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Home My WebLink About95-4647 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N,~ 464715 j-.2Y-7s Date ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmp'~V Own" ~~....., AtLe-V dAAA'1 Job Address: 39// 7 C Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of wor';-;( $7 ,~ Radon Gas: Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. -1t~ ,J/~ FINAL NO OCCUPANCY BEFORE C.O. DATE DATE Inspector 0- Permit Fee Signature Company Address Telephone# Valuation or Contract Price -3 '; tnnJ r crv , City License Registration # State Certified License# (JJffk~. BUILDING (J ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 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. Please Send Remittance to: ^. lIartlttt iRnnfittg oof aLentra13Jflnriba. lur. c/o Richard Bartlett 38408 3rd. Ave. ZEPHYRHILLS, FLORIDA 33541 One of the Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home Dupont White Rubber roof & Insulated Aluminum Roof-Overs RESIDENTIAL * COMMERCIAL * MOBILE HOME LICENSED -INSURED - BONDED '* MEMBER OF THE CHAMBER OF COMMERCE '* OFFICE PHONE (813) 782-5585 Lie.# RC 0031769 Phone Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, Land O' Lakes and Surrounding Areas We have roofed over 7,000 Homes and Mobile Homes in the last 20 years. ! --rlf -- r~ Oat. Name Addr... applleslo any complete rerool, whetherRbe D~ntRLtlber, Celatex25 yr. FberglassShlngle, or Royal Insulated olthecontract, and'" Rtheyaresixly-11w yearsorolderwhen contract isslgned.lt is nottranslerrable to anyluture a IIftI8n1h~translerrable leakwarrantylromthe date the workisperfonned" President Sign: of Central FL., Inc. THANK YOU Your Business is Appreciated Payment upon completion unless previous arrangement made, Warranties pertain to original owner All agreements conbngent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. / APPLICATION FOR PERKIT CITY OF ZEPIIYIUIllJ.S BUILDING DEPARIItENT / I,,:""";" / ,) , LEGAL DESCJUPTI.ON: BLOCK SUBDIVISION OWNER · S NAItE OWNER'S ADDKESS JOB ADDRESS PARCEL 1.D.' WORK PROPOSED:_Nev Construction ---Addition _Alteration ~pair _Install --1iign _Hove _D~lish PROPOSED USE: Single Fallily _"'F _' of Units ---1'l/H _ec-ercial _Indust. _Swia. Pool Other ----Restaurant. Health Departaent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: cottKERCIAL : AtTACH (2) PI.OT PLAIiS . (2) SETS OF BUILDllIG PLANS . (1) SET ENERGY FORMS. AtTACH (3) SETS OF BUILDING PLANS . (1) SET ENERGY FORMS. PROPERTY SURVEY RlIQU1RED FOR ALL lil1.V CONSTRUcnON. _BUILDING I . PERlUTS l\IlIIIDlSYED $. )U1;u ~ Valuati~ of Total I i , Construction _ELECfRICAL AIIP Secv ice Florida Power Corp. W.R.E.C. _flEGIIAlO.CAL $. Valuation of Mechanical Installation _PLUHBIBG GAS ROOFIl'iG SPECIALTY TYPE OF CORSmUCI'I.OB: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ******-*********************************** BUILDER COKPAIfY State Cer . Signature City License Registration . ****************************************** RI.F.CTRl.CI.AB COKPABY State Cert. or Regist. . SiPD~ture City License Registration . ****************************************** PLUHBER GOtIPANY State Cert.. or Regist. . Signature City License Registration t **************.*************************** ItEGIIAlO.CAL COKPABY State Cert. or Regist. t Signature City License Registration t ********************.********************* OTRRR , GOtIPANY State Cert. or Regist. t Signature City License Registration t **************.*************************** APPLICATION APP.ROVED BY PERKIT OFFICER. .;:....." CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned understands that tbis pemit laY be subject to "deed restrictiOll8" wbich lay be lOre restrictive than City regulations. !be undersigned USUMS responsibility for cmpliance witb any applicable deed restrictiOll8. B. UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bili' bired a contractor or contractors to undertate work, tbey lilY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lilY be cited for a tisdeleanor violation under state law. If tbe mmer or intended contractor are uncertain as to wbat licensing requirl!lents aay apply for tbe intended work, they are advised to contact tbe City of ZepbJIbills Building Deputlent, (813) 788-6611. FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe "Contractor Sections" of tbis application for which tbey will be responsible. If you, as tbe OIIDer lign as the CODtractor, you are indicating that you, ratber tban the contractor, are responsible for tbe wort. If tbe contractor wilbes you to lign as contractor that aay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in tbe City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AHENDED) I certify that I, tbe applicant, bave been provided witb a copy of "Plorida's COnstruction Lien Law - BcIIeoImer'l Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUlll!I Affairs. If the applicant is 8OIIlODe other than the "owner", I certify tbat I bave obtained a copy of tbe above described docuJent and pIOlise in good faitb to deliver it to tbe "owner" prior to COlleDCeJeI1t. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all wort will be done in co.pliance with all applicable lavs regulating construction, loning, and land developleDt. Application is hereby lade to obtain a perlit to do IfOrt and installation as indicated. I certify that no IOrt or installation bas cmleDced prior to iasuance of a perlit and that all II01't ,ill be perfOlled to _t stancJards of all laws regulating construction, City codes, loning regulations, and land developleDt regulatiOll8 in the jurisdiction. I also certify that I understand that the regulations of otber goveIDlleDtal agencies l18y apply to the intended 1101'1, and tbat it is If responsibility to identify what actions I lUSt tate to be in COIpliance. Such agencies include but are not lUlted to: t Dellarblent of EovirOlllt!Dtal Regulation - Cypress Baybeada, Vetland Areas and BnvirollleDtally Sensitive LaDds, Vater/llastewater !reablent t Southwest Florida Vater Hanagl!leDt District - Vells, Cypress Baybeada, Vetland Areas, Altering Vatercourses t ArJy Corps of Engineers - Seawalls, Docb, Navigable Vatenays t DepartJent of Healtb i Rehabilitative Senices, EovirODleDtal Healtb Unit - lIe11s, Vastewater !rea_t, Septic !ants t US EovirOnlental Protection Agenc, - Asbestos abatl!leDt 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 "COIpeD8ating vol." will be sublitted wbich is prepared by a professional engineer registered in tbe State of Florida prior to peIlit issuance. A per.it issued sball be construed to be a license to proceed witb the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall iasuance of a pemit prevent the Building Official, fa thereafter requiring a correction of errors in plans, construction, or violations of any coele. Ivery pertit issued sball beeme invalid unless tbe vort autboriled by such peIlit is co.enced witbin sh IODtbs of iasUIDce, or if 1IOrt authoriled by the pmit is suspended or abandoned for a period of sil moths after the tile the II01't is ~ced. One 90 day atension of tile, lily be allowed for the perlit witb fee charge of $15.00. !be atension shall be rl!CJl1ested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODtb period, or the project will be considered abanc1oned. IIARRING !O OIIIIR: YOUR FAILURE !O RECORD A NO'lICE OF aIIIIBICIIIBJft HlY RBSUL! IN YOUR PAYIIG ICE FOR DIPROVIIIIJIIS !O YOOB PROPERn. IF YOU ID'IRD !O OB1'IIN FIJIlRCING, CONSUL! WI!B YOUR LDDBR OR AM InoRDY IIG YOUR DICE OP OIIHEJIClllEHI'. JOBS UlmER' $2,500 IN VALUE DO 1O'f IfDD TO RECORD ARD POS! A "1O'f1' . . ~ti:rJ~ STArE OF FLORIDA COURY OF 'P^S<-O The foregoing instruJlent was acknowledged before me this \ -to! , 19'15 by STIli OF fIOIIIII C?t J ' coum OF ~( The foregOing ins ~was acknowledged before me this ~ 4 , 19 q 5 by R.lc..4ARD c.. BARTLETT who is personally known to me or who has produced I? c \2- S0 1--.>14 L L '-( K to 0 \-0 0 a i tification and who did/did not t ke 0.,1:4. LD\L L lAM A12-00TJ who is personally known to me or who has produced l= L \ D L entification and who did/did not ake oath. L5'-.. Signature) u (Name Typed, Printed or Stamped) NOTARY PUBLIC ,DE8BIE A. ROWELC, ' NOTARY PUBLIC, STATE OF FLORIDA My commission expires Mar. 21, 1997 Commission No. C C 2 7 0 2 4 9 (Na.e TYPed, Printed or Sta.ped) NOTARY PUBLIC DEBBIE A. ROWELL N,OTARY PUBLIC, STATE OF FLORIDA My commission expires Mar. 21, 1997 Commission No. C C 2 7 0 2 4 9