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Home My WebLink About92-2071 BUILDING PERMIT ~_..- ./ J.o ~ CITY OF ZEPHYRHILLS (813) 788-6611 ;v..; flOtf!!t ~-- MEcHmcAL Permit No . . 2071E Date I-;;La - 9.~ Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D, # ~ l~lP ~ _ -:7- u ,~-- Water Meter: T.I.I=.'s: Zoning: Description of Work ~nergy Code: f LtU!'"1~e,~~ IcrJ Radon Gas: /J1/(1~ (1;11L1,t,j-e ...- "" (;) L;:t- ',. 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 Valuation or Contract Price Signature Company Address Telephone# City License Registration # S 1 !:..t,~ State Certified License# (~_~;oc~~/P~ BUlJ.,8f1~J(r-- . ..-/ CLECTR~L ~-' PL G ....-' M~L - Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. ".' ~...i;': ,~:'i':~~\ -;.'~.. ,-.'" ,~,~ . \ -----I . l<::;t. -;:;"'i~'<:. :..~. .1;' :J. ,to '?' ,'. _ ,'<t~r~~~t:~:~JV~~~~1i TcA;...r<"e-r .' ...,'--~ - .' .~~~~~~**************~****' APPLICANT ADDRESS 3! ( ( OWNER ~~ 0..voQ- JOB LOCATION Sc:;,O? /yrtr~J;I- APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT PHONE 7~2--3319 , LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D. 4~ WORK PROPOSED:_New Construction ----Addition ----Alteration ----Repair ____Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family ~/F _4t of Uni ts ~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 _~TRICAL $ Valuation of Total Construction 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 BUILDER Company State Cert. or Regist. # Signature City License Registration # ***************************/1*:*,,********** ~_. ELECTRTCTAN Company ~ ~r!- .----;- ~ State Cert. or Regist. 4; Silffiature / tf7/ City License Registration 4t I..!S ~ r ******************************************' PLUMBER Company State Cert. or Regist. # Signature City License Registration # ****************************************** MECHANICAL Company State Cert. or Regist. # Signature City License Registration 4~ ****************************************** OTHER Company State Cert. or Regist. # Signature CitYL~cense Registration # APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it '.ay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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 .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131 788-6611. Further.ore, 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting 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.eowner's Protection Suide" 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 docu.ent and pro.ise in good faith to deliver it to the "owner" prior to co..ence.ent. 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.tenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent 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 .y responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not li.ited to: I Depart.ent of Environaental ReQulation - Cypress Bayheads, Metland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood lone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" 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, or set aside any provisions of the technical codes. nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is suspended Dr abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COft"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"ENT". ""j -_..~'_.. . ' " i /.' /1/ ' C/ ,/ ~.,.. tL ' I ) k;J(! . / /1 .'le;, ~)(,--.;/ A( -:r--SiiHiT~NTiiAc..ioR"'. .~.~~f-.'/~:-"----~---'j ~ "~~'t~{t(A,<../. .' . ~' STATE OF flORIDA / /><~ COUNTY OF ____________~~~_______________________ The foregoing instrument was acknowledged before me this ___________, 19_____ by ---------------------------------------------------------- SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF ____________________________________ The foregoing instrument was acknowledged before me this __________, 19____ by ---------------------------------------- ~h~-i~-p~~~~~~11y-k~~~~-t~-;~-~~-~h~-h~~ produced _______________________________ as identification and who did/did not take an oath. who is personally known to me or who has produced _______________________________ as identification and who did/did not take an oath. ----------------------------------------- ---------------------------------------- (Signature) (Signature) ----------------------------------------- ---------------------------------------- (Name Typed, Printed or Stamped) NOTARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLI C