-4-c."O _">/~// City License Registration f .......................................... OTRRR COKPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATION APPROVED BY PBRKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'be undersigned understands that this pemit lilY be subject to Ideed restrictions I wbieb lilY be lOre restrictive than City regulations. Ibe undersigned 888UJe8 responsibility for allpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer bas bired a contractor or contractors to undertake work, they lilY be required to he licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the DIIJ1el' and contractor lilY be cited for a lisdeIM!8Dor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguirelents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the IContractor Sections I of this application for wbieb they will he 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 wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to peIJitting 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, bave been provided with a copy of IFlorida's Construction Lien Law - ~er's Protection Guidel prepared by the Florida DepartJent of Agriculture and Consl1lel' Affairs. If the applicant i8 8OIl!OI1I other than the lowner', I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the lownerl prior to COlleDCel8Dt. 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 developunt. Application is hereby Iilde to obtain a perlit to do work and insWlation as indicated. I certify that DO work or installation bas ~ced prior to iuuance of a pemit and that all work will be perfoIJed to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developieDt regulations in the juriscliction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended IIOlk, and that it is IY responsibility to identify wbat actions I lUst take to be in COIpliance. Sueb agencies include but are not liaited to: I DepartJent of EnvirODleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lands, Water/Wastewater 'l'reatJent I Southwest Florida Water lIanagell!llt District - lIells, Cypress Baybea4s, Wetland Areas, Altering lfatercourses I AIIY Corps of Engineers - Seawalls, Docks, lIavigable Watenays I Departlent of Health' Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'l'reatJent, Septic 'l'anks I US BnviIODleDtal Protection Agency - I8bestos abatl!ll!llt I also certify that, if fill Iilterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan addressing a lCOIpeD8ating vol_I will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to pemit issuance. A pemit 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 tecbnical codes, nor sball iUuaDce of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perUt i88Ued sball beCOll! invalid unless tbe work autboriled by sueb pemit is COII8Jlced within sillODtbs of i88uance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IODtbs after the tiae the IIOlk Is ~ced. One 90 day utension of tiae, lilY be allowed for the pmit with fee ebarge of $15.00. fbe utension sball be requested in writing to the Building Official. An approved inspection at be logged during eaeb sillODth period, or the project will be considered abandoned. IIAlU1IffG YO OIfIfO: YOUR FAILURE fO RICORD A ffOl'ICE OF <DIIIDCBIIBIff MAY RESULt' Iff YOUR PAYIIfG DICE FOR DIPROVIIIBIl'S fO YOUR PROPERTY. IF YOU umo '1'0 OBIlIJI FIJlUCIIfG, COISOL'I' Ium YOUR LIIfDIR OR 11 InoRIIY BlPORE RICORDIJIG YOUR DICE OF aJlMBNCIMBIIf. JOBS UNDO $2,500 IN VALUB DO NOl' IIBID YO RECORD AIfD POSf A 1II000ICE OF aJIIIBIICBIlBN'l. SIGNA'l'URB: 0IfIIIR OR IGBNI SIGNA'l'URI: COJIJRAC'l'OR SrATE OF FLORIDA COUN!Y OF The foregoing instrument was acknowledged before me this , 19____ by S'l'AR OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by who is personally known to lie or who has produced as identification and who did/did not take an oath. who is personally known to 118 or who has produced as identification and who did/did not take an oct.th. (Signature) (Naae Typed, Printed or Sta.ped) NOTARY PUBLIC (Signature) (NiUIt!. Typed, Printed or Stamped) NOTARY PUBLIC SUPERIOR HEATING & COOLING MANAGEfvlENT INC. 231 DOUGLAS RD. BLDG. A SUITE fil0 O~nSM^R, VL. 31677 February 25th, 1994 LICENSE~ CA Co51511 I, Mark Alan IIogun, D. B. A. SUPERJ OH HEATING g, COOl~ LNG ~1AMAGm1ENT INC., do hereby authorize the following persons, TONY DIGIACOMO, LARRYBERGERON, EVERETT POTTER, THOMAS POTTER, GAIL POTTER, ROBERT POTTER, PAUL LAMBERT, ROSE NORDEN, Mulder. & FLOYD DOUGLAS; to obtain permits, ,JOETII LL , CHRIS SWANSON, Joh~. and/or occupational licenses. '-?; \ .i\~~... MARY IlIZA8ETH HILL f*r~ :*i MY COMMISSiON , cc D2529 ~~~~v EXPIREr. /leIItImber 30. 19l18 .'1.ii..lli.... ;)(.1dIcIlluv NolIuy rllbllc lhIInwIIIIa