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Home My WebLink About96-6234 BUILDING PERMIT Permit Nt? CITY OF ZEPHYRHILLS (813) 788-6611 623U Date /1 -jJ- -YG ELECTRICAL PLUMBING MECHANICAL Sewer Conn ,(l ~ / I ..- ).). ::7 t.- Water Conn: " f II - J). - 7 J. Water Meter: T.I.F.'s:l1 J /1 -:J.J.-Y'h I ",op,rty Owne' bti.lff? ~ Job Address: ~ __ Parcell.D. # Zoning: Description of Work JJ~code: Radon Gas: NO OCCUPANCY BEFORE CoOo FINAL 5'"- DATE Complete Plans, Specifications and Fee Must Accompany Application. CoOo All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~ 0 - Signature f..Lt'lJ11 Company Address Telephone# 0-0 't.}.etVV Valuation or Contract Price /09/,04:) '" City License Registration # c2 r State Certified License# ~r-'-~ )J7Lh~ ~?l~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv, /J- J 4-(( 0 (1) Ll- Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 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. t N-C1- s I "'AI ~y ~o~ -- -. I'FT ~ gj. dO PATI D ';J.10 'gFT loX t?O PAD FT If ~6FT '----........ L 1~1 } f(UlJY RD~ v~ _ . f' " L-Ln..t, ,/ k.~\ .~. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT (;;~~ OWNER'S NAKE [. MPva ~t-e (D((J OWNER'S ADDRESS 3q({J '30 C halAcei.-( F!d" -#- 5,q.,nt LJr ~I -- PHONE 7 X ~ - :;)..J (/ ~ Ze12hti (hi" J.s I R , JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single Faaily _H/F _, of Units _H/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: Co n (I J'Plt: S (g,J; 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 _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _HECllABlCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF COBSTRUCTION: _Block _Fraae _Steel Other FIBISHED FLOOR ELEVATIOBS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... BUILDER Signature Y;1U\JA \ CONTRACTOR SECTION COMPANY lephuv n1Uj6n r<1 CortSfrLLC+'Ot\. r nc.. \ 11\ " State Cert. or Regist.' C ~(I{)!J511d-. '""I-J..eil~ City License Registration' J,g - { f' r+. .......................................... RT.RCTRICIAB COMPANY State Cert. or Regist. , SianAture City License Registration . .......................................... PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... HECHABICAL COMPANY State Cert. or Regist. f Signature City License Registration , ............~............................. OTHRR COMPANY State Cert. or Regist. I Signature City License Registration I ....................*..*..**...*.........* APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this petlit lay be subject to 'deed restrictions' which Jay be lOre restrictive than City regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has bired 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 lay be cited for a lisdeleanor 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 Zepbyrhills 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 work. If the contractor wishes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to petlitting 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 - HOIeOImer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOleone other than the 'owner", I certify that I bave obtained a copy of the above described docl1lellt and prOlise in good faith to deliver it to the "owner" prior to couencelent. 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 bas cOllenced prior to issuance of a petlit and that all work will be perfOIJed to teet standards of all laws regulating construction, City codes, zoning regulations, and land developteDt 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 IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departtent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, ,Wastewater Treattent, Septic ranks t US EnviroDlental Protection Agency - Asbestos abatelent 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 vollllell will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. A petlit 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 frCl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOJe invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tite the work is cOllenced. One 90 day extension of tite, JaY be allowed for the petlit 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. WARlfING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEn'S TO YOUR PROPERTY. IF YOU INTEIfD TO OB!AIN FINANCING, CONSULT WITH YOUR LEIfDIR OR AN ArrORIfEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UIfDER $2,500 1M VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTII. ~ ' , ~ ~----~ .'.. : ER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA coum 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 oath" (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC CbMc> N~1 ~ 1. cJ ? ~ "'aso~' p.o. Box 1 003 Crystal Springs, FL 33524 (813) 782-5657 TO EMERALD POINTE 396 :-30cr'IAI-TCEY.'RD. ~EPHYRHIL[,SfFLA. JOB SPECIFICATIONS: Page No. ___ of pa,ges ~ubcontract ~grttmtnt 'l" JOB PHONE I DATE ~ I ',1./8/96 JOB NAME/LOCATION WI 81 JOB NUMBER I ARCHITECT ~ Ll\KIR. ,l.\,."ID H.l\l'ERIAL > FORl"! AND SLAB > For the sum of $ dollars ($ .L097 . 60 ). The above specified project is to be completed in strict conformance with all specifications and conditions relating to this agreement. In addition, the project is to be performed in compliance with OSHA regulations and local, state and national building codes. Although the contractor has control over the quality of all work relating to this project, the subcontractor is an independent contractor in all respects; the subcontractor is responsible for his employees, his subcontractors, materials, equipment and all applicable taxes, benefits and insurances. The subcontractor is responsible for coordinating his activity with other trades and promptly cleaning up any surplus or refuse which was created by his work. Payment will be made as follows; CSMPLErTl)N OF J08 Ct"Yi'-...\C l.- ~th-cn;;l.",... Authorized Signature ""'. L''() L ", \""\,._~."- ,_..1''-. \ .. " ~.; L "~<'7~ \ )-.~/ ~ . Date Subcontractor ZEPHYR MASONRY CONSTRUCTION/INC. Authorized Signature , <~ :'';'''-'' . ....-". ' (... Date 11/08/96 -: