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Home My WebLink About92-2618 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 2618~ Date 9- 1-9 :<.. e:J......;2'f-93 ~ewer Conn Water Conn: Permit N<1 ~~.~ ::~:::,~:~e,gfoJ:/ fil2':#lJ~. Parcel 1.0. # //- 2~ - :21- 00/0 - /':;-900 - () / ::30 Water Meter: T.I.F."s: Zoning: Description of Work 6" 93 FINAL 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. !hc~ i p~ A~ f6. ~ Inspectm ~oo . Permit Fee . - ~~~t~~~tnp~~ce 4 ;; _~oO' ~ S;gnaturo -:-~ --~./ JI}./4/4t Company ,7 Address c.o. DATE City Ucense Reg;s"at;on ~ State Certified License# GI<h1~Jj Telephone# ~ ./' Breakers Ducts Insl. Compressor Final BUILDING EL~L ,.,- Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final PLU~.- ~ SLB Tub Set Water Sewer 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. '\ APf'LIC.\.TIOII Fm~ 'PmmI.T CI'IY OF ZEPIiYRIIILLS BUTIJUJIG DEPARnItJ1tIT JOB ADDRESS '/JET50R,II/1 ,~) r?'C> / 7 N~l'7#- , ;tJ II I;JE k t:-; l. /) \.~I A-. moNE 7 K::) '-cS(0GY4 "7 c' J<J A I//(l/;/;~/) , I / ;.::-/ f L, OWNER'S IiAttE OWNER'S ADDRESS AvE, ;..C::/.dzz;~p~ LEGAL DESCRIPTIOI!I: wr(s) BUJCK SUBDIVISIOllW ~CEL I.D~ / /- ~(p - r-:(/ - 012 / 0 -/-s-9~(J - 0/30 WORK PROPOSED :'--lIew Construction 1.Jddition _Alteration _Repair _Install _Sign _Move _Deao1ish PROPOSED USE: 'l Single Faaily _KIF _, of Units _K/H _~rcia1 _Indost. __.SwiII. poo1 Other -..Jlestaurant &: Hea1th ~t Ap-prova1 BUILDDfG SIZE: is-IX \.~a/ 7-~{) f Square Feet, Height RESIDENTIAL: COItItERCIAL : A1TAGII (2) PLOI' PI..OS &: (2) SEIS OF BUTIDDiG PLAIIS &: (1) SEI' ENERGY FORKS. ** ATI'ACII (3) SEIS OF BUllDIIiG PLUS &: OJ SEI' ENERGY FORKS.** **OOPY OF OOwrRACT 1UlQ1:lllhID. PIf.RMTTS REOUESTED _BUILDDfG $ !J'~ ['() va1uation o-f Tot:al Construction _ELECTRICAL MIP Service __Florida Power Corv. W.R.E.C. _KECllAlITCAL $ va1uatior of Kecbanica1 Inst:3lla.tion _PLUKBDfG GAS ROOFJJI(; SPECIALTY (~(7 A/(?,f}f>~ther TYPE OF OOBSTRUCTI01'i: _B1ock _Pralle _Stee1 YES X- NO FIlllISHED FLOOR KLEVATImiS: FT. IS PRnTHCT III FLOOD ZONE AREA? ****************************************** c2I &-nt.R..-. COIn'RACIOR SECTION BTITTDmt (f) tcrn~ COIIPANY___ Signature I~~ ~ ~ ~.. ~~ I.~~~e o~e::~:~i:n I ****************************************** Si.-n::lture CDIIPMY St:ate Cert. or Regist. ., City License Registration t *AA&&&&*********************************** KJ.F.cTRTCIAN COIIPDY St:ate Cert. or Regist. , City License Registration t ************~***************************** PlDIBER Signature CDIIPABY StatE.: Cert. or Regist. t City .L~cense Registration t ****************************************** tlECllAllICAL Signature . APPLICATIOB APPROVED B COIIPA5Y St:ate Cert. or Regist. :f City License Registration I ********** ~*********** ****** onrF.R Signature PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT I A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait 'aay be subject to 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contr.ctor or co~tractors to undertake wcrk, they lay be required to be licensed in accordance with state and local regulations. If the contractor is'not licensed as required by law, bot.h the owner and contractor lay,be cited for a aisdeaeanor 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 Departlent, (813) 788-6611. Furtheraore; if the owner has hired a contractor or contractors, he is advised to 'have' the contractor(s) sign portions of the "Contractor Sections" Df 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 indiration 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 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 - HOleowner's Protection Guide" prepared by the Florida Departaent 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 proaise in good faith to deliver it to the "owner" prior to cOlaencelent. 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 cClpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or installation has cOlaenced prior to issuance of a perait 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 aust take to be in coapliance. Such agencies include but are not lilited to: f Departlent of EnvironlentaI ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial ig to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a "coapensating volule" will be sublitted wnich is prepared by a professional engineer registered in the State of Florida prior to perait 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, nDr shall issuan~e of a perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authori!ed by such perait is cOlaenced within six aonths of issuance, or if work authorized by the perlit is suspe~ded or abandoned for a period of six aonths after the tiae the work is cOllenced. 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 aust be logged during each ~ix .onth period, tr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO""ENCE"ENT'. ~~~ll()h~ 9IGN . lINER R AGENT SIGNATURE: CONTRACTOR STATE OF FLORID~ COUNTY OF if ~ The foregoing ins~rument was acknowledged befc.re me this ..~ I, 19 y.2/ by ~~~ who is personally known to me or who has produced F~ D 3;{()/7 0$/7300 as identification and who did/did not take an~th. ~ o ~ 11 ()'l-7tJ9~ (Signatu ~ .AI A-Nc Y /.J) y e'12- (Name Typed, Printed or Stamped) NOTARY PUBLIC .";'~::. STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me th i s was acknowledged , 19_ by who is personally known to me Dr who has produced as identification and who did/did not take an oath. . (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC -~." Cc"-,." . r. 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The undersigned states and affirms that he or she is desirous of constructing his or her own domicile, that he or she actually occupy, or will occupy said domicile, and that he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will pe!sonally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect s<apervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspect ion fees, must be paid in full. A written request from this. office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes is.sued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two--family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. ownVZ~/(bt;-f :3~ () /7 c/( JJ ,I) -r1'i /II/IE Address Zc;/JA(P/J/liJ,. 17(J~iifil BUILDING PERMIT NUMBER ::J4, I f? ~ SlATE OF FLORIDAQ COUNTY OF fL.Ct..4-A.-o The fOregOi~g in trum ent was acknowledged before II}~ tpis _~ I , 19~ by 4YJ-_ L1,/~I!-P who is personally known to me 9[ who has produced E'1- f)'- D ~O /7087.af"1'dentifi- cation and who did/did not take an oath. {J}~ ~~ # O'f-7tJtff:, NOT~; -SIGNtfURE ,A!RN(!'f 4r./)~-z..- NOTARY NAME TYPED, PRINTED OR STAMPED i~OTARY PUBLIC - -, '.'>.~