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Home My WebLink About92-2425 BUILDING PERMIT Permit 2425,8 DatE! 0- / b "1':2. ,-'4'2.-D.OO dUlLDI~ CITY OF ZEPHYRHILLS (813) 788-6611 N~ Property Owner: Job Address: Parcell.D, # EL~ PL~ ~~~_. //-~b -:;}/- t)olo-/97cJtJ ~ 0100 ~ Sewer Conn Water Conn: Water Meter: T,I,I=.'s: Zoning: Description of Work NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector .$f2 .0 P~rmit Fee D, /2 ~. Signature ~ ~ Company Address Telephone# ~-L. .. , Valuation or ~ \ f Contract Price ~ e..-- City License Registration # tified License# NICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 ($15.00) 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 PERHIT GI'IY OF ZIlP.BYIMILLS BUILDDIG DEPAR'DUJ'Jn' vOWER' S lWtE ~\ " .~ () <\ '-( 0WIiER' S ADDRESS 3> ~ ~ y \ W"'" \ ., () ~ \'1 t:9 PHONE (e3 - Il~(o AJe. JOB ADDRESS LEGAL DESCRIPl'ION: UJI'(S) BLOCK: SUBDIVISION PARCEL LD.' V// 1\ -;).(0 -:J) - ()Dlb....l q7(f), () rDO WORK PROPOSED:_5ew Construction _Addition _Alteration_Repair _Install _Sign _!!love _Deaolish PRaPOSED USE: Single Faaily _KIF _' of lIInits _K/H _~rcial _Indust. _Swi.-. Pool ather _Restaurant &: Bea1t:h. Depar-=-ent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL : eotmERCIAL : ATTACH (2) PLOI' PI..UlS &: (2) SEI'S OF BunnING PLUS &: (1) SET ENERGY FORKS. ** ATI'ACH (3) SEI'S aF BUILDDJG PI..UlS 5: (1) SET EHERGY FORKS. u ....COpy OF COWI'RAcr RlrQm:.RED. PERKITS REOl1IHSTED _BUILDING $ Valuation or Total Const:ruction _ELECTRICAL MIP Service Florida Power Corp. W.R.E.C. _HECHAlUCAL $ Valuation of Hechanical Installation _PLUKBING GAS ROOFDiG SPECIALTY TYPE aF CONSTRUCTIaN!: _Block _FraJ.e _Steel ather FINISHED FLOOR ELEVATIaNS: FI' . IS PROJECT Dl FLOOD ZONE AREA? YES NO. ........~......**..********..***....**........**..........*.... cmIrI'RACIOR SECI'IaN BITTTJ)ER CO!IPMY State Cert. or Regist. t Signature City Licen~e Registration , ....*........**..*******..**............*~*........*....****** ELECTRICIAN CO!IPANY State Cert. or Regist:. , Signature City License Registration I ..*****..**..****************..***..*****........** PIHIBER CO!IPMiY State Cert. or Regist:. 't Signature City License Registration I *******..***********..*****..*....*..**........****.. KECllANICAL CO!IPANY State Cert. or Regist.. I Signature City License Registration , *..*..***..**************..**~******....******.... rlT1I'RR CO!IPANY State Cert. or Regist. 41 Signature City License Registration I ****..****~**~***********..~**************.. APPLICAnaN APPRaVED BY PERKIT aFFICER. 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. 8. 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 ind local regulations. If the c.Plr~ctor is n~~ licensed as required by law, both the owner and contractor lay 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, 18131 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 Suide" 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 cOlmencelent, 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 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 Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress n~yheG~~, Wetland Af~ds, Altering Watercourses f ArlY Corps of EnQin~~rs - Seawalls, Docks, Navigable Waterways I Department of Health & Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US 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 "compensating volume" will be sublitted which is prepared by a professional engin~er r~gistered in the State of Florida prior to perlit issuance. A per.it issu~d 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 issuanc~ of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Ev~ry perlit issued shall becole invalid unless the work authorized by such per.it is cOlmenced within six months 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 cOlmenced. 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 COMMENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT". SISNATURE: CONTRACTOR SISNATURE: OWNER OR ASENT was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identification and who did/did not take an oath. 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