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Home My WebLink About92-2676 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 2676Jj ;2..0, OV ~) Gc;'~~) .~ P<aperty Owne' XI L i{-n?/h f~ - Job Address: t /.3 ~ 1.- ~ Parcel I. D, # ~(j,n Date / a .- / - ;7:z. MECH~wer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code' oe7i,,},:lO;"J?,#---~ 71.:c:r. , Radon Gas: -"A~~ 4- -/~.t;jlL, ~ "7;;. ~ FINAL / - ;;L/ - 9..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 Valuation or Contract Price ~ t:rcJ . <.JD Permit Fee .~ ~ S;gna,",e=~_ #~ ~ Company Address Telephone# City License Registration # State Certified License# ~~~ 0tR~~17 ~ Tp. Servo SLB Rough In \0 -1.. q 1- 5~ Tub Set Meter Can Water Canst. Pole Sewer Pool Final Pre-Meter Final ~AL ----- Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor 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. APPLICATIODiil FOR PERKlT CITY OF ZEPIIYRBlLLS BmI.DDiG DEPARllIEXT OWNER'S IlAIIE ~/, /l. Vq 'ij j (lrj ADDRESSJ ~/3 (" ~t J</~ /?.<! &/~? rf ~~ tRc( PHONE 7 J7;;;J - )I~~ / 2~ ,:JAy f); lie;. , , L'7'L7 ,- .(.; / " OWNER'S JOB ADDRESS LEGAL DESCRIPTION: IDI(S) BLOC:K SlmDIVISIODiil PARCEL I. D . :f _Sign _lIfove _Deaolish ~ PROPOSED USE: Single Faaily _"IF _, of Units .L-ec:-ercial _Indust. _Swt.. Pool WORK PROPOSED:_OOev Construction _Addition _Alteration _Repair _Install tfe ^'tc7 Ve. ;( t0~! Is I /l 5-1~ 1/ -Y II jA+s; _KID Other _Restaurant &: Hea1t:h Depar-=-ent Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COHKERCIAL : ATTA.CH (2) PLOT PI.ANS &: (2) SEI'S OF BUILDING PLANS &: (1) SET KNERGY FORMS. ** A.TTACH (3) SEI'S OF BUILDING PI.ANS &: (1) SET ENERGY FORKS. ** **COPY OF CODiilTRAC'l' REQIDlUlD. PERKITS REQUESTED /' BUILDING $ ~D Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _HECHAHICAL $ Valuation of Hechanical Installation _PLUKBING GAS Kf!OFlliG TYPE OF CONSTRUCTION: _Block _Pralle _Steel SPEcIALTY Other FTIiISHED FlJX)R ELEVATIONS: FI' . IS PROJECT IN FlJX)D ZONE .AREA? YES NO ***~*~************************************ c:orn'RACIOR SECTION BUILDER COIfPDlY State Cert:. or Regist. , Ci~ License Registration , ****************************************** Signature D - J1~ ~:t] COIIP...... <?-v< ~ 's I \"2"'1<< . ~ +0. <'> . State Cert. or Regist:. ,EPtOO ? ~ S1 ature ~~ _ ~ City License Registration t 9n '7 *********************************** PLOKBER COIfPARY State Cert:. or Regist:. , City License Registration I ****************************************** Signature KECllANICAL COIfPANY State Cert. or Regist.1 City License Registration , ****************************************** Signa ture 011IER COIfPANY State Cert. or Regist. , City License Registration , ****************************************** . Signature APPLICATION APPROVED BY /7c.M h ~ _:1!O./).A)A )-- PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands' that this per.it.ay be subject to "deed restrictiDns" which .ay be lore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE$ If the owner has hired a contractor or contractors to undertake work, they may 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 requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Further.ore, if the owner has hired a contractor or 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.en! of Agriculture and Consu.er Affairs. If the applicant is SOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOI.ence.ent. E. CONTRACTOR'S/DWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in coapliance 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 Dr installation has cOI.enced prior to issuance of a per.it and that all work will be perfor.ed to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to,the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies 1nclude but are not lilited to: f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent f South Nest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abateaent ' I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it IS understood that a drainage plan addressing a "co.pensating volule" Mill be subaitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall becole invalid unless the work authorized by such per.it is cO.lenced within six lonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six .onths after the ti.e the work is cOI.enced. One 90 day extension of ti.e, .ay be alloNed 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 lonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH 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: OWNER OR AGENT was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before 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 did/did not take an Dath. who is personally known tD me or who has produced as identification and who did/did not take an oath. . (Signature) (Signature) (Name Typed, Printed NOTARY PUBLIC or Stamped) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC