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Home My WebLink About02-0896 BUILDING PERMITN~ 0896 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date 1-9-0;;1 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: 13~u>d5 hrn,fvr-e...- r TO 0 /" P. ..,-I- , Job Address: J ...::> 4 0 ,d~ Parcel I. D. # Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: . ~ Radon Gas: Au,'ltI eo.,~ ~ ~)/57Ucco / 5'-~ c:7 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 City License Registration # State Certified License# Inspector Permit Fee ;25',-u ?,Signatur;- ~"' Company Address >(telephone# i?'/3 7 r?- t/<<It/1 Valuation or Contract Price '-rC:l/~~ J M',;, So Co,st. BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr, /i -It-O'- I{jo, BB Tp. Servo ./r-11-0.;L1.{.To, GeSLB Pre SLB : Rough In Tub Set Lintel ';1- 22 rO ~ l15o/flY Meter Can Water FRM. Const. Pole Sewer Insul. CL Pool Final WL Pre-Meter 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 Twenty Five and 001100 Dollars ($25.00) 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. UPLICAn~ I'ClIl HIIlIIttT cJ:n 01' hl'llDlllXLLS .uI'J.I)DIIf ~ DUS IIIICUVI:D n.urs 1lIIYI_ I'D OffNER' S NAME ,J"oi%ES c., ~VI'5 ~D COL1L '* Wlorll- r:k.tt.A) l rx-rzl.:.-PHon /7&500 (;TH- ? r r ?:.6P'h/l4tl.-'S l BLock JOB ADDRESS YPr 7\2---" ({tEet PC... LEGAL lJESCRIl''l'ION: LOT(5) SUBDIVISION PARCEL ID .. WORK PROP5El): OHEw CONSTRUCTION ~IGN (OR'l'lt.rv I'RnW' PROP~ TJJC NOTT~\ o ADDITION o MOW OALTERATION o Dr.KOLrSH o REPAiR o INSTALL PROPosED OSE: OSGL FAMILY DlfELLING o COMMERCIAL OMULTI-nuar.y o INDUSTRIAL 0, OP UNITS o SWIMMING rooL o MOBILE HOME o OTHER I DESCRIPTION OF WORK o RESTADMNT , HEALTH DEpARTMENT APPROVAL ~, t./) Co/IJcll.;;,n /mAs / ~1Uc-c-O 1./). Slt;~~ f I BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: C<>>IHERCIAL: ATTACH (2) PLOT PLANS , (2) SETS OF BUUDING l'LAHS & (1) SE'!' ENERGY FORMS. A'rl'ACH (3) !Ins OF BUILDING PLAHS , (1) SET ENERGY FORMs. PROPERTY SURV!:Y REQUIRED E'OR ALL NEW CONSTRUCTION. PEJM[TS REQUESTED o BUILDINCI o ELECTRICAL o pLOMllING o MECH1\NICAL $ VALUATION OF TOTAL CONSTRUCTION AHl' SERVICE o FLORIDA POWl!:k o W.R.E.c. $ o GAS o ROOFING o SPECIALTY VALUATION OF ImClfANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION:~BLOCk FINISHED FLOOR ELEVATl:oNS o nwa o STUL o OTHER IS PROJECT IN FLOOD ZONE AREAD Yl:s [J NO COMl'ANY: - STATI CDT OR REGI ST CITY PROCESSING . ******..............**........***.......**.***.* &1&C'l'RXCIQ' SIGNATURE COMPAIJY. STATE CERT OR REGIST # CITY, PROCESSING .. **.********.......................*...*****..*.****.************.* ~ COMPAlfY. STATE CERT OR REGIST .. CITY PROCESSING * SIGHATUJU: SIGNATURE *......**~*~..***.****...***************.**..**************..*..** COMPJ\!lY- STATE CERT OR REGIST * CITY PROCESSIHa # ~cu. *********.****...............***.***...*************.************ 0'Dal SIGNATURE CC>><<l'ANY S~TE CERT OR REGIST . CITY PROCESSIHG II ******............*.....*......**.***.****.****...*************** I'd Z6Zl"ON SlllHHAHd3Z jO AllJ ~Vg8:01 ZOOZ '8 "uer COND:ITU))fS OF E'EJlHl:T A!TIDAVIT A. NOT.:ICE OF DEBD RBSTRICT:IOMS The undersigned understanda tbat this perlllit IlI&Y be aubject to "deed re.trictiona" which may be more re.td,Cltive than City requlaeionJ!l. The under"igned a.aumes responsibility for compliance with ~y applicable deed r.st~ictions. B. UNLICENSED CONnlACTORS AND cotr1'JlACTOR' RESPOMSIBILtTIES If the owner haa hired A contractor or contraceora to undertake work, they ~y b. required to be licensed in accordance with state and local regulationa. If the cODtractor is not licensed a. required by law, both the owner and contractor _y be cited for a 1ll1sdem&anor violation under state 1.... If the owner or intende<! contrActor IU:. uncertain aa to Wh.t licensing requir_nts -y apply for the intended work, they are advised to contact the City of Zepbyrbills Bttilding Depar~t, 813-788-6611. FUrtbermore, if the owner has hired II contrActor or cODtractors, be i8 advised to have the contractor(s) sign portions of the "Contractor Sections" of thia application for which they will be responsible. If you, .. the owner signa aa the contractor, you are indicat~ng that you, rather tban the contractor, are responsible for the worle. It the contractor wishes you to sign as contractor th~t may be an indication that he ie not properly licen.ed and is not eQtitled to perlllittiU9 privil8ges in the City of Zepbyrhille. C. 