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Home My WebLink About94-4366 BUILDING PERMIT CiTY OF ZEPHYRHILLS (813) 788-6611 Permit Nt! 4366~ Date / & --/0 _;7'(./ ~ Pmperty Owne' " ~:'0 ~* Job Address: 9'3 S< . - Parcell.D. # ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F's: Zoning: Energy Code: D::n;l;:O~::::1 /~~ Q Radon Gas: _.,;..-<. ..A;Z. d: '3 Jf~ 10/1 Ct Q~- a ~ ~~ NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordart:'e with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# 69/ Permit Fee ~. ::) Sig1ature ~.A 0 h.&. Company Address Telephone# ~~~L~Q Valuation or Contract Price 9..s,---~'... ,""'V ~ U~jlA ,:f;'-J ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTKENT OWER'S _ ~~ OWER'S ADDRESS \ ~~N~~~ mo~ '\'1.';i u.'dco, , <SQ~"\. \ \' \\<~ \ ~ \ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) \ 0 L\ BLOCK PARCEL I.D.' \) \e\- \J(~~, ~~: \f~ S\~g ~ WORK PROPOSED :_New Construction ----..Addition SUBDIVISION '), \ ~'ni\ ~,\ \ac. Q ~~\a ~ 0;, . I "8'::Q.1l. (OBTAIN FROM PROPERTY TAX NOTICE) -Alteration ---Repair ~tall _Sign -.JIove _Deaolish PROPOSED USE: ~ing1e F_ily ~/F _' of Units _K/H _ec:-ercial _Indust. _Swill. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: \N."J\-(]\\ \ 12\ lA)(jy\ ~\ll~~.p ~ '--\ ~\'- \D~(lQ_ (1)\ CjR+es BUILDING SIZE: x Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED -BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. ----1IECllAlJICAL $ Valuation of tlecb.anical Installation -PLUtlBING GAS ROOfiNG TYPE OF COIfSTRUCTION: _Bloclt _Fraae _Steel SPECIALTY Other FDlISBBD FLOOR ELEVAnOIfS: FT. IS PROJEct IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BIJTI.DD. COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature RT.R.CTRICIAN COMPANY State Cert. or Regist. . City License Registration . .......................................... SiQllAture PLUtlBER COMPANY State Cert. or Regist. . City License Registration t .......................................... Signature KECBANlCAL COMPANY State Cert. or Regist. . City License Registration . ......................................***. Signature OTRRR ~ ag COIlPAIIY 0\.-} ',:\()hc\E\ \..o~~~ ~() \...r~ . State Cert. or Regist. , Signature ............!J~Q ) () ~ A\\~ 1 City License Registration' 67/ ...*..................*.............**...* APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that this perait laY be subject to "deed restrictions I wbich lay be lOre restrictive than City regulations. !be undersigned assUleS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIIIler bas 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 OIIIler and contractor lay be cited for a lisdeJeanor violation under state law. If the mmer or intended contractor are uncertain as to wbat licenSing reguireJents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtheIlOre, if the OIfIIer bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the OIfIler 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 lay be an indication that be is not properly licensed and is not entitled to petlitting privileges in the City of Zephyrbills. 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 - HoIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsllleI' Affairs. If the applicant is sOJeOne other than the "mmer", I certify that I have obtained a copy of the above described docUII!Dt and pr~ise in good faith to deliver it to the "owner" prior to coaenceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOJpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a peIllit to do work and installation as indicated. I certify that no work or installation has COJJenced prior to issuance of a petlit and that all work will be perforJed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also certify that I understand that the regulations of other gOYerDJeDtal agenCies Jay apply to the intended work, and that it is If responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lilited to: * Departlent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater freatJent t Southwest Florida Water ManageJellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * AIIY Corps of Engineers - Seawalls, Docks, Mavigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater freatJent, Septic fanks * US Environaental Protection Agency - Asbestos abateJent 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 "COJpenSating vo1\111!" will be subJlitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIllit issuance. A peIllit issued sball 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 sball issuance of a peIlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball beCOle invalid unless the work authorized by such peIllit is cOllellced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOnths after the tille the work is co.enced. one 90 day l!Itension of tille, lay be allowed for the peIllit with fee charge of $15.00. fhe l!Itension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each slllOnth period, or the project will be considered abandoned. wmING fa OIIHER: YOUR FAILURE TO RECORD A MO'fICE OF COMMDCEMm MAY RESULf 1M YOUR PAYIMG nICE FOR I.MPROVBMmS TO YOUR PROPERft. IF YOU III1'BMD fa OB!'AIM FIHAJlCIMG, CONSULI' WUH YOUR LBMDIR OR 1Jf AftORHEY BEFORE RECORDIMG YOUR MO'fICE OF COMMEMCEMEIft'. JOBS UHDER $2,500 1M VALUE DO MO'f HEED fO RECORD AHD POST A "MO'fICE OF COMMEHCBMEIft'''. SIGHA!URI: omR OR AGE1ft' SIGHA'fURE: COIl1'RACfOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUlffY 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 oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Namt! Typed, Printed or Stamped) NOTARY PUBLIC MID-FLORIDA FENCE COMPANY, INC. 7125 North Highway 98 Lakeland, Florida 33809-9324 John Farmer, Owner Phone 858-4569 For ~\ ~'~ Address '. - \:~ ~ '\) ,. JOB ADDRESS \ FENCE PROPOSAL PhoneJ't,~ - t.\,Q~\ Date ()0~"hJr \() Lot. No. _ Blk. No. Subdiv. Fabric In 0 Out 0 Barb up 0 Down 0 Level 0 Step 0 \ Roll 0 Straight 0 Line Posts Set \10 on center in concrete Top Rail ~\..) , J.:' \i "00 Top Rail " 00 Braces No. " 00 Braces No. " 00 GATES SIZE ~AME~. TYP. \ '-\' x~ ~ "00 " ) ~ \\ 'x~") "00" ~x---':" _" 00 ---':"x_ _" 00 EXTRAS: Survey Stakes Visible: Yes 0 No 0 I '\'5 .b " I i4.Y / \ ~\ y,1"' \ , I~ '.1- i' I I I -- , ~~\()~ \J~ TERMS: ~~c::; :~ Permit Fee $ TOTAL CONTRACT $ Down payment (Date Paid_____) $ Balance due $ Location of all work on the property and/or damage to underground objects or utilities are the responsibility of the owner. Unless specified, quotations do not include grading brushing, or jackhammer work which are charged by the hour as need- ed. This proposal becomes a contract when accepted by both parties and is subject to cancellation. Interest will be charged at 1% per month on past due accounts. Costs of collection if any, including Attorney fees, will be added. Approximate starting ~ . C By ~~QM. A?\\LteJ ) , MID-FLORIDA FENCE CO., INC. Approximate completion date Accepted ,.~ ~ ~--2;;;~7'.'::::~>" Date /6,/;;yf!-y (