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Home My WebLink About92-2603 BUILDING PERMIT Permit 260rfF>: ;--~--- ?~ CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date BUILDING ELECTRICAL ~~~ MECHANICAL ::~::;,~,:~e'2~;-t~Y~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: ~ Energy Code: _ Radon Gas: ~ Description of Work_ -t...J-('./L U/h.A,.oo, .::?-;1~^-J // .JJ1~d ~4 --S-:'-;R 1/ NO OCCUPANCY BEFORE C.O. FINAL DATE Valuation or Contract Price Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. . Inspector P"m;' F{Jli';2O -~ S;gnaMe ~ ;hP~ Company Address c.o. DATE ~A- City License Registration # State Certified License# /.;L-S Telephone# ~ ----- ~CAL " e~B?/~2 --~lUMBING _ .. M N~" 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 (jj)~~ pk 9~3- 9';}~ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reaSOns, a charge of Fifteen and 00/100 Dollars ($15.001 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. II P~r~s.{- ;J%t(~ ~~- /1 ~ ~~ .s~ - ~o/ -vfl-:;---- s VU, ^~tsr - APPLICATIOB FOR PERKIT CITY OF ZEPHYlmIJ,LS BUllDIIiG DEPARnD!:Irr OWNER · S HAIlE R/1e('re~j, ,/Jt",du~8E~ 2() I #fEJSS:. pOYV\ . 4!e();~ OWNER' S ADDRESS JOB ADDRESS LEGAl. DESCRIPTICW: LOT(S) RT,OCI( SUBDIVISIOB PARCEL I. D. t WORK PROPOSED:_Bev Construction _Addition _Alteration _Repair _Install S' - 19D. _Move _DeIIolish PROPOSED USE: Single Faaily _KIF , of Units _K/H _s..;.. Pool ~~, Other M.:.d . Approval _~rcial _Indust. _Restaurant &: Hea1t:h ~t BUILDING SIZE: x Square Feet. -------. Height _ RESIDENTIAL: COHttERCIAL : ATTACH (2) PLOr l'IAI1S &: (2) SEI'S OF BUILDING PLUS &: (1) SEt' RNERGY FORKS. ** AlTACH (3) SEI'S OF BUllDDilG PLUS &: (1) SET EXERGY FORKS. ** **COPY OF COBTRAC'f 1UlJ:!m:RED. PEHI!IITS REOUF.."iTED _BUILDING $ Valuation of Tot:a1 Constru.ct:ion _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _KECHAlUCAL $ ~PLUKBING GAS TYPE OF CONSTRUCTION: _Block. Valuation of Mechanical Installation ROOFTIiG SPECIALTY _FraIIe _Steel Ot:.her FHfISHED FLOOR EI.EVATIOBS: FI' . IS PRO.JECT HI FLOOD ZONE AREA? ******************~********************** YES NO COrD'HACIOR SECTION BIITTJlER COIIPANY State Cert:. or Regist:. I City License Registration I ****************************************** Signature ELECTRICIAN COIIPAIIY St:ate Cert:. or Regist:. , City License Registration I ~~......***..*.....:::::::**..*........*.... State Cert:. or Hegist:. f: ~ City License Registration . . .......................................... SiPn~ture PLOttBER Signature I -...L z...~- IfECHAlUCAL COIIPMY State Cert:. or Regist:. I Signature City License Registration I *************~~************************** omF.R COIIPANY State Cert:. or Regist. I Signature City License Registration I ****************************************** . APPLICATION APPROVED BY PEHKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned' understands that this per.it .ay be subject t~ "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 thl owner has hired ~ 1:0ntract,0r:,."oL\~211tracto~s h un~ertake work, t~ey .ay be r,tlquired to be licensed in accordance with state . and local regulatIons. If the unllll!tor IsfiO.tlltlcensedas requued by law," both the owner and contractor tay be cited for a lisdeltlnor violation, under ,state law. If the owner .or intended contractor are uncertain as to what licensing r~quir~lents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, IBI3) 79B-6611. . 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 tllis application for.,hicb they wHlpe responsible. If you, as the owner sign as the contractor, you are indicating tha.t you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign as contractor .that .ay be an indication that he is not properly. licensed and 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 provided Nith a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the 'ollner", I certify that I have obtained a copy of the above described dotuaent and promise in good faith to del i vel' it to the "oNner" prior to. co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation 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 1I0rk and 'installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.Hand that all w~rk will be perforled to .eet standards of all laws regulating construction, City codes, zoning regu~atibns, and land deyeloplent regulations'in the jurisdiction. I also certify that I understand that the regulatiol1l of other govel:n.enta.1 aqencies .ay apply to the. intended work, and that it is IY responsibility to identify what ~cti1l1'151 lust take to be in co.pliance. Such agencie~ include but are not li.ited to: I Depart"nt of Environ.ental ReQutation - Cypre!ii~.B,aybeads, lIetland Areas and Environlentally Sensitive Lands, . If,iterllastewater Treat.en" I Southwest Florida Water "anaae.ent District - Wellsl Cypress. Bayheads, Wetland Are~, Altering lIatercourses I Arty Corps of EnQineers- Sea"an~;,'})ocks, Na,1{igaiJe Water~ays I Depart.ent of Health.&'RehabilitativeSlrvitt5. Enviro~ll!ntal Health U~i~ - lIells, lIastewater Treatlent, Septic Tanks I US EnYiron.eldtl1 Protection Age~Y- kllestos abate.ent I also certify lhat, if fill ia~erial is t~ :. u;ed in Flo~d Z~n~ "~. Dr "~,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" will be sub.it,ed which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued 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 I nor shall issuance of a pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such per.it is co.tenced within six lonths of issuance, Dr if work authorized by the pertit is suspended Dr abandoned for a period of six .onths after the ti.e the work is coaienced. One 90 day extension of tile, lay be alloNed for the per.it 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 .onth period, Dr the project \IIill be considered abandoned. IIARNING TO OIlNER: 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 IIITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OIlNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcll-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument befcl)-e me th is 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 ~e or who has pl-oduced as identification and who did/did not take an oath. (SignatUl-e) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC