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Home My WebLink About94-4326 CiTY OF ZEPHYRHILLS f~ (813) 788-6611 /2;)- 620 dV ~~L_ p~ ~ .A~ .~ Property Owner: Job Add,." rf&.). . ;~2 t7f~--v Parcell.D. # I '/- 2~ - ~/ - {) OO(J - 0 WDD - () 2)oD BUILDING PERMIT Permit N~ _ 4326 fl( Date 9 -~:3 - 9'1 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: FINAl-LO ...i] ...c, DATE NO OCCUPANCY BEFORE C.O. c.o. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordart::e with City Codes and Ordinances. Inspector Valuation o~ ~d___~;, L/. _, ~ Contract Price ~ ~ :I:;l City License Registration # L!:L. t/ 11-/1 ~~ State Certified License# tJ,'); eOnS II Permit Fee Signature Company Address Telephone# Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final lor,)' ~..., jkh SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final In-5 -4'1 6:::A . 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. ---- r""" O-i -< en -<-< o:::! >-< :z::o 0 ~ ~~ m;:: ~H~ )>- -< m< ~m :0" ... :D p:! < .... -i -< m G) >< >< s:: I m 0 m i" 0 th. m en :: ;= ~ ~ Z G'l ;. :Il m ;. -i Z €l o :;! 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" ~ ... a ~~ ~~" I~ IN N~ N ~m~, I} ~ _~u_~u _u_ Uu____ ___ __\_ ___ u__ _u _u_ _u _u_ ___ ~ ~''\ \,J u u _u ---- u_ "-'i ~ m~ .~ APPLICATION FOR PERKIT CITY OF ZEPIIYlUIILLS BUILDING DEPARTMENT OWNER'S ADDRESS U-J;J12L j [- J qoo ~ '3(00) v/J;L LV iiJ,f iI/;'.l- U/ LV I' Otf v/t w PHONE ?to -/rJ 7 OWNER'S NAHB L..11.I JOB ADDRESS I-/V LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION .........-......-......'..., 0 () C:P~CEL Ton . ), 11(- ~1e--:;2/(-)I)OD -OOt2.00-00 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:---1iew Construction ----Addition --Alteration -.Jtepair ._Y-:;::~li _Sign --Kove ~eaolish ~ PROPOSED USE: ~ing1e F_ily ---1t/F _' of Units ---1t/H _ec:-ercia1 _Indust. _Swia. Pool _Other -.Jtestaurant Ii Health Departaent Approval DESCRIPTION OF WORK: //U.5 ~4// /l,/c~ ;;c.A/~~4L AF4//;o.:.? ~ C""""L..-AY ~ BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATtACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. cotIKERCIAL: ArrACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Va1uation of Total Construction RT.Rc;nuCAL ~awu.CAL AIIP Service Florida Power Corp. W.R.E.C. $ ;z ?f5 Va1uation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CORSTRUcnON: -..Block _Fralle _Steel Other FIRISBED FLOOR ELEVAnORS: n. IS PROJEct IN FLOOD ZONE AREAT YES NO .......................................... CONTRACTOR SECTION RIITIJ)RR COKPARY State Cert. or Resist. . City License Registration . .......................................... Signature RT.RCTRICIAR SianAt.ure~' COMPANY State Cert. or Regist. . City License Registration . .......................................... PLUKBER Signature COKPANY State Cert. or Resist. . City License Registration . .............................~............ Signature tlECIIAliICAL COMPANY S(/JJ~/()~ ~'E4#A;6 d C a:J~/~~ State Cert. or Regist..' C /!-c:: <::; 5/5// City License Registration f .......................................... OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned understands that this pemit lily be subject to Ideed restrictions I wbieb lily be lOre restrictive than City regulations. !he undersigned asSUle& responsibility for cmpliance with any applicable deed restrictiODS. B. UNLICENSgp CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer bas bired a contractor or contractors to undertake wort, they lilY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ower and contrac. lilY be cited for a lisdeleanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaenu lilY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the IContractor SectiODSI of this application for wbieb 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 wort. If the contractor ,ishes you to sign as contractor that lily be an indication that be is not properly licensed and is not entitled to perJit.ting privileges in the City of Zepbyrbills. .. