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Home My WebLink About95-4692 BUILDING PERMIT Permit ~ CITY OF ZEPHYRHILLS (813) 788-6611 _ 469211 Date .;l -I CJ - 9' -!::.- BUILDING ELECTRICAL PLUMBING ~~NICA~~ewer Conn Water Conn: Pmp,rty Owo", ~. ~ Job Address: ~- '~3 -' 4 . Parcell.D. # Zoning: ~Ener~e: 'l ~don Gas: DescriPtionofwork-A--f - ~,.,~ Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. - FINAL 2~2.l'.4 ~ DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price ~ y f'(). c.rD , 110 Signature Company Address Telephone# City License Registration # State Certified License# ,4~ r;+.r- BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Ins!. Compressor g Final 2-2.r.f..q~ tl..L- , 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 PERKlT CITY OF ZEPIIYlUIILLS BUILDING DEPARTHEHT OWNER'S ADDKBSS It H SI;I-/ I+Df.? i?- f S'lf33 197"-H S I , ~L/,~ 3 J 9 rH s r PHONE 8f3- 7J'~ - 33 y.>- OWNER'S IiAHB JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCIL--SUBDIVISION PARCEL IoD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ~ddition ~eration ---Repair _Install PROPOSED USE: _Sign ~iog1e Faaily --.JIove --Peaolish -.Jt/F _' of Units ----1f/H _ec-ercial _Indust. _Swia. Pool _Other Restaurant Ii: Health Departaent Approval DESCRIPTION OF WORK:_R ~ J) '-14- cJi: f.I t;: 14- T , :pu~ SY5rr::-~ , BUILDING SIZE: x Square Feet. Height RESIDERTIAL: A'lTACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET DERGY FORKS. COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. tv ~UILDING IV ty IU.RcruCAL V HEClWlICAL TvLPLUHBING $ AIIP Service Florida Power Corp. W.R.B.C. $ :J48D Valuation of Itechanical Installation GAS ROOFING SPECIALTY . TYPE OF mllsTRucnoN: ~loclt _Fraae _Steel Other FDlISBED FLOOR ELEVATIOIIS: Fl. IS PROJEC'l IN FLOOD ZONE AREA! YES NO .......................................... PLUMBER /VA III It State Cert. or Regist. . City License Registration . ;v.~~.............:::::::.............;ii:i ~ ~ State Cert. or Regist. . City License Registration . .......................................... COMPANY .IV if}- State Cert. or Resist. . City License Registration . .......................................... ;Uttl CONTRACTOR SECTION .' RUTT llER cOMPANY Signature IU.RCTRICIAII SignAture Signature HECllANICAL~~/ COMPANY SOU \H ~~ L(:) "'-+o,,-T State Cert. or ReSist.' R "... 00 I s-c 2... ~ Signature . City License Registration f J J () .............. ........................... COMPANY JIL/ Y-1 State Cert. or Regist. . City License Registration . .......................................... OTRRR Nit Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'he undersigned understands that this perait lily be subject to 'deed restrictions' Ibich lily be .re restrictive than City regulations. !be undersigned assU188 respousibility for COIpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance lith state and local regulations. If the contractor is not licensed as required by law, both the 0IIJler and contractor lilY be cited for a lisdl!lleallor violation under state lal. If the OIIl8r or intended contractor are uncertain as to what licensing requirl!leDts lilY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. ' Furthenore, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for Ihich they li11 be responsible. If you, as the OIJler sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IOrk. If the contractor ,isbes you to sign as contractor that lily be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the City of Zepbyrhil1s. C. TRANSPORTATION IMPACT FEES AND UTILI'l'Y CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided lith a copy of 'Florida's construction Lien Law - BoIeoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOl8OJ1e other than the 'OIJler', I certify that I have obtained a copy of the above described docWHlDt and pro.ise in good faith to deliver it to the 'owner' prior to co.enCeJellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlliltion in this application is accurate and that all work will be done in COJpliance ,ith all applicable lad regulating construction, loning, and land develoflll!llt. Application is hereby lade to obtain a perlit to do IOrk and installation as indicated. I certify that no IOrk or installation has CDIeI1ced prior to issuance of a P8DIit and that all work lill be perfoIlled to leet standarc1s of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other gov8I1llleDtal agencies lilY apply to the intended IOrt, and that it is IY responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to: t Departlent of Bnvirolll8Dtal Regulation - Cypress Baybeads, Wetland Areas and InviroDlentally Sensitive Lands, Water/Wastelater !reatlent t Southwest Florida Water Hanagl!leDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AllY Corps of Bngineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, InvirOl1l8l1tal Health Unit - Wells, Wastewater !reatlent, Septic lanks t US InvirODl8Jltal Protection Agency - Asbestos abateJellt I also certify that, if fill aaterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'COIpeJ1Sating value' li11 be sublitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A perait 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 peIlit prevent the,Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peraJ.t i88ued shall bec:oIe invalid unless the wort authoriled by such perlit is co.encecl lithin sillODths of issuance, or if lork authoriled by the perlit is suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 day atension of tile, lilY be allowed for the perlit lith fee charge of $15.00. 'l'be 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project lill be considered abandoned. "AlUfUG fO 0IfIfER: YOUR FAILORE fO RECORD A NO'l'lCH OF aJlMDCIIIIIf lilY RESULI IN YOUR PAYIIG DICH FOR IIIPROVIIIIIIS '1'0 YOUR PROPIR'lY. IF YOU IIlmD '1'0 OB!AIN FIlWIClIG, CONSUL! IUD YOOR LBIIDIR OR AI AnORDY BlFORI RBCORDIIG YOUR IOIICH OF COHMINCEHBM'I'. JOBS OXDER $2,500 IN VALUE 00 NOI RUD '1'0 RlCORD AND POS'I' A 'ROIICH OF CClllllJlCIIIIIf'. , ,.., SIGlAfURI: (IBIR OR AGBII'I' SIGUfURI: CONIRAC'I'OR S'I'A'I'I OF FLORIDA ccum OF The foregoing instrument was acknowledged before me this , 19____ by SfAfl OF FLORIDA ccum 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 bas produced as identification and who did/did not take an o..th. (Signature) (.Name Typed, Printed or Stamped) .NOTARY PUBLIC (Signature) (.Name Typed, Printed or StaBped) .NOTARY PUBLIC i.-} F~ () F.) (J :.:,' (~ L SOUTHERN COMFORT ENTERPRISES, INC. 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