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Home My WebLink About92-2038 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit Nt! 203SE" j- /0 - 9'J- Date BU~ ~~TR~ PLU~ M~CAL Sewer Conn Water Conn: ::~:::'~S:M$t~~ ';~~J;Q-, Parcell.D. # Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: f!...r.:..~~ At ~ {) ~ Radon Gas: ... cL~~~ ~ <2~ o - NO OCCUPANCY BEFORE C.O. FINAL C,Q, DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee~ to"-:ff!j 'Signature ~? --;{-t" /~ ~ Company Address Telephone# Valuation or Contract Price .~/A- City License Registration # State Certified License# B~ ~ CELECTRIV Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final P~G -. M~ICAL . Breakers Ducts Insl. Compressor 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER F1?ANK F/ry LEY . ( I 7 4.7 -'19 q I 7-- ~ n h I r RAN /r: F ; N L t Y ~;l9~1 17~f:i--cd; / / PHONE -7 l:-- cJ - 7 / cl..:L APPLICANT ADDRESS JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:____New Construction ____Addition V ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4~ of Units _____M / H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, 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. H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING --L.L..ELECTRICAL $ Valuation of Total Construction ../ AMP Service v" Florida Power Corp. _W,R,E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER F.T .F.CTRI ClAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert, or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registratio~ # *********************************~******** OTHER ~O~-1?; Signature '" ; ~A-M/(Y->~j Company State Cert, or Regist. # City License Registration # APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'lay be subject to .deed restrictions" which lay be lore restrictive than City regulations. The undersigned assults responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired 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 lay be cited for a .isdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing require.ents 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 contractorls) 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 Zephyrhills. 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 - Ho.eoNner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone 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 cO.lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..eneed prior to issuance of a per.it and that all work will be perfor.ed 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 govern.ental agencies .ay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: . Depart.ent of Environ!ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treatlent . Southwest Florida WatEr "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environlental ProtEction AQency - Asbestos abate.ent 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 .co.pensating volule. will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued shall bE construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction uf errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such per.it is co..enced 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 cOllenced. One 90 day extension of tile, lay be allowed for the perlit fjith 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 .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF CO""ENCE"ENT". { SIGNATURE: CONTRACTOR was acknowledged , 19~ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF flORIDA COUNTY OF PAS. c....O The foregoing instrument before me this ,- \ 0 was acknowledged , 19_ by 1=~~~ 1=It.1\. ~'? who is personally known to me or who has produced bQ.\\l~ S L1 ("EJ.)S.~ as' ntification and who did/did not ta e n 0 tho u.. ISlgnature) 'DE.l:!>B IE. 1\. ROb:>~LL IName Typed, Printed or Stamped) NOTARY PUBLIC who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLI C ,ul Ai'n' I"UHLlG, ::HATI:. UF I-L<JW\IJI\ My commission expires Oct. 2. 19i1~ r>'''11eYi thru Patterson. Becht A.lnol