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Home My WebLink About02-1433 BUILDING PERMIT Permit N! CITY OF ZEPHYRHILLS (813) 780-0020 1433 Date 9-.S--fl) ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Ph I fP5 tlobw T Job Address: ~l.f ,,;)A) , ,:t.c:J #t sT. Parcell.D. " Water Conn: Water Meter: T.I.F.'s: Zoning: Descriotion of Work En~Y Code: Cff- uid:- Aadon Gas: 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 Inspector Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Ca Const. ole Pool Pre F al $9.1 .,9--0 Permit 2=v~ ~ >> ---;~ t7 Com Address ;s&lephone# c:7 Cj 7' -0 Y ~ JUJ1./'OY lIeyn~h~ MECHANICAL Valuation or Contract Price ~ 3 ,5<5"" ~ :J f { City License Registration # State Certified License# oJ??! SLB Tub Set Water Sew r Fi I Breakers Ducts Insl. Compressor Final BUILDING 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: 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. ~.a= Free Estimates 24 H,r, Service JUNIOR HERNANDEZ Heating & Cooling Contractor 4521 W. Knollwood St. Tampa, FL 33614 Office (813) 299-0422 24 Hr. Emergency (813) 299-0423 I DATE 9' / <( I \ 20 (i "'- PHONE NO. '7 13 ~-/DV7 NAME /4;/;"K.--f- a ,:,/ /' ...r- / ADDRESS 5''7 5'J ,;l-.c -Ft, .~ ./ ',//- CITY ~y~.A-j",. (( -": 57, STATE ~ L ZIP 3.3 5f'~ SOLD BY CASH C,O.D. CHARGE ON ACCT, MDSE. PAID OUT RETD, QUAN. DESCRIPTION AMOUNT THANK YOU Please keep this copy for reference ALL claims and returned goods MUST be accompanied by this bill. 1648 No, .' \.1 ~H 'L1' /1--, I . '":r"'\ '... .),f....~ Y\JI,' ':;'V . , CITY OF ZEPHYRUIIJL8 PERMI'f APPI..ICA'l'ION BUILDINC1 UEPAR1'MEN'f 5335 8th STREE'f ZEPJlYRHILLS, FL 33540 ' . PhoneI813-780-0020 FaxI813-780-0021 .. DATB RBCBIVED --------.----------.. ~LANS RBVIBW FRB , OWNER'S NAl'-1E 1.;i:};if:J..s--L~o#/~_______________________ PHONE CONTAC'~?5 -/01/7_ ,JOB BI'I'E ADDRESS -~Y29__dO..+_tz__5.'j~____,_.....___..._.________.____. '___ LEGAL DEJSCRIP'l'ION: LOT (S) BLOCK SUBDIVISION --~----~--_.- PARCEL 10 # CJSIGN o ADDITION o AI/rERA T ION [] REPAIR [J INSTAl,l, D MOVE D DEMOLISH DMlJLTI.. F'Al'1ILY D# OB' UNITS [J MOBILE II 01-1 E [) INDUSTRIAL o SWU1MING POOl, [J OTHER (OBTAIN F'ROM PROPERTY TAX NOTICE) WORK PROPSElD: 0 NEW CONSTRUCTION PROPOSED USE: OSG[, FAMII,Y DWELLING o COI-1MERCIAl, DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPAR'fMEN'l' APPROVAl, -~-~---------- SQUARE FOOTAGE BlJII,DING SIZE ------------ REl8 IDEN'I'IAL: COM~1ERCIAI., : lIE!] IGHT A'I"l'ACH (2) PLOT PLANS & (2) SETS OF BTJIlJDING PLANS & (1) SET ENERGY FORMS, ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMlr~REQUESTED o BUILDING $ VALUATION OF TOTAL CONS'l'RUCTION [] ELECTRICAL, Af\1P SERVICE o FLORIDA POWER ?J~~~ [J W,R.E,C. [J PI,UMB INGI ~CHANICAL $ 3-100. ~ , --- VALUATION OF /VIECHANCIAL H1STAU,AT IOn [] (3AS LJ ROOF ING [] SPECIAUry [J OTHER 'l'YklBl OF CONSTRUCTION: [J BLOCK o FRAl"IE [] STEEL o OTHER FIlHSHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES CI NO BUlI.DIIR COMPANY _______ STATE] CERT OR REG 1ST # _.__________,_._._ CITY PROCESSING # S H3NA'I'UREJ ****************************************************************** llILBC'l'RICIAN SIGNA'I'IJRE COMPANY ____,_______ STATE CERT OR RECHST # CITY PROCESSING # ._--_._-----_._-_....~_.. ****************************************************************** PLUMBBR COMPANY-__ STATE CERT OR REGIST # CITY PROCESSING # SIGNA'I'URE * * * * *If'* * * * * * * * * MBCHANICAI. COMPANY ",'1PJ~,'7-- /~----- Q STATE CERT OR REr.HST # L4<;D 5-225:.-1 ..-= SlGNJ~'l'URE L, ~) ._____. CITY PROCESSING ~ ********* ************************************************** OTHER COf\1PANY STATE CERT OR REG 1ST # CITY PROCESSING # , SIGNATURE -----.------------ ***************************************************************** , ~._----_._-.__._--_._.. CO!HJ~';'IONS OF PF.RMIT AFF'IDAVIT A. NOTICE OF DEED RESTRICTIONS The undersJgned understands that tiLLs pennJ l: may })f'; subJeot to "deed restrictions" Hh1ch m~y be more restrictive than City cE~qulat:ions. '1'I1e und.:!rslgned assumes respoIlsJb.llity for compliance Hi t.1I any applicable deedcestricl:ions. B. UNIJICENSED CONrl'RACTORS AND CONTHl\CTOR RiI:S t'OIISIBI !,l'nES I f the o~vner has hired a contractor or contr:actors to undertake work, they n1ay be requ:\ red 1:0 be licensed ill accordance vl1th stilte and local r.eg\llatJolls. If the contractor 1s not l.icensed as requLr'ed by laH, both thE: ol.mer' and contractor may be cited for a misdemeanor violation under state laH. If the OIiller or intended contractor are uncertaln as to