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Home My WebLink About95-4725 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N:! 472511 BUILDING dl () - (}-o ~CTRIC0 OatH dl.-~7-?~ PLUMBING 3".~ ~ECHANI~sewer Conn Water Conn: Pmpe"y Own" ?! #J:o;, Job Address: -S ~~. Parcel LD. # Water MJ!jer: T.I.F.'s: Zoning: Energy Code: Description of Work '-11 P'.AA ') -V C- Radon Gas: FINAL ,)>- d-J DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector City License Registration # PI State Certified License# Permit Fee S ~ ~~ s;gnat~'~ _" .;t~ Company ~_ ( Address Telephone# Valuation or Contract Price ;L y 7~-' cTD -" BUILDING JJ1 ,~ ELECTRICAL 'II PLUMBING '/Y~1 ~ MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. 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. .,. - ". ~'.. ~.~. .......,.:-..:r.... Cl ,.... .:." ~'.. .;. : I , . , Kinsey Central.' Heat & Air-Conditioning 7718 Fort King Highway . P.O. Box 2209 Zephyrhills. Aorida 33539-2209 ~ ' (813) 782-2300 f'~ :00 APARTMENT TIMATE o CASH o CHARGE .,.,-:,..,... NATURE OF ....-"\. SERVICE a...v REQUEST _/ ,;/ OUAN. DESCRIPTION PRICE AMOUNT . I I. I'. I I ":J/Vs'~ ~~ AJ~ l~iP h~~ ~/&'.t U"v. TAl ~Tl COIII'lfIBI CASH ::-m-~ TOTAL t:hO TEcHNICIAN CUSTOMER'S SIGNATURE i . APPLICATION FOR PERKIT CITY OF ZEPIIYRBILLS BUILDING DEPARTHENT OWNER'S ADDRESS !-/.R N Y 4-hY s;- S-C-/7 J.. 4 i/" V / <) Lb'n e PHONE 787--9('// OWNER'S NAHB JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' (OBTAIN FR.OK PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ----..Addition ---.J\1teration ~pair -_Install _Sign --.-JIove ----Peaolish PROPOSED USE: _Single F_ily --.-JI/F _' of Units --.-JI/H _ec-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: --Restaurant at Health Departaent Approval 4;LL J ---- I ..:TIN BUILDING SIZB: x . Square Feet. Height RBSIDBBTIAL: COMMERCIAL : A'nACB (2) PLOT PLANS at (2) SETS OF BUILDING PLANS at (1) SET ENERGY FORMS. A'nACB (3) SETS OF BUILDING PLANS at (1) SET ERERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS RBOUESTED ~UILDING $ Valuation of Total Construction RT-ECTRICAL ----"ECIIAlII.CAL ~1IIBING $ AIIP Service c2 'i q s-:- 00 Florida Power Corp. W.R.E.C. Valuation of Kechanica1 Installation GAS ROOFING SPECIALTY TYPB OF COBSTRUctION: ~loc1t _Fraae _Steel Other FI1IISBED FLOOR ELEVAnONS: Fr. IS PROJECT IN FLOOD ZONE AREAT YES NO .......................................... CONTRACTOR SECTION BUTI.Dm RIRCTRTCIAIJ COKPANY State Cert. or Regist. . City License Registration . .......................................... t1C(fb~ State Cert. or Regist. . City License Registration . .......................................... Signature iA./tv COMPANY G: (t,e(t ;~ .,.~I PLUMBER Signature COMPANY State Cert. or Regist. . City License Registration . .............................~............ COIPAIIY /-tV -Iv ~ JI./ L-..a- r:fr ~ State Cert. or Rea!st. . (f) O.J~ '1'-< City License Registration . 7/ .......................................... Signature KECllABIGAL OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATION APPROVED BY PBRHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this penit laY be subject to "deed restrictions" wbich laY be lOre restrictive than City regulations. fbe undersigned assUIeB responsibility for cmpliance with any applicable deed restrictions. . B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a cootractor or contractors to undertake wort, they laY be required to be licensed in accordance with state and local regulations. If the contractor is DOt licensed as required by law, both the owner and CODtractor laY be cited for a lisdeteanOr violation under state law. If the owner or Intended contractor are uncertain as to what licensing requireaents l8y apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departtent, (8U) 788-6611. Furtheraore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for vbich they vill be responsible. If you, as the owner sign as the CODtractor, 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 be is not properly licensed and is not entitled to pertit.ting privileges in the City of Zepbyrbills.- C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided vith a copy of "Florida's Construction Lien Law - lIoIeOImer's Protection Guide" prepared by the Florida DepartJent of Agriculture and COnsUIeC Affairs. If the applicant is SOIeODa other than the "owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to COIIenCeaeot. 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 coapliance with all applicable laws regulating construction, loning, and land developlent. Application is bereby tade to obtain a pertit to do IOrk and installation as indicated. I certify that DO wort or installation has COIIeDced prior to issuance of a penit and that all work will be perforted to leet standards of all laws regulating construction, City codes, loning regulations, and land developllDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gov8111IIIDtal agenCies laY apply to the intended wort, and that it is If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are DOt Iilited to: t Departlent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Vater/Vastewater freatlent t Southwest Florida Vater Hanageaent District - VeIls, Cypress Baybea4s, Vetland Areas, Altering Vatercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways t DepartJent of Health i Rehabilitative Services, Environtelltal Health Unit - Wells, Wastewater freattent, septic rants t US Environtelltal Protection Agency - Asbestos abateaeot I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cOIpeDSating volUte" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and DOt as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fa thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall beCOIe invalid unless the wort authoriled by such pertit is COIIl!Dced vi thin sillODtbs of issuance, or if IOrk authoriled by tbe penit is suspended or abandoned for a period of sil IODtbs after the Ute the wort is COIIl!Dced. One 90 day eltension of tite, lay be allowed for the pertit with fee charge of $15.00. fbe eltension sball be requested in 1fl'iting to the Building Official. An!approved inspection lUSt be logged during each sillOllth period, or the project lill be considered abandoned. WARlIRG ro~: YOOR FAILURE 10 RICORD A ROIICB OF tUIIIDCIIIDI MAY RlSOLr II YOUR PAYING IIICB FOR IIIPROVIIIIIl'S TO YOOR PROPERTY. IF YOU ImND TO OBrAII FIWCIIG, COISOLT WITH YOUR LDDIR OR II AnomY BI10RB RICORDUG YOUI JIOTlCE OF moaCIIIDT. JOBS UImIR $2,500 II VALUE DO 101 IBID ro RECORD AND POSr I 'IOIICE OF C(JfDIfCIIIDT'. SIGJIA!URB: 0IfIIIR OR AGIIIT SIGJlAruRJl: COIIIIIACfOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATB 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. who is personally known to 118 or who has produced as identification and who did/did not take an oc,th. (Signature) (Na.e Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Namt!. Typed, Printed or Stamped) NOTARY PUBLIC