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Home My WebLink About95-4956 BUILDING PERMIT Permit ,.., CITY OF ZEPHYRHILLS (813) 788-6611 _4956t1( ~-- /7-7'.!J- Date Property Owner: Job Address: Parcell.D. # ..-.....'......-".-..-,,- ELECTRICAL PLUMBIN..9 ~ jE 1.~~7& " ~ . c ~~~t5~, ~ ' Sewer Conn BUILDING Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work ~ Code: 'd?? t/R.A1 -<0 A Radon Gas: ~ :: (? -A"tl<- . uC FINAl_~~ c; DATE -- NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# lID ~ . Permit Fee Signature Company Address Telephone# Valuation or Contract Price ~ ,'c) . ~ KOO'- ELE PLU MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. 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. Ilf;; . .1 'it';~"'.'" \ , Al.1PL'ICAttOR FOR PRRH'IT an' Of' ~Jmn'RUILts IHlfltD'INO DIU>i\R1ltll!N1' OW'NElP S ADDRESS S tl1. ( I\-) 30;;.. 3;> g-1'11 sl 3c;~3-~ grrJ ~T 1'110~F.. ' 7~3 r 7<1 '7;-- .' OWNER'S NAME . JOB ADDRRSS LEGAl. DESCRIPTIoN: l.OI'(S) PAACKt 1.11.# "'URIC PROPOSeD:_lr"ew Construction ---Addition -X-utcration ~ep3h: ~Xnst311 n~sunDIVISIOR- ._Sien _Hove _Dc.-olish PROPOSlID {{:IE: Sinele Fuily _---....Jf/F _' of Units , --.Jf/u t :d- ,: "_CoawcX'cbl ----.lndust. _Swi.. Pool . , Other Restau~al.l.t & lIc.alth De(Xl.1:'t~nt Approval BUILDING SIZE: x Square Feet, Height RESlDENTL\L,: COImRRCIAt : ATrACU (2) PLOT l'LMS & (2) Sll:fS OF BUllDINC PI.J\HS & (1) SlIT ENEnGY FOMS..* A'rrACU (3) S!17S Of' BUIlDING PUNS & (1) SET F..Nl!RGY' FORMS... ..con OF COH'I'lcAct RllQl!1lJUJD. J)f.:RKITS RP,OtJP,STP.O , , ---..nUILDING -ELECTRICAL --1{EClIANlCAT.. ---"pLUMBING $ Va!ustiOQ of Total Construction NiP Service Florida Power Corp. W.R.t.C. $ Valuation of Hecl~nica.l InstallatioQ ~CAS ROOFING sPEcwn TYPE OF CONSTRUCTION: ___Block ---.Fr~ _Steel o the 1:' FIIIISrmD nooR El.tV^TIO~~S: FT. IS P.RO.1ECT IN FLOOD ZONE AREA? ' , YES '- .....e~..~....**....*.*.***......t...*.... NO Si.en,3tuX'e p~::::~~~ IV 17 State Cert. or Recist. , Ci~ License Recistration , .................:::::::.................~~ Stat.e Ccrt. ot' R(!gist. " City Liceo$c Registration , *~.*....~s...*a.tttt.t..tt..t...~t~tt~t.. BUILDER ELECTRICIAN SiPJl3 t~J~e . . " . . JUf}- State Cert. or Rcgist~ . City License Registration , .*****..***....t*.**t...ttt..t.t~ttttA~ttt COltPANY PLUHnER ,. ,f. t; Sien.ature HEaTMfICAI4"'" d COHPANY~ SooTH ~?>1., 'cr:J-<..t-f.,~ -4 ' Stat~ Cert. 0[' Rceist.' R 11'1 on I S-C 2,. L. Sienature ~ City License ReClstration ; . /I 0 .-- . .......................................... /l / tA- St~te Ccrt. oX' R~eist. , City License ReCi$tration , . **...**..*****...a.....~..~.......*......* ' co:np(~ ~ Sien,3turo APPL'ICAnON Al'l),ROV&O Dr FEHIUT OFPICER. - . APR-21-94 THU 9:05 GENERAL HOME DEVELQPMENT P_02 COI'!I) I T 1 OI\jS OF PERI'U -r AFF 1 DfW IT, A. ~OTXC~ OF DEED RESTRICTIONa .. h ~t The underslgnrd underlihnds that this p~;:;a lIay lit 5ubhd to 'd~l!d :r$tdcHons~ which uy b. Ion ~l!str\ctlVI! \ ~n 1 Y r~~ulations. The undersigned aS5U_C~ rc,ponsibility for tD.plianc. Kith any appl1c~ble deed rvslrlc\lons. 1:) UNL I CENSED CONTRACTC1nS AND CONTRACTOR F<E:S--.e.QJ::!~tI B I LIT I e:~ &::'w _ " d ~ k'h b~ rc ulred to be llccnscd In accordancl Mltta If th. o~nQr hali hired l contractor or c~nlractDr' to un crta^c wor , · ~y lay q b st~tl and. local regulations. If the ,tontractor I~ not iicanscd as required by laM, both the OKner and contra~t~r l~ay ~ c'ted for I Iisdelcanor violation under ~tate law. If t~c owner or intandcd contractor are uncertain as to "~ clns ng . ,:\ul"atnts "y .,,1 Y I" th. intond., ""k, th.y ar. ",i", t. contael the Ci tJ .1 Z,phyrhil Is 1,i1,ing D.parhenl, IS131 '78S-L6H. .' Furtherlore if the OKn~r has hired a c~otractor or cDntractors, he is advised to have the contra'tor~s) sign portions of the 'contr~ctor'Settion5' of this application for Mhich they Mill be responsibl~. If you, as the owner 51gn as the contractor, you are indlcating that you, rather tha~ the contractor, are responsible for the Mork. ,If the contr~ct~r _ishe, you to sign . as contractor that Day be an