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Home My WebLink About95-4987 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ 4987/5 DatE! ,.:r--3lJ -r~- (BlJiLDIN0 6ECTRIC~ PLUMBING GECHAN~-Oewer Conn Water Conn: ::::::,~,:~:~~&f[ ~~~~~ Parcell.D. # Water Meter: T.I.F.'s: Zoning: Energy Code: DescriPtionofwork#c.. ~ ~t? -~ Radon Gas: ,.s 1/ ~ ) 0) FINAl___ NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. -- Ail work shall be performed in accordance with City Codes and Ordinances. DATE Ks- Signa Company Address Telephone# Inspector Valuation or Contract Price 9,-s-; cJ..R-? era City License Registration # State Certified License# ~J(r d.A-t CH/41- BUILDING ELECTRICAL PLUMBING ~~41: MECHANICAL YI!~ ,2'11 Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor I=inal 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. APPLICAnON FOR PERIIIT CITY OF ZEPBYIUIlLLS BUILDING DEPARTHEIIT OWRER'S lWIB - C \ -\-~ c ~ L - ~I 1 \ <; PBONE'7e)~?> OWBER'S ADDDSS '6 33S ~ S*-. Z~Dhl..fOhlil<:, JOB ADDRESS J; 33S p>t~ Sf- - 7~ ~~ II h \ lh--> ~ {. (obi / . LEGAL DESClUP'l'IOII: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. t (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction --.-.Addition V Alteration --Repair _Install .--Sign --.-JIove ~lish PROPOSED WE: _S~e F_i~ ./" ec-ercial --.Jt/F _' of Units ~/H _Indust. _Swia. Pool _Other ---..Restaurant & Health Departaent Approval DESCRIPTIOII OF WORlt:~ ~ Iv-) t)Q..~ - Rc' \2Cof' - e\~ck Jc...A ( BUILDING SIZE: x Square Feet, Height RlmIDEIITIAL: ATrAaI (2) PLOT PLANS & (2) SETS OF BUILDIIIG PLANS & (1) SET DERGY FORMS. COMKERCIAL: ATTAaI (3) SETS OF BUILDING PLANS & (1) SET DERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. ~UILDING l./'Rr.RCTRICAL ~CAL PERMITS REQUESTED C/ $%12e,O--, Valuation of Total Construction AIIP Service Florida Power Corp. W.R.E.C. $. ':>"3. SSOo~ / Valuation of tlecbanica1 Installation ---.-.PLutmDlG GAS ROOFDfG _Fraae 0teel Other SPECIALTY TYPE 9F COBSTRucrIOII: _Bloclt FDIISIIBD FI.OOll ELEVAfiOIlS: Fr. IS PltOJEcr IN FLOOD ZONE AREA' ~ YES NO .......................................... CONTRACTOR SECTION RDTI.bllR ___~ OllOIPAllYK YI"''';~ CG'N:;'~' 0':; ~ State Cert. or Regist. tC~C--O~5t~4- Signatur. - City License Registration' a~ .. ...................................... :=.=<.,. ( ~<---~_ =:U~:~~~~iS~\~~~13~~~ ____'--_ 2:1 -"'= ~ City License Registration.' :'1' \ .......................................... PLUMBER ~JA-- I COKPANY State Cert. or Regist. . City License Registration . .....................*............*...*... Signature ~CAL L Signature / &L COKPANY~0TH,zt?1---.. CGP1/l_+b~1 State Cert. or Regist.' ~ 114 001 ~ L L - City License Registration f //0 .................*.....................*.. E~0 OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . ......................................*... APPLICAnON APP1lOVED BY PElUIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this penit IlaY be subject to 'deed restrictions' Ibich llay be lOre restrictive than City regulations. 'fbe undersigned assUJe8 respcmsibility for COIpliance witll any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner lias hired a contractor or contractors to undertake work, tIIey laY be required to be licensed In accordance with state and local regulations. If the contractor is not licensed as reguired by law, both the owner and contractor IlaY be cited for a lisd_anor violation under state law. If the OlDer or intended contractor are uncertain as to lhat licensing requirelents laY apply for the intended IOrk, they are advised to cQlltact the City of Zephyrbllls Building Departlent, (813) 788-6611. FurtheIlOre, if tile owner has lIired a contractor or contractors, be is advised to have tile contractor(s) sign portions of tile .Contractor Sections' of this application for wbicll they lill be responsible. If you, as the owner sign as the contractor, you are inc1icating that you, ratller than the contractor, are responsible for tile work. If tile contractor wislles you to sign as contractor that IlaY be an indication that lie is not properly licensed and is not entitled to penitting privileges in tile City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tile applicant, have been provided witll a copy of 'Florida's construction Lien Law - lkIIeoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOIeOIle otller than tile 'OlDer', I certify that I have obtained a copy of tile above described docUIent and pImlise in good faith to deliver it to tile 'owner' prior to COII8JlCeJellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infonation in this application is accurate and that all IOrk lill be done in COIpliance lith all applicable laws regulating construction, zoning, and land developlent. Application is bereby Be to obtain a Perlit to do work and installation as indicated. I certify that no IOrk or installation bas CDlenced prior to issuance of a penit and that all IOrk lill be perfoned to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in tile jurisdiction. I also certify that I understand that the regulations of other governlll!J1W agenCies IlaY apply to the Intendec1lOIt, and that it is IY responsibility to identify .hat actions I lUSt take to be in COJpliance. Such agencies include but are not lilited to: t Departlent of EnvirOllllelltal Regulation - Cypress Baybeads, Wetland Areas and EnvirOllllelltally Sensitive Lands, Water /Wastewater 'lreatlent t SoUtblest Florida Water Hanagell!llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Xavigable Waterways t Departlent of Health i Rehabilitative Services, EnvirOlll8lltal Healtll Unit - Wells, Wastewater Ireatlent, Septic lanb t US EnviIOllll!lltal Protection Agency - Asbestos abatl!lent I also certify that, if flllllaterial is to be used in Flood Zone 'A' or 'A, etc. n, it is understood that a drainage plan - addressing a 'COIpeIl8ating volDle' lill be subJitted Ibich is prepared by a professional engineer registered in the State of Florida prior to penit issuance. A ~it issued shall be construed to be a license to proceed lith tile wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Buildlng\ Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery penit issued shall becme invalid unless the wort authorized by such pellit is co.enced lithin sillOllths of issuance, or if wort authorized by the penit is suspended or abandoned for a period of sillOlltlls after the tile tile wort is co.enced. One 90 day utension of tile, IlaY be allowed for the penit lith fee charge of $15.00. !lie utenslon shall be requested in writing to the Building Official. An approved inspection lUSt be -logged during each sillODth period, or the project will be considered abandoned. WlRNIIfG 'l'O omR: YOUR FAILURE '10 RlCORD A ROIICE OF CClMDCIIIIIfI MAY RlSULI IX YOUR PAIIIG NICE FOR IMPROVIIlIIIS 'l'O YOUR PROPERlY. IF YOU IJDIlD to 08lAII FIWClIfG, COISULI WID YOUR LBIDIR OR D AnomY BEFORI RBCOBDIIG YOUR ROIICE OF ~~'~o IIVMa OOQ__W~~: ~~.. SIGlAIURI: OOER SIGMlfURB: R SfAt'E OF FLORIDA () coum OF ~ The foregoing instrument was acknowledged before me thisVJ.-v1? J. b , 19 r S- by ~~ersonallY known ~~)or who has pro uced ; as identification and wbo ~d/did DOt take anft~^-'/yJ'r~/1' (Signature) (Hame Typed, Printed or Stamped) HOTARY PUBLIC ~tRY ~ .^ DONNAM SINCLAIR * * My Commission 00382619 ", Expires Jun. 14. 1998 ~1t1lF p..' SIAR OF FLORIDA ~ coum OF ~ The foregoing instrument was acknowledged before me this <"Yv1 d ,':}b , 19~ by ~ is personally known to ~~r who has oauceCl as identification and who did/did not take an ~'-h1~~' (Signature) (Hame Typed, Printed or Stamped) HOTARY PUBLIC *11* "'-.;,. .....<:1~ "OFf\.U" DONNA M SINClAIR MyCo~~n~19 Expires Jun. 14,1998