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Home My WebLink About92-2523 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2523,8 Date 7- ~f-<i~ -/ ~D~ ~Al ~.. . M[CFlAI\lICAl Sewer Conn ::~::;,~,:~e' ~jj ~~~ Parcell.D. # 11-;2..6 -01-.1 ~ 00 10 -.<0;7 OD - 006 0 Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work FINAL L- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. - All work shall be performed in accordance with City Codes and Ordinances, Inspector Valuation or / (jAJ Contract Price /I:J. () /J "- C;ty Ucense Reg;st<.t;on' /1(9'. k~1.... State Certified License# . T ~~/~ ~ . (? ~~ [lCCTRICAl Permit Fee c2~" - Signature t-A~ Q ~ ~"" ll. \) Q Company Address Telephone# ~ 1f.-1al~J" ME'CHAr~ICAl Ftr. Pre SlB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. ~u P',L~ ~e~L (:' r'p'lrl ~ ( 1\ ~., ~! b~~ Q04 Sl/l. D'6 \ S- ~ A ~ , ,/ / " APPLICATIOllil FOR PERKIT CI'IY OF ZEPBYInULLS BUIIJ)llIG DEPARl1!lE'BT OWNER'S MAIfE \~,~ 5l)~ \ ~N\e ~0QN('P\ <a \-'n ~Pe.\- a~ c\~"'Q l\\ ,I\, .~..\<1, \)(~')~ \ ~~O p , mon OWNER'S ADDRESS co~ ~\ ,\ 'n, \ \-::> \ JOB ADDRESS LEGAL DESCRIPTION: I.OI'(S) ~\~\ BLOCK~StmDIVISIOllil \C~ ...'.N ()\ ?: O\)X\.\ \~'r;\ D PARCEL I. D. t ~~ . , WORK PROPOSED :_Xfev Construction _Addition _Alteration .,---Repair ~Install _Sign _Move _Deaolish PROPOSED USE: lke Faaily _KIF _, of Ufnits _K/H _~rcial _Indust. _Stria. Pool Other _Rest:aurant &- Hea1t:h ~t Approval BUILDIIfG SIZE: __X Square Feet, Height . RESIDEIfTIAL: COHKERCIAL : ATTACH (2) PLOI' PLAIIS &- (2) SEIS OF BUILDING PLAJlS &- (1) SEI' ENERGY FORKS. ** ATTACH (3) SEIS OF BUILDDiIG PLAIIS &- (1) SEI' mmRGY FORKS. *..... .....*CO Ill" OF COllilTKACT RIlQlDIRIID. PElmITS REQUESTED _BUILDIIfG $ Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. _KECHAliICAL s "Valuation of Hecbanical Installation _PUJKBIIfG GAS __lIDOFIiliG SPECIALTY TYPE OF COIfSTRUCTl OIN!: _Block _FraIIe _Steel Other FllIISHED FLOOR ELI VATIOllilS: FT. IS PROJECT DI FLOOD ZONE AREA? YES NO ....*********.**************************** (X)II"I'RACI'OR SECTION BUTT J)ER ~o 1 () ~ ~'t \~Q() - CO!tPAft \,\\c\ ~'l\t\~ ~Q~(,P St:ate Cert. or Regist. , City License Registration' \I..\~ ****************************************** ~ \f\\C Signature ELECTRICIAN CO!tPMiY St:ate Cert. or Regist. f: Si~ature City License Registration I **************************.***.****.**..** PWKBER CO!tPMO'- St:.&t.€c (.;erL uL Regisl:. :: Signature City License Registration I **.*******.**************...****...*..**** KECHAlUCAL CO!tPMY St:ate Cert. or Regist. I Signature City License Registration I **.*************************************** OTHER CO!tPMJY Stat€ Cert. or Regist. f Signature City License Registration , ******************.****.****************** APPLICATION APPRm"F.D BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for co~pl:]nce with any applicable deed restrictions. ' B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractQr or ~~~tractorsto undertake work, they lay b~ requi,red to be licensed in accordance with state and local regulations. If the contractor is 'fl'6t"licensed as required by law" both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Builr.ing Departlent, (B13l 788-bbll. 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 pspon;ible for the work., If the contractor wishes you to sign as contractor that lay be an indication that he is no~ properlf licensed and is not entitled to perlitting privileges in 'the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U",,:,ILITY CONNECTION FEE2. D. CONSTRUCTION LIEN LAW tCHAPTER 713, ~LORIDA 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 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 prolise 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 developlent. Application is hereby lade .to obtain a pertit to do work and installation as indicated. I certify that no work Dr installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lalls regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverlllental agencies lay apply to the intended Ilork, and that it is IY responsibility to identify what acti~ns 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 Environ.entally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable WaterwdYs f Departlent of Health' Rehabilitative Services. tnvironlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environlental Protection AQency - Asbestos abat~lent 1 also (fi~ll:yi:.lld1., if fill ...,,~..:. ~a: .~ " ..,,:.:_:' :.. :-'~:.;~ ".~~ ":' ':~ '!\,~tc'; it i~ '!l1d"r;tO/lO that il drainage plan addressing a 'colpensating volule' Ilill be subli tted whch is r.. 'n!~ 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 Ilork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or Y\ol~tions of any code.. Every permit issued shall becole invalid unless the work authorized by such per.it is COI.enced within six Bonths of issuance, or if Ilork authorized by the permit is susp~nded or abandoned for a period of six lonths after the tile the work is coaienced. 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 peri~d, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMKENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE uF COMMENCEHENT'. ~~~n~~ ~~ STATE OF FlO~A COUNTY OF ~ ~r C") ~______ -- The foregoing instrument was acknowledged before me this ~~~o\- ~\~ 19~ by \ t'l\-.. ~~~e.,. who is per5on~lly known to me or who has produced ~\)\. - ~\~'d, ~?-.~. o~. \.J.~<1 as identification and who did/did not tak n oath. STATE OF FLOR.~A COUNTY OF -__'{'O~ () The foregoing instrument was acknowledged befct\-e me thisJ\~"'(~ ~\\"\l, 19(j,,"\ by I ~ ~on<i '\n.r~ who is pel-sona 11 y known to me or who has produced \\)LH'{-\~ fl.' ~~~. 'd~. \4/"'I as identificatio~ a~n who did/did not take ^,,\n oath. ~~\)~ --- (Signature) \\""'. '\\ _ ~~ \e ~ ...:rl:a..t~\ - . (Name Typed, Printed 01 stamped) NOTARY PUBLIC NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP. NOY.20,1993 BONDED THRU GENERAL INS. UNO.. (Name Typed, Printed or Stampe.) NOTARY PUBLIC \""r\e.rQ:ba \\&\'i.\ \ \. NOTARY PUBLIC STATE OF FLORIDA MY COt~ISSION EXP. NOV.20,1993 BONDED THRU GENERAL INS. UND._,