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Home My WebLink About92-2473 Property Owner: Job Address: Parcell.D. # BUILDING PERMIT CITY OF ZEPHYRHILLS Permit Nc.> 2473 F i tuJ ,-- (813)788-6611 Dole 1-~-CJ2. . ~CTRICA0 .~- M~sewer Conn ~ ~ ~ - Water Conn: ~~]:: _#_~ ~ZmL W"::Mete< _b. __ 9.. ~_ ~ T.I.I. s. ~. Zoning: Description of Work ~/;~~~ J;,;,"fJ~'~;" rrr--6- FINAL~:- / - L NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Valuation or Contract Price fia~~ City License Registration # State Certified License# Telephone# Tp. Servo Rough In Meter Can ? -fj'- 7 Sl. L5s Const. Pole Pool Pre-Meter Final 6 MEC ELECTRICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. 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 ($15.00) 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 PERl-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTHENT APPLICANT J:< 0 b.e..r+ ADDRESS 5~ 8 J OWNER ~be/+ ~. JOn LOCATION 55~\) c4 Kac-e'~ q +h Sf-. \..( a r'€...AI -t-\ a .'""tlrY) 0 n (>) Q+'" S+/ 2'~ LOT SIZE '15 xlY...D AREA SQ. FT. LEGAL DESCRIPTION: LOT (s) 3 j LJ , V- 5 BLOCK.lO.L-SUBDIvIsloNC.i:hl of "Z. \ 1-\ \' \ \ \ PARCEL I.D.~~ If -;)b-dl- OOIO-f<J/OO-OO3() \-40. .rV'\~O(} 01 2'HI'U3 PHONE 1t:b."~- lo~ _Sign/Temp. ____Addition ')( Alteration up~.....~d~ ____Sign el e~+-r,' c. _Repair _Install WORK PROPOSED:_New Construction _~Iove _Demolish PROPOSED USE: ____Single Family ~M/F ____i~ of LTni ts ,._M/H _Commercial _Indust. _Swim.. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: C0I1NERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'lS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'IS.** **COPY OF CONTRACT REQUIRED. PERMTTS REOUESTED _BUILDING ~ELECTRICAL Valuation of Total Construction AMP Service v Florida Power Corp. _W.R.E.C. _MECHANICAL Valuation of Mechanical Installation ~ _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. *********~******************************** CONTRACTOR SECTION BUTLDER Company State Cert. or Regist. 0 Signature City License Registration n ****************************************** ELECTRT CT AN (t) fA J-rt.Lfl.-../ . Company /) /J I IJ if . J State Cert. or Regist. iF Si!7nature K~ Ie; ~~ City License Registration il ****************************************** Company State Cert. or Regist. a City License Registration n ****************************************** PLUMBER Signature Company State Cert. or Regist, 0 City License Registration # ****************************************** MECHANICAL Signature APPLICATION APPROVED BY Company State Cert. or Regist. 0 Cit'V License Registration iF OTHER Signature ************************** PERHIT OFFICER. CONDITIONS OF.PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The .undersigned understands that this permit .ay be subject to "deed restrictions' which ~ay b~ oore restr.ictive than City regulations. The undersigned assu~es responslbllltf;for..colpliance with any applicable deed restrictions. ,,' ' B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI~ITIES If the owner has hired a contractorqr 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 Ollner and contractor nay be cited for a .isdeneanor 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 7BB-6611. Furtheraore, 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 aay be an indication that he is not properly licensed ~nd is not entitled to per~itting 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 provi.ded with a copy of 'Florida's Ce,nstruction Lien Law - Ho~eoHner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sO&eDne other than the 'owner", 1 certify that I have obtained a. cDPy of the above described document and proffiis~ in good faith to deliver it to the 'owner' prior to cOllencelent. I : 1 ': ..:~ 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 coapliance with all applicable laws regulating construction, 20ning, and land developD~nt. Application is hereby ~ade to obtain a permit to. do Mork and install~tion as indicated. I certify that no worK or installation has comtenced prior to issuance of a perlit and that all work will be perfor~ed to meet standards of all laws regulating construction, City codes, 20ning regulati&ns, anrl land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended worK, and that it is .y responsibility tel identify Hhat actions I must take to be in compliance. Such agl?f1cil?s include bul ~l e JiC,t lillited to: . .J #' .> I Departlent of Environmental ReQulation - Cypress Bayheads, W~tland Areas and Environmentally Sensilive Ldnds, Water/Wastewater Treatment I Southwest Florida Water. ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, Altering Hatercourses I Ar.y Corps ~f EnQineers - SeaHalls, DOCKS, Navigable Waterways I Departtent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks I US Environeental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in He,od Zone "A" clr 'A,etc,', it is unders\e,e.d th,t a drainage plan addressing a 'cOJpensating volute" Hill be sublitted which is prepared by a professional enginl?er reqisteied in the State of Florida prior to pertit issuance. A perait issued shall be construed to be a license to proceed with the Hork and not as authDrity to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a c(oTrl:dion e.f errors in plans; constructic,n, elr violations of any codl? Every per~it iSSIIl!d ;hall bHC,le invalid unless the wClrk auth(,ri2ed by such permit is cCIJUlenced;llithin six months (,f iSSllancl?, c,r if Hc,If; allthe" ],ed by the perlit is suspended or abandoned for a period of six tonths after the tiJe the Hork is co~men[l?d. One 90 day e=li~5jo" of tile, aay be allowed for the permit llith fee charge of $15.00. The extension shall be rcquestl?d in llriling to the Building Official. An approved inspedie,n r..ust be le'9ged during each six Ilonth period, e,r the project Hill be cc,nsidered db.;l,oe'i,ed. 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 "NOT I CE OF COMMENCEI1ENT". SIGNATURE ------------------------------ CONTRACTOR SIGNATURE__________________________________ OWNER OR AGENT DATE ----------------------------------- DATE ------------------------------~_._------ NOTARY AS TO CONTRACTOR_____________________________ NOTARY AS TO OWNER OR AGENT_____________~_______________ MY COMMISSION EXPIRES MY COMMISSION EXPIRES " ------------------ ----------------------