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Home My WebLink About98-7665 BUILDING PERMIT ~~ --a $'1, ~,- C::~~~~~:> CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7665~ ~ - /0 -- (ly/' Date .ewMaTNG ~i.. Sewer Conn Water Conn: Property Owner: Job Address: Parcel 1.0. # ~~7lJt;~~ /!fj:j, ~~ Water Meter: T.I.F.'s: Zoning: Description of Work En gy Code: . 87~ " ~~~~>- 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 Valuation or Contract Price -- Permit Fee Signature Company Address Telephone# City License Registration # State Certified License# ~/11 BU JJ..QtNG ~ a~~)9f~ LECTRICAL '/t. . PL · G . Mf:CnANICAL 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 ($15.601 shall be made for each trip for each trade: ~'-. tlV 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. a. b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ALADDIN ELECTRIC & AIR INC April 10, 1998 City of Zephyrhills 5335 Eighth Street Zephyrhills, Florida 33540 Re: Letter of Authorization My employee, Gordon Wellslager, is hereby authorized to act as my agent in securing electrical permits in the City of Zepyrhills. I understand that I am responsible for any and all work done by my agent. ~ .. ~icense#ECoool088 Steven C. Brown State of Florida County of Manatee The foregoing instrument was acknowledged before me this / b~y Of~1998, by Steven C. Brown. Who is personally know to me. My COmmiSSiOn~ E: 1~. . ",\'~~"~'~I, / f~~. .~.. Mll'llha Palmer ~ f;.(l;,".i:j MY COMMISSION 1/ CC606673 EXPIRES , ~:.~~~., December 9, 2000 ".?f.,ili'" BONDED llfRU TROY fAIN INSURANCE, INC. 7011- 301 BOULEVARD, SARASOTA, FLORIDA 34243 · (941) 756-5547 · 800-586-1161 . Fax (941) 751-6851 STATE LICENSE NUMBER EC 000 1088 APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME Z 15:: P Ii Y R H-1l.L~<; M ~ n Ie -C\l. (11 t..J \ <. LL PHONE OWNER'S ADDRESS 103 7D Klc-\-t MOLl i':) AIlE;:!Ir-qno 1:f^,,~..J,I T><: '77042. JOB ADDRESS G'71.f R GALL- 1) \ \I D 2,;; P I-i YR l-t ILL S. FL. S"EG10 IU .:L low":'SIHF>:;l.~Bool<' ~77fL PA4E , 'B 2, LEGAL DESCRIPTION: LOT(S)Scl)rlt~AaU(lE 2.t C.1\S\8LOCK. SUBDIVISION PARCEL I. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---Alteration _Repair ~Install _Sign _Kove _Deaolish PROPOSED USE: _Single Faaily -A-eo..ercial _KIF _, of Units _KID _Swia. Pool ..LOther Se~l/l( tz;. of> 0RRO tC:-. _Indust. _Restaurant & Health Deparbaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COKKERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING -i-ELEC'I'RICAL $ 32s-" $ AKP Service Florida Power Corp. W.R.E.C. Valuation of Total Construction _MECHANICAL Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDUSBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BIITT.nER COMPANY State Cert. or Regist. , City License Registration t ****************************************** Signature COMPANY . State Cert. or Regist. t Er oe~ /OBR . y License Registration t ,~ / ****************************************** PLUHBER COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** 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 tban City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRAC'l"Ons AND CON'l"llAC'l'On RESPONSIBILI'l'IES If tbe owner has bired a contractor or contractors to undertake work, they .ay 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 .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!llents .ay apply for the intended worlt, they are advised to contact the City of Zephyrhills Building Deparuent, (813) 788-6611. Furtber.ore, if the owner has hired a contractor or contractors, he is advised to bave 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 1I0rk. If the contractor wisbes you to sign as contractor that .ay 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 UTILITY CONNECTION FEES ~~ D. CONS'l'RUC'l'ION LIEN LnW (CHAPTER 713, FLOHIDA STA'rUTES, AS AMENDED) I certify that 1, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guid~" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone otber tban the "owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the "owner" prior to COllenCl!llent. E. CONTRACTOR IS/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all 1I0rk will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. I Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no work or installation has cOllenced prior to issuance of a per.it and that all 1I0rk lIill be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that 1 understand that the regulations of other goverDlental agencies .ay apply to the intended work, and that it is 'V responsibility to identify IIhat actions I lust take to be in co.pliance. Such agencies include but are not li.ited to: * Deparuent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastellater Treatlent * Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Metland Areas, Altering Watercourses · Ar.y Corps of Engineers - Seawalls, Docks, Navigable Materways * Deparuent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater TreatleDt, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOt thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Every peIlit issued sball beCOle invalid unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six tonths after the ti.e the lark is cOllenced. One 90 day eJtension of tile, lay be allowed for the per.it lith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six tontb period, or the project lIill be considered abandoned. MARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE PUR IHPROVIMINlS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORK RKCORDING YOUR NOTICI OF COMMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCHHRNT". , I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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