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Home My WebLink About97-6493 ~;~~ :~:::,~,:,"e~;)~. (:~f::. . Parcel 1.0. # _~ Zoning: En,rgy Co~: Rad~ Ga;: ~ De"";Pt;onofWo'~ ./.I",~ /A-1 C~A~;'; .d/WAl'e~_;q , ~ ~ " BUILDING PERMIT N! --6493L5 CITY OF ZEPHYRHILLS Permit . (813) 788-6611 Date ;; - ~-- - Y 7 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. q7 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~~~ Permit Fee' , Signature ~ >" / ~iJ2..i~ Company Address Telephone# Valuation or Contract Price //J ~'o. o-v , City License Registration # e:L b State Certified License# 15 '<i- )j (~~ 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 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~-' 9 ~ d-/l OWNER'S NAME TtIofll/lS IF.' -r.~/( L PHONE OWNER'S ADDRESS JOB ADDRESS jpD30 f?1'h)EJUR( "'ve.. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL loD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ~ew Construction _Addition ---Alteration _Repair _Install _Sign _Kove _DeIIOlish PROPOSED USE: _Single Fu.ily --"IF _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK:(bNflPy-rr ..::YIIl8S FiJI', (l/feDO~r; ))/2/0Ln..JAf<+9J'ABt,)/fu( I BUILDING SIZE: X Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDING PERKITS REOUESTED $ /95b_OD Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRUcnON: _Block _Fraae _Steel Other FlRISBED FLOOR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA '1 ****************************************** YES NO BUTT .BElt CONTRACTOR SECTION a COMPANY 7J+f/{JONSr.E'tU!77/JP OF(!t:N7/MI F/ I~ - \..LJ / State Cert. or Regist. . l ,rl) A' 0 -' J{].Jltl { fP Ci ty License Registration . :;J-. b ****************************************** v- Signature JU.RCTRICIAN COMPANY State Cert. or Regist. . SiDnAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. I Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit laY be subject to "deed restrictions" whieb 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 tbe contractor is not licensed as required by law, both the mmer and contractor laY be cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirl!lents lay apply for tbe intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the "Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than tbe 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 perlitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIe01IJler's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is soaeone other than the ummer", I certify tbat I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "mmer" prior to cOlleIlcl!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 developaent. t, Application is hereby lade to obtain a perJit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perJit and that all work will be perforaed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies laY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: I Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic !anks t US Environaental Protection Agency - Asbestos abatl!lent I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.", it is understood tbat a drainage plan addressing a .cOlpensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perJit. issuance. A perJit 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 froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid unless the work authorized by such perlit is COIIeJlced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after the tiae the work is co.enced. One 90 day extension of tile, laY be allowed for the perJit with fee charge of $15.00. The extension shall 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. WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING !VICE FOR IMPROVEMBBIS TO YOUR PROPERTY. IF YOU IIIIBMD TO OBTAIN FIIWJCING, CONSULT WITH YOUR LENDER OR AN AnOIlHHY BEFORE RECORDING YOUR MOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMBNCEMEIIl'''. SIGNATURE: CONTRACTOR SIGNA!URE: OWNER OR AGElI1' 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 oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ~4 \ l \[J - \\J Jd I I I I i I 5/ )se-tV Ih &030 ,) f t,j- r ;)bl 3-;).&---:2/- 0310 --005'00- 6l./fD lc!);J ~~ 5//1135 ;7;;t-- ~f11lfJtJ;?-r ....;- ~/2.IUf uJli'! rJ/ .:::x;<"II-1' I - /<-' s~ ~ --I I I ) I j nO'lcc '0 all Contractors conc..n.. with co.c..tc ~o..th. d..ln.. rObrlc.tion, and .'.cUon of ~lu.tn.... St.oc_~... D"I~. Patio Slab's: HintIBullI 8"xL2" lootC!r w/21J S l"<<.!bo'Jr. .. "'" Err.ctive "oK"ber IS. 1990 conc.c,. shall bc insullcd as ..qul... 1n detail b~low. ~D""'c:.... ~e.~lt.c. --,X OOT '~~_-f~"":.__J~5'~". ~ "i~,"=~}J~~~ .. r-- i Go t.J c.. . ol.L1 ., 0/ ~..~ ,e:.. . F2,AI~ct5 =- S LA r!7 . ~_.. - l~G 12.n'Di'Afl E::::. .-z.... ~~ ~f..~412'.~ r:.~t:o A~~.6. ~&.'~E\O ~1h.Y . 7~ 'r"' ( 'ot..lc.... . ., fi -..... j(":'" - ~ .~~ ,":: "'~'.i /-......:".10 ._......... ~ l.,~, -: e:,....: :JI~' ..~~ n"'."1"1>---' I.'" &3 + "..., - eft ---- .......-.. . .; . .. . ~ .:. " .. -'.. ~ ~ .IIIA .-.- ~- :> Yt " " . c. .. c.. ... =jl, Q "101."'" ,fJ.. . ~E.e;.AV:' . . ----.. . . '. -, . STANDARD FORM OF AGREEMENT BETWEEN CONTRACTOR AND OWNER THIS AGBEBMENT made the /~ NY 01 rtQ3 Nmneen HDIIdred ."d NJAJB':J -r:::::.~ ,,!:-aad betw-n 6JPd'l "R#e~ hereinafter called the CoaIDdor, .___ 7)__ Lf'jiS!1B. 0wDer. WBa_th. that the Ccl2lbaca aod the 0IrDer .... the COIIIidentIaDI nemed. .... .. foDrJwwl ,. '''' the year ~ caIW the ~>>2I'JAL ~ ""~71!!lur;~ ~~ASV.F ~ .."., .... be AIlTJCtB a. TJIB c:xlIIID&C'I' S1JII 1100 0... oIooIl ... ... .?-"- .... ~ ....,,~~ ... ~ _. to addi~ aod ~~ ~ ill cuneDt. f1mda.. foUowa. i.LJJlBAI ~A I~ ~. e JJl'Jlh IN. - Jtf5lJ, _ (.... -- die - --.... or bodI. ......) ONe 17I~tiSfrA/'D N/N~f/u.NW6 f;tty A.atIIamed a.aae 0rcJ.a wiD be submltllecl by the CoaIncIor for all wuzk DOl ~I\y bIclade4 ill tIdI 0mInct. AIlT.K2.K 4. ~I PA'IMENTS (~ ... -.y ~ .... fw die --- llttafD8l1 Uta' ... -.k -..... . WItafa ...... of ~.) .urJ'ICLR I. AOCBPTAN<Z AND PINAL PADIENT Cj:: Final X-~ ..... be da~ DN 7"J#d" .Ill,.... subltantial ~01'l of the WIldt prcMded the wmk be then fully eompIeted ... tM c:::o..traet fully ped>'H.1bad, AR'I"ICLI:" TD CIlNTIIACI' DOCVMENTs 11Ie c...l ~ODII of the Omtract the ~ and the DrawiDD. ~ with ... ~ form the Cootnct. and they are .. fully .. part of the Cootract .. 'il henIeO atIached or hemin repea.a. - The foJIrnrJq fa Ul of other ClIIeDtIal pertjDent ~ Notary Public, Slate of Florida My Comm. expires June 22, 1998 Comm. No. CC 386272 f!:iu~GI+<~ .1 aAtJ "~ j, \ BRYGC ,A. ASD::t Notary Public, SUlte of F10rida My Cornm. expires June 22. '1998 Comm. No. CC 386272 .._....,..... .....-- ...-