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Home My WebLink About94-4334 , ~ , ' BUILDING PERM~e!~. _433~'.2 CiTY OF ZEPHYRHILLS I...'. ~ (813) 788-6611 Date '/ -;2'1-7'f c;~;c~ ~~ S,we, Conn - ~~v, G:l'- """ J~ .. ) Water Conn: -!<,)1=2-L ::~:::,~,:~4tj~ V~:;:;JIUS:Z . .1,07 02- ~~:e:,M~"'_ - " (I '. Parcell.D, # Zoning: Description of Work /~ne1co:m f2 ( '7OA O~ - Radon Gas: ~ ~ t?....r C - ~4~7 - 2 (btLb NO OCCUPANCY BEFORE C.O. FINAL /e~ ~5- <1 DATE C.O. -Ltl - d1.~ - cry DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordarC'e with City Codes and Ordinances, 1/ ./J Inspector Valuation or Contract Price City License Registration # State Certified License# '7J1I 3:::? 7 Address Telephone# /' -, 3 2' - Co'). Cf 'l 7 ..' Ftr. Pre SLB Lintel FRM. Insu!. CL WL ~-~ \O..lI.t\L.t~crtr Driveway Breakers Ducts Ins!. Compressor Final Tp, Servo Rough In Meter Can ,-27-11/,8.5 Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final \l)...l\..-~t.t ~N- 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. APPLICATION FOR PEBKIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAME +fed -51fl nkS 11 yder OWNER'S ADDRESS '3 D G 5 I --ret- (' r- I) r ; tJ c_ JOB ADDRESS 50 t.M Q PHONE t-; ~5;) - '3 70 I /-.-0 +- ;t) Zef4 y (tt ~ I(S 3 J5VO LEGAL DESClUP'I'ION: LOT(S) PARCEL I.D..,~5 /;;..'5/ ~ I , (Jot 0 BLOCK SUBDIVISION ( 1/50 0 OOOf.)(OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-"ew Construction ----Addition --Alteration ~pair -_Install _Sign --.JIove ->>eaolish PROPOSED USE: -5ing1e F_ily ---lt/F _' of Units ---lt/H _ec:-ercial _Indust. _Swia. Pool _Other --.Jlestaurant & Hea1th Departaent Approval DESCRIPTION OF WORK:-fet (' k J1 0 J p ( R. U S e-+ u p BUILDING SIZE: I). '" X 3(0 -:~Square Feet, Height ~ r--n RESIDENTIAL: A'l'TACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATlACIl (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REQUESTED ~UILDING ./ RT.RCTRICAL ----1IEClWlICAL -LPLUllBDiG $ Valuation of Total Construction S'O Alll'Service Florida Power Corp. W.R.E.C. $ Valuation of Kechanical Installation GAS ROOFING SPECIALTY TYPE OF CORSTRUcnON: -...Block ..L"Fr8lle _Steel Other FDiISBED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA! YES NO .......................................... BIJTIJ)ER. Signature ~~ CONTRACTOR SECTION mKPANYfu ('J ey . ~.so y~ r:( ~I ) I State Cert. or Regist. . E.~O 01 05 ~ / City License Registration . .......................................... J.,f'J...1r1. RT.RCTRTCIAR . ~~C:V..J... COMPANY LOt Ii ei Air Cr\p:fit'/;0/1('/J3 c::;;:~j, /J 00&.# State Cert. or egist.' E: OOIaz.7~ SignAt.ure -~d 'i -:P City License Registration' b .......................................... Si~ture ... COMPANY 11-0 I' () -e i ~..~ 0 /[ Ie. Ii i / State Cert. or Regist.' Li A. sO; Dff ch1 ~______ City License Registration' ,~M ...~.....~.::f:2~~::~.:. Y:(} lJ I.::t:1.. ~ City License Registration' o::J./ ~ .....~~................................ ./ '-" ". PLUMBER IlECBAHICAL Signature OTRRR COMPANY State Cert. or Regist. . City License R~8~stration . .......................................... Signature APPLICATION APP.aOVED BY PERKIT OFFICER. .;', CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that tbis perlit JaY be subject to 'deed restrictions' whieblaY be lOre restrictive than City regulaticms. lhe undersigned asSUles responsibility for COIpliance witb any applicable deed restrictiOll8. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas hired a contractor or contractors to undertate IOrk, tbey laY be required to be licensed in accordance ,itb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe OlDer and contractor laY be cited for a lisdl!leallor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing reguirellelJts laY apply for tbe intended IOrk, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the "Contractor SectiOll8~ of tbis applicaticm for whieb they will be respoosible. If fOU, as the OlDer sign as the contractor, you are indicatinq that you, rather than tbe contractor, are responsible for the work. If the contractor wishes you to sign as contractor that laY be an indication tbat he is not properly licensed and is not entitled to perti~ting privileges in tbe 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, tbe applicant, have been provided witb a copy of "Plorida's Construction Lien Law - lIoIeoImer's Protection Guide" prepared by the Florida Departtent of Agriculture and COnsUler Affairs. If tbe applicant is 80180I18 other than the "owner", I certify that I have obtained a copy of the above described docUlent and prOlisl in good faitb to deliver it to the "owner" prior to co.enCl!l8llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infonation in this application is accurate and that all work will be done in COIpliance with all applicable IllS regulating construction, loning, and land developl8llt. Application is hereby lade to obtain a perlit to do IOrt and installation as indicated. I certify that DO IOrk or installation has CDleDced prior to issuance of a pertit andtbat alllOrk will be perforJed to teet standards of all Ills regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other gov8IDlental agencies laY apply to the intended work, and that it is -r responsibility to identify wbat actions I lUst take to be in COIpliance. Sueb agencies include but are not liaited to: * Departtent of Bnvirollll8lltal Regulation - Cypress Bayheads, Wetland Areas and Bnvirolll8lltally Sensitive Lands, Water /Wastewater freatlent I Soutbwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Bngineers - Seawalls, Docks, Havigable Waterways I DepartJent of Hea1tb i Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater Ireatlent, Septic lants I US Bnvirontental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood lone 'A" or "I,etc.", it is understood that a drainage plan addressing a "COIpeDSating volute" will be subtitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. I pertit issued shall be construed to be a license to proceed with the IOrk and DOt 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 fa thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall belDe invalid unless the IOrk authoriled by sueb perlit is co.enced within sillOllths of issuance, or if work authoriled by the pertit is suspended or abandoned for a period of sillODtbs after the Ute the work is ~ced. One 90 day 81tension of tite, tay be allowed for the pertit with fee ebarge of $15.00. !he 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillOllth period, or the project will be considered abandoned. WARlfIMG ro OWR: YOUR FAILURB ro RECORD I HOliCK OF COIIIUCBIIBIfI MAY RESULI 1M YOUR PIYIHG fliCK FOR DIPROVBIIBIrS ro YOUR PROPBJI'fY. IP YOU IImD ro OBIAII PIWCI.G, CONSULI IUfH YOOft LBIDBR OR AI ArroRDY BBPORE RICORDIHG YOOR JIOIICK OP C<IOIIIfCBHBHr. JOBS UHDBR '2,500 IH VALUE DO NOI mD ro RECORD AND POSf A 'HOIICH OP aJIIlKHCBIIBJfr". ()'~1>>1 ~ _~ SIGHAIURB: COI1'IIACIOR ~ t>(.,'; ~ SIGDa: OIDR OR AGm SIATB, OF FLO~DA COIJIfIY OP Ct.5 C () The foregoing instrument was acknowledged before me this Se.p-\-, ~) , 19!i!L by who is personally known to me or who has produced j\ I.- as identification and who .diet/did not take an oath. STAfE OF FLORI>>I CDUm OP VaSco The foregoing instrument was aC~ledged before me this SePT, ,). S , 19 q by n . {()J'V'1 Ht:{ [' I)P~ who is personally known to me or wile hee produeed iUL identification aDd who did/did not t~~lJth. lQ > r' ~'{ (Signatu,re . ., \10. (er,e L. -St1ClI/")~II)~ (Name Typed, Printed or St~l NOTARY PUBLIC " ,'.,"'''' ~<""'''''''''''''''''~f,,<''~,~''''''<W''''''''''''''''''''''''''''''''''''''''''''''l ~,.", ~"8 Valerie L. Shampine ( · ~~ Notary Public, Sta~ ( ,,~Wl.1 Cotnmissiaa No. CC 340129 ( .. ?()f"-~MyCommissioDRxpires01l16198 ( Iondod TIuough Fla. Notary Service " Baedia& Co. : . ,((((((((((({(((((((((((((({((((t/{(({(({(((((. t _~(:- J -\. I (J ,- . . .,----- c I / i ..,/ ~ .' I \ ! ,( ,! ( -1- L --- - I - "",: ,': (K,j.~' . ('f r(~ _,' 7 (.' /. ) c..'/' / ..7'- / C.., / i / C ('I' I '_j __ 1,__ (.....; (-"C' '.. ( " ~._/" ./ .e ,-........' ~- -5b/ ~ ^ ~~/6/ "'j i 1.1 i' 7Y; (,. t \( t - I c: \ ~ /~/ ~ ,/ I I) / - C i I I i ! I t 3')/ ~ ~33 ~ +lOI\+- . \j /----/ ,r-. i \ -;-' -)~' 'I() 7~/ < > 7 i ,~ 75/ ~