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Home My WebLink About92-2270 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N~ 227015 5/- / ~- 9':L DatE! ~ EL~. PLU~.. MEC~L ~operty Owne' ~J~-.L~ ~~ Job Address: ...3.fi- _ / 6- -'---- ~~ Parcell.D. # Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of wor~ .0 ..J) '''''-77 Radon Gas: NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Signature Company Address Telephone# _-S ,- C'V Valuation or Contract Price :5 r r:2O - cTD " --., City License Registration # y~ State Certified License# ~s:- _ BUILDING _ E~, "__ Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Meter Final PL~ -. -MECHANICAL Breakers ~.,- Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 ~U\ ~(,\/\(;lf-'-(' ADDRESS 83 d-. 0- \~1 D 6 OWNER ~;.t'h:t{d ~~ JOB LOCATION 380110 1"5"(\11-(. , c~~( ~(jv- 9 8 . ~J, ft i~ PHONE 9P7- gSgD 2\h~ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.IF .J rt?~-^OD~ ~Repair ____Install WORK PROPOSED:____New Construction ____Addition ____Alteration ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____IF of Units .____M / H ____Commercial ____Indust. ____Swim. Pool Other Approval \ '1.0-'\ FI4-t roof Square Fee ~.o 4 ~ hLIV\\ U. Height , ____Restaurant & Health Department BU1LDING SIZE: x RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S.'''' ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. 1:* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL .., ____MECHANICAL AMP Service Florida Power Corp. _W.R.E.C. ____PLUMBING GAS Valuation of Mechanical Installation ~ ROOFING SPECIALTY $ TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature ****************************************** CONTRACTOR SECTION~ / 0 ..lJ . ~. ~ I; Company' rJJIA.. C ~r I1J UCIf7(}A.. State Cert. or Regist. iF 'R~006tt;7&3 Ci ty License Regis tra tion iF -*-Lj.;J. *************************************** ELECTRICIAN Company State Cert. or Regist. iF City License Registration iF ****************************************** Signature .~ Company State Cert. or Regist. iF City License Registration # **********************~******************* PLUMBER Signature ~ Company State Cert. or Regist. iF City License Registration iF ****************************************** MECHANICAl Signature '-' CompCiny State Cert. or Regist. iF City License Registration iF OTHER Signature APPLICATION APPROVED BY ~**********~************************* /J....A^.ti~ _ tZ~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to "deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuaes 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 wort., they say 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 aay be cited for a aisdeleanor 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, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl 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 Depart.ent 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. 1, " E. CONTRACTOR'S/DWNER'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 developlent. I Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cO.lenced 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 develop.ent 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 lust take to be in cOlpliance. Such agencies include but are not li.ited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artlent of Health l Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environlental 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 that a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit 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 ~rlit prevent the Building Official fro. 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 coslenced within six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six lonths after the tile the work is cOlienced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"""CE,,,T. JO'S UNBC' 11~" VALUE 00 NOT "CE' TO 'ECO'O AN' POST. A .NOTICE OF COMMENCEMENT". ~$~A~ """ ~J~J~ SIGNATURE:. . OR A SIGNATUR CONTRAC STATE OF FLORIDA COUNTY OF The foregoing instrument befcl}-e me this L.\ -\ 3 ~1) was acknowledged , 19C\"2. by STATE OF FLORIDA ,~~ n~ COUNTY OF ~ The foregoing instrument was acknowledged befol-e me this L\ - \ 3 , 19~ by '-\~ Sc\o.~r who is personall)i) kno~'ln t I me €of' ~111.... I.C\::> produced as identification and who ~/did not take an oath. . <.. \~~ S~~.r who 1S pel-sonall. T,O\.m to me Dr IIho h~s prc,duced as identification and who take an oath. R~~~ll~* R~ b~O\ '" ~Q.u..~ -\- (Name Typed, Printed or Stamped) NOTARY PUBLIC (SignatUl-e) (Signature) -..t/did not 'R~ti 0.. A-. u a* R .o..bttco\.. <.. -hus.-\ (Name Typed, Printed or Stamped) NOTARY PUBLIC II /' /\ i( I , ~, ,j " t . ' ;i , ~ . , ,:' I I,.. ,.,\., [,. 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