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Home My WebLink About92-2456 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2456?: '7-~-7~ Date B~- ~AL ~~ ~ ~ ~A<C-. ::::,::t~, .{Y - --If,. -' TI.E~~s:.....f 5/ -I }- "l~ (\ rRad2f G}J: ~ ::-\ ~ ~ '~~;::~: ~d~ .~ . c90' t) J ~ FINAL NO OCCUPANCY BEFORE C.O. ,~ SU DATE Complete Plans, Specifications and Fee Must AccomJ~y6;:PPlication. C.O. M~L Sewer Conn Property Owner: Job Address: Parcell.D. # Zoning: EnergYJ-de: ~~ . -~~, Description of Work DATE All work shall be performed in accordance with City Codes and Ordinances. Inspector P . F .J..~~,30 ermlt ee 7f... -' ~ / Signature~ ,;/i. ~ Company Address Telephone# Valuation or Contract Price Ii2 S~, &6n' , B G ~~.~AC. '.~ Breakers Ducts Insl. Compressor Final Tp. Serv. 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 ($15.00) 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. APPLICATIOlSl FUR PERKIT CIn OF z.ElI'IIE.UIT1.I;~ BUII.DIliG DEPA'R'DIEJJT -::;>-'/v/::'? . L~-....(~...0(, /' .- . 0-,,-,<?~ ~ UJ- r:! c/ (--,~, CT - 1'5 ~17~- OWNER' S HAHE WA L--ynl1/Z-T 5 rO /Z-sr, T;ucJ " JOB ADDRESS 7'1E .~ C4LL. /3' L I/t/ OWNER · S ADDRESS LEGAL DESCRIP'l'ION: IDI'(S) BI.OCK SUBDIVISION PARCEL I. D. t WORK PROPOSED: V lNlew Construction _Addition _Alteration _Repair _Inst.all _Sign _!!love _Deaolish PROPOSED USE: Single Faaily V ~rcial _KIF _, of Units _H/D _Indust. _Swill. Pool Other _Restaurant: &: Health Depar~t: Approval BUILDIHG SIZE: x Square Feet. Height RESIDENTIAL : cottKERCIAL : A'ITACII (2) PLOt PLOS &: (2) SEI'S OF BUILDING PLUS &: (1) SET RNERGY FORKS. u ATTACH (3) SETS OF BUII.DDG PI.A5S &: (1) SET ElNERGY FURMS. ** **COFY OF COm'RAGr ~1ITRIlD. PElmITS REQUESTED _BUILDING ,- 00 $ ~O, 000,-- - Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _KECIIAlUCAL $ Va1Wltion of Hechanical Installation _PLUHBING GAS ROOFDiG TYPE OF CONSTRUCTION: 'V Block _Pralle ~Steel SPECIALTY Other FHiISIIED FLOOR ELEVATIONS: FT. IS PROJEGr IN Fl.OOD ZONE AREA? YES NO ****************************************** COURACI'OR SECTION BUILDER Signature CDlfPANY State Cert. or Regist. , City License Registration , ****************************************** ELECTRICIAN CDlfPANY State Cert:. or Regist:. j City License Registration I ****************************************** SiPn:.llture PLOtIBER Signature CDlfPMY State Cert. or Regist:. , C~~ License Registration t ****************************************** KECBAlIICAI. CDlfPAlSIY State Cert:. or Regist:. I City License Registration I ****************************************** Signature OIlI!'iI!~' ~ OOJJPIfJJY (i,AJ) N 5 LA (A PI/'. € , . State Cert:. or Regist. , 3Cj Signature ~. X~~t'd~q/, ~ License Registration , ***. . .*.........***..*****..................... 5 "/5 /t-i11 'J i .J/Vc/ 2-(30 3ovO' I g? '777 APPLICATION APPROVED BY PERHIT OFFICER. ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait aay be subj;ct to 'deed restrictions' which may be lore restrictive than Cit~. regulations. The undersigned assuaes responsibility fOT cOlpliance with any applicable deed restrictions. . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or co~tractors to uflrtertaK~ work, t~ey lay be requirEd to be licensed in accordance with state and local regulation~. If the contractor is n6t license~ as required by law, both the owner and contractor lay be cited for a eisdeaeanor violation under statD I~N. If the nwner or intended contractor' are uncertain as to what licensing reGuirelents lay apply for the intended wprk, they are advised to contact the City of Zephyrhills Building Departlent, (B131 7BB-bbl1. 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 re~ponsible 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 ZephyrhilIs. 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 LaN - 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 describ2d 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 applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no Nork or installation has cOllenced prior to issuance of a perlit and that gll 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 Mork, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.iled lo: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Tr~~t:lent I Southwest Florida Water HanaQelent District - Wells, Cypress Bayheaa~, Wetland Area~, Altering Watercourses t Any Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US Environlental Protection AQe~ - Asbest~~ abatelent I also certify that, if fill lateri~l is to be used in FI)od Zone .A" Dr 'A,etc,., it is understood that a drainage plan addressing a 'colpensating volule' Mill be sublitted 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 MorK and not as authority to violate, cancel alter, or set aside "ny provisions of the technical codes, no. shall issuance of a perlit prevent the Building Official frot thereafter requiring i correction of errors in plans, cons~ructiDn, or violations of any code. Every perlit issued shall becole invalid unless the ~ork authorized ,by such perlit is co..enred within six lonths of issuance, or if work authorized by the perlit is suspended :,r abandoned for a period of six lonths 3fter the tile the work is cOlmenced. One 90 day extension of tile, lay be allowed f~' the perlit with fee charge of $15.00. The extension shall be requested in writing to lhe Building Official. An approved iispection lust be logged during each six lonth period, Dr the project will be considered abandoned. WARNING TC OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT 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 YOUR NOTICE OF COHHENCEHE iT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT.. SISNATUfE: OWNER OR AGENT was acknowiedged , 19_ by STATE OF FLORIDA COUNTY OF /I/u5&c/,e~C.(C:rH ";he forege<i ng ~-ument \flaS ~CknCI\flledged uefOl-e 11Ie tlilS V //1, , 1'7 92- by STATE OF fLORIDA COUNTY OF The fCI]-?going instrument befol-e Tie this who is Jersonally known to me or who has producl j as ide: tification and who did/did not take al oath. i d nc. t me or who has -=::-::. ~A':::.<~ G/A,J'")- (Name Typed, Printed or Stamped) NOTARY PUBLIC ~~ t,~~(~~,~ .,~:r~~.~,~,~~,\.~~ ~.:~.~.'7~~ ~;:: r-!:;~.. ~I- " J;;(." r~.J :..~ [.j i" j, ! ,',; .,. , . (Signai ul-e) (Name 1yped, Printed or Stamped) NOTARY PUBLIC