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Home My WebLink About97-7089 BUILDING PE<RMIT 7089 Permit CITY OF ZEPHYRHILLS (813) 788-6611 /1 BUILDING ;L>'- . en) .. '''--=-----.. C ELECTRI~ PLUMBING ij,!;~ ~ r:::::-: ^ ~-;--) ~Sewer Conn Water Conn: Date t tJ -0217-77 PmpertyOwne" _~"--7 Job Address: 0 ...s / J- Parcell.D. # J/-.;l.b~~- 00/0- L?CU......!;JO - Water Meter: T.I.F.'s: IJ :L.S. --'0 Zoning: Energy C~': DescriPtion of work'-/! L-c...J A;. L Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# /8" :J.- Permit Fe~. ~ S;gnaMe U r~' Company -- .I Address / , Telephone# Valuation or Contract Price 'I j; ~ .. tJ-v1 BUILDING ELECTRICAL PLUMBING J(;~ - ~ , ~ MECHANICAL ~L..L/ o:;;L Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 If:rLII. 1 j 881188 ~1Ii.rS ($ ~l 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. State of Florida } County of \ The undersigned hereby informs all concerned that Improvements will be made to cert_ real property, and In accordance with section 713.13 of the Florida Statutes. the following Information Is stated In this NOTICE OF COMMENCEMENT. " IPR.~A". I... DurLICATK' COMMENCEMENT I 111111 11111 It 1111111111111I1111111111111111111 971175&9 SEMINOLE FORM 408 FLA. '.77 L^WS F.7,3.'3 t..J()TICE OF Description of property .....................:............................................... _. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................ ............... .I.(~~(~.~./.-:-..~.t::.~.~. :-:.?!.~.s:.?~.~. ."":'.?!.~9.......... .... ........ ... ..... Rcpt: 189203 Rec: &.00 General description of improvements........ .~. .7q~.... .ff/~..... ~~}17/970. 00 IT: DP~Y oglerk . Owner......... .?Y.~((~.<. ./<<..Y.... ,l)~~f1.("l'? .--.nP!~.f....Ca..... 'ffi91~}~M~~,: l~~;CO 1 C~~NIV CLERK Address........... ~.~( .$.... .~41/. ....6('!.~.. ........................ .~~ .~.~. ~~~~...i... ..~~..~.~~.~... Owner's interest in site of the improventent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . .". . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder (If other than owner) Name ................. ......................................................................__................................. Address ........................................................................................................................ ~ . /1/ 4) j{" F."" 7T {~A/ I' "vS:;4 . . &J1""..,O',..,...... ... ,-.. '/'.. .... < .. .. ~ ,Q.. .. .... ..,.. ........ T .. , ,.. < .. < Il Sj''l ~ ".:r.:J.,i{)'1" .. .. Id,e.. ",r,,~ - ,3 Q:...,. i!-?!? '7 , .." ';;:?rlr~/z/ (<, ..I%w,.. =:;~ ,4"~.."..,..,,.. Surety (if any) .......... A~ t? ~. .-: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address ..................................................................................... .Amount of bond S . . . . . . . . . . . . . . . Any person making a loan for the construction of the improvements: Name ...............;/1:J. 8. M.~. . . . . . . . .. . ..... ........... . . . .. . . . . . . . . . . . . . . . . . . . . . . . .... .............. .... ... . ... ., . ......... Address ........................................................................................................................ Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name .......................................................................................................................... Address ........................................................................................................................ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section .713.13 (11 (hI. Florida Statutes. (Fill in at Owner's option). Name ..... ./1./0. .~j. .~ . . .0:. . . .!5.(t!-!.s.~.. . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .:.. . .. . .. . .. . .. . .. . . . .. .. . . . . .. . .. . Add,... '~~~;~;'O~?C~~~'~ ~~L"'" ?rf6y< ~ ~ ~f.~;; ';d,;; ~ c:, iZ,;>q? .7......... ,,~~o,c..r~J~ ." Owner Sworn to and subscribed before me this . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l&'d.Y ~~~"::~";<'.'" t,~~~t'. ,t9,,9.7. .., .~.,.........,...... .~~'!-;,~1:!."'" 'cr'.'.'" #""liio CASSONDRA F~ .. * My c...lvnh rIM CCII817S7 " EJcplrM /4Ipr. 30. aooo , ~.. ".. f\'~ ~~VW:"-V.>lt.':tr'~."""~'" .""h'~';;~,-:';'^'vr"""'4"_'=-Co;;,:,-t~....~.,,, ".~ 1jII~IU . r ~ _ __ I I- I /1 DAnOf~_ '(J--; -"'2 - le) .0 // c <: / k DAn PROMISED . . .- ~r.i' L,~~ ./.; (' ,'/)1~_ t.I ADDMSS 0'" / / APARTMENT _,..,"'T' ~ 6'// /'/ j ;.. ,. J '.., J C, CITY - ''''L 18M!. 110, mSTIMATE NATURE OF ~ o CASH SERVICE " o CHARGE REQUEST atiAN. PART NO. DESCRIPTION PRICE AMOUNT '~5- /(':>'J) I 4/{" _! t ,'t':- 1(0:/ /1 " . I i /,~ '/'0 // f-. " ~.::\(>"": . /. " (0-i-KJ l't~f) J~ i .---' ,__l f) r -/ ,lle" f) /: : //. " /../7 f<? /~ IV .. I ) " .",.) " L~ } (7/ ,/.... /J- I <' / I ~/ ( ,e zv ',(1 C;, . 1.1 "; .J /J/C /4yt)~ e'?' ; , , I J . I SERVICE PERFORMED TOTIlI. IMlIIIW. ltaIICAI. IIfIMCE TMf I TAll I 7'--' -,.., I DAn COIII'I.f1Bl I CASH ::um" ~ TOTAL I Kinsey Central Heat & Air-Conditioning P.O. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 TECHNICIAN, CUSTOMER'S SIGNATURE APPLICATION FOR PERKIT CITY OF ZEPBYRBILIS BUILDING DEPARTKENT OWNER' S NAKE tLJ.s;1I ~~/7 ~O~ /,~~- , - PHONE 78 .7 ~ DC> G OWNER' S ADDRESS JOB ADDRESS 5S--I'~ ~// (Iu/. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' /(- .;z t -.21. 0010 .. 00 S-7t!" ~ 0 .:LS-o (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition ---..Alteration ~epair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily ---3t/F _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: 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 ~UILDING $ Valuation of Total Construction ~CBAliICAL $ AIIP Service if (CJ?J- JV Florida Power Corp. W.R.E.C. RT.F.CTRICAL Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION RIITLDRR Signature COKPANY State Cert. or Regist. . City License Registration . ****************************************** :~~ COMPANY gc;/~,4.;l{) (./1:!//--A./"t',4:; ( /' : / . {~ /? '~/O. State Cert. or Regist. . e . %4'~ ~ .-/~4,-<W..(/ City License Registration . 07 e2. ****************************************** PLUMBER Signature COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature COMPANY /t\ c IV S ~/ State Cert. or Regist. . 00 S-~ 1<- City License Registration, I ~ :< ***************************************** MECHANICAL OTRF.R COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERMIT 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 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 undertale worl, 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 OlDer and contractor IiY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (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 OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. 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 per.itting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'fILI'fY CONNECTION FEES ,,! D. CONSTRUC'!'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoNoer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant ia sOleane 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 cOllenCetent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'1' I certify that all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all applicable laws regUlating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO work or installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to Jeet standards of all lawa regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govefRlental agencies aay apply to the intended worl, and tbat it is Iy responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to: · Departlent of EnviroRlental Regulation - Cypress BByheads, Wetland Areas and EnvirORleDtallYSensitive Lands, Water/Wastewater Treallent · Southwest Florida Water "anagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways · Deparllent of Health & Rehabilitative Services, EnvirORlental Health Unit - Wells, Wastewater rreatlent, Septic ranks · US EnviroDlental 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 that a drainage plan addressing a "cOIpensating volute" 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 issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Ivery peIlit issued &ball beCOll invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized by the perJit is suspended or abandoned for a period of sil IOnths after the tile the worl is c-.mced. One 90 day utensiO:D of tile, IiY be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. In approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARlfIIG TO OIlIER: YOUR FAILURB TO RECORD A 10TICB OF COHIIBICBHBIT HAY RESULT II YOUR PAYING fllICE FOR IMPROVIIIID8 TO YOUR PROPBRTY. IF YOU IJfTBID TO OBTAIN FINAICIIG, COISULT IIITH YOUR LBIDBR OR AI AnORIBY BBFORE RECORDIHG YOUR HorICK OF COHIIEICRHBIT. JOBS UNDER $2,500 II VALUE 00 lOT IEED TO RECORD AID POST A "IOTICE OF COHIlBICBHlJfT". SIGIATURK: OWNER OR AGENT I SIGIATURE: CONTRACTOR STATE OF FWRIDA COUJfTY OF The foregOing instrument was acknowledged before me this , 19____ by STATE OF FWRIDA COUITY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC