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Home My WebLink About04-3510 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3510 Permit Number: 3510 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 4,500.00 Date Issued: 10/26/2004 Total Fees: 55.00 Amount Paid: 55.00 Date Paid: 10/26/2004 Work Desc: AlC CHANGE OUT Address: 6618 NORTHLAKE DR ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Subdivision: SILVER OAKS Parcel Number: Book: Section: Name: CONROY,RON Address: 6618 NORTHLAKE DR ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) 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 "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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. .-A 1 )~ ~-~ CONTRACTO SI ATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~' ....... .--..".' --......~,. '''''''<l'~,..",......... ....,..,..,,_..,. '.,. APPLICAnON FOR PERKIT CITY OF ZEPBYRHILLS BUILDING DEPARTHERT OWNER'S RAHB CO(\.\'0y J 7of'\\\ \e OWNER'S ADDRESS (0(0 l <6 r\ ~ 1:b ~ fr'. JOB ADDRESS lDC.o l <6 f\J~t~ ~ (Y LEGAL DESCRIPTION: LOT(S) ;.:J6 PARCEL I.D.tO~ ~ dl.o- dl- ()#S{) -C:Cf:Y) -o'J2D PHONE 't~~ ~A'6 LrJ\ d0 BLOCK SUBDIVISION S; )ver CbXs (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ---^ddition ---.Alteration ____epair _Install _Sign ---..JIove ->>eaolish PROPOSED USE: _Single Faaily --.Jf/F _' of Units '~;I/H _ec-ercial _Indust. _Swia. Pool _Other DESCRlPnON OF WORK: -Restaurant Ii: Health Departaent Approval At ( --' obn ~ / ~ )mr BUILDING SIZE: x Square Feet, C'Aa.ru:ce -Qut Height RESIDERTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Valuation of Total Construction IU .RC'1"RICAL AIIP Service Florida Power Corp. W.R.E.C. ~ IlECIIAlIICAL $ Uu'OS-dl Valuation of Kechanical Installation ---..PLtllBDfG GAS ROOFING SPECIALTY TYPE 9F coRsmucnoR: _Bloclt _Fraae _Steel Other FlUSHED FLOOR ELEVAnORS: Fl. IS PROJECT IN FLOOD ZONE AREA! .......................................... YES NO CONTRACTOR SECTION BlflJ.DBR COHPARY State Cert. or Regist. . City License Registration . .......................................... Signature RT .RCTRICL\1!f COMPANY State Cert. or Regist. . City License Registration' .......................................... Si....Ature PLtIIBER COKPANY State Cert. or Regist. , City License Registration . .......................................... Signature IlECllANICAL Signature 0~l~ ' ~ COMPANY C ..;.:':. ~l :>1,: OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... APPLICAnON APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perllt laY be subject to 'deed restrictions" wbich laY be lOre restrictive tban City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If 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 lilY be cited for a lisd_anor violation under state law. If the mmer or Intended contractor are uncertain as to wbat licensing requireaents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections- of this application for wbicb they will be responsible. If you, as the OIRler sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbell you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the 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 'plorida's Construction Lien Law - lkIIeolmer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SOMOne other than the 'owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to cOlleDceaent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land develo.-ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a perait and that all work lill be perf OM to teet standards of all laws regulating construction, City codes, loning regulations, and land deyelopnnt regulations in the jurisdiction. I also certify that I understand that the regulations of other goyerntentBl agencies lilY apply to the intended work, and that it is If responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to: * Departlent of EnyiroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIly Corps of Engineers - Sealalls, Docks, Navigable Waterways t Departlent of Health , Rebabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic !anks * US EnviIODleDtal Protection Agency - Asbestos abatl!leDt I also certify that, if fill Iilterial is to be used in Flood Zone "A' or "A,etc.", it is understood that a drainage plan addressing a 'coapensating volUlle' lill be subtitted wbich is prepared by a professional engineer registered in the State of Florida prior to perllt issuance. A p~it issued sball be construed to be a license to proceed lith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid unless the work authoriled by sucb perlit is cOBellced lithin sillODtbs of issuance, or if work autboriled by the peIlit is suspended or abandoned for a period of sillOntbs after the tile the work is coaenced. One 90 day utension of tile, lilY be allowed for the perait with fee charge of $15.00. Tbe utension sball be requested in lriting to the Building Official. An approved inspection lUSt be logged during eacb sil IOnth period, or the project will be considered abandoned. WARNING TO OIlIER: YOUR FAILURE TO RECORD A NOTICE OF WDlDCllllII! MAY RESULT IN YOUR PAYING TWICE FOR IIIl'ROVEIImS TO YOUR PROPER'fY. IF YOU IJIDND TO OBTIIN FIIUCING, CONSUL! wlm YOUR LDDIR OR 11 InoRIIY BEFORE RECORDING YOUR IO'I'ICB OF Cl>>ttfENCEMEII!. JOBS UNDER $2,500 IN VALUE DO lOT mm TO RECORD lID POST A "DICE OF C(JIMDCEMm". [VLcJ1ei& ~oclslJGn-- C~ SIGMA!URB: (MIIR OR ~ ~~ O~FFLORI~ /){ The foregoing in,tI'WIent was acknowledged before me thi.yb ~ ~ ,~Q.4/by ( hlrc t-f>lI~ JA-cl<<6A.J who is personally kD~to me or who has produced as identification and who did/did not ~;'~V2 4.1dt~ ( i.9lla'y:re.) ~ LV / I ~ I j---e ICY' L I . f2q (Name Typed, Printed or St ed) NOTARY PUB ~~ O~F FLORljg / J< The foregoing ins~7:t was acknowledged before me this I h, 1'9.. -<2,Q: by m/~i ~//e0-/fLKstJ,;J !!!Io is personally kno~ to me or who has producea as identification and who did/did not ~::1;~._~A.l.l/~ ( ignat/j) ~ J J /& ~ /&/ re c e J VUf ,#-. 0 (Nue Typed, Printed or Stamped) NOTARY P "'1iA~:""",,, FEUCE I. W1lLAFORO t.~ fIi.f;1~ MY COMMISSION j/ DO 121407 ~'" EXPIRES; September 18.2006 "~ .. "., Bonded Thru No1aly PubIlc Undinwritelll , '. FEUCE I. W1UAFOAO [..: ~~ MY COMMISSION II DO 121407 ~" ?!Hi EXPIRES: September 18, 2006 "'~iif.~~" Bonded ThnJ Notary PublIc u~