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Home My WebLink About96-5698 /.30, ()7) ~DINV :=::'~S:~~~'1ffi!,t~~ ~j;'.b1 Parcell.D. # II -:J6 ..cJ./ - 60/ b '- / <fVo 0 - 06/ D Zoning, '~Cod.' R.donG.., ;2~ Description of worC_~ a rJ JJ:-E:~ BUILDING PERMlt- CITY OF ZEPHYRHILLS permit]l! (813) 788-6611 02.5'.O-V cPWMBINGJ -;~-569~s6! Datl~ y- J -7b ~..s: &7J c&ECTR~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordina,ek- \f/7t~~. vrr~ 6--/Y-?b I~:~r: ua Inspector P..mitF.. ~~ c.o. DATE Valuation or Contract Price ;l ~ JY75..... (J""'D City License Registration # :J)7 9 State Certified License# Signature Company Address Telephone# {3.;7t-1. &J:j1/-~~ r-;?CzdAL~;; d~~~ /6 PLUMBING MECHANICAL SlB ~ B,.ak... Tub Set . Ducts Insl. Water' Compressor Sewer Final Final BUILDING ELECTRICAL Tp. S.rv.~ Rough In b ~ Meter Can - ..... ~ Const. Pole Pool Pre-Meter t.\nft~ ~~ 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. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. 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 NAHEMICHAEI RICKEY / KATHI RICKEY OWNER'S ADDRESS 5252 11TH ST. ZEPHYRHIIIS FLA. JOB ADDRESS 5252 11TH ST. , ZEPHYRHIIIS, FLA. PHONE 7 15 - 18 6 6 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' 11- 26 - 21-0010-18000-0010 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction XX Addition _Alteration _Repair _Install _Sign. _Move _Deaolish PROPOSED USE: ~Single Faaily _M/F _' of Units _M/H _C~ercial _Indust. _Swim. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: AD D I T ION ADDITION SIZE BUILDING SIZE: 16' 8 IX 18 I , Square Feet. 288 Height 8 I 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 REQtnRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING ,$22.875.00 Valuation of Total Construction _ELEC'fRICAL 150 AMP Service Florida Power Corp. W.R.E.C. N A MECIIAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: KK-Block _Fraae _Steel Other FIRISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? -1L YES NO ****************************************** CONTRACTOR SECTION U% Q>>WANYBETTER BUILT CONSTRUCTION INC. /Jjf, State Cert. or Regist. .RR0059931 Signature jll,'tit City License Registration' 279 ********************************* *'*****,6' 0 d . , 'It h., /rIl-tJ Lje,f# IJML- <----<-~,.7fl~'-1-L (C1^/r~ ELECTRICIAN COMPANY. --." 4.~ /'7 ~ l __~ State Cert. or Regist. , "t? SiQOAture d!'?~~( LLd-e'''~' City License Registration' f ****************************************** BUILDER Signature L COMPANY I. , --~' State Cert. or Regist. t C 'A/?~ ~.6o~ City License Registration t ****************************************** G PLUMBER MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, 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 JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 wort. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly 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 - HOJeowner'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 docUlent and prolise in good faith to deliver it to the "owner" prior to cOllencl!.lent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all wort will be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIental agencies JaY apply to the intended work, and that it is my responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida W~ter HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rebabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * QLEnvirODlentaLPr.Qtecti.Q!!,Jgency - Asbestos abateJent 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 "cOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. .:.,,~ '. i ~ l A perlit issued shall 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 the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOJe invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work .autborized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tile, JaY be allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCmmNT MAY RESULT 1M YOUR PAYING !VICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LODER OR AJI ATTORNEY BEFORE RECORDING YOUR NOTICE OF ClIlIIEIICEIlIlJiT. ~500 II VALlIE 00 IIOIIlIED 10 llICOIlIl AIID 1'0.'11 A 'IIOIICK OF CllIlIIIC "". ~w ,~ STATE OF FLORIDA COUlflY OF \7QSc..{) The foregoing instrument was acknowledged befor e this IIJ~ If, 191fL by ( -I-- ~tl. if 'v o i personally known to me r who has produced as id tification take n oath. ........... OFFICIAL SEAL .'~I'l.t!tt'.. I ~" SUSAN A. McCOLLUM E. :.MY Commission Expires \ ; A;:>ril 16. 1997 '.~,... ~~..Comm. No. CC 268679 ..f:Oft~;. ...,...~- e.._ STATE OF FLORID)Y) COUNTY OF l:::Ol.c.;> cO The foregoing instrument was acknowledged before me this fth,<!..h l~ , 19~ by ff\ Ie ha~J .\=1' KfJ who is ersonally known to me or who has produced as identifica ion and who did/did not ta~:JfJ;~~~~~ (Ji'gnature) (Name Typed, Printed or Stamped) NOTARY PUBLIC '"''~'f.''''''' SHARON L. BARBER !~.~,~ MY COMMISSION /I CC443613 EXPIRES ~..~:,u March I, 1999 "'~i'p."r.'~~' BONDEDlllRU TROY FAIN INSIJRAIiCf, INC. I" u'"