indication Ihat he is not properly licensed and Is not entitled to perl1ttJng privileges ln, the City of Zephyrhills. c. rRANSPORTATXON IMPACT ~e~S AND U~ILITY CONN~CTION ~EE9 D. CONSTRUCTION LIEN L~~ (CHAPTER 713, F:O~IOA ST~TU:ES, AS AME~DED) I certify that II. the applicant, hive b~~n provided with a tOpy of tFlorld~ 5 Constructlon ~len La~ - H~.eDMner I Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affilrs. If the applIcant is SOleone other than the 'oMner', I certify that 1 have obtain~d a copy of the aboye described docUDcnt and pro_ise in good faith to dfliver It to the 'Diener' prior...to COllI!ncnent. ' , E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in~his application is accurate and that ill Mork Hill be don~ in co.pliance with all applicable la.s r~gula\inq tonstructiDn, .ooing, and land develop.ent. Application is hereby .~de to obtain a p~r.it to do Nork and Installation as indicated. 1 certify that no Mork or installation has cO.lented prior to iSSUJnce of a p~r.it ind that all Hbrk Mill be perforled to leet standards of all JaMS re9ulating construction, City cod~s, zoning regulations, and land developlant regulations in the jurisdiction. 1 1150 certify that I understand that the regulations of other govern-ental agencies lay apply to the intended work, and that it is IY responsibility to identify IIhat actiol!! I lust take to be in cOlpliance. Such llgllncies Include but are notH.Bed to: . Deoarll!nt of Environ.ental R~~ul~ti(ln ft Cyprrss Bayhcads, Wetland Areas and Environlentally S~nsitive Lands, " Water/Wastewater Tt~at4tnt t Southllest Florida Water Xan~Qescnt D\S~ w Wells, Cypress B~yhcads, Wetland Areas, Allerinq WattrCDurs~s t ArlY Corps of Enllinrll''5 - Seawalls, DtlC,h, Hilvi9~blt Wiltl!TltaYs . f Departl~nt of H~i1lth , R~h~bilitat!ve Snrvires, Environ.ental Health Unj~ . Wells, WasteHater Treat.~ntl S~ptic Tanks . US EnvironlentaI Protection AQ~ncy w A~bestos abatement ' I also certify that, if fill ..terial is to be used in Flood Zone ~A' or 'A,ett.', it is undQrstood that a drainage plan addressing a 'co.pensating volule' Hill be sub.i~ted which is prepared by a professional en91neer registered in the State of Florida prior to pertit issuance. A perl it issued shall be construed to be a license to proceed with the "ork and not as authority to violate. cancel alter, or set aside any provisions or the technit~l COd~5, nor shall issuance of a pertit prevent the BUilding Official frol thereafter requiring, correction of errDrs in plan:l, construction, or violations of any code. Every perlit issued shall beco.e invalid unless the Nork authorized by such peroit Is cOllenced Hithi,n six Bonths of issuance,' or if Hork authorized by the per.it is suspended or abandoned for a period of SIX Booths after the tile the work is coaQcnced.' One 90 day extension of ti.e, lay be allo~td for the perllt "ith fte charge or '15.00. Thp extension shall be requested in writing tD the Building Official. An approved inspection must be logged durin~ each si~ lonth period, or the project will be considered abandoned. WARNING TO OWH~R; YOUR fAilURE TO RECORll ~ NOTICE OF COHhENCEI1EHT MAV RESULT IN YOUR PAYING lIHCE fOR 1I1PROVEI1EIlTS TO YOUR PROPERTY. IF YOU JNTEND TO OBTAIN F1HAljl~1IlG, COllSUlT WITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR IIOnCE OF COKXENCEHENT, JOSS UHDER 11,500 IN VAlU; DO UOT HEED TO RECORD RUD PDS~7 OF COHmCmHr", . ~- ~~~- 51 NATUREl OWNER OR AGENT SIGNATURE, COHT~ACTOR J...... ).(;).,- P 3 ~ .. .S-f'- 01.9 G' - ~ 2>2- - g~o. >>-:l? J \ was ~cknowledged J l(J_ by STATE OF FLORIDA coulm OF . The foregoing instrument bef c.re me th i s STATE OF FLORIDA COUNTY OF "- The foregoing instrument before me this was ~cknowledged , 19_ by who is personally known to me or who h~~ produced as Idonti fie.tion .and whcI d id/d id not tal(e a.n oa.th. ~ho is persDna.lly known to me or who has produt:l?d as identification ~nd who did/did not ta,ke .an oath. (SigniAture) (SignatUl-e) (Name Typed, Printed or Stamped) NOTARY 'pUBLIC ,(Name Typed, Printed c.\- StClmped) NOTARY PUBL Ie,