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Home My WebLink About02-1306 BUILDING PERMIT Permit N2 30 ,8 "i> ELECTRICAL CITY OF ZEPHYRHILLS (813) 780-0020 )0 ' erD PLUMBING 1306 _or ,J Cj70''? BUILDING Date 0-~i/-1J~ M~ Sewer Conn ? .Q '} tf . 90 Water Conn: .3 5f)' ~ Property Owner: Job Address: Parcell.D. " L/~~/P ii;;~ R& Water Meter: T.I.F.'s: ;;) . ::;- I ;) , ;l-o , Zoning: Descriotion of Work Ener~Ode: '1YJ.A 10 I d (s , Radon Gas: c. ~. S ~ FINAL C.O. - <!"}:;z DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee yl ;><Signature Company Address )<3"elephone# 81 ~ t/IS-q~ Valuation or Contract Price 15~, Ob? '75 . City License Registration # ~ 7? Y State Certified License# '\0, - 0 'I) ~ DOUt!iNO 6lec. -#- 9C( ELECTRICAL ~/tl'lc; L.)f'llf~<:;' #- 1'1 ;;) l:) ~~ ct [1 ~Vl ail;' ~ 0- BUILDING Ftr. 1- #fO Pre SLB 7;- ;1$-0.;/ Lintel Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ./J 1-6 - 0 l ((Uf, IKJo &-./ZX!-. CfJ~ /0 -~5--ctl F() ,f-Y. -L- ' vi- r I(-IJ-,OL ~ Ib'.J~ f/' REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: PLUMBING MECHANICAL SLB /7-17-&.:2 /lJ~t2LY Breakers Tub Set 1/ Ducts In . Water Comp Sewer../ '* -.;7V -(/ p( RL ~ 1.0' oIfin Finalj//I-f-OZ jZ{y/- II CfiJ FRM. Insul. CL Wl Driveway a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR. PERMIT CITY OF ZBPRY.RRILLS BUILDING DEPARTMENT ,l~rfJ?J ~ -~ r -q ~.. t.!J ~-~-..- - t::" -30 -- tJ,~ DATE RECEIVED ...J PLANS REVIEW FEE 0\,\ \ b CA \A~e-r JOB ADDRESS L\. Cb '-\'1 t\\" \~ a f\- V;;-^ LEGAL DESCRIPTION: LOT(S) :5 -...., Cc OWNER'S NAME PHONE l~1- (j.-ll3 336Y~ 7 e ,~\\~ \'~i\ \<, F l _ \ ' SUBDIVISION J3-(j.tp;;l\ - :::>O\Q - JOQ()Q -. OQ5U PARCEL ID # 1.?.J'd.l,,-J.\~O()$)-()$()QD-O()lo~)f {OBTAIN FROM PROPERTY TAX NOTICE\ BLOCK WORK PROPSED: ONEW CONSTRUCTION IStADDITION OALTERATION o REPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL ~NDUSTRIAL o SWIMMING POOL o OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK \i\~~\ bL,'-v~\~\ (\ 'f BUILDING SIZE ~)-~ '/..... ,00 SQUARE FOOTAGE (0 (Soo HEIGHT \ q \=t RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ 12:0,000 VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME rg' STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER. COMPANY \\Q.,e.. t.u"\\'CAC-\\Y\~dlc{'C. ~ STATE CERT OR REGIST # L- G c... __ _ ~S SIGNATUR__r ' -- - CITY PROCESSING # ~ . . H* H* HH* *HH *H H HH H H* H* H *H*HH* H H* * *H H *H H:t'!ftt f'PJ'v/P-..t!;: BLBC'1'R.ICIAH'\ COMPANY 'btJl.A.~\4~ 1:= ) ~ L-t-Y"\'c.. Ir)c.. _ c::.. - ~). (). . () ~ ~ () STATE CERT OR REGIST # E ~ 0 Db (~55 d. SIGNATURE~.~ ~ CITY PROCESSING # ~ iu ~ 0 1::0 ....- v__/~ r, * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * m""'IiW'li7i''I..''''I<------ - . '- COMPANy1J~(\"'\~:J L. L'0; \\.ic:u~Y-:, ~\\"'J'Y\b,n6 STATE CERT OR REGIST # c... F c:.. \ l.\ &5l..,D a CITY PROCESSING # /9 ctlD PLUMBlI:R. C\\ - ~TU~lJ~ J- (JJ~ **********~******************************************************* Hll:CRAHlCAL COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTRll:R. COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** COND~TIONS O~ ~ERMIT AFFIDAVI~ A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pel:mit may be subject 1:0 "deed restrictions" which may be more restrictive than City D'!gulat:ions. The undersiqned assumes responsibility for compliance with any applicable deed restl:icti::ms. B. UNLICENSED CONTRACTORS AND CONTHACTOH RI!:SPONSIBILITIES If the owner has hired a contractor or contractors to underi:ake work, they may be required to be licensed in accordance with s1:ate and l:>cal regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 thle owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, ha've been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate 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 permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become ipvalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~/~ ~~/ SIGNATURE: OWNER OR AGENT ..-.---------.-.------------... __.>;;:.~'L-...-........---.....--..-....-~ SIGNATURE: CONTRACTOR STATE OF FLORJ.1)A COUNTY OF" c,"",C() The foregoing instrument was acknowledged Befor~r{Tl~\\:hiS~ day Of~~.', , ~-'l..~ by ~l_"\-O~~...J <00-,-- , (name of person acknowledged) ~who is personally known to me, or STATE. OF FLORIDA -:) COUNTY OF ~ Co-. ~ c b The foregoing instrument was acknowledged Before..l!!e thi~ ~da~ of ~ . ~ s:D.- by ~ ')~~~~.>- \) -Ie-, _, _______ (name of person acknowledged) CNho is personally known to me, or o who has produced (type of identification) and whoO did Odid not take an oath. ~:::::=-~ s](gnature of person taking acknowledgement N~~~ ~ri~:)~~ ~~~~ o who has produced (type of identification) and [)jid ot take an oath /?j//hU 6AV~~~ Name typed, printed or s amped Ace Contracting 4848 Airport Rd. Mil-Tool & Plastic, Inc. SQ. FEET PRICE MAIN OR LIVING: 6,456 $ 24.00 OTHER AREA UNDER ROOF: $ 15.00 OTHER: 3,675 $ 0.85 VALUATION $ 158,067.75 FEE SHEET $ 647.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 970.50 CREDIT: $ - BUILDING LESS CREDIT: $ 970.50 ELECTRICAL: $ 30.88 PLUMBING: $ 50.00 MECHANICAL: $ - RADON: $ 64.56 TOTAL $ 1,115.94 SEWER: $ 1,278.00 WATER: $ 350.00 IRRIGATION: $ - TOTAL: $ 1,628.00 I l I WATER METER:I $ IRRIGATION METER $ ~ r SUB-TOTAL $ 2,743.94 r SIPS:I $ 97.5% $ 2.5% $ : I TI F'S: $ 2,812.20 99% $ 2,784.08 1% $ 28.12 TOTAL: $ 5,556.141