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Home My WebLink About92-2070 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2070Pj /-;/::2- 'i~ Date BUILDING ____-e ELECTRICAL .-------. ~MeJN~_) "'"---..::--..----.,--- ~erconn Water Conn: Property Owner: Job Address: Parcell.D, # cl;~. c6~~ .{!~~._\ & :3 1:2.. c:7h.-ii~ 4J,. 2 <4),1. Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: UM~<dLn;.J .// ~~...' ~as: '. ',(; / NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, City License Registration # ,1JJI! State Certified License# "f.:r";~ 7' Inspec Permit Fee <f ..~ 0 ~ ~--_.; 1 Signature 0~/I~~~d~"t' .L',fJ Company l./ Address Telephone# Valuation or Contract Price BUILQJ.N-G .~ ELECTRICAL - ~-~u~~~p~ ~AI\lICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. I 7 7~ tJ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT tl J:.S~ ADDRESS ~ /;?- //~ -------- ~ //--t_ PHONE OWNER JOB LOCATIONS~ ~ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.# WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/P _# 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.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ 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 Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ***;,************************************** BUILDER Signature Company State Cert. or Regist. # ~ City License Registration # ****************************************** i Company ~A~~ , . State Cert. or Regist. # ? Lj /' City License Registration # r ********~********************************* ELECTRICIAN Signature' PLUMBER Signature Company State Cert. or Regist. # City License Registration # ***************~************************** MECHANICAL Signature Signature Company State Cert. or Regist. # City License Registration # OTHER APPLICATION APPROVED BY PERMIT OFFICER. ~. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assules respDnsibility for cOlpli,ance 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 ~ay be cited for a misdeleanor 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 Oepart~ent, (813) 788-6611. Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW <CHAPTER 713, FLORIDA STATUTES, AS AMENDED) 1 certify that 1, 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 1 have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOlmencelent. 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 developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all work will be performed to leet 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 lay apply to the intended work, and that it is IY responsibility to identify what actions I lust t~k!? tc, be in c!:\lIlpliance. Such agencies include bllt ~ie mlt limited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtjv~ lands, Water/Wastewater Treatment I Southwest Florida Water "anaQelent Oistrict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Deoartlent of Health ~ Rehabilitative Servites, Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill mat~rial is to be used in Flood Zone "A" or "A,etc,", it is understood tllat is drainage plan addressing a "colpensating volure" will be subaitted which is prepared by a professional engineer feqi=t~i~d in the State of Florida prior to periit iseuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cantel alter, or set aside any pr~,~~ions of the technical, codes, nor shall issuance of a pertit prevent the Building Dff\ci~1 frol thereafter requiring a correctinn' of errors illplan~, construction, clr violatic,ns of any code. Every perili t iss\ll!d :;hall becole invalid unless the work authorized by such perltt'is'coaaenced lIithin:sillllonths of issuance, or if wc,rk authrll lzed by the peait is suspended ,or abandclned fClr a period{lfsilllonths after the tile the work is (lJlllllenced. One 90 day i:d"i,SIOII llf tile, may be alloll~~ for the permit with fee charge of U5.M. Theextensic,n shall be requested in writing to the Building Official. An approved inspecticln must be lc.ggl!d during each six Ilonth period, c,r the project will be cc,nsidered db';lIdoned. WARNING TO OWNER: YOUR FAILURE ~O RECORD A NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR PAYPNG TW.ICE FtlR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAINF:INANCING, CONSULT W.lTH YOUR LENDER OR AN ATTORNEY BEFORE RE:CORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER .$2,500 IN VALUE DO NOr NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE~~~------ SIGNATURE~~~-- DATE__~~~_~~~-2-::'::::~------------- DATE____~i~~'-~::~~::~;-?------------ / / ONOwTNEARRYOARSAGTOENT__... /_../,,_:_......;. "'_'.I.~' :...f_:,'i' f__'A.__._. _ilL. .....,/././7/;.{ NOTARY AS TO -7/ _I 2:LC:.,;.""" L '-" .' '- /shr..lrJ..... CONTRACTOR___~...c.z..ti.l:'u......w..",-,-_a-,-~ C.....("i. '- NC~S;~1 r~~:~~C.T !;~:.~ 0'; F!~rre!3 tih: (m;,~b~c;~ rho, f.'I ',"'~S '" I _I ~ . .......,: 'f..'I1 · · 8onde(J :110; ~"~''j r.,.;-.' ::';;:'::'(;i-I~J inC'. MY COMMISSION EXPIRES --lk'f~~-:-r:~.7.~~."'S~17'~':.:. .. MY COMMISSION EXPIRES______________________ (:~' , ,',.; ., ..) l.~:'('