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Home My WebLink About92-2089 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 2089..8 / -30 -j>02.. Date CB~ILD~ E~ PL~ P<operty Own", ~ ~ Job Add'''''1_ - 0, _ . ~ ~.A Parcell.D. # - -~/ / - -3 M~AL Sewer Conn Water Conn: Water Meter: ~ TI.F.'s: Zoning: Description of Work / V Energy Code: A' /02. . 4d7 Radon G;L . - ~~ ~J 4.A~~1 - NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Permit Valuation or Contract Price I; 0 --.S (J. 0 0 City License Registration #~ 7' State Certified License# Telephone# 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS 3<1'~ ~O 1M'wc/ -:;r .f1 ,.u~'t- tLlIp OWNER ~ ~ ~ 0 _1I7It~ PHONE JOB LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.iI 'Z.-?'tt=(OL~Zk-~-\-SO-3) WORK PROPOSED:~New Construction ~ddition ----Alteration _Repair _Install _Sign/Temp. _Sign _Move PROPOSED USE: _Single Family _M/F _~~ of Units _Commercial _Indust. _Swim. Pool _Restaurant & Health Department Approval BUILDING SIZE: I~ xlY f0C{ Square Feet, # ~?/ _Demolish _M/H Other 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. ~UILDING PERMITS REOUESTED $ ~ CJ -.5-0 ~ ~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ~ECHANICAL $ 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 # ****************************************** :1?-? A iJ)- ELECTRICIAN Company State Cert. or Regist. # Silffiature City License Registration # ****************************************** PLI~RER Company State Cert. or Regist. # Signature City License Registration # ****************************************** MECHANICAL Company State Cert. or Regist. # Signature City License Registration ~~ ****************************************** OTHER Company State Cert. or Regist. # Signature City License Registration # APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore 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 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 lisdeleanor violation under state law. If the owner,or intended contractor are uncertain as tq what' licensing requirelents laY apply for the intended work, they are advised, to contact the City'of Zephyrhii1s Building D~artlent, (813) 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 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 - HOleowner's Protection Guide" prepared by the Florida Departaent 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 developaent. Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or installation has coaaenced prior to issuance of a perait and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies aay apply to the intended work, and that it is IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not liaited to: f Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US Environlental Protection AQency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "~" ,r "A,etc.', it is understood that a drainage plan addressing a "colpensating voluae" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 perait prevent the Building Offici~l 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 perait ,is coaaenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six .onths after the tiae the work is coalenced. One 90 day extension of tile, lay 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 lust be logged during each six aonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIEHCEIONT. J.8~~_::_~::::_~~~~~~~____________ G TURE: OWNER OR AGENT Si(,ftrU~E: CONTRACTOR .------~-' ~~~~~YO~FF~~~~~-------------------- The foregoing instrument was acknowledged before me thiS~2L~~~___' 19!~_ by Wh~~;n~~~-;;-~;-~h~-h~5 produced _______________________________ as identification and who did/did not take ary f"f~h,. _ /. ~ (sig;:;~~_,~i;,!t-;,-.-of"~;ti;---- _____________~t~u~~p~H~-~!mJl~~Jj---- (Name Typed, IT'd n~ TM'-TrcSt'ampett't lee, NOTARY PUBLIC ~~~~~Y~FF~~~~~~~~------------------- The foregoing instrument was acknowledged befc:ore me th i s ~..J-2-___, 19~~_ by ~h~-m::.~~~-k;:;~~~-~h~-h;~ --- produced _______________________________ as identification and who did/did not take if) ~~. / ~ ---~-------------------------~---- (Signature) ~"o'aryPubfic. State 0' "ortler ___________Jltt~~u~n!~k~_~~wJ1Ll~9J_____ (Name Typed, Pr!.m!ttlru b'fi F<S'tasm~'. 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