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Home My WebLink About96-5612 ./ ~ ~~ ~- PlUM~~~ Sewe.Co", :::::.~,:~e" ~~~~t'~v11.CJfAd Parcell.D. # 0,2 - ~ If'-' - .;1/- 0 /) ~ 0 - 00/ DO - 0 ~ I D Zoning: ~ Code: Radon GJUj: De"";.';O" of Woo. ~.{ '!I~<~ =y- "'--'Y / db J, 2~ iJ It, BUILDING PERMII--- CITY OF ZEPHYRHILLS Permit Jl! (813) 788-6611 T5!ii2$ d-~/-7~ Date Water Conn: Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price II ~ 000 (~ Permit Fee Signatur Company Address Telephone# City License Registration # .,3 :3 ~ State Certif License# PLUM MECH Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Meter t2 Final Driveway 2-r-Zl -1(, .fJeJ1J REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE 'JY)(s. Eve \y (\ Mey cd J OWNER ':; ADD~S we) ~L\-- \ O\...\A'\ ~ 1o()~L\- t ~ ?5t~-D at PHONE ~ I-?=>- f{~~ -3l<O~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION tLi'S on PARCEL 1.D.' D~- 2(0- a\ - OC)~u- 00100- ~~.JO (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign PROPOSED USE: XSiogle Faaily _Move _Deaolish _M/F _' of Units _M/H _eo..ercial _lndust. _Swia. Pool ___Other _Restaurant &: Health Departllent Approval DESCRIPTION OF WORK. CD ~,~ UA....vO ~ t...2o.J.j 3 ~g --r BUILDING SIZE: 1;L X 4--o,51lt, Square Feet, Height \ . n - () 0\ ~ wCfJ.)G 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. PERKITS REOUESTED _BUILDING $ \ OCi:) ':2.. Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. _MECllAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDlISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** Bl/IlJlER. WNTIIA'::':wrVO (d Co Yl ~~ ~~ State Cert. or Regist. . Si e City License Registration' 33l.D ** ****** ******************************* ELECTRICIAN COMPANY State Cert. or Regist. . SionAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration . ****************************************** OTRF.R COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this pelllit lay be subject to "deed restrictions" wbieb lay be lOre restrictive than City regulations. rhe undersigned asSllleS 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to "bat licwing requireJents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtheIlOre, 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 whieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to pelllitting 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 - HOIeOImer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to COIlf!llCl!leDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developleDt. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a pelllit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agencies Jay apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Sueb agencies include but are not liJited to: t DepartJent of BnviroDlental Regulation - Cypress Baybeads, Netland Areas and BnviroDlentally Sensitive Lands, Nater/Nastewater TreatJent t South.est Florida Nater Hanagl!leDt District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses t ArlY Corps of Bngineers - Seawalls, Docks, Navigable Naterways t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - NeIls, Nastewater TreatJent, Septic ranks t US BnviroDleDtal Protection Agency - Asbestos abateJeDt 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 volllle" will be subJitted wbieb is prepared by a professional engineer registered in the State of Florida prior to pelllit issuance. A pelllit 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 pelllit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless the work authorized by sueb pelllit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after the tile the wort is c_enced. One 90 day l!Itension of tile, lily be allowed for tbe pelllit with fee ebarge of $15.00. Tbe l!Itension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb six IOnth period, or the project will be considered abandoned. NARNING TO 0NlfBR: YOUR FAILURE TO RECORD A NOIICE OF COMMENCED1ft' MAY RESULr IN YOUR PAYING 'l'NICE FOR IHPROVEMmS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIWlCING, CONSULf WITH YOUR LENDER OR AN AffORNEY BlFORE RECORDIHG YOUR HOfICB OF COMMEHCEHElfT. JOBS UlfDER $2,500 IH VALUE DO HOT NEED TO RECORD AlfD POST A "HOTICB OF COMMElfCBMEMI". SIGlfAfURE: OIflfER OR AGED SIGHAfURE: COIft'IIACTOR srATB OF FLORIDA COUlffY OF The foregOing instrument was aCknowledged before me this , 19____ by SrArE OF FLORIDA COUIft'Y OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an Oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC STlIIUT Mr. Haack/MrS. Herald Jfrnpnsal / atnnfrad . 0 0 Aluminum & Concrete 6017 GallSlvd. Zephyrhills, FL 33541 (813) 782-7497 1-8()().308-8274 Beeper PHONE 813-782-3768 JOB NAME Page No. ~f Pages ~ II: Proverbs 22:29 PIlDftOSA<<. SUhlTTlO TO i.: Ii" iir DAn: 6034 10th street CllY. STATE AND ZIP COO! Zephyrhills, Fla. 33540 ATTemaN: 2-1~-96 ,(. Ii w. hereby S&obm.t SDee./iuhOllS and estimates lor: I;. #-D:1-~_ Q11- at"&Q- ODIOO- O~\O Jt')8 ",,",ONE .". 3x28 A Driveway approach iran road to existing carport slab. price includes flares at road. Sidewalk up to front door VoId Construction to do the follOWing lNOrk: 12x43 Price includes all material, labor, and building permit .. 'rlljllW ....... to 'um;.h ........., aod iabe, - coinp'''' in .cco'oonce with ._ .__.."'. 10< the .um at !j: 'j: One itJousand cbllars and no 100 · - · - . .. . - . _ . _ .. .. .. _ .. .. . . .. . .. dolfa", ($ 1 ,002.00 ). Payment to be mac:te as fotlows; if' 'i. AlII -.1 ;. ~ to a. .. SlNClflN. ....1 _ to lie ~ In.. __.. ....- accontiIllI to ........rd JnCtic-. AIlr a....iDftor ........ '- .....' -'fica. AlIthorized tion. i--., ..... -a. wiIIlle -..... 0"" _ lIIfitI", MIers. _ will '*- lIIl Sianature -- ~-.. - -,...... t... --. All ..'............ _....... u_ _..... ecc"'ls or delays ..."..... au, -. Owner to '*'Y IU'e, tomaclo SlId ""- '*'~ ms."ltftC:.. Note: This 0." - - faolljr c-...,. w.nr-.. c-._...... ,-_.. withdtawn by us jf nor " 1J. :1. !L ;1.. days. t\.rr.rptanrl' .of 'rnposal- The mow. prien,. spec:.tieatiot!, ...... COftditiaft. are satis1actOly and .,.. hereby lICeefJted. Vcu are authorized o do 1he - ;IS ..peclfitld. Pa}lment win be made as outlinedal:lcwe. . SI&nature (,. it tate Of Ace_PC__II:.: Sicnature ;i' Ii: i.i" 'W! J ~. . ..'\ ~. '.1I'"'h """;'8Al' , ';::t '.1'l0~' .. "', ". " ! " . "I ' 'I I ", '(db' , ap' O5'-\. l'h' "~'; . !ij ,I j . l :'+"J '" ! ' J, " . . . . . ,! . , . ,. ..' ; '. " ,., ,.. , ., Ii , DiX ';''Q.~ ~./; - !C!X:!)% D """Olt::.\ ~:.' C> .'fU () : . , ..'.. , '.. ': . 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