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Home My WebLink About98-7478 -- - G GEGS ~ ~ Sew" Coon 07; pmpertYowne'~~ ~~-~~(;j~?!:!f/~ :::::::t~.. 7/i'S Job Address: _ _ ~ ___ '[) ___ _' T.I.F, s. ;; If-- Parcell.D, # 0 ~~ ....64 - ,,;2/- /;J ~ 10 - OOO/JD - D[/OD Zoning: FINAL 1i NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# IfI Permit Fee Signature Company Address Telephone# Inspector PD Valuation or i....-s /'/ 7 ~ - Contract Price <:>'C 1) ) 0 ~ ~~ MECHANICAL /'7 Breakers Ducts Insl. Compressor Final :Zf7>/{6 for 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 Fifteen and 00/100 Dollars ($ ~~e~all be made for each trip for each trad:.:.:, /, -I~ ~~ a. Wrong Address . Wa6-c.....(JL-6~ ':;:) b, Condemned work resulting from faulty construction, l f c:2 ---/1-- 7' y c, Repairs or corrections not made when inspection called, if q d, Work not ready for inspection when called, , '1.:7"" 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. ..- . ~ .. __ ..,".~~_..,._....,...,...,_.,.~;..,.v 01'111/96 12:45 FAX 813 782 1169 H & R INTERSTATE @001 /1 \I\~(V ~//" , /' ,. i\l"l'Li:ChT'ION FOR :rE'R1'lIT CIT'l OF ZEPliYRHILLS BUILDING DEPARTl'lENT APPLICANT H <I- ..L:+(r s-hf--f-~{J'~Y1{~ ' (e. ADDRESS 35;;lq, 1 w.,r ~'f,r.d0~' _:~fty rhtr(S tV e. (S' ,,11. (( r hi A-f/( , . Jon LOCATION /-tJ+.Af go :ZY;hy"'~:~ m. .s Pll~~'~"~/3-78d. -~7C7 -, OHNER LOT S IZEJfJtJ ;\~ 5 I\RE.-\ SQ. F1' . LEGAL DESCRIPTION: LOT(S) DLOCK SUnnIVISION PARCEL I.D.~I 03- c;{~- J.(-'03'O:-()Ot)oCJ~ ,0&00 WORK PROPOSED:_Ne'.~ COf\$ true t.ion' ~^ddition _^It.cl'ation _Repair _Ins to.ll ~Si...g'n/TcmI', __Sign _Nove ~Dernolish PROPOSED USE~ 'JL;ina,le F;)mily ~M/F ~(I of Units ._~1/11 ~comrnc.:cial ~Indust. _Swim. root frlputl'efllreJ kOther ____Restaur3nt & Health D~r~ent Approval , nUlLDl"" SIZE< @ 1/ x5J. ~ " ' , ~"O:::;~gu.r. Feet, 110<( RESIDENTIAL' ATTACII (2) PLoT 'PLAN,' & (~) SETs;J?~nlG PLANS · (1) SET COl1l'IERCIAL: ATTACH (3) sETS OF nlJ1:LDIN'GPUNS~l) SETttN8RGY fomIS,':': *~COPY Or CONTRACT RtQU1R~D. .~~ PERMTTS Rr.QUE~TF~, H~i~ht ENERGY fORl'IS, ** LBUILDING ~ELECTRICAL ~ECHANICAL ~V?'1lnNG $ ;( ~ ? 6D_Vnlua tion of To tal Cons t ruc t ion /61 AM'!? service plorida Power Corp, '# H.R.E,C. /r~fJ Valuation of Meclwnir:t\l Inst.allation $ TYPE OF CONSTRUCTION~ _'Block _Frame _Steel /IJ /r' Ocher Fl N1SHED flOOR ElEVA nONS ~~~. ::~. ..... .... ..... ...,.,,'H "... '.'" # CONJ'RACTOR s E~f rer 11 () M / ILl' C' cornpan~ I . ~ic? ('lolt?tle {r~ 0U""v'c 'ce State Cert. or Rc~ist, U , Cit.y License Hl':C.'i~ (',(a I'. i,nn II .: ** *~'lIr.'*""'. *********""*1rt,>lt1,* ft 'It ",.:. -!t,{, \~.;; .:, ",',;', f'" ':. ----' ',~ ~O,"P~:l~Y bJA r4Jtce- --:s;JAI1 . State Cert, or Regist, t: , City License Rcr;i'r,tr,:\t.;.on Ii / r;o le ,****.***..***~.**.******..*e*6ft.*o~~**~ / ,: Cornpany' Nej'!;.o'1.>~y'mM , , State Ce.rt. or ,Recidt.:. , !,! e City License Re~is trntiof\ 11 = ,;L '"7 h ~EO"NT~~ H.......~~u~.:::::::...&h;'.~;;;:e + ~::J/J /J. . "7'7 .. State. Ce'tt.. or Re~is~, {,! Signature /~ 7f::'~~ :- '_:. Cit.y, ~icense ReCist.nd:ion i~ , 6.*****",,*.******~*.***~~********ft*.~~**.~* GAS ROOFING SPCCI:\LTY '" . . , , 1'9' , ;. / --:/ r+(C!- v' / '7 Signat.ure COJJl?~my \~tate' Cere, 01.' Re~ist, i.I City License nccistration lj Q.IJI F. R *~.***~*.********~*****~***~**~~n*~~~**.~* PERi"I1T OFFICER. APPLICATION APPROVeD DY .~' '"', "'" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this pertit laY be subject to "deed restrictions" wbich laY be lOre restrictive tban City regulations. 'be undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES I~ the owner bas bired 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 lisdeieanor violation ~der state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartleRt, (813) 788-6611. FurtberlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbieb 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 tbe contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting privileges in tbe 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 with a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUIeC Affairs. If the applicant is sOleone other than the "owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to COIIeIlCl!lellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accura(~ilIldtJJat all work will be done in cOIpliance with all applicable laws regulating construction, zoning, and l~,;oplent. / i . '_ ! Application is hereby lade to obtain a perlit:-to .do ~~4 installation as indicated. I certify that no work or installation bas cc.lenced prior to issuancef ot a pert1"hJitct"tbat all work will he perfoI'led to .leet standards of all laws regulating construction, City codes, zoQiDg regulations, and land develuplBDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gov8lllll!Jltal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to ~ in colpliance. Sucb agencies include but are not lilUed to: · Departlent of BnviroDl8Dtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands, laterfWastewater TreatleRt · Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Watenays · DepartleRt of Health i Rebabilitative Services, EnviroDleDtal Health Unit - Wells, Wastewater Treattent, Septic 'anks t US BnvirODlelltal Protection Agency - Asbestos abatl!lent 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 subtitted wbich is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A perlit issued sball 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 peIlit prevent the Building Official frOl thereafter requiring a correction of errors in planst,construction, or violations of any code. Bvery perlit issued sball beCOle invalid unless tbe work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is suspended or abandoned l-or a periqd of Sil, Mmths after the tie the work is c_enced. One 90 day I!Itension of tile, laY be allowed for the peIlit with fee charge ot$lS.OO......fbe I!Itension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillOntb period, or the project will be considered abandoned. NAMING TO OVIER: YOUR FAILURE TO RECORD A, NOTICE OF COMtlBMCBIIm HAY RESULT IN YOUR PAYING DICE FOR IMPROVIMBMlS fO YOUR PROPERTY. IF YOU IMlDD TO OBTAIN FINANCING-, CONSULf WITH YOOR LlMDBR OR AN Aft()IIIBY BEFORE RECORDING YOUR NorICE OF COMMBNCEHBNf. JOBS UNDBR $2,5 XALUlfDO Nor NEBD fO RECORD AND POST A -NorICI. OF COMMBNCBMBMI-. , \ ~ ~ -- ~~ SfAfE OF FLORIDA coum OF PASCD The foregoing instrument was acknowledged before me this...;;or,.J ~ t:J , 19.-%.. by , JJELSoAJ 7: Y JI1/f A.J who 'is personally known to me or w~a ~ J.d. J , sa ij..tifieal!sft and who ~/did not take a~~ (j, ..fJ4~ (Signature) / . kA-IJ..iJ F=l:::::.--JJ \.. r: BRow,.J (Name Typed, Printed or Stamped) NOTARY PUBLIC . ) STATE OF FLORIDA ~.... coum OF jJ,45 e a The foregoing instrUment was acknowledged before me this vAtl :\,.~ ~ , 19!1.L by /JA ~D;J P..'YHA 0 who is personally known to me or aLs has- ~.IIi,u~rea aA ;dftntiii8SlisB and who di6/did not takef~9"Jjh~ (Signature) f) k A J7..I L.El2}J ":J: 'P;7<\.t:) W tJ (Name Typed, Printed or Stamped) NOTARY PUBLIC ...,.1\1 Pll8 ~"'.6. ".-.., *~* li!>~,~. """ DF f~'~ KATHLEEN J BROWN My Commission CC449Q29 ,,"xp". Apr. 02, 1999 ,\"I\l PI/Q( ~f;",,~t:.~ ~.; ", DF f~O" KATHLEEN J BROWN MyCo~slonCC44~ Expires Apr. 02.1999 (/ Sy " -f ~ .+ . (. ~ 2 ~ _.____.---Z5'. r- Q L_ :t~ ,1. < ~ \ i \, \ \ .,~ ..;.~..~.;.._.. .........:...---- .,.........'-1. ~._..' , . \ ii. \.h )? ~ -J w ~ 'A', " '~((O 1J71l6.E; if I. .ILl/' L1v~g: tl. " /Y,EtUl7'-'7 , , .',.. .s . ~ .,.J: 'l/ ii