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Home My WebLink About92-2718 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N? 2718/1 /0 -;2;) -9.;:t Date BUILDING ELECTRICAL PLUMBING ~:ANICA~ewer Conn Water Conn: Pmperty Owne" :) ,:;I ~. . - - ^ ~-... - Job Address: J~...s ,,~ Parcell.D. # Zoning: ~nergy Code: Radon G}s: A Description of Work \... 7:;(/ F J;;;.. (J C2-.4. -/ ~ '-' f7 {7?.&:... J Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL ~-~3-9Cl DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector City License Registration # .3 ;tS State Certified License# Permit Fee Signature Company Address Telephone# :i0 - ~ -:?-. - Valuation or Contract Price E~AL ~SLB r;~~~ GCH;~ Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel -~ING ------- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLlJ'MBING ~. Tub Set Water Sewer 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 ($15.00) 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. ^PPLICATION.-..~ PERI'I1T CITY OF ZEPHYRlITLLS BUILDING DEPARTMENT )WNER '-(81- "L /\(O-A.- VVI. P/~ ~ G o.JJ ~. I 2~7Pb. /;::~ ]1 s-'f) PHONE 78 i. - 7.i' J'-r ;(~ . 7'cJrfl 1-I/<r:>H4JtJD (j1J-/[ ( IJ~ #1;,./6 -[/JIVI;O/f :J.l' l/7 " 39J3<" U~ RJ ' Cc- ,PPLICANT .DDRESS g/:y&J7.l-7~ JOB LOCATION LOT SIZE x AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) PARCEL I.D.t~ ;)(, - fJ...'1 BLOCK SUBDIVISION ~iY~ WORK PROPOSED:____New Construction ____Addition ____Alteration _Repair '/Install ____Sign/Temp. ____Sign _~Iove ____Demolish ____commercial _Indust. _Swim. Pool ,._M/H ~:.... S-+~Other PROPOSED USE: ____Single Family _M/F _t~ of lIni ts _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 FORt-1S.** **COPY OF CONTRACT REQUIRED. rF.RMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING .:1' GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Rcgist. n City License Registration n ****************************************** ]3UlT.DER Si!mature Company State Cert. or Regist. n City License ReGistration n ****************************************** ET.F.CTRTCTAN Signature Company State Cert. or Regist. n City Lic~nse ReGistration 0 **********************************~~~***~~ PLUMBER Signature Company State Cert. or Rcgist. 0 City License Registration ff ****************************************** MECHANICAL OTHER M lU~~'- T, 0",J{" Company P0-/3L-l-< G~<' Ce, ~ State Cert. or Regist. il :;;JG,,;l-8 Signature tlV'\ _ City License Registration i~ ? :2_~ ~............~................*...... APPLICATION APPROVED BY ... ,H-<' G _.l;L 0 A Ai>, T;- PERMIT OPFICER, /' V CONDITIONS OF PERMIT AFFIDAVIT ~- A. NOTICE OF DEED RESTRICTIONS . lht undtrsiQntd undtrstands that this ptrll~ lay bt sub~ec~ to "deed restrictions" which lay be 50re restrictive thin City rlgulltionl. Tht underslgntd a'lultl r'lponlibllit~~for cOlplianct with any applicable deed restrictions. , , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired a contractor or contractors to undertake work, they lay be required t~ be licensed in accordance with Itatt and local rtgulatlons. If tht contractor II not licensed as required by law, both the owner and contractor May be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised t~ have the contract~r(sl sign portions ~f the 'Contractor Sections' of this application for which they will be resp~nsible. If you, as the owner sign as the contractor, you art 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 permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) 1 certify that I, the applicant, have been provl'ded with a copy of "Florida's Construction lien law - HOleowner's Protection Guld," prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "oHner", 1 certify that I have obtained ~ copy of the above described docUlent and pro~i~e in good faith to deliver it to the "OHner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work "ill be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to ~btain a perlit to dD Mork and install~tion as indic.ted. I certify that no Mork or installation has cOI.enced prior tD issuance of a perlit and that all work "ill be perfor~ed to meet standards of all laws regulating construction, City cDd~s, zoning regulati~ns, and land development regulations in the, jurisdiction. 1 also certify that I understand that the regulations of other governlental agenci~s ~dY apply to the intended work, and that it is IY responsibility tCI -identify what actions I lust take to be in compliance. Such aqr,,,cies include bill ~le ,wi liaited to: . .I.tII-' I Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtiv~ l~nds, Water/Wastewater Treatlent . Southwest Florida Water ManaQeaent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corpsef EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services. Environ~ental Health Unit - ~~lls, Wastewater Tr~al~en~. Septic Tanks t US Environlental Protection AQencI - Asbestos abatement I also certify that, if fill lat~rial is to be used in Flood Zc.ne "A" or "A,etc,', it is understc,(,d t1131 a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer reqist~,ed in the state of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel aller, or set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official fro. thereafter requiring a correction of errors in plans; constructic,n, c.r violations of any ((ode, Every permit iSSlled ohall beec,le invalid unless the work authori2l!d by such penit is cc...eneed within six aonths of issuance, (,r if W('1 k a\1t1.('1 I.ed by the perlit is suspended or abandoned for a period of six lonths after the ti,e the w~rk is cD~men(ed. One 90 day e=lin~i~11 of tile, aay 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 lonth period, or the project Hill be considered dbol,doned. WARNING TO OWNER: 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ OWNER OR AGENT SIGNATURE______________________________ CONTRACTOR DATE___________________________________ DATE --------------------------------.------- NOTARY AS TO ' OWNER OR AGENT______________~______________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES______________________ MY COMMISSION EXPIRES .. ------------------ . :t~.'.,.., ' --;z_~ ....--' . ~" .-0:::> _^' v( -u '(..) 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