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Home My WebLink About92-2614 BUILDING PERMIT CITY OF ZEPHYRHlllS (813) 788-6611 Permit N~ 261415 Date cf --.3/-7 r1.. G)~~ ::~::;,~,:~'~_j~~{1i" :tJ0h7r- Parcell.D. # M~L Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: _Energy Code: n Description of Work---;:;;: .0 .../'I~ Radon Gas: FINAl~) ~J- '7- 9':? 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 F9.2.~:.f!t? Sigl'latur '.At ~qp~ Company __ ___ Address Telephone# Valuation or Contract Price ::2 7 -S 7J . o-v -' City License Registration # ~ .:l.. State Certified License# -/4. ?~"r C ' BUILDING) Ftr. Pre SLB Lintel E~. ~ -..-.,,", ME~L ----,,- Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final 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 ($15.001 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. APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~d ~<:::";c;:h~r ADDRESS 8;3d-. S WU)~ erg :~ort.. (~, +~~f ~~U--er 6.. rD~~r JOB LOCATION :)7 5~ 'CfyJPfl1 lL)*ee f C10l/~S707~? S~{) OWNER LOT SIZE_____~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~f WORK PROPOSED:____New Construction _Addition _Alteration ____Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _# of Units ._M/H _Commercial _Indust. _Swim. Pool Other , _Restaurant & Health Department Approval BuiLDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ d.750. OD Valuation of Total Construction _ELECTRICAL 4' _MECHANICAL AMP Service Florida Power Corp. _\-l.R.E.C. $ Valuation of Mechanical Installation _PLL~BING GAS ~~'~~ROOFING TYPE OF CONSTRUCTION: _Block _Frame _Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION . <. h r :.. _". \ ~ Company '-lC ~(' ~v\.)-\YUQ. State Cert. or Regist. J City License Registration # '7'",) *************************************** Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration # **********************~******************* PLL~BER Signature MECHANICAl Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration # OTHER ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertittay be subject to "deed restrictions' which lay be .ore restrictive than City regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they say 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 lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131 788-6611. Furtherlore, if the owner has hired a contractor Dr 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 responsible 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 Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ 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 - HOleowner's Protection Guide" prepared by the Florida Departtent 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 promise in good faith to deliver it to the 'owner' prior to cOllencelent. 1 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 COMpliance with all I applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has cOltenced prior to issuance of a perlit and that all 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 work, and that it is IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not liaited to: f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artlent of Health & Rehabilitative Services Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environlental Protection AQency - Asbestos abatetent I also certify that, if fill taterial is to be used in Flood Zone 'A' or "A,etc.', it is understood that a drainage plan addressing a 'cotpensating volule" Mill be subtitted 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 work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereofter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid unless the work authorized by such pertit is cOltenced within six lonths of issuance, or if work authorized by the permIt is suspended or abandoned for a period of six tonths after the tile the work is cosienced. One 90 day extension of tile, ~af be allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT IIAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO ';DUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COIIIIENCEIIENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT', SISHAT~:/~~P~ Sb~~R~pt was acknowledged , 19 ~ by STATE OF FLORIDA ~ COUNTY OF <i? D . The foregoing instrument before me th is 8...3 \ STATE OF FLORIDA COUNTY OF ~.D{\ D The foregoing instrument before me this ~-3 \ was acknowledged 19l:1.:l- by who is pel sOrlall, WilLI na::: j3-l- E B LIe: l!d as identification and who did/did "~t take an oath '-<1_ 1\,- ~ M-e.e.L\ I: ~* (Signature) ~e~c<'.q FO-\A.d- c....oVV\. t.. 'i-tJ: \ 0 - \(""i -<12- (Name Typed, Printed Dr Stamped) NOTARY PUBLIC t)udi ,~~~ who is person11ly kn wn to me.~r ~h~ ~as produceS- as identification and who ~/did not take an oath '.0 \\ ~ bLeea.. 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