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Home My WebLink About97-6935 BUILDING PERMIT ,//_.5-V ~T~ ",opertyOwn., .5t - ,~J; Job Address: )7 $I' t Parcel I. D. # .....3.s- - :L ~ -~ 'J./ - 0 f) It) '. tJ ~ <P tJ V .. CITY OF ZEPHYRHILLS (813) 788-6611 Permit Ii! ~- 6935~ ttJ-cTD ~:~) ~' Date 9-3-9Jl PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: CJ 0 cr-D Zoning: ~y Code: Description of Work ~/ -<1 ~ Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Permit Fee Signature Company Address Telephone# Valuation or Contract Price ,; ~'7TD - crV , City License Registration # J ~ State Certified License# nO.~~~ BUILDING --d"iJ-<. ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a charge of IJ:II . _ _ _A'-lee 8"rs ($~) shall be made for each trip for each trade: ~ -; tTf) a. b. c. d. e. f. g, Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. 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 ZEPHYRBILLS BUILDING DEPARTMENT l(~b q~ l " & "" \ 0- . OWNER'S N~f.oJelM.)Ju OWNER'S ADDRESS , , JOB ADDRESS rz 4 ~9) &au J)(ucQ . BHONE LEGAL DESCRIPTION: WT(S) BWCR PARCEL I.D.' 35~ 59' OD / ~g{)()OOO{) SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---..Alteration _Repair _Install ~ign ----1Iove _DeJIOlish PROPOSED USE: _Single Feaily ----11/ F _' of Units _M/H .. /eo.aerCial _Indust. _Swia. Pool _Other ____Restaurant & Health Departaent Approval DESCRII'UOR OF lIORK:J!huALshllj ~fYkW f1i~ 1 cuM .Bi~ a'l- ' "6?t Ut ~ BUILDING SIZE: X, Square F~, Height ~ ~, RESIDENTIAL: COMMERCIAL : ATTACH (2) PWT 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. ,J" PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELEC'I1UGAL AtlP Service Florida Power Corp. W.R.E.C. ____HECIIAlO.CAL $ Valuation of Mechanical Installation ____PLUHBING GAS ROOFING SPECIALTY TYPE OF OORSTRUCIION: ____Block ____Freae ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECI IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUTI.DER COMPANY State Cert. or Regist. . City License Registration . ..............*.*.*.*.**..........**...... Signature :'>~( 0 ELECTRICIAN COMPANY State Cert. or Regist. f City License Registration f .......................................... SiRll8.ture J~ PLmmp. COMPANY State Cert. or Regist. f City License Registration . ............*...*......................... Signature HEGBANIGAL COMPANY State Cert. or Regist. f City License Registration f .......................................... Signature OTRRR COMPANy'D'l ~\'e ~(@()S I()c. State Cert. or Regist. ,ESOODO(J7 ~ City License Registration , -3 ~ .................................... v/ Signature PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS , The undersigned understands that this pertit lay be subject to "deed restrictions" whicb lay be lOre restrictive tban City regulations. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 owner and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiretents lay apply for tbe intended work, they are advised to contact tbe City of Zephyrbills Building De~artlent, (813) 788-6611. FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbicb' they will be responsible. If you, as the' Owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for the work. If tbe contractor lisbes 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 Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided lith a copy of "Florida's Construction Lien Lal - HOIeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber tban the "6fRer", I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the "owner" prior to cOIleRCetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work lill be done in cOlpliance litb all applicable lals 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 perlit and that all work will be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in tbe jurisdiction. I also certify that I understand that the regulations of otber governtental agencies lay apply to tbe 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: · DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Soutbwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · DepartleRt of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Vastewater TreatleRt, Septic ranks · US InvirODJeRtal Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "cOlpeDsating volUle" will be subtitted wbich 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 witb tbe 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 frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball 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 tite the work is cOllenced. One 90 day extension of tile, laY be allowed for the perlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned. WARHING TO OIlIER: YOUR FAILURE TO RECORD A IOTICE OF COMHEICEllBNT HAY RESULT II YOUR PAYIIG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIK FINAICING, CONSULT WITH YOUR LENDER OR AN ATTORHHY BEFORH RHCORDIIG YOUR HOTICE OF COMHEHCEllBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". 6 SIGJlAfURIl: OOIR OR AGBIIT srATI OF FLORIDA COUIITY OF The foregoing instrument was acknowledged before me this , 19____ by STATE 0 FLORIDA I') I Ii coum OF .t:nLD The foregoing instr~ent was a~Wledged before me this ~ 1-__ ~.t, 19 by ~~~~~son~iy~~~~~ or who has produced as identifica ion and wh take an .. . ./ c;.-~.,.. 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 (Si9~) 1-. Q ~ A . 1 (Name Typed, Printe or ~ped) NOTARY PUBLIC 'I1NA L DlJIIIiY NOI'ARY PIJBi.Ie 8I'A'ni 0Jl iCOMMJSSION NO. cn8'1115 :~~!()N JDCP, 211998 HEAT'I Heath and Company. Signs Nationwide LETTER OF AUTHORIZATION THIS LETTER AUTHORIZES HEATH AND COMPANY (OR THEIR AGENTS OR SUBCONTRACTORS) TO SECURE PERMITS AND/OR VARIANCES, TO PERFORM SIGN INSTALLATIONS, REMOVALS, OR ANY SIGN MAINTENANCE NECESSARY AT OUR PROPERTY. (AT TENANTS EXPENSE) CUSTOMER NAME: OWNER/ CONCIRE INC. TAX FOLIO NO.: PARCEL In 113525210010088000000 AUTHORIZED BY: ~ ~~ ~AMES H. BIN SWORN TO AND SUBSCRIBED BEFORE ME THIS JULY I 19....!}.L. 9TH DAY OF NOTARY PUBLIC: ../ MY COMMISSION EXPIRES: HEATH AND COMPANY REPRESENTATIVt:' // PROPERTY LOCATION: KMART #3761 7422 Gall Blvd. Zephyrhills, FL 33541 Heath and Company, L.L.C. 3985 Tampa Road, Oldsmar, FL 34677 (813) 855-4415 (800) 284-3284 Fax (813) 854-3037