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HomeMy WebLinkAbout94-4348 BUILDING PERMIT Permit NC? CiTY OF ZEPHYRHILLS (813) 788-6611 4348/3 9-30 '-?'f 60~07J ~b, (./V ~. ~-u ~~~ ~CTRI~ 6UMBI~ Pmpe"y Owne" ~ ~~.Q 2 Job Address:S~- cJ....A. ' Parcell.D, # /1- c2(o & dJ - 00/0 - / .J....6oo - O/~ -0 Date MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Ra~Gas: Description of Work 8t:< ~~ ~,rv-~ /' -? ,~7'> IN l NO OCCUPANCY BEFORE C.O. 10 _ I;? F A Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordarr:-e with City Codes and Ordinances, DATE DATE Inspector City License Registration # State Certified License# J~- :~:::;:~.1!~ Company _ ~ _ Address Telephone# Valuation or Contract Price r ? y (, (}-o , QL4V.~~rAA<< ~~JL<4 M.J BUILDING ELECTRICAL ;23/ ~~~- PLUMBING /0 ::s MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 ($15.001 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. APPLICATIOIi FOR PERllIT CItY OF ZIl;ntIKH ".Le; BUII.DIlIG DEPARIIIElIT ~(~ - OVRER'S ADDRESS 5z~{) l + <;+v c e+ 5l?O l~ Sf-rcef- Olt~ PIIOlIE 5~7-n11 (1Mi1-<"rSJ OWNER. , S RAIlE JOB ADDRESS LEGAL DESCRIPl'IOII: IDI'(S) ~SUBDIVISION PARCEL I4D.' I} -llo -2-1 - 00 I D - } 'LIP D D - 0150 WORK PROPOSED:_DIIev Construction _Addition ~teration _Repair _Install S. - :J.gIl _lIove _De.olish PROPOSED USE: Single F-ny _IIIF _, of Uni.t:s _IIID _~rcia1 _Indust:. _Swi.a. Pool Other RpSt:aurant: &: Hea1t:h ~t: Approva1 BUILDING SIZE: x ~e Feet. Height: RESIDENTIAL: A'lTAm (2) PI.OT PLAIlS &: (2) SEI'S OF BUILDIIfG PIAIIS &: (1) SEl" ENERGY FUlUtS... COItItERClAL: A'lTAm (3) SEI'S OF BUD.DIlIG PIAliS &: (1) SEl" EIIERGY FORIIS..... ......OOpy OF mN'l"RAct KIIQIBIRED. PIlmITTS REOUESTED ---...BUILDING $ Va1uat:ion of Tot:a1 Construction F.I.I1:CJ'RICAI. AIIP Service Florida PoIIJIer Corp. ._W.R.E.C. ---.JtItCIIANICAI. $ Va1uation of lIechanica1 Inst:a1lation _PLUtlBING GAS ROOFDiG SPECIALTY TYPE OF OONSTRUC'I'ION: _Block _~ _Steel Other FIIIISBED FLOOR ELEVATIOIIS: FT. IS PRO.JECI' 1lI FLOOD ZOIiE AREA? YES NO ...................................................................... RUTT DER aJlII'JIACIOR S~N CDlPAlllYILjq StAte Cert. or Re . t. , City License Regis t:ion' .................................................................................... Signature F.I.F.cr.RI.CIAN alllPAIIY StAt:e Gerl:. or Regist:. , S. City License Registration . .................................................................................. :=ture d; ~ ~:c:t~~:t.~E , . .......................................................................... IlEalAllICAL aJIIPARY State Cert:. or Regisl:. . Signature City License Registration , ................................................................................ flo"'~;1'j tl ~6 ':/. '3 I,'J 0TRJlR CDlPAIIY Stat:e Cert. or Regisl:. , City License Registration , ............................................................................................ Signature APPLICATION APPROVED BY J1t1-t\&Ac1 711 h?~ PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections" of this application for which they will 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 the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 "Florida's Construction lien law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. 