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Home My WebLink About92-2821 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 28218 Date II -.s 0- ;1 :J.. ~IlDING") E~l PlU~ ::~:::,~,:0:?7;$~-'1 !Jt1 t24<< MEC~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code~; Description of Work ~.J2... l)~t/ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL .5 ~ 2- t13 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # .v rJ State Certified License# Permit Fe~J~v S;g~a,",' - nk - ~/~ Company~_' Address Telephone# Valuation or Contract Price ..2 y trlJ - o--v ,/ Ftr, Pre SLB Lintel "~r~f B_UllDIlIIG~~ -' " Tp. Servo Rough In Meter Can ~CAL ------- "-PbUM BI N G ----~ MEC~ Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. 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 ($15,00) 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. II" ... ~llLrr~~,~ .. ..... .,. .. .~.. '. .t. . '~ n................., .." .... ........ ...... , i . I, ; "':"" r:::' iF:::, :'::';: 1[" (,. ~ 1""...1 .;"