Hhat licensing requirelllent:s may apply f:OJ~ the intended \vork, they are advised to contact the City of Zephyrldl1s BuJlding Department, 013-'188'-6611. F'urthermore, 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 app.U,cation for Ylhich they Hill be responsible. If you, as the owner signs as the contract.or, you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor wishes you 1:0 sJgn as contractor that may be an indication that he 1..s not properly licensed and is 1I0t ellt1.tled to permitting privileges ill the City of Zephyrhills. C. '1'RANSPOR'l'ArI'lON IMPAC'1' FEES AllD U'1'ILI'I'Y CONIIEC'I'ION FEES D. CONS'fRIJC'l'UlON 1.1 EN LAW (CHAPTER ., 13, FLORI DA S'l'A'fUTES, AS J\HENDED) I certify that I, the applicant, have been provided Hith.a copy of "Ji'lorida's Constrllction 1 ten LaH - 1I0meoHner's Protection Guide" prepared by the E'lorida Department of Agricul ture and Consllmer Affairs. If the applicant is someone other that the "ol'mer", I ce:d.fy that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownel.-II petor to conunencel!lent. l!:. CON'l'HAC'l'OR' S/OWNER' S AFFIDAVIT I certify that all the information in this appl icatlon is accurate and that all vlOrk 1'111.1 be dOlle .in compliance \'lith aU, applicable laws regulating construction, zoning, and land development. ApplJ,oation is hereby made to obtain a permit to do work and installation as indicated, I certify that 110 Hark or lnstallation has commenced pr.ior to issuance of a permi\: and t.hat all work Hill be perfanned to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jur.isd.iction. I also certi fy that I understand that the regulations of other governmental agencies may apply to the 1ntended vlark, and that it is my responsibility to ldentify vThat actions I must take to be in cOlllpl.iance. Such agencies include but are not~ limited to: "'Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater 'I'reatment "'Southwest Florida Water Managemellt District-Wells, Cypress Bayheads, Wetland Areas, Al ted,ng Wa tercourses "'Army Corps of Engineer:s-SeaIVaIls, Docks, Navigable Waterways *lJepartmenl: of Health & Rehabilitative Services, Envlronmental Health Unit-Wells, Wastewater 'rreatment, Septic 'fanks *u. S. EnvLromnental Protection Agency-ASbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it 1s understood that a drainage plan addressing a "compensating volume" wLlI be submitted HhJ.ch Js prepared IlY a professional engineer registered in the state of Florida prior to permit issuance. A penuit issued shall be construed to be a license to proceed with ~he work and not as authority to vl01ate, canesl, alter, or set aside any provis1.ons of the technical codes, nor shall issuance of a perrolt prevent the Building Official from thereafter requiring a con:ecl:ion of errors in plans, construction, or violations of any code. Every permit issued shall. become invalid unless the work authorized by suah permit is oommenced withJn si.lt months of issuance, or if Hark authod,zed by the peullit is suspended or abandoned for a period of six months after the time the Hork is commenced. One 90 day extensioll of time may be allowed for tile permit Hith fee charge of $15.00. The extension shall be requested in writing to the Bul1ding Official. An approved inspection must be logged dud ng each silt month per:tod, or the project \Vill be cOllsidered abandoned. WJ\RNING '1'0 OWNER: YOUR FAII,uRE TO RECORD A NOTICE OF COMMENCEMEN'1' MAY RESULT IN YOUR PAYING TWICE Ji'OR IMPROVEMEN'!,S '1'0 YOUR PROPER'l'Y, IF' YOU IN'l'END '1'0 OA'l'AUI FINANCING, CONSUI.'1' WITH YOUR LENDER OR AN A'I'1'ORNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEt1EN'l'. .JOBS UNDER $2,5011 IN VALUE DO NO'l' NEED TO RECORD AND POST A "NOTICE OF Cm1MENCEt1E:N'P". SIGNATURE: OWNER OR J\GENT SIGNA'I'URE: CON'fRAC'I'On S'l'.A'fE OF E'f,ORIDA COUNTY OE'. 'J'he foregoJng 1.nstrument Has ackrlOHledged Before me this _..___ day of_______., l!l__ by_. (name of person acknowledged) IJ \'1ho is personally knoHo to me, or STA'l'E: OF FLORIDA COUN'f'Y OF 'l'he foregoing lnstrlUllent was acknowledged Before llIe this ._Jjay of------.---, 19 __~ by (name of person acknowledged) [1ho is personally known to me, or [] who has produced (type and who!] did []did not of identification) take an oath. o who has produced_______.___,__ (type of JdenU,fica\:l.on) and who Odid [lUd not take an oath Signature of person taking acknowledgement Signature of person tak.ing acknowledgment! Nallle typed, pri.nled or stamped Name typed, printed or s l:amped