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, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: , Departlent of EnviroDlental RequIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent , Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways , Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks , US EnviroDlental Protection Aqency - Asbestos abatelent 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 volule" will be sublitted which 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 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YDUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RE G YOUR NOTICE OF COKKENCEKENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND P "NOTICE OF C(JftItE "E /.~~ r. SIGNATURE: DINER OR AGENT STATE OF flORIDA /f COUNTY OF /' ~ c..c;:::; The foregoing in~~ument was acknowledged before me this ~/~ ,19~ by I who 'i~~~it~~ow~~~hO has produced as identification and who did/did not take an ~h. .. ../ ~~~ (Sig~ature) . STATE OF FlORJPA COUNTY OF f;J s C {j The foregoing instrument was acknowledged befc,re me this Sl'ftE/J1I3E,,~!l19.2..i:.-- by Gf!,AJ>'j Cv NIVIIY {;. J.-)J4m who is personally kDO~ to me or who has produced as identification and who did/did not tak~n oath (j) ~~dL ,'A ~ (Signature) ;<os';/":F- /J.. ('()oA/Ef6 (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name NOTAR , ~rliff~ ~Tm~tfifil!ld ~ ,,/;) ,r,~Ap.:,<fo.:~~l!R.N~,F:..O >l- COMr,1/..",,,_c'J Nd"i!:;ER ~r c~ ;. ",; ~:' ,:1 ;2' /~ 0 ~~~ -y~ <f MY CO!~:M;:;:.;~:;:;N C.;~;7l. , OF FI,O M:..... rl.:...-~.:!.~;2,~L,~,-, #\";~W'P(;/",,, ~~..,_..,..,~~\ ROSALIE R, COONER f~f.''''''- fA'd ~ . ~ ).! ~rotary I"ublic State 0 on a \~ / ~:I- My Comm, Exp, Apr. 17. 1998 ,..... --,.....~,' 362892 """'!!..!.~~''''' Comm, No. CC ;3 c~~ ~- ;;L3() - :l ^- 12 --ii. C C) l'oiT' r;, ~:,l Till j I.... \., '..;.'... ..;. .I ;;;; ;,' CLHii.ii: ,kilL:,! ! I,.' ,.'.j i..y TI', '..;: .,;\1) '...' r 11:: l .., ~::; ~.:: 1 L':'_ '1... .i :,.,'J h.! j\...'.' i::'~ \ ;, t. In; '..;' I' .., I"'... :.::.>I.........::'....i i .1. '. C:'_.lll t'r- .... . . l. ~-\ ";,1...,,,' .( t! ;'.. u ',.:;.' ;;;'.~ I I 1..., 1....:;..; (:1,,:1 Jl lri '~;:'. '.. "J :.... C,Ui!'TT'::,i i .i , DI;:,,:',:,lJ il I' \:1; ,", LJl,.}i:::... , DF,,:::,lJH L !] Fii T :::1; ii IT ~':;L/- 09~-5" ".. ";;': ';" ;';cO"r,,; C:(;IJTF(1CT .~.~_.~~.*.~..~'~'~..~*..~*.~.~.**.*-~.~***.~* " '... '..' i , .' i' "" '" j, 1 ~:;. 2 n t i:.~ i <':'l,1 ,[ r',l: I.... 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"""1".1'(';"1 "1" "I'" "1"]."1F t.i!)!,) ,1'iL ,.,1, '..I'>:! ;:("'1, ~."l.. 1,'1..,1'.1. :..._..~:..J r",.::) :.i"11~-t~:H':II.... .....11\ J; f-1''tT .1..... PFiClFr:! ,j.:: ,;i iT DF"rliFTH ll:;;:[j BUS I i'~ESS D(;\' td'" TE F: THE D(in: ur-'" Tlii' '] 'T; .;1'1 I , ': I ! , ",..1oIt ......""'""~j,~> PP,CIE :::! ",',It ~iI>! .I..~ -. lL"""','.~_... , .. .,-~ "'- '_~ . -:;;m; ,>:11 .... ill ,~;j ~~.- CYUNNINGHAM CONST. MR & MRS BARTON BATHROOM RENOVATION UTILITY ROOM RENOVATION ~::-:::.-< ....--......,., / ~ UTILITY ROOM HM J I I EXISTING HOME SA THROOM __,__ ( ") "---~ 1\1r'\ TI= 1 All 1=1 Y' I ()r.dTI()~1 ~T, SAME