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBHDED) I certify that I, the applicant, have been provided with a copy of IFlorida's construction Lien Law - Imeolmer's Protection Guidel prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOHODe other than the lownerl, I certify that I bave obtained a copy of the above described docUIent and premse in good faith to deliver it to the "owner I prior to co.enCl!lellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all wort will be done in cOlPliance with all applicable laws regulating construction, loning, and land developleDt. Application is bereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or installation has cmIl!Dced prior to issuance of a perlit and that all wort will be perfoIled to Ieet standards of all laws regulating construction, City codes, zoning regulations, and land develoPJellt regulations in the jurisdiction. I also certify that I understancl that the regulations of other goverDll!Dtal agencies lilY apply to the intended IOrt, and that it is IY responsibility to identify wbat actions I lUst tate to be in CDplianee. Sueb agencies include but are not Uaited to: t Departlent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater rreatlent t Soutbwest Florida Water Manageaent District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docb, Havigable Watenays t Departlent of Health r. Rehabilitative Smices, Environaental Health Unit - Wells, Wastewater rreatlent, Septic Iws t US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill Iilterial is to be used in Flood ZOne III or IA,ete.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 perlit issuance. A perlit issued shall be construed to be a license to proceed with the IOrt 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 flOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit Issued shall beCClle invalid unless the wort authoriled by sueb pemit is co.enced within sillOlltbs of issuance, or if IOrk authoriled by the perlit is suspended or abandoned for a period of sillOnths after the tile the IOrt Is CDIeIlced. One 90 day atension of tile, lilY be allowed for the perlit with fee charge of $15.00. 'fbe atension shall be requested in writing to the Bunting Official. In approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned. MARlING TO 0IfIf1R: YOUR FAILURI 'f0 RICORD A NO'fICI OF tlIIIIDCIIIIIfI MAY RESUL'f IN YOUR PlYING 'fIfICI FOR IIIPROVIIIIIIS 10 YOUR PROPERlY. IF YOU IIfIDD 10 OBIAIJI FIIWICIIG, COIISULI WIIB YOOR LIIDIR OR II AftORDY BEFORB RECOJIDIJIG YOOR DICK OF aHlEHCEMBIfI. JOBS OlDER $2,500 IH VALUE DO 101 IfDD 10 RECORD lID POSI A 'HOlICK OF aJIIDCEIIEIfI'. SIGllAfURI: (MIER OR IGEJI1' SIGlfA'fURE: COJmIAC'fOR SIATB OF FLORIDA COOllY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA 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 _ or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Namt!. Typed, Printed or Stamped) NOTARY PUBLIC APPLICATION FOR PERKIT CITY OF ZEPIIYRIIILLS BUILDING DEPARTHBNT OWNER t S NAKB PHONE OWNER t S ADDRESS U ~4'h.~) LJA~~5 6l1l, JOB ADDRESS ~ tZJ.f () 03 LEGAL DES~ION: LOT(S) BLOCIL-SUBDIVISION ,PARCEL LD.'.)' ) Y- r:Jh -;:2/ - b.!J CJ CJ.- () CJ () C3 () - ~~~N FROM PROPERTY TAX NOTICE) ~ ----- --- WORK PROPOSED:~ew Construction ---..Addition -Alteration ---..Jrepair ._Install _Sign ---...JIove ~lish PROPOSED USE: _Single Faaily ---.JI/F _' of Units ---.JI/H _~rcial _Indust. _Swia. Pool _Other ----...Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x , Square Feet, Heisht RBSIDDTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS & (1) SET YOGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UILDI.NG $ Valuation of Total Construction RT -BC'l'.RI.CAL AIIP Service Florida Power Corp. W.R.E.C. ----llEClWlICAL $ Valuation of Kecbanical Installation ~ING GAS ROOFING SPECIALTY TYPE OF CORSTRUcnON: ______lock _Fraae _Steel Other FIRISBED F.tOOll ELEVAnOBS: FT. IS PROJECT IN FLOOD ZONE AREA! YES NO .......................................... CONTRAClOR SEClION BIJTI.DER cotIPANY State Cert. or Regist. , Signature City License Registration . .......................................... RT.RCTRICIAR COKPANY te Cert. or Regist. . ) ity License Registration . .~~ ................................... PLlDIBER COKPANY State Cert. or Regist. , Signature City License Registration f .......................................... IlECHUlCAL COKPANY State Cert. or Regist. f Signature City License Registration . .......................................... OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... APPLICAnON APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit tay be subject to 'deed restrictions' which lilY be lOre restrictive than City regulations. !be undersigned assU1e8 responsibility for COIpliance with any applicable deed restrictiODS. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIOler has hired a contractor or contractors to undertake lIOrk, they uy be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the mmer and contractor lilY be cited for a lisdl!leillOr violation under state law. If the OlfIler or intended contractor are uncertain as to what licensing requirelellts uy apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the OIRIer has hired a contractor or contractors, he is advised to have the contractor(s) sign portiODS of the 'Contractor SectiODS' of this application for which they will be responsible. If you, as the OIRler sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the lIOrt. If the contractor wishes you to sign as contractor that IiY be an indication that lie is not properly licensed and is not entiUed to perait.ting 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 'Plorida's construction Lien Law - lIaIeoImer's Protection Guide' prepared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is 8OIeOD8 other than the 'owner', I certify that I have obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the 'owner' prior to COIIenCl!l8Jlt. 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, loning, and land developlellt. Application is IIereby lide to obtain a pmit to do IfOrt and installation as indicated. I certify that DO wort or installation has ~ced prior to issuance of a perlit and that all wort will be perfOlled to leet standards of all laws regulating construction, City codes, loning regulations, and land developMllt regulatiODS in the jurisdiction. I also certify that I understand that the regulations of other goverDleDtal agencies uy apply to the intenc1ec111Ork, ancl that it is IY responsibility to identify what actions I lUst take to be in COIpliance. Such agencies inc1uc1e but are not lilited to: I Departlent of BnvirODleDtal Regulation - Cypress Bayheads, lIeUand Areas and Bnvirolllelltally Sensitive Lands, lIater /lfastewater Treatlent I Southwest Plorida lIater Hanagel8llt District - lIells, Cypress Baybea4s, lIetlandAreas, Altering lIatercourses I AIly Corps of Bngineers - Seawalls, Docb, Navigable lIatmays I DepartJent of Health i Rebabilitative Smices, BnvirODl8Dtal Health Unit - lIells, lfastewater rreatJent, Septic rws t US BnviIODl8lltal Protection Agency - Asbestos ahat8lent I also certify that, if fill laterial is to be used in Flood lone 'A' or 'A, etc. " it is understood that a drainage plan addressing B 'COIpeD8ating vol.' will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A peIlit 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 fl'Cll thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becme Invalid unless the IIOrt authorbed by such perlit is COII8Jlced wiWn sillOllths of issuance, or if wort authoriled bl the perlit is suspended or abandoned for a period of sil IODths after the tile the 110ft is I31eDced. One 90 day atension of tile, IIY be allOlfed for the perlit with fee charge of $15.00. rbe atension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sl1lOJlth period, or the project will be considered abanc1oned. IIARRING YO 0IfIIR: YOOR FAILURB YO RECORD A NorICE OF COIIDCIIIBft MAY RlBULr 1M YOOR PAYING nICE FOR IIIPROVIIIIIIIS YO YOUR PROPIJITY. IF YOO ID'IID YO OBlAIN FIIWICIIG, COISULr IIIIB YOOR LIIIDIR OR AI IrrORIBY BIFORI RICORDIJIG fOOl MorICE OF C(JIIIDCBIDf. JOBS UKDIR $2,500 IN VALUI DO lor IfUD TO RECORD AID POST A 'DICE OF crJOIDCBIIDI'. SIWU@ ISD'I SIGlflrURICCOJllRACr00 - --- STATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STAIB OF FLORIDA 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 o~th. (Signature) (Bamt!. Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Ba.e Typed, Printed or Stamped) BOTARY PUBLIC SUPERIOR HEATING & COOLING MANAGEMENT INC. 231 DOUGLAS RD. BLDG. A SUITE fil0 O~nSM^R, PL. 31677 February 25th, 1994 LICENSE~ CA Co51511 I, Mark Alan IIogiln, D.B.A. SUPERIOR HEATING & COOLING MAMAGEMENT 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, ,JOE ~II LL, CHRIS SWANSON, Joh~. and/or occupational licenses. '7; , ~4 .....~~.. MARY" ,.,..BETH Hill ~\IfI.:~.. "wuw {.r~ :.~ MY COMMISSRlN , cc 232529 ~~llj EXPIREr. ~ 30. 11196 ...;r.1k..tl\.... ;1(.1dId ThnI NalIIy rllblc tMdeIwrItln