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Home My WebLink About92-2635 ~/ Property Owner: Job Address: Parcell.D. # Zoning: Description of Work BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2635,E Date C)' - /0 -7:z.. ~RI~ p~. ~sewer Conn Water Conn: ~~ ~~~ . '/ - -c!t 7~--,. Water Meter: T.I.F.'s: J~~'d~ FINAL ~ -::2 - 73 NO OCCUPANCY BEFORE C.O. DATE c.o. _ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. ;V?t- City License Registration # ..:< b< d-6:fiJ. State Certified License# Valuation or Contract Price B~' -- Ftr. Pre SLB Lintel FRM. Insul. CL WL DATE Inspector Permit Fee ~O .~ Signature ~~~_ ~~~~ Company Address Telephone# ~v ~ #~~ &0', ?f _- LECTRIC~ ~~~- M~l-AL ...-- Tp. Servo B ~ SLB Rough In rod II 6 tf-l1Lfz.. Tub Set Meter Can I Water Breakers Ducts Insl. Compressor Final Const. Pole Pool Pre-Meter Final Sewer 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT J: c /1-' A/ ~ L l'\ 6 j.. /U t; J.. ADDRESS ,.;.;r~ /'1 f /:.2 II V€" PHONE 7Y~. 3'ir~() OWNER J 1\ I'Y\ es VJ t11 A..$ 6 AJ JOB LOCATION 38 I Y i ,~ A V<E LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4~ II - oZ' -:J..../.- 0010 - 03';1. O(j.- LJ()J"O ........ .-" ~pair _Ins tall WORK PROPOSED:_New Construction _Addition _Alteration _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4~ of Uni ts ._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 FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMs.'a **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING Y'ELECTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Signatur~ Company .j <)1\ TL1 1\, I c... J, Ii )- d~ 51 D /\/ ~ 1.. 6(;1,. '7P ,17.0 J --+..---, State Cert. or Regist. 4r'~O(jtlC> 7 If !J.....~~~ City License Registration # :2 '2.. ****************************************** ELECTRTCTAN -;lS,I. Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. . :3 r!f/0.~"i-- ~~ -y ) b.!vzre[ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assules 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 lay 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 .isdeaeanor 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 Depart.ent, (8131 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 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 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 docuient and promise in good faith to deliver it to the 'owner' prior to cOllence.ent. 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 co.pliance with all applicable laws regulating construction, zoning, and land developtent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cotlenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cC1mpliance. Such agE'nciE's include bnl ~i e li(Il liillited to: I Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tiV!! Ldiids, Water/Wastewater Treatlent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks f US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a dlainage plan addressing a 'colpensating volute' will be subtitted which is prepared by a professional engineer feqist~red 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 authority to yioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued =Dall becole invalid unless the work authorized by such permit is CO'lenced within six months of issuance, or if work authol lzed by the per.it is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day exltnsloli of tile, lay be allowed for the permit 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 Ilonth period, or the project will be cclnsidered dbilild(lfied. WARNING TO OWNER: YOUR FAILURE TO R~CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BE~ORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__~_~_~________ DATE_____5t____~_~Jl_____JL~_____________ ~... / / -----.- SIGNATURE_~-~--K:.~ CONTRACTOR DATE______9___~9___~?::________________ NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES MY COMMISSION EXPIRES ------------------ ----------------------