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Home My WebLink About95-5384 BUILDING PERMIT -- CITY OF ZEPHYRHILLS Permit 1\l! (813) 788-6611 !~538t J1 BUILDING t20. J7J ~~ Property Owner: r~.AI€-4.. n U7~ " Job Address: 3?-S'!/ - /4 ~ Parcel 1.0. # 1/ - ;),6 -/)/- () t!J/ 0 -- a..o ~ 00 - PLUMBING 30. tr7J ~ANI~ Sewer Conn Water Conn: Date //-/tf-Y-~- Water Meter: T.I.F.'s: C'/30 Zoning: Energy Code: Description of Work ~ ,-bI..J A;/ L Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee 00, cri) := Signature r-:k;;t- ~~:('r._,a Company Address Telephone# Valuation or Contract Price c2 f-o-D - OD / City License Registration # 11.- State Certified License# (~-D-M~71 Ovo-LLe~ BUILDING ELECTRICAL PLUMBING MECHANICAL - Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. '-4lil. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE CHARLES NELSON PHONE 788-6042 OWNER'S ADDRESS 38541 1st Ave.(cor 7th st.) Zephyrhills, FL 33540 JOB ADDRESS Same LEGAL DESCRIPTION: LOT(S) 13 & 14 BLOCK 207 SUBDIVISION City of Zephyrhills PARCEL I.D.' 11-76-21-0010-20700-0130 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: Install Central Heatina & Air ConditioninQ BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTIUCAL AKP Service Florida Power Corp. W.R.E.C. ~MECHAlfiCAL $ 2800.00 Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regis t. . City License Registration , ****************************************** ELECTRICIAN COMPANYt(1c I{ .(/2;<7 CU/f.A>l4~ L_ ~LEc 7/01 / C. ---:--:---~ ~ State Cert. or Regist. , SiR at: e~c:>d"'-el' G ~/ City License Registration t ?;;L ****************************************** PLUMBER COMPANY State Cert. or Regist. f City License Registration t ****************************************** Signature MECHANICAL SigoatureA" # ,.'-"~/- . .' . ! 1~'1"':, '/,,-, c:;....//~ COMPANY Craddock's Air Conditioning State Cert. or Regist. f RM0019937 City License Registration' 71 ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. ,- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this pellit laY be subject to .deed restrictions" wbich lay be lOre restrictive than City regulations. Tbe undersigned assutes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake wort, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for tbe intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If tbe contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to pellitting 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 with a copy of .Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is SOHOne other than the "ownerl', I certify that I bave obtained a copy of the above described doclllent and prOllise in good faith to deliver it to the "owner" prior to cOllllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all appliCable laws regulating construction, zoning, and land developleDt. Application is bereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or installation bas ~enced prior to issuance of a pellit and that all wort will be perfol'led to Ret standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1llental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lillited to: t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateleDt 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 "cQlPeDsating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 tbe technical codes, nor sball issuance of a pellit prevent the Building Official frOll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball beCOle invalid unless the work authorized by sucb perlit is COllenced within sillOnths of issuance, or if work authorized by the pellit is suspended or abandoned for a period of six IOntha after the tiR the wort is COllenCed. One 90 day extension of tile, laY be allowed for the pellit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eacb six IODth period, or the project will be considered abandoned. WmING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIIMDCEHm MAY RESUL'f IN YOUR PAYING 'fIIICE FOR IMPROVIIID1'S TO YOUR PROPERTY.. IF YOU INTEND 'f0 OB'fAIN FINANCING, CONSUL'f WI'fH YOOR LINDO OR lJf AnomY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POS'f A .NOfICE OF COMMKNCEHm". ~~~L/ ,( SIGlfA'l'URB: OIfIIKR OR ~ . . ~ /? p7./ _../' ,{. , " ~7CL~r"~ ATURE: NlRACTOR S'l'ATE OF FLORIDA COmy OF The foregoing instrument was acknowledged before me this , 19____ by STATEOFF~ coum OF ~ The forego~ng instrument was acknowledged before me this / Cf /VOII, 19~ by CJ..~~rI C-RArJ~vL who is ersonally known t e or who has produced as identifi ation and who d. ~did not ~rn.~ i ature) L-I:)p.. i D -('1 H Yn ,KV\..fJ'-e (, c (Name Typed, Printed or Stamped) NOTARY PUBLIC OT ARY PUBLIC - FLORIDA W COMMISSION EXPIRES AUGUST 28, 1998 COMM #CC400132 who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC