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Home My WebLink About92-2034 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 20348 / - 9 - 7J-. Date ~9 ELE~~ PL'tlMBuIIG M~AL S,w" Cone Water Conn: Pmp'rty Own" ~ ~ W':': Met" Job Address: l/~~ T.I.I. s. Parcell.D. # 1-.5- --,}..6 - ;)../ - t:) /60 - ~ bCJ ~ 0 - 0 dA- () - J CJ Zoning: ~ JnergbCode: 8- X p--- Radon Gas: Description of Work ~ 4- _ - 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. Inspector DAT~ Perm;' Fee :La - ~ Sign&ure~4.A.A.~~ .(?~ Company Address Telephone# Valuation or Contract Price 0-- 9...s-: trD City License Registration # State Certified License# (})--t./'VI.12.A (--BUI~~ EL~L -- P~G ...... ME~ICAL " Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPtICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS APPLICANT ~JJJcL ~ G;.:;.;:?6'"..dS '-170,3 C?OU~! -J3J/IJ A. JOB LOCATION S~[ fr:t.: Aiov/$ f~ OWNER sr a..Gri Z.EFW't/fy!/LLs C.cM,?I;) f( ,L/5 J-l. :I..:1J""';'1 PHONiYIS) 732.'- 3/10 -- LEGAL DESCRIPTION: LOT(S) BLOCK LOT SIZE 1"2;'2... X Jl.\ Y AREA SQ. FT. SUBDIVISION W}/JS?c?ZJvf;' O.~I:.) PARCEL I.D.# /1')- ~t~.- ;;J. / - 0 It., 0 ... t/t) CJOC) - OOA~) .- -3 () z 1--1 WORK PROPOSED:_New Construction ~ddition _Alteration _Repair ~Ins tall _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~~ of Units __M/H _Commercial _Indust. _Swim. Pool .5ij.~'b Other _Restaurant & Health Department Approval BUILDING SIZE: ~x ~~ Square Feet, '? ~r { Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED, ''I. BUILDING $~ 5~l5' PERMITS REOUESTED ;..iO Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel IILU#I/A-Ij,.JjYl Other FINISHED FLOOR ELEVATIONS: / FT. ****************************************** CONTRACTOR SECTION S /'" '~......-- Company V I.l ~ FtTc f [urn I JJ IJ fh J-hC., State Cert. or Regist. ~~ 7611 City License Registration iF i...?'IO ****************************************** BUILDER Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Signature Company State Cert. or Regist. iF City License Registration iF ****************************************** PLUMBER Company State Cert. or Regist. iF City License Registration iF ****************************************** MECHANICAl. Signature Company State Cert. or Regist. iF City License Registration # OTHER Signature APPLICATION APPROVED BY ;ft*************************************** . tt4<~d ~ . Vl4llAY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTION~ The undersigned understands that this perlit .ay be lubjlct to .deld rlltrictions. which lay be lorl restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to underta~e 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813) 788-6611. Furtherlore, 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 the owner sign 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the .owner., I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the .owner. prior to cOllencelent. E. CONTRACTOR'S/OWNER'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, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: . Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent . Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways . Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A. or "A,etc,", it is understood that a drainage plan addressing a .colpensating volule. will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY 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 COMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"MENCEMENT.. SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF PA SC 0 The foregoing instrument was acknowledged before me this rTH ~, 19~ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by known to me or who has and who did/did not ure) Cb}JA- . S-OrON !Name Typed, Printed or Stamped) NOTARY PUBLI C NOTARY PUBLIC, STATE OF FLORIDA My commission expires Jan. 28, 1995 Bonded thru Patterson - Becht Agency (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC