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Home My WebLink About97-6683 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 .6683 t3 Date 7' -;l3'-7P /.; IJ . tn BUILDING J.S: PlJ ELECTRICAL .3S '.- tJv PLUMBING .;2. o. 1!V MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # / - Water Meter: T.I.F.'s: 9 Zoning: ,-J.ne;pY Code: Description of Work )1f ~~ ~.7~ J1 ~)lh~.3-9'-yJl NO OCCUPANCY BEFORE C.O. Radon Gas: .;4) 7 J1 fl/l Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. ~- - DATE Valuation or Contract Price .,------ (. 'II / , Inspector Permit Fee /3 tJ~, c.J""i) Signature '1Yh.,..t: "n1n.~,:"; Company Address 6,'( City License Registration # State Certified License# Telephone# _J~,~g~ BUILDING JJJ/~ nJ. - ELECTRICAL -/1/k A-, ~ ~ ~~ C:L::-:I (;;tyJ PLUMBING MECHANICAL /J':;;'Y 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 }jJ ~~/ .y--oU~Y7 b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. fJ ~ ~ -7 ' i 1 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. I' APPLICATION FOR PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT PHONE 813- '1 ~ .~g'1 LOT SIZE~~ AREA SQ. FT. BLOCK SUBDIVISION PARCEL I. D. ~F WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Ins tall _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~F of Units .--X-M / H _Commercial _Indust. _Swim. Pool Other ! _Restaurant & Health Department Approval BuiLDING SIZE: x Square Feet, Heighr RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S. ,c:: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ",If _MECHANICAL AMP Service Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER SuloJl.,"sE ~o~ Company Sua) ..:r.5 ~~:I\' I /~ State Cert. or Regist. # Signature I~ City License Registration jF ****************************************** -3/7 ,// ET.ECTRTCT AN '1tlb...ro~ Company "'frlo~to.... SIc. ~ State Cert. or Regist. # Signature~ ~~ City License Registration IF , ****************************************** ./" .J...~~ PLUMBER S.... ~.~ Company SLJ6ool~:~ f{O\)s.a^, State Cert. or Regist. # Signature City License Registration 'F **********************~******************* ~/, / MECHANICAT~~IR..J a/,".aTE Company ~EW C.t'-trlll'" t201J1-Ao I t9I- ~ State Cert. or Regist. ~,! , Signatur ~~ City License Registration IF J if:L '1 , I. ****************************************** " / OTHER Company State Cert. or Regist. # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PER~IT OFFICER. \ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject tD "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 RESPpNSIBILITIES If the owner has hired a contractor or contractors to undertake work., they lay be required_10,be licensed in acco~dance with state and local regulations. If the contractor is not licensed as required by law, both th~,i'Aer,and'cDn\pic~_r .ay be cited for a lisd~npr. viol~~ion.~~r state law. If the owner or intended contractor are uncertain as to what li~ensing requirell!nts lay 8pply far':.t111~ 'rilt'enOed worl:, they are advisl!d to contact the City'.trf Zepb~fliiJ.k'.BUi~mng.Detiar't"eri~, (813) 7BB-bbll. . , .:~~~-:' t~" ... ~ :;. '",~M,.''' Furtherlore, if the ownl!r has hire,d.\contr~c;tor or contractors, he is advised to ,have. the contract,or(s) sigQ Rodions of the "Contractor Sections" of this appti'cation f/)f'which they Mill be responsible:,' If. yod;'~s.;tne 'cMfter sign"as'ttfl!' contractor, you are indicating that you, rather than the contractor, are responsible for the ilork. 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, thl! applicant, havl! been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepare~~y the Florida Departlent 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 promise in good faith to deliver it to the "owner" prior to cOllencelent. .j .'I E. CONTRACTOR'S/OWNER'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. J 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions 1 lust take to be in cOlpliance. Such agencies include but are not liaited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treataent f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Rreas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t De artlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environaental Protection AQency - 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 pertit 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 Sl!t aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code.. Every pertit issued shall becole invalid unless the work authorized by such pertit is COllenced within six lonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six lonths after the tile the work is co.tenced. One 90 day extension of tiae, lay be allowed for the penit with fee thNlle,l.of~t15:~.9~:t l~~,~.xtension shall be requested in writing ;D)h~ ~pild}~.lI Off!cial. An approved inspection lust be logged during each six lonth period, or the project will be cons~dered' abanaon~d: '.. . WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE10R 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". . .-~ .. ~t' .,,"... ~ .......;~.'" . ,-'If,'" .... ;0 ,,~.,"\ . t .. :z:Dlh.K~~ SIGNATURE: OWNER 0 GENT ~~.~ SIGNATURE: CONTRAC OR .v 'I,. " ~, . ~ ~.' .~.. .;;~. .~~.~~~ :.~.. ,::': . . ~" t':.~_:.;:.. :~ ~.I\ f,-4:":' ..,.... STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me tnis 19____ by . ....'- .. _...... .:.t.... . ' ,.~ , STATE OF FLORIDA COUNTY OF The foregoing instrument befc,re me this vias acknN.Jledged , 19_ by ...;.'1. J ...... 't"': not who is produced as identification take an o me or \~hD h.3:: or who has nDt PAUL BOLDSTEIN M\88lON , CO 8OIlOH IOlIIIId TIIN NoIII'I PulIIIO lJndIIWlI\IlI {Signatl.: (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or stamped) NOTARY PUBLIC -----_._--_._~-~----!.._..... -q~ --.--..-- 1'// 3J.X'l8 :. ? s 00 ~ A W At.) dA ~DOy I.J..I o q{ I \~ \0 ..,.-1 Go d C") 0.. ...J 'I I- o I- 1I. ,.-, J.) ''I .-1 I~I ITI (: VI ~, CO ONTR('t~~TOH oft: OlX;:Jlfl(, fH1E: PAUL D GtJl..D~nE IN [ltlH: 'I:31<':. fWBIHN l.t.)NE i ~:;'l: rf-lNF?i H.. :~:3t.09 CENTF:{lL PERM 1 r r I NO Pf\':::C() COUNTY, FLOH 1 IV, [lATE: O~510'?}/';q TIt"IE~ 1~~:4.4 F'(-%OE: 1 OF 1 :( ::;;:3/jE OFF:1 (:1::: D F~E:CE 1 F'T NUI'1BR: 003;; 138~i UFFICE: DADE CITY UH: I~HECI< tt S~it;.3 1.::C::Nl '~ 1.14 ONTRACTOR: 008416 TOT nL_ i\f'1OUNT: CONf'I'N (~C'COUNT CENTER B/I.~iO --- ~k.30(l() - .', (:IT'I Z /HIU.~::; cO -.I 1--1 :r w Ul ::<:;. 5 1 (H''H~JUNT UE:3.CR r PT IOhl/PEHI'1T OAT A 33.51 ****** SOLID WASTE FEE m~/u( 60 Q; L =, en U:.:I::H"LO BY { }" (\.. . ,. /..- . '--'.,' // ~ /" I i ' / /" ---CC(!{L'/. I.L-i_ lc-Ll::_/.-:!': ( 1 ... / 0'"0 -< LO .. ., -i [- rh I~fl ,-t J T, ~I f J; . STATE OF FLORIDA Department of Business and Professional Regulation CONST INDUSTRY lICENSING BOARD 7960 ARLINGTON EXPRESS~AY SUITE 300 JACKSONVILLE FL 32211-7467 AC# 39981 (904) 727-6530 FUGERE JEFFREY P SOUTHEiN CLIMATE CONTROL INC 3715 V TACON STREET TAMPA Fl 33629-6943 r '. STATE OF FLORIDA AC#39 9 8 Departmenl 01 Businlss and Prof.sslonal RIUI/lefl ~ CA -C021364 06/12/1996 959( CLASS B CERTIFIEO AIR CONO C FUGERE JEFfREY P SOUTHERN CLIMATE CONTROL INC r1,o91(~ .iJ.,1d .,. 85'" ~____________ .~~ ~ ~ ~ I seE R T I fIE 0 under the D'ovisions 01 Ch 4 ~ . ExDlraton Dale AU G 3 1. 1 998 '- --------------------------------------------------------- DETACH HERE N;; 399 818 8 STATE OF FLORIDA Department of Business and Profeaaional Regulation CONST INDUSTRY LICENSING BOARO lICENSE NBR 06/12/1996 95902966 CA -CD21J64 ---"-.....----..---- ~"'SS 8 AIR CONDITIONING CONTRACTOR .... tilt pmitI.J.1 of ~tI F 11 S , Fl. Elll'rIti. dati: A U G 31. 1 9 9 8 FUGERE JEFFREY P 19UTHEAN CLIMATE CONTROL IHe 15 II TACON STREET TAMPA FL 336Z9-6943 . ......"'.. ..u,.... -..--. ...~- . - ---_..