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Home My WebLink About97-7129 BUILDING PERMIT 7129 Permit CITY OF ZEPHYRHILLS (813) 788.-6611 fi PLUMBING 3..j '. 07::> GECHANI~V Date 10'.;23-'17 BUILDING ~ . c.7D ~TRICA2_=) ~o..rtyOwne' 7f;-f~~"~ Job Address: j . Parcell.D. # /1- ;26-;).../ -d tJ/()... 0 os}) t!) Sewer Conn Water Conn: Water Meter: T.I.F.'s: () ~~-V Zoning: Energy Code: DescriPtion of Work L./1 /;..-LJ A- / L- / 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 (1cil1 /3:L Permit Fee Signature Company Address Telephone# /., 0 - c::rD Valuation or Contract Price :2 ~....::LS -: u-v ... City License Registration # State Certified License# BUILDING ELECTRICAL PLUMBING ~~~ MECHANICAL (~/LA. jdjl7~ 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 Fifteen and 00/100 Dollars ($ ttt:'O'O) shall be made for each trip for each trade: ~ CTlJ 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. Kinsey Central Heat & Air-Conditioning P. O. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 1 (1-'1 v11 OATf _SED - , I I.t./ Jo- .;f-. APARTMENT ADOMSS CITY MME MOOEl SERIAL 110. o ESTIMATE o CASH o CHARGE NATURE Of SERVICE r::> REOUEST QUAN. PART NO. DESCRIPTION PRICE AMOUNT SERVICE PERFORMED ! I - ~. ,- .2../. (..~ 0 ! 0 - 1.." 1..' s-~ 7 t!'JC " c,;) .~- t:' TOTIll IIATfIlIAL 1tQIlICIll IIEIMCl 1M TAl 7~ 11--' OATf COIII'UllD CASH ::u'"*-+ mAL TECHNICIAN" CUSTOMER'S SIGNATURE APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER' S NAME well o~/,./ J)Qf/o/~<J4PAJ/-' PHONE OWNER · S ADDRESS JOB ADDRESS C:;-S/,f] ~ 2/ocfl, LEGAL DESCRlPfION: I.OT(S) BLOCK SUBDIVISION PARCEL I.D,'I(--";<G-~~-oCJ~CJ~ t90S-;>r;}O-c7.;LS-'""'O (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -.ftlteration ~epa.ir _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units ~/H _ec-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval ( DESCRIPTION OF WORK: I ~ At p. C t9 eJ !:.s, r- cJ 4# ~ .? ,/V . 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 _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ----1IEaIAliICAL $ Valuation of Kechanical Installation _PLUKBIIiG GAS ROOFING SPECIALTY TYPE OF COIiSTRUCTIOIi: _Block _Fraae _Steel Other FDJISHED FLOOR ELEVAITOIiS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION Signature COKPAIiY State Cert. or Regist. . City License Registration . .......................................... RIITIJ1RR F.T.RCTRICIAR /" COMPAIiY I(~C';; lut: 1:7 C/C~/Il./IJ4 ~L i:?('RC7 C;"O)Nf/\'. "r/ . ;) /' ) ~?' State Cert. or Regist. . SiQOAtur~/ I-cJ f,-",,,{ C./Lect_'H,-c(t2~f City License Registration' c) 7;<, .......................................... PLUMBER Signature COMPAIiY State Cert. or Regist. . City License Registration f .......................................... COMPANY ~A)$~/ State Cert. or Re st.' City License Registration . .......................................... Signature KECllARICAL CJo.rL/ /:z /-'3 dJ-. OTIIRR 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 .ay be 80re restrictive than City regulations. The undersigned assmles 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 owner and contractor liy be cited for a lisdeteanor 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 Zephyrhills 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 owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the worl. If the contractor wisbes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ", D. CONSTRUC'I'ION LIEN Lnw (CHAPTER 713, FLORIDA STATUTES,., AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer's Protection Guide" prepared by the Florida Deparllent of Agriculture and ConSUler Affairs. If the applicant is SOleODe 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 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, loning, and land developlent. I Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all wort will be perfofl8d to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goveCDIental agencies .ay apply to tbe intended worl, and that it is IY responSibility to identify what actions I lUSt tate to be in cOlpliance. Sucb agencies include but are not lilited to: * Deparllent of RnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Rnvirontentally Sensitive Lands, Nater/Nastewater Treallent t Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways * Deparllent of Health & Rehabilitative Services, EnviroDlental Healtb Unit - NeIls, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection AgenCl - 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 volUleR 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 tbe wort and not as autbority to violate, cancel alter, or Bet aside any provisions of tbe technical codes, nor shall is~u~ce of a perlit prevent the Building Official lrOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery p8CIit issued shall heCOll invalid unless the worl authorized by sucb perlit is cOllenced within six IOnths of issuance, or if worl authorized by the perlit is suspended or abandoned for a period of six tonths after the tile the worl is cOllenced. One 90 day eltenaion of tile, tal be allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six tontb period, or the project will be OOD8idered abandoned. NARNING TO OlIlfBR: YOUR FAILURE TO RECORD A HOrlCR OF COHHBNCKlfBHT HAY RESULT IN YOUR PAYIIG flflCl FOR IIIPROVIIIDJS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN AnORIU BEFORE RBCOIDIIG YOUR laIlCI OF COKMENCEHENT. JOBS UHDER $2,500 IN VALUE DO NOT NEED TO RKCORD AND POST A "NOTICK OF COHMINCIKBNT". SIGNATURE: OIfIIER OR AGENT . I SIGNATURE: CONTRACTOR STATK OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATK 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC