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Property Owner:
Job Address:
Parcel I. D. #
Zoning:
Description of Work
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit ]I!
(813) 788-6611
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ct5.r-,~5-~/-~A-D- ~11t?1
Radon Gas: ~. ~~
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'~55l16'
/- 2.$--r~
Date
M~wer Conn
Water Conn:
Water Meter:
T.I.F.'s:
FINAL
1> \ q \ 'i't"
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.
Valuation or i ~ . '2..52
Contract Price , :':1 DO
,
City License Registration # c:2. ~ 7
State Certified License# CG'{!D06Cl)s-
~~#~:;S~Z7
Ftr. j...t(P 1(, tJ4'1~. Servo
Pre SLB~ Rough In
Untol L - i~~ Me... Can
FRM. _~_- _ . _ ~rConst. Pole
Insul. CL Pool
WL Pre-Meter
Final ,+!.).... I \q \. 'holL
Permit Fee
Signature
Company
Address
Telephone#
. PLU~
~
-
ME~
-
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
~f~':tj~ z-e..~(p ~t9'l-J
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 PEIlliIT
CI'IY OF ZEPllYRIrIU.s
BillLDIRG DEPARIHEm"
--:;>7? f- / ~ ~ o-v
/-/0-96
, OWNER'S NAK.E PETER MARTELL
OWNER'S ADDRESS 38701 ALPHA AVE., ZEPHYRHILLS, FL
JOB ADDRESS 38701 ALPHA AVE., ZEPHYRHILLS, FL
PllOiNlE '
(813)782-2344
LEGAL DESCRIPTION: LDI'(S)
161
B~SunDIVISIOiNl ALPHA VILLAGE
PARCEL 1.0'.'
k'URK PROPOSED:_lNlew Construction -L-Addit.ion _Alterat.ion _Repair _Install
I
_Sign
_Hove
_Deaolish
PROPOSED USE: X Single F3IIily
_H/F
_, of Units
_H/H
_Coale rc ial
_Indust.
_Swu.. Pool '
Other
_Restaurant & nealt:h Depart:aen.t Approval
BUILDING SIZE:
13 X 26,
338
Square Feet.,
Height
RESIDENTIAL:
COHKERCIAL :
ATTACH (2) PLOT PI..ANS & (2) SEIS OF BUILDING PIMilS & (1) SET RNERGY FORMS. **
ATI'ACII (3) SETS OF BUllDDG PLANS & (1) SET ENERGY FORtIS. **
**COPr OF CONTRACT RRQUIRIlD.
PERKllS REQUF..STED
--L-BUILDING
-L-ELECTRICAL
$
6,300.00
Valuation of Total Constrvction
AHP Service
Florida Power Corp.
W.R.E.C.
-.JIEGIlANICAL
.$
Valuation of Hechanical Installation
---'pLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frase _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER Ke'v'.i n T. Roberts COMPANY Genera 1 Home Development r.nrp . /'
. . Ill? Stat.e Cert. or Regist. , CGC005695 V
Signature i""'''PA\.A:t.E:lk'A -' ~,.. u..J2jJ City License Registration 4# ~ ') L'1
~ ***************-************************** ~
ELE
COHPANY Martin Electric
State Cert. or Regist. i ER0013449
City License Registration I ~ ~
**********x*~*****************************
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PLUMBER
COHPANY
State Cert. or Regist. i
~ ...-- _.___ _ . Ci ty I.icense Ree:i.s ~:t:"a tio!!. JIi, _
******************************************
Signature _.
KECHANIaAL
co;npANY_
State Cert. or Regist. ,__
__ City License Registration I '
******************************************
Signature ~
OTHER Rick GaW
Signature -K ~-J!' ~ A5~
CO:m>Mfi r,;l vi n Rnofi ng
State Cert. or Regist. 1~4~?41
Ci~ License Registration'
*************************~****************
APPLICATION APPROVED BY
PERKlT OFFICER.
cmll) I T I OI\jS OF PEFWI1 T {~FF I D(2)',)l T \
A. NOTICE OF DEED RESTGICTION~
The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than City
regulations, The undersigned assules re;ponsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or c~ntractors to undertake work, they may 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 uy be
cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended :Iork, they are advised to contact the Ci~y of Zephyrhills Building Departaent, 19131
799-6611 ,
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
"Contractor Sections" of this application for which 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 work. If the contractor wishes you to siqn
, as contractor that eay be an indication that he is not pr,perly licensed and is not entitled to perlitting privileges in, the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs, If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docu~ent and pro&lse in qood faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work Hill be done in cOlpliance with all
applicable laws requlating construction, zoning, and land developlent.
Application is hereby lade to obtain a p~rlit to do work and installation as indicated, I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laNs
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction, I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actiDiis I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treataent
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, DDcks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environlental Protection ~Qency - A=bestos abatement
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 'co~pensating volu!eb Hill be sJbaitted which is prepared by a professional engine~r registered in the State of
Florida prior to perlit issuance.
A perait issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of aperlit prevent the Building Official fro. thereafter
requiring a correction of errors in plan~, construction, or violations of any code, ~very perlit issued shall becole invalid
unless the Mork authorized by such per~it is co..enced within six lonths of issuance, Dr if work authorized by the per.it is
suspended or abandoned for a period of SIX lonths after the tile the Hork is couenced,' One 90 day extension of tile, lay be
alloNed for the perlit Hith fee charge of $15.00, The extension shall be requested in writing to the Building Official, An
approved inspection lust be logged durin~ each six tonth period, Dr the project will be considered abandoned."
WARNING TO OWNER: YOUR FAILURE TO RECORIl A NOTICE OF COMMENCEMENT HAY RESULT III YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
PROPERTY. If YOU INTEND TO OBTAIN FINAIJ::Jl16, CONSULT HITH YOUR LEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEIIENT. JOBS UNDER $2,500 IN VALU,: DO NOT HEED TO RECORD AND POST A "NOTICE OF COI1MEI1CEMEHT".
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SIGNAT : OWNER "OR AGENT
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CONTRACTOR
F~.. '.
I-laS a~knOWledged
III ft, h"
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STATE OF FLORIDA e
COUNTY OF _ OA ~ _
The foregoing i(\tl-ument I-las acknc'I-lledged
tH:!"fr..\-e !ne ~.h; S 1ft.-' c:r .,; 1 Q ..1.. ~_ hy
'I-lho iS~~~Y ~!~~'~o ~;~hC' has
produced
as identification and who did/did not
take an oath4~(.? ~~
(Signatu'l-e)
STATE OF FLORIDA ~
COUNTY OF . ~
The foregoing i strument
b"'fo"'" m", th; e ..-. ~
.... ,.' ...- I..~
4,...t:..
who 15 personally known who has
produced
as identification and whc' did/did not
take antf~ f? ~
(Signature)
-
,(Name Typed, Printed co)- Stamped)
NOTARY PUB
BARBARA A, ALLISON
Notary Public, Stata of FlorIda
My Comm. Exp. 03.26.98
Comm. No. CC 358940
I!"'~"H"'\ A, ALLISON
N~l"'y ,"Wqlle, State r,t Florida
t.,y Oamm. E.p, 03.26.98
Camm, No. CC 358940
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