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Home My WebLink About97-6629 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! 66291B Date 04/08/97 $40.00 BUILDING ELECTRICAL $35.00 PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Ron Rr,qn~t:on Lot #65 Emerald Pointe 3~-CJ~- I!f~r $ Water Meter: T.I.F.'s: Parcell.D. # 24-26-21-0000-00100-65 Zoning: Energy Code: Description of Work Park model set-up Radon Gas: NO OCCUPANCY BEFORE C,O. FINAL Cj) DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. c,o, DATE Inspector 0 City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# $75.00 Valuation or Contract Price N / A TZRA MH Inc. TZRA MH INC. TZRA MH INc. 2053 PLUMBING MECHANICAL SLB Breakers Tub Set Ducts Insl. Water 4./ {Ltc? 7 Compressor Sewer !log Final Final 2053 BUILDING ELECTRICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway M' u.p 4-11- q'1 U~ 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 3-17-'17 ---) ~ f OWNER' S NAKE k Gel tJ'f G... n S tu y) OWNER' S ADDRESS I! CJ Me tY\ () S/A. (i" 0 0 r 1- JOB ADDRESS ~q (c ~ C 1/1 0 VI C ~~ :/K~j v., d III~ 'S I [ II) BLOCK ) / ,....., c, , .... . <.) .c, PHONE F~L 39 7 '-{ I LEGAL DESCRIPTION: LOT(S) SUBDIVISION {- ry\ (.? vr c.. t c( PUII~+ RV PARCEL I. D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single FUlily . _H/F _' of Units _H/H _~ercial _Indust, _Swim. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: Sc: -r u P .p"'~K:. lvt..:)J.e r ---x V BUILDING SIZE: S( X 35 . Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~BUlLDING _ELECTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. -'lECHANlCAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? ****************************************** YES NO BlITT.DER. CONTRACTOR SECTION .--r-- ( COMPANY -;:./2 t:J A/ ~..f ---.. ) /"' /)_. State Cert. or Regist. . J,-t."/'-./Yj';vf.: ./........{..- .-n- City License Registration' / *~~************************************* ,/ Ln I)C(fi.G~( R-;v COMPANY )1h~ ~I N'!-t -r!'J State Cert. or Regist. , City License Registration . ****************************************** ~e;7.. ;;rD Signature\-'" ELECTRICIAN SillflAture COMPANY ~ State Cert. or Regist. . City License Registration . ****************************************** ..5"::>- ~,'tz) PLUMBER Signature 020~:-~ MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ************~***************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than Cify regulations, The undersigned assuaes 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 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 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 work. 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 ConsUler 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 COllenCeJIent, E. CONTRACTOR'SjOWNER'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 cOllenced prior to issuance of a perlit and that all work will be perforled 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 governJental agencies lay 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 EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treablent t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Deparblent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks 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 volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. . 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 is~uance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle 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 tile the work is cOlleDced. One 90 day extension of tile, JaY be allowed for the perlit 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: lMIER OR AGENT (~. O~ ."-... -J ~-y( ..' 'A /')' .- -sIGMATURE: CO~CTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF [)5 CED c A The foregoing inst~ent was acknowledged before me this \~-0}< , 193L by -+:i . __ '-; who is ersonal known to me or who has / produce as identification and who did/did not take ~~ (~~~ (Signat.~e) 1/ C_O..ss ' (Name Typed, ~fi~Jed ori~~~~'S NOTARY PUBLI~.);;,i:\){: NQlary ~~Iic. Slale ofFlori~fl " ~~~H $ COmIDlSSlOn No. CC 5912'; ~~ I::;~::T~~ ~~;m::SSion~x~', j, :~r".",> ',..c.,', :;.': )~((((((((((((II"""'o, N>, STATE OF FLORIDA COUKTY OF The foregoing instrument before me this 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 ,/ ~ /1 (0 re~ Otlt :::(rf0~ -:: Sc-r ~s ::::--- ~Oi~f 61S /DC' 61 I~I- -:/1&30 ohO-t1ce'f Rd Lc,T~b~ ~~ - " \(.) f'Y) \ ();. .~ <gJ , 1rl CJ ~ ; 3<{'