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Home My WebLink About94-4435 BUILDING PERMIT Permit N.' CITY OF ZEPHYRHILLS (813) 788-6611 4435/3 Date / /-/-7'1 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Pmp."Y Own", ~JQht-~- Job Address: I/'c y. I tr: / Parcel I. D, # I ~ - cJ/' ,,;) :l--- Water Conn: Water Meter: TI.F.'s: Zoning: ~ergv;?de: Description of Work ,""- ~ . tt' ..1\ ~ - Radon 2 I!J r~ ~ f~ -' ~~~L~~ NO OCCUPANCY BEFORE C.O. FINAL -11 /./ / '-1'- , DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordal"~e with City Codes and Ordinances, DATE Inspector Permit Fee fJ: u ~ ~ Signature ~ ~ . ~ / Company Address Telephone# Valuation or Contract Price rr- cnn;, ri) /' City License Registration # ~f State Certified License# 6~-l &n4.t. BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. 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 ($15.00) 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 ZEPHYRHILLS BUILDING DEPARTMENT J ~~p Z&lN.(!; I' M .~ l U OWNER'S NAKESKy'/JI'I15 CITY (iEA5~'7 CITY or fU.!l'HYJt.I/US PHONEYl3 .'731 -13al OWNER'S ADDRESS ~ ~o ..)-ou 71J Ave. Z - #/tL5/ R, Jj'.5 L:> c.;:'0 I a~ e Ko JOB ADDRESS LEGAL DESCRIPTION: LOT(S) /9 - 2.~s - Z Z C PARCEL 1. D. t. .:) '(! BLO~ SUBDIVISION P;;RcE/5 /7 I) f'lo7 ~-B7-9o-9f-l'ol.-I03 . _Addition ---....Alteration ~epair _Install _Sign ---1Iove _Deaolish 'PROPOSED USE: ~le F..ill' eo..ercial _KIF _' of Units _K/H _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: ())JJ,SrlWcno,J dF A /lflte a~ " - Wf)~~ ;vI Men9-L ~F' , - =t /} ~ . .'// --U b BUILDING SIZE: .:;10 X 'Ill, /200 Square Feet, /3-h Height ~ra~. 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. LrnuG J!l.n...ELEc:rRICAL ~CHARICAL ~UMB-=mG TYPE OF COBSTRUcnOB: PERMITS REOUESTED $ g IJOo . 00 Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. $ GAS Valuation of lIecbanical Installation ~OOFING SPECIALTY LFraae _Steel Other _Block FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA"I L NO YES ****************************************** . " . CONTRACTOR SECTION ','.. .. BUIID~ 1/;J4 . '1%,2 Signature ~. ~ f) . . coMPANY BAct.' ti4A15-r#C.~";v C6. ..we State Cert. or Regist. I: CGC ()'I }(PII City License Registration I: .251 ****************************************** :::CIAR X ure PLUMBER X Signature lIECHANICAL X Signature , OTHRR X Signature , APPLICATION APPROVED BY COMPANY State Cert. or Regist. , City License Registration f ****************************************** COMPANY State Cert. or Regist. , City License Registration . ****************************************** COMPANY State Cert. or Regist. I City License Registration I: ****************************************** COMPANY State Cert. or Regist. , City License Registration # ****************************************** PERMIT OFFICER. CONDJ.tIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to Ideed restrictions" whieb aay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertale 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtherllOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sectionsl of this application for wbieb 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 fie 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 IFlorida's Construction Lien Law - HOIeowner'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 prO.lise in good faith to deliver it to the "owner" prior to couencl!lent. . E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in coapliance 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 bas COIIenced prior to issuance of a perait and that all work will be perforaed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies lilY 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: · Deparblent of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks · US Bnvironmental Protection Agency - Asbestos abatement I also certify that, if fill .aterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan addressing a "cO.lpensating volUle" will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perait issued shall becOle invalid . unless the work authorized by such per.it is cOllenced within six IIOnths of issuance; or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tiae the work is cOllenced. One 90 day extension of tile, lilY be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A, NOTICE OF COMMBNCEMENT HAY RESULT IN YOUR PAYING TWICB FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN 'FIXAHCING, COHSULT WITH YOUR LENDER OR AN Ar'fORNBY BEFORE RECORDIHG YOUR NOTICE OF ClIlIlIlIICIIlEIIT. JOBS IIHDER 12,500 .IN VALUE 00 NO! NEND TO REClIIID ~ 'NO!ICIl OF ClIlIlIlIICIIlEIIT', 1J/ta/}~ " YLR~ : 0WMmI OR S GKATURE: CONTRACTOR STATE OF FLORIDA , COUNTY OF : .J~ The foregoing instrument was acknowledged before me this Ocr ;(7 , 19-Z..i. by ZJ~ 4, /3:uL ~ho is personal1y~o~ to me or who has ~produced . ' . . . as identification and who did/did not ta~~~ILoat9. A I~ k ~A (Signature)_ . __ _ -pr:/i/} R cS II L S T/f E..c./ ..s (Name, Typed, Printed or Stamped) NOTARY PUBLIC ~u~~ ~ho is ~erSOnallY produce as identification and who did/did not ..... .- - " take an o~th. t L ~~, L- A ~ .:- DL-L.L-E-,7 (Signature) " ~ _ __ ~ _ _ - D [/'.3/\' /I ,~ t( L "s / /? CL /S (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA /J COUNTY OF t/2.~;- The foregoing instrument was acknowledged before me this /J..~ ,';;'7 ' 19~ by AD. ~ known to ~e or who has DU8ASUr; $'ffiEtTS 1lWMMa....a_ ~tc \e. p,. <i~.'...,:, ........JrwaKi, "'"......,1-, " "';. \, ,~','.-" :.,-, u.._ ..._;~,",,"-: ',';;J. q,'.. _'_____"'^~H"'-U ~.._". ',,',_,,' . ",...".1 No. t:,,:-- 7t' CC/~)&.)Jf Hotmy F'A.5', ' ft.t'~m, . N\) , ., ;J~) tt' CC/$ t: ~ ~ f