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Home My WebLink About92-2580 BUILDING PERMIT Permit 258011; r -I '7- 9;)" CITY OF ZEPHYRHILLS (813) 788-6611 N<! Date B~ ~CAL PL~ Sewer Conn - 1./ ~ U . I' . ..3 Water Conn: ~~~ Property Owner: JobAdd,e" -37_ - - 1Jj '-;ilf!t::ate- Parcell.D. # Water Meter: T.I.F.'s: Zoning: Energy Code: Description of work:2.)i ~~ A-/ c Radon Gas: FINAL :2'-,;t Y -7'3 DATE 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 Inspector Permit Fee ~ (TV , Signature . /4,.,L.- ,/ Company Address Telephone# Valuation or Contract Price ~L? (T7J - de) City License Registration # .7 Y State Certified License# ~~~ c ~;c~~~ Breakers Ducts Insl. Compressor Final B\;ttnIN(1 ~O~ EL CAL ---... ~~ , SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATIOl!ll FUR r'~T CIft OF ZEl"JiJ'JCH ...J.S BUIUUJiG DEPARIKI!XI' OWNER'S IWIE /J1. i /J R i tJ OWNER'S ADDRESS ,? '7 20 z Sit IY7 ~ f? A/YI S .!. 7 II i ')A r..s moB 78 2... - 0 3 ~ 51 ~A. "7 L#J A'." A,' //0$ r / rL , 33fY~ JOB ADDRESS LEGAL DESCRIPl'ION: I..OI'(5) B.I.OCK SUBDIVISION PARCEL I. D. t WORK PROPOSED:_Nev Construction ~tion __Alteration _Repair. -LInstall S. - 19D. ]!love _ne.olish PROPOSED USE: Single Fallily _KIF _, of Units _K/H _~rcia1 _Indust. _Sw:Ui. Pool Other _Rest:aorant & nea1th ~t Approva1 BUILDIBG SIZE: x ~e Feet, Height RESIDENTIAL: COItttKRCIAL : A1TAW (2) PL.OI' PLUS & (2) SETS OF BUI.LDlliG PLUS & (1) SEl' ENERGY FORMS. ** ATI'AW (3) SETS OF BUI.LDDIG PlANS & (1) SEl' ElMHRGY FORKS.** **COPY OF COtrrRACT KIlQlIlIRIlD. PIlRIPIYTS REOOESTIID ~UI.LDIBG ~CAL LJmawuCAL $ va1uation of Tota1 Construction AtIP Service Florida Power Corp. W.R.E.C. $ _Va1vat:iOll off Mechanical. Insf'.allat:ion _PL1JKBIBG GAS ROOFDIG SPECIALTY TYPE OF COHSTRUCTI01'i: _Block _~ _Steel Ot:her FIIIISHED FLOOR ELEVATIONS: FI' . IS PBOJECT lli FLOOD ZONE AREA? YES HO ************~************************** QJlII'KACI'OR SECTION CO!IPAIIY St:ate Cert. or Regist. , City License Registration , *****6************************************ RMT.DF.R Signature SiPnature CO!IPAJJ!IY St:ate Cert. or Regist. I City License Registration t ****************************************** ELECTRICIAH CO!IPARY St:ate Cert. or Regist. I Ci~ License Reeis~r.atioo t ****************************************** PLOttBER Signature Signature ~/d/- /' amPMY 11;v # -< ~ ~.e" ,# ~ ^" L c; 19..s L- 14/c St:ate Cert. or Regist: t C.AC.o "J? '-/ ~ City License Registration f 76' ****************************************** .r r-J c. KECllAlffCAL . CO!IPABY 5t:ate Cert. or Regist. f City License Registration I ****************************************** 0'T1IF.R Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it ..ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or c~ntractors to undertake work, they .ay 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 .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to. have the contractor Is) 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 and is not entitled to peraitting 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 provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection Suide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and proaise in good faith to deliver it to the "owner" prior to coa.enceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has coa.enced prior to issuance of a per.it and that all work will be perforled to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is 'Y responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: I Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses JIIIIIIL.' \ I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ~ I Departaent of Health & Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .it~rial i~ tu ~~ U2Cj i;, ~l~u~ Z~ne "~" ui "A,etc.', it is understuod that a drainage plan addressing a "cotpensating voluae" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as. authori ty to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such per.it is co.tenced within six tonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six 'finths after the tile the work is cOllenced. One 90 day extension of ti.e, .ay 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 aonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 COft"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEEU TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged 1C'1 .....,.. , .J./_....,,/ STATE OF FLORIDA COUNTY OF The foregoing instrument befr,.n::: 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 d4d/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. . (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC