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Home My WebLink About94-4412 BUILDING PERMIT Permit N.~ BUILDING ~- tJL) GEC~RI~ CITY OF ZEPHYRHILLS (813) 788-6611 Date / tJ -~& ..~/ d.. ..5--' tJi) ~NICV Sewer Conn 4412/1 PLUMBING ~ Property Owner: c.. Job Address: dc:K:s'--yr 0 '. 'L41 ~1J ~ ./t.3-..S- Parcell.D" # cJ -C2l/ - ;1...1- bolO - . .:5'/00 - () 0 0 D Water Conn: Water Meter: T.I.F,'s: Zoning: . Energa Description of Work -# C .A' ~ J2 Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordarce with City Codes and Ordinances. Inspector 63 Pe,m;tFee ~ -S ~ 6 Sigflature/ltc/;;'~ fJr:MQA.... Company Address Telephone# Valuation or Contract Price /~-Py, c-o , City License Registration # State Certified License# BUILDING a;- RA ELECTRICAL ~ ~? duz' ~~ PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final //-24'1 8t>h SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final / i <2..1t.4 &h 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 PERKIT CITY OF ZEPBYRBILLS BUILDING DEPARTKENT OWNER'S NAtIE 8,D\ 1\ \ C- OWHER'S ADDRESS 0 Uslt () - lL ~~d - oLILk5 JOB ADDRESS LEGAL DESCRIPTION: lOT(S) l~ BlOCK PARCEL LD..c::Q -d/D - :=J 1 -CX)IO -05/(X) SUBDIVISION - cx:x:J:) (OBTAIN FROM PROPERTY TAX NOTICE) !CU) WORK PROPOSED:~ew Construction ---..Addition --..Alteration --.Jlepair~Iostall _Sign ---'love ->>eaolish PROPOSED USE: _Single Faaily ---Jl/F _' of Units ~/B _ec-ercial _Iodust. _Swia. Pool _Other .-Restaurant II: Health Departaent Approval DESCRIPTION OF WORK: '(\R.\r~l 3~ ~Jc --' r/l r C{)l) c9, l J\l ; + BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS II: (2) SETS OF BUILDING PLANS II: (1) SET ENERGY FORMS. COMHERCIAL: ATTACH (3) SETS OF BUILDING PLANS II: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REQUESTED -BUILDIBG $ Valuation of Total Construction -...! RT.RCrIUCAL AHP Service Florida Power Corp. 1':::;:-0C;" o~ $ ^--J 7 L Valuation of Kecbanical Installation W.R.E.C. ..2!:-JIECllAllICAL ---..PLUflBIBG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____lock _Fr8lle _Steel /J111 Other FDlISBED F100ll ELEVAnONS: n. IS PROJECl IN FLOOD ZONE AREAT YES NO .......................................... CONTRActOR SECTION BIITI.DER COMPANY State Cert. or Regist. . City License Registration . .......................................*.* Signature . RI.RCTRICIAN COMPANY / a - 'r::J(eJ1. );, State Cert. or Regi... .e.=o SilmAture C//I r 0Dn City License Registration' ......................*...**.........*..** PLIDIBER COKPANY State Cert. or Regist. , City License Registration . .....................*.............*.**..* Signature HECllANlCAL COMPANY /lIP.... 'Rtc{; /9(0 ~ ~<<-' '-tltt.' h ~/ ~ ) State Cert. or Regiat:; __:5 - Signature C 'IS:{P . YJr :!Jon.. City License Registration f 'ILl? ..*.............*.*.*...............**... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration . .......................................*.. APPLlCAnOlt APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned understands that this penit lay be subject to "deed restrictions" wbieb lily be lOre restrictive than City regulations. 'be undersigned asSUles responsibilitJ for COIpliance with anJ applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lilY be rBCJllired to be licensed in accordance with state and local regulations. If the contractor is not licensed as required bJ law, both the 0IIDeI and contractor lily be cited for a lisdeJeanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lleDts IiIJ apply for the intended work, theJ are advised to contact the CitJ of Zepbyrhills BuilcUng Departlent, (813) 788-6611. FurtheIlOre, if the OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sectjons~ of this application for wbieb theJ will be responsible. If you, as the OlDer sign as the contractor, you are indicating that JOu, rather than the contractor, are responsible for the work. If the contractor wishes JOU to sign as contractor that IiIJ be an indication that be is not properlJ licensed and is not entitled to pemitting PIivileges in the City of ZepbJrhills. -- C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certifJ that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - lDemmer's Protection Guide" prepared bJ the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOll!OJle other than the "OlDer", I certifJ that I bave obtained a copJ of the above described dOCUleDt and prOlise in good faith to deliver it to the "owner" prior to co.enCl!IeDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infonation in this application is accurate and that all work will be clone in COIPliance with all applicable laws regulating construction, loning, and land developleDt. Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that DO IOrk or installation bas cc.enced prior to issuance of a penit and that all work will be perfoIJed to lIet staDdarc1s of all laws regulating construction, City coeles, loning regulations, and land developleDt regulations in the jurisc1iction. I also certify that I understand that the regulations of other gGYemJeDtal agencies lilY apply to the intendec1 work, and that it is If responsibility to identify what actions I lust take to be in COIpliance. Sueb agencies include but are not liJited to: t Departlent of BnviroDleDtal Requlation - Cypress Baybeads, Vetland Areas and BnviroDleDtally Sensitive Lands, Vater/Vastewater rreatlent t Soutbwest Florida Water Hanagl!lleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Any Corps of Engineers - Seawalls, Docks, lavigable Waterways t Departlent of Health' Rehabilitative Services, BnvirODleDtal Health Unit - VeIls, Vastewater IreatJent, Septic ,ants t US BnvirOJlleDtal Protection Agency - Asbestos abatl!leDt I also certify that, if fill IiIterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a draiDage plan addressing a "cOlPeD8ating vol_" will be subaitted whieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A penit 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 sball issuance of a penit prevent the Building Official fIOl thereafter requiring a correctiou of errors in plans, construction, or violations of anJ coele. Ivery pemit issued &ball becoIe invalid unless the IfOrk authoriled by sueb penit is COII8IlCed within sil mlths of issuance, or if IfOrk authoriled by the penit is suspended or abandoned for a period of 8il IODths after the tile the work is co.enced. One 90 day utension of tile, IiIl be allowed for the penit with fee charge of '15.00. Tbe utensiOD shall be requested in writing to the BuillUng Official. An approved inspection lUSt be logged during eaeb 8il IODth period, or the project will be considered abanl1oned. VARRIlfG TO (MIl: YOOR FAILURE TO RECORD A NOTICE OF COIIIBICIIIIJfI MAY RESULT IN YOUR PlYING flUCE FOR lIIPROVIIIBI1'S TO YOUR PROPlRfY. IF YOU mOD 10 OBtW FIWCIIG, COISDLI VIm YOOR LIIIDIR OR D AftORDY BlFOHB RICORDIIG YOUR IIO'fICI OF COMIfDCIIIIIft'. JOBS UItDIR '2,500 II VALUI DO JJOr IUD ro RICORD AHD POSI' A "lorICI OF COMIfDCIIID!". !ltr/;C'UC}/VY1 SIGKAtuRI: (IfJIIR OR AGm SIGUrURB:. SrArl 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. ~~O~FFLORIDY4 The foregoing instrument was acknowledged before me this (o4~s ,19~ by f)~ ~'- who is person~ known to me or who has produced as identification and who did/did not ~~.~ '7(~~/ (Signature) L? F-el/c~ I. ))OW/ANJ (Name Typed, Printed or Sta.ped) NOTARY PUBLIC (Signature) (Namt!. Typed, Printed or Stuped) NOTARY PUBLIC ,""I,t:!!... ~~'I\...:,,&~ FElICE I. ROWLAND =*: ~'J;;.\*. MY COMMISSION /I CC390799 EXPIRES ~.~~j Septem~rt8, 1998 ".r.iif..'f;.~~ BONDED 1llRtJ fRt'Jv FAIN INSUIIANCE, 1M:.