'rRAlfSPORTATION IMPACT PEES AND UTILITY CONllECTION FEES ,D. CONS!'RUCTUION LIEN IJ>M (CHAPTER 713, i'LOIUDA S'l'ATU'rIS, AS AMENDED) I certify that I, the applicant, have been provided with a copy ot ~Florida's construction lien LAW - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Artaira. xf the applicant is someone other that the ~own.r", 1 eerify that I have obtaJ.ned ~ copy or the above described doClUllloent and prolll1s. in good tuth to d.el1.ver it to the .owner" prior to commencement. E. CONTRACTOR' stOWNER' S AFFIDAVIT I certify that all the into~~ion in this application i. accurat~ and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a pe~t to do work and installation as indicated. I certify that no work or installation ha. c~ced prior to issuance of a permit and that all work ~ill be porfoDDed to meet standards of all laws regulating cODBt:ructiou, City codea, .oning regulations, and land development regulations in the juri.~ction. I aleo certify that.l uuderatand that the regulations of other govermaental ilgencJ.es _y apply to the intended work, and that it is my responsibility to identify what actions r Dlst take to be in c~liiU1ce. SlIch agencies include but are not lillli.ted to: .Department of Environmental Regulation-Cypress Bayheads, Wetland ~eas and Bnviroamantally Sensitive Landa, Water/Wastewater Treatment .Southwest Florida WAter Hanawement District-Wells, Cypress Bayhead$, Wetland ~eee, Altering Watercouraes *Army Corps or Envineera-SeawallS, Docks, Navigable Waterways .Department of Health , Rehabilitative Services, BnviroDmeQtal Health Unit-Wells, Waatewater Treatment, S.ptic Tanks .U.S. Environmental Protection AgenCY-Asbestos abatement I also certify that, it fill material is to be used in Flood Zone ~A" or ~A, etc.", it is understood that a drainage plan adcire$sing a ~comperurating volume" will b. submitted "tftdch is prepared by a protessional engineer regi.tered in the State of FlOrida prior to P.~t issuance. A perRdt issued shall be ~onstrued to be a license to proceed with the work and not aa aUthority to violate, cancel, alter, or set a.ide any provisions of the technical codes, nor sh21l1 iSsuance ot a permit prevent the Bu1ldinl1 Official trOlll thereafter requiri.ng .. correction of errors in plans, construction, or violatio~s of any code. Kvery pe~t i..lIed shall become invalid unle.. the work authorized by auch pe.tlllit ia commenced within .ix months ot issuance, or if work authorized by the permit is .usPended or abandoned for a period of six montha after the t1me the work ~a c~nced. One 90 day extension ott1me may be allowed for the permit W1th tee charge of $15.00. The extenaion shall be requested in writing to the Bttil<iing Official. An approVed inspectioll lIlU.t be logged during each six IllOnth periOd, or the project Will t:>e considered llb..ndoned. WARlfl:NG TO 0liNEll: YOUR FAILURE TO RECORD A NOTICE OF COHMEliC!JCENT ~ RESULT PAYING TWICE IKl'ROVEHENTS TO YOUR PROPERTY. IF YOU IlilTDrn TO OBTAIN !'I WI'1'll YOUR ATTORlfEY BEPOJ\E lUtCORDJ:NG YOUR NOTI $2,500 NEED CO AND POST A "NOTrC!!: STATE or !'LoR DA COUNTY OF The foregoing instrument was acknowledged Before me this _ <lay of . lL by (name of person acknowledged) o who is personally known to me, or o who has produced (type of identification) and who[J did [Jdid not take liD oath. STATE OF FLORI COUNTY OF . The foregoing instrlllllent was Before me thia ~y or by acknowledged , 19....;... (name of ~erson .cknowledged) CLho ill personally known to me, or Owho ha. produced (type of ~dentificetion) and who Odid. DUd not take an oath Signature of person taking ~cknowledgement $1.gnature of person taking acknowledgment Name typed, printed or stillllped Name typed, printed or st:aJI1)ed . d Z6ZI'ON SlllHHAHd3Z jO AIIJ N~9E:OI ZOOZ '8 .uer C1TY OF ZEPHYRHILLS "NOTICE" OF ADDITION OR CORRECTION BUILDING , DEPARTMENT 10:")(:;, 4./'1. DATE PERMIT <l- I /1 0 I () 1- 0 ~ '1 ~ THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections sholl be mode before the job . will be accepted. , DO NOT REMOVE ADDRESS 5500 bt) St. fVe~d Ct (Jf'o v~ d . . ,I I t15f.e,-"~., 0/'\ f I ~,., > J or ~ · ') 1" D I" J v~ 5"~ J~.,. It is unlawful tar any Carpenter, Cantractor. Builder, or ather pe/'lOns, 10 cover or caUM 10 be covered, any part of the work with flooring, lalh, earth or ather material, until the proper Inspector has had ample time 10 approve the Installation. . AFTER CORRECTIONS ARE MADE CAlL 788-6611 FOR RE-INSPECTION INSPECTOR /fk/ jL ~ OFFICE HOURS 8 - 5 MON.-FRI.