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Home My WebLink About94-4346 BUILDING PERMIT Permit N4? BUILDING c:2t9 ~ ()-i) ------. ~I~ CiTY OF ZEPHYRHILLS (813) 788-6611 _ 434611 PLUMBING $0- crv ~HAN~ewer Conn Water Conn: Date 7-.:29'- :7'1 P,operty Owne, ~~ ~~k~ Job Address: ...3 fr 'tJ tP: Water M~ter: T.I,F.'s: Parcell.D, # Zoning: EnergY)jode: Description of Work # r C,I( ~ (J 0 Radon Gas: /' /1'~ ft)/)3 Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordarr:-e with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. FINAL DATE c.o, DATE Inspector City License Registration # State Certified License# j/ Permit Fee Signature Company Address ~ CJ t t:JZ) ~ ?is ~/cl- I- --= c - Valuation or Contract Price ;;2 ;)..~-. trV " Telephone# JJl M-EVi I BUILDING '-/1 PLUMBING Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATION FOR PERKI.T CITY OF ZEPBYRBILLS BUILDING DEPARTKENT OWNER 'S NAKE '(3..fJ.-1t y RON) (~Pn e;<,./ / PHONE 78;2 -8 77 Y OWNER 's ADDItESS JOB ADDRESS 3 B 7 (]V g~A-u~ LEGAL DESCRIPTI.ON: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN nOR PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ----"ddition -----Alteration --Repair_Install _Sign ~ve ~eIIOlish PROPOSED USE: ~ing1e Feaily ---1J/F _' of Units ---1J/H _ec-ercial _Indust. _Swia. Pool _Other ---Restaurant & Health Departaent Approval DESCRIPTION OF WORK: d '7 ON I? ~ tI (p. C h a"':} 12 tP- cvI- BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ArrACK (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COHKERCIAL: ArrACK (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKI.TS REQUESTED .-BUILDING $ Valuation of Total Construction RT.RcnuCAL AIIP Service Florida Power Corp. $#~,;2.6 5: aD Valuation of Kecbanica1 Installation W.R.E.C. ----1IEClWllCAL -PLUMBING GAS ROOFING SPECIALTY TYPE OF OOBSTRUCTION: ~loclt _Fraae _Steel Other FIIIISHED FLOOR. BLEVAnOBS: n. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRActOR SEctION BIITIJ)ER I11W-/ COKPANY State Cert. or Regist. . City License Registration . .......................................... (V/o (yr;; ,u State Cert. or Regist. . City License Registration . .......................................... Signature RT .RCTRICIAIJ COKPANY G 1~8'(A:~ <1/ PLUMBER Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature COIIPA1IY Ii> ^' sit~ r:.ONifr~ State Cert. or Re st.' boS}//.2.. City License Registration' 7/ .......................................... ' HECBANICAL OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATION APPROVED BY PBRHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned understands that this penit laY be subject to "deed restrictions" wbieb lay be .re restrictive than City regulations. !be undersigned assUJeS responsibility for COIpliance wIth any applicable deed restrIctiODS. B. UNLlCENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIOler bas bired a contractor or contractors to undertake wrt, they laY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by ID, both the 0IIDer and contractor EJ be cited for a lisdBl8anOr violation under state law. If the mmer or intended contractor are uncertain as to what licensing requirl!leDts EY apply for the intended wrt, they are advised to contact the City of ZepbyrhiUs Building Departaent, (813) 788-6611. Furtberlore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor SectiODS~ of this application for wbich they will be responsible. If fOu, as the owner sign as the contractor, you are indicating that fOu, rather than the contractor, are responsible for the IOrt. If the contractor "ishes you to sign as contractor that EY be an indication that be is not properly licensed and is not entitled to perait,ting 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 "Plorida's construction Lien Law - lDeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUl8l' Iffairs. If the applicant is ~e other than the "owner", I certify that I have obtained a copy of the above described docUJellt and pr~ise in good faith to deliver it to the "owner" prior to co.enCl!lel1t. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoCliltlon in this application is accurate and that all IOrk "ill be done in coapliance "ith all applicable IDS regulating construction, zoning, and land developaent. Application is hereby Iilcle to obtain a perlit to do wrt and installation as indicated. I certify that DO IOrk or installation has C31encecl prior to issuance of a perait and that alllOrk "ill be perfoIl8d to Het staDclarcls of all IDS regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other 9OvBIDl8Dtal agencies EY apply to the intended IIOrk, and that it is ~ responsibility to identify wbat actions I ElBt take to be in COIpliance. Sueb agencies include but are not lilited to: · Departlent of Envirolllll!lltal Regulation - Cypress Baybeads, Vetland Areas and BnvirODlentaUy Sensitive Lands, VaterfVastewater rreatlent · Soutlnfest Plorida Vater Hanagl!leDt District - VeIls, Cypress Baybea4s, Vetland Areas, Altering Vatercourses · Irl' Corps of Engineers - Seawalls, Docks, Havigable Waterways · Departlent of Health i Rehabilitative Services, InvirODleDtal Health Unit - VeUs, Vastewater Ireatlent, Septic lants t US Bnvirouental Protection Agency - Asbestos abatl!ll!llt I also certify that, if fIll Eterial is to be used in Flood Zone "A" or "I,etc.", it is understood that a drainage plan addressing a "COIpenSating volUlle" will be subllitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perait issued shall be construed to be a license to proceed with the IIOrt 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 fa thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued sllall hecme invalid unless the vork authorbed by sueb perait is co.enced within slllOllths of issuance, or if IOrk authoriled by the perlit is suspended or abanclonec1 for a period of ail .ntbs after the tile the IIOrk is ~cecl. One 90 clay 81tension of tile, EY be allowed for the perait with fee charge of $15.00. Ibe 81tenslon shall be requested in writing to the Builcling Official. An approved inspection lUSt be loggec1 during eaeb slllODth period, or the project will be consIdered abandoned. VARIIIIfG to ODIR: YOUR FAILURI to RECORD I NOTICE OF aJIMUCIIIIIIl' MlY RESULr II YOOR PIYIHG nICE FOR IIIPROVBIIDI'S to YOUR PROPmY. IF YOU IIIIHD ro OBrlIJf PIIlIICIJfG, COBSULI VIm YOUR LBJIDBR OR AI IIfORDY BD'ORE RICORDIJfG YOUR IO'IICI OF ClIIHBIfCBllBlft'. JOBS OlDER $2,500 IH VIWI DO Hor mo fO RECORD AND POSf I "HorICI OF C(JfHBIfCBllBlf!". SIGU'IURI: <<*IIBR OR AGm SIGIIA'IURI: comIACIOR srlrB OF FLORIDA coum OF The foregOing instrument was acknowledged before me this , 19____ by SIIIB OF FLORIDA CDUm OF The foregoing instru.ent 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) (Name Typed, Printed or St~ed) NOTARY PUBLIC (Signature) (NUt!. Typed, Printed or Stuped) NOTARY PUBLIC ~,~ . .' 'W1:' ~.,1'-~~. Fe? ~ 7&;;- $-/9 b Kinsey Central Heat & Air-Conditioning 7718 Fort King Highway . P.O. Box 2209 Zephyrhills. Aorida 33539-2209 (813) 782-2300 7 L OATEPROMISEO MIlE MlDREI8 APARTMENT - IIDIlEI. IEIUM. Ill, STIMATE o CASH o CHARGE CITY NATURE Of ~ SERVICE ....." REQUEST QUAN. PART NO. PRICE AMOUNT SERVICE PERFORMED lVTAI. IIATERW. - 8EIMCE TlIIE I .- +- I I +- L- I .-- +- I T- -l-- I ~ +- 7~ 1!--' DATE COIII'I.flBI TAX CASH :::-m* -+ mAL TECHNICIAN CUSTrl<ER'~"1UOE ~Jii1n-tL,~