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Home My WebLink About92-2252 BUILDING PERMIT Permit 225211, '/-/-9:L CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date ~ ELE~ ~ :~:::,~:~d~~ ~~:::?~ Parcel I. D, # "? -:J-{, - ~I -- J:J-. - tJ - 3 ./ -J.0 r- ~HA~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code' Des,,,;pt;on of W",,,, 7 ~~ - -Z~7 Radon Gas: ,~~~ NO OCCUPANCY BEFORE C.O. FINAL -1-~ 2- DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector P~rmit Feea::cq ~ J Signature ..----------- ,. ~_L Company Address Telephone# Valuation or Contract Price :;2..3 t1'?J. o-n .J City License Registration # -5"";!?-/ State Certified License# <??~ ~ ~-, Breakers Ducts Insl. Compressor Final '-aDii:DINl.1__ ~AL ~ P~NG ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Ro8El?T ADDRESS /20 I N. \)0 If AI OWNER L, /~W/J7W C;;; LeN /) Vi: Fh'YUf'/15 PHONE 7€:"3-7737 JOB LOCATION 37/20 FoX /fUN , 37, '38 , PARCEL 1. D.lF '3 - '2 b -' 2/-- /2 - 0 r- PL/} CC LEGAL D~SCRIPTION: LOT(S) BLOCK LOT SIZE_____~ AREA SQ. FT. SUBDIVISION SlLLJER o/lkSP/-If15tE' OWE 3 7 1- 38 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F 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 'f SPECIALTY (Y>l.fJl( FO~ root) Other TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Sie:nature PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** OTHF.R S"L~L..G:Y C:-"V7N~ Signature - ~~L./ Company ~o&7rr L. H~/?If'D State Cert. or Regist. # R X 0 0.5"'0 2. ~ 9 City License Registration iF Sg, APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned uftderstands that this pertit lay 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 tay 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 may 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 Zephyrhills Building Depart~ent, (B13l 788-6611. Furthermore, 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 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) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Suide" prepared by the Florida Department 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 doculent and promise in good faith to deliver it to the "owner' prior to cOlmencement. 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 develop.ent. 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 performed to meet 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 .y responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~ie not li~ited to: * Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitjv~ ldnds, Water/Wastewater Treatlent * Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercoUfses * ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater ireatment. Septic Tanks * US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tllilt a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer regist€ied in the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to vio13te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Uffici~J from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iSSUed ;hall becole invalid unless the work authorized by such pertit is co.menced within six lonths of issuance, or if wOl'k authollzed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~t~~SJOil of tile, may be allowed for the permit 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 abaildoned. 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". SIGNATURE~~~______ CONTRACTOR ;;~;=~:~~~:Q--------- ,( ---------------------~ MY COMMISSION EXPIRES SIGNATURE~NE~~~------------ DATE______ :\n~ n..c~ 3.0-r'-<J3~-------- NOTARY AS TO~' . a ::N::M:: S:::: EX? IRE^~~ ~~~-'^""'~ ~"~--- . ..._.-t"""'-.-......------- O,~~,:;::..:i:_L .~ ;;-~;~) ;~~},'.::- ,-.,,:. ;, ..) ~j;,iD ~ f:4 f,\ lD~q :J.4, y , UL'UI.-. ~U"I:. lJt- t-LOHIUF :nmission exp',,,s Oct. 2. 1992 , t.hn\ P'1ttf;'r<;nr1<< Hfcht AfT~nr" M', . ~ ~ t-"?J to CJ 4-:3 ~ ~ I- \~ ~3 V\ \1\ In V ~ -4. - 1/'1 :' ~ Cl~ \) - ~o ~ ~ \'( ~~ C) K ~ it \)l 't- $l;: o~ .. ~ ~ ~ e ~ ~ ~~ 5 '" ~ '-' lU- \i) r--. ""-.....<L:\. ., Iu ~ ~ ~ ~~ ~ Cl .3 l:) ~ ~~~ lL ~ V\ () -...... {) "'. 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