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Home My WebLink About92-2079 BUILDING PERMIT Permit 20798 / -;1. y- 9~ CITY OF ZEPHYRHILLS (813) 788-6611 .....1/0 n. Date ~ ELE~L PLU1IllllING.. Pmp"'V Owo." Zl.!-. ~ _ Job Address: ~---./ -= _~ ...,.t/-, Parcell.D. # MEC~CAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: , EnergY...rode: Description of Work ~~,.,,\.~~ Radon Gas: ~" ATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C. All work shall be performed in accordance with City Codes and Ordinances, City License Registration # State Certified License# /Y':J.. . Permit Fee ~ ~-. t:J'7) Sig natu re .!ft:, /\ 01 lAI:Pba--n Company Address Telephone# Valuation or Contract Price ~ C) 3--5 -.. 0() ,.- ~.LV..I'\ lft~ll, ~ EL~AL --- PLbMalNG "-... MEC~CAL ~ 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. r APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT IA S c c) F &f'I ~ e: e~ ADDRESS~' C - ~- nt,j'~ /(,(/1"'-7 S/. PHONE 111' ;~/~f?Z OWNER /,?/t.(.Et! JOB LOCATION SOl..SI /9l"#- ST. LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign _!'love ____Demolish PROPOSED USE: ____Single Family ____M/F ____~F of Units __M/H _Commercial ____Indust. ____Swim. Pool FE/IIeC 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 FOilllS,** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED ~BUILDING $ /030/,.00 Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMB nl'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTI~ Company fl1Sco r.f",vd' co r State Cert. or Regist. # City License Registration iF ~~et:". /i'Z,. ****************************************** BUILDER Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Si!mature Company State Cert. or Regist. # City License Registration # ****************************************** PLUM5ER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAT. Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY '~~~:;:~";J1"~*""*'*********** .. - "\ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE OF DEED RESTRICTIONS. The undersigned understands that this perlit lay be subject to "deed restricti~ns' which may be s~re res\rictive than City regulations. The undersigned assules responsibilitY,fo~ cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake wor~, they may b~ required to be licensed in accordance Nith state and local regulations. If the contractor is not licensed as required by law, both the o>>nerand contractor ~ay be cited for a .isdeleanor 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 Zephythills Building Depart!ent, (BI3) 7BB-6611. Furtherlore, 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 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 - Homeowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the "owner', I certify that I have obtained a copy of the above described document and promiSE in good faith to deliver it to the 'owner' prior to cOiffiencement. 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 co~pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade tCI obtain a penH to do wDrk and installatic.n as indicated. ' I certify that no wClrk Dr installation has c~mmenced prior to issuance of a pertit and that all w~rk will be performed to meet standards ~f all laws regulating c~nstructionf City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is /lY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~ie not lii1ited to: I Depart_ent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L~ndsf Water/Wastewater Treat.ent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses I Ar.y CorDS of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat~ent. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill lIaterial is to be used in Flc,od ZClne "A' or "A,etc,', it is underste.e.d t,,~t a drainage plan addressing a "colpensating volume" will be sub.itted which is prepared by a professional engineer reqist~ied in the State of Florida prior to perlit issu,ance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall bec~.e invalid unless the work authorized by such permit is co.ftenced within six months of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six Bonths after the time the work is commenced. One 90 day e~t~~siOll of tile, lay be allowed for the permit with fee charge of $15.QO. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the pr~ject will be considered ~ba\\doned. 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATUce~t:~ /~ ~- OWNER ~AGE~<O==--=--' , I DATE,____________L/-- ~-i~------------ NOTARY AS T,O ,......./ ~ OWNER OR ENT~ _________ MY RES_____ - -------- MY COMMISSION "t: <" ..-. "",~; f~. ; r:,5.. . ' .... ,-.,,:~-'). ~'~. '-:, "<>~ .......r." ,', ._" ,.-- \'.-..'; '~ .":' ~~'j.