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Home My WebLink About96-5944 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N · (813) 788-6611 .. ~~594413 Date ~-/9-9G ~ ELECTRICAL PLUMBING Property Owner: ~~1;~. Job Address: 9;;l - . . Pa",el!.D.' ry: 6 _ . _ m_ ~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: 9+/cJ Zoning: Energy Code: ~ ~ Description of Work J 0 X / Y' _ ~ _ ~/ Radon Gas: 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. FINAL DATE Inspector City License Registration # State Certified License# Permit Fee -b;. 0 - ~ ~~;::~:~ __ ~ . ~-Y'2 ~ Address Telephone# Valuation or Contract Price '- ~ "~-)I: 0-0 ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fi~een 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 PERHIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAHB /le-fi; If j;f(~ PHON1i 7?~fLa /3 OWNER'S ADDIIBSS' . ~). '. ;;(e/-!pA/~' .. .::<:3501 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) PARCEL I. D. t / '/- d. 6 - d-- / - ;j BLOCK SUBDIVISION / J'"i p~ It) (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:4New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: -A-single Faaily _H/F _t of Units _H/H _eo..ercial _Indust. _Swia. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORKJ:-i.1L~ ~ 1 Sh--J.A 6 h C, e rl1 e. YI + F/ a t y- BUILDING SIZE: ) () x J'f: Square Feet. t;? / 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. VBUlLDING PERHITS REOUESTED $ 5 Sl(. CJ (~ Valuation of Total Construction _ELECTRICAL _MECHANICAl. AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. , City License Registration t ******************************** RlRCTRICIAN COMPANY State Cert. or Regist. . SiQDAture City License Registration , ****************************************** PLtJHBER COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration t ***********~****************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERHIT 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 cOlplianc~ 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 aay be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 nContractor Sections I 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 sign as contractor that aay be an indication that he is not properly licensed and is not entitled to pertitting 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 - HOJeOw.Der's Protection Guidel prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is 801e0ne other than the lowner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to coaencl!leIlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation 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 work and installation as indicated. I certify that no work or installation has cOlleDced prior to issuance of a perlit and that all work will be perforJed to leet 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 goverDIental agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water{Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvirDnlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone nA" or "A, etc. I, it is understood that a drainage plan addressing a ucOlpellsating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A pertit 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 beCOle invalid unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tile, lily be allowed for the pertlt 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 C(JfMENCBHENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMBNTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORNKY BEFORE RECORDING YOUR NOTICE OF COHHENCKHKNT. JOBS UNDER '2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COHHKNCEHKNT". SIGNAtURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19~ by STATE OF FLORIDA COUNTY 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 o~th. ~ (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~ J...~ ',,' ... ...;....... - .' ~ ~ ~~~ -.... ~..a..:.... "'- ..... - ~-.... 1-:: ,-. , ............ . ~ . .e :l ~i~ .. JO" ~ .&:" ... ... .. 0...., II: .. ... J ::..:: .e Do" GO., t ...u.. ~" .. .,.. z: . 0 ...~ ... 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'-> ,. 9' '/.? ~c:r" .Z'8i? ,211 ~ ~ \ '~I~~ ~ ~ ~ 0\ ~ ~ l~ ~ ~ \), \ '\ Z'i12 ,,?Y~ -' -; 0'209' ~ ~ ~ z: .....= ..... .q- u__ o = n::: 0 ' o I.U I.U ut-z: u<(O <(ON ~ ~ ~i ) / ~ ,36' ~ ~ ~ ,0 ;,?,:? . ~ t\i ~ ~ ~ ~ ~ -~ " , Ii! ,,(X?BOa I ~~C-:~~"b~ J ,~"" ~.o."\-;~ ~~~~~ ~~~...~ .,.x'\). ~~v ~~~ ~~ ,~~/ ""..?Je:YJt $' #J~ 3' ----.----- ---.-....---..----,--- ::---.......--..-.. ~ SPECIAL SERVICES ~ CUSTOMER AGREEMENT Store 248 LAKELAND 2805 ROAD 98 LAKELAND FL 33805 Phone (941) 688-6800 Salesperson: CHUCK Reviewer: HETHR Page 1 of 1 Transaction 0248 00020 42349 f ( Order Total $554.38 ( Amount Paid $554. 38 r CUSTOMER INFORMA TIO'" Last Name KENNEDY First Name BETTY Phone-Home (813) 782-4013 Phone-Work- Address 4912 19TH STREET City ZEPHYRHILLS State FL Zip 33540- Company Reference SHED 1.00 EA ESTATOR SHED NOMINAL 10X142 CTNS. 1.00 EA FOUNDATION FRAME KIT 10X12 10X14 CUSTOMER PICK-UP WILL-CALL DETAILED DESCRIPTION OF SERVICES ;:lili'.ii;;;ifair.::;nii:::""'.U..:...:&r.A;M...:.....i:lD:;:=a~S~j(;;HD::::r.:'ft:::::::;:;:;:;;;:;:::;:;;;:;:;^;~::6I:i:aiilia~lit~: )~~~~!~m;n:~:{*~tii:*:..:...;Rii~!$..:..:...~~~:ir:.~t::$fi~lMtiii:i:!:r!i!i;tii;i~ii~:.~.:!~M~~~ 515-664 CUSTOMER PICK-UP WILL-CALL PICK-UP DATE: MERCHANDISE TO BE PICKED UP: SUBTOTAL SALES TAX TOTAL AMOUNT PAID $523.00 $31.38 $554.38 $554.38 1. 00 EA EST A TOR SHED NOMINAL lOX 14 2 CTNS. 1.00 EA FOUNDATION FRAME KIT 10X12 10X14 !1N.1!~!II!!:.I.!o.MII.!Jij.f:ft"l:!NI~!:!I!::!::!!!!!jj!IIJ.!111.'1 Will CAll TERMS AND CONDITIONS 1. Will Call items will be held in the store for 7 days only. 2. Bring this customer agreement to the Service Desk to receive Will Call merchandise. By signing below, the Customer accepts the terms of this special services Customer Agreement Customer X N Signature CO Ln N ~ . o 2 Customer Copy Date