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Home My WebLink About92-2244 BUILDING PERMIT ~ ~.. P,"party Owne' ~~. , Y;Z. . Job Address: --4 9- ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 22444 Date .s - .;:;2 7 - c; ;z E~W p~. ME~~wer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: Description of Work . Energy Code: L '-;7// /.1A'7 ~ tZ-A 8 Radon Gas: . t;*-- '7- -(';nt;4t ~) AO.MiJ{)~~ FINAL " -- .;;I q - fJ DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.O. DATE Inspector Valuation or Contract Price ~ j)L)tJ . ~. Permit Fee, .-Jt,~' Signature --,I=f1~ Company Address Telephone# ~v/ City Ucense Regis".tlon . .;E Ir:! ;i:?~ . Sta1iF Certified License# I tfrg~~ B ILDING EL~ -- PL~" ~ MECH~ -- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. 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 ($15.001 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. (ox;, '3/3 - 713 - 3:2 '7 3 /1-1,.:. e"r &le,./.sJZJ6. APPLICATION FOR PERt!IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT yJO'(i?.SL.€ 'f ADDRESS PO. Box Co. l T Nc... WIlJMINyTC>;.J, Ale Zf40tp PHONE 9/9 :l9j- S- 300 OWNER W~st-€V , 3;);)7 Ot). I .Me. JOB LOCATION 38497 S4 eA.:::.r LOT SIZE /3'-- x ,tt' AREA SQ.FT.'<>5"380 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.iF WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _iF of Uni ts __M/H V"'Commerc ial _Indust. _Swim. Pool Other , _Restaurant & Health Department Approval BUILDING SIZE: 70 x 40 , 2800 Square Feet, /5 Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1.S.'''' ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED "./ BUILDING ~ELECTRICAL "f _MECHANICAL $ :< .500 Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOnNG SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION _ Company WtJJG5 UJ 't Ca. J ..t ,.Je. State Cert. or Regist. iF Poll 00-$""" 9Z City License Registration # *********************************** Signature ElECTRICIAN Company _F'lKS( e tA..s:s tiG~c::.-TK tC- State Cert. or Regist. # City License Registration # ****************************************** Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER MECHANICAL Signature Company State Cert. or Regist. # City License Registration ;1 ****************************************** Signature Company State Cert. or Regist. # City License Registration # OTHER ****************************************** APPLICATION APPROVED BY PERt-lIT 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 to what licensing requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (8131 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 FEE~, 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 Departlent 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 promise 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 I a~plicable 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 cOllenced prior to issuance of a perlit and that all work will be perforled 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treat.ent I Southwest Florida Water Manaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways f De artlent of Health ~ Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environ.ental Protection Aqency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "coipensating volule" will be subMitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 perlit prevent the Building Official 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 perlit is cOllenced within six .onths 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 cOI.enced. One 90 day extension of tile, lay be allowed for the penit 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 lonth period, or the project will be considered abandoned. 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 RECORDINS Y~U~TICE OF ,~.~'DE' ". 0 I' Y E >>0 NOT .EEO TO 'EOD'D AN~"O~ ,,".EE'E'T'. ~ SIGNATURE: OWNER OR A ENT SIGNATURE: CONTRA TO STATE OF F~ {\JC COUNTY OF '-1LuD ~ (lAtXUHVU The foregoing instrument was acknowledged before me this ())~;rLh2L-1 , 19 Cf2 by lJOU i S ~ " t-~o. 31 un tA who is personalll known to me or who has produced ~Lt+ as identification and who did/did not take ~~~ 1l~ (SignatL~e; ~ena( IJ I' fl n~nT (Name Typed, Printed or Stamped.b-" _" NOTARY PUBLIC (YlL-1 (()/YlI'l1/ :55i tJ>. ~'f-f.'r~ 5, ( 0& - 2()-cr;- STATE OF ~ tJ G COUNTY OF ,L/lLiJJ ~~ . The foregoing instrument was acknowledged before me this~~Uh- ~Jf, 199~ by 01~ I). ;;JC(~~ who is personally known to me or who has produced IJ /-J?1 as identification and who did/did not take an oat~ ~\, ,,1/1 /~ ~ ')1 ,~~ /-?<- (SignatLlre)u . H - f H, 1\-('110. C _,flnCl./? (Name Typed, Printed Dr Stampe:d) t.~f;reS", NOTARY PUBLIC CDyY\(Y'I\'5"S, O~ mL1 -U'.. n~ OCo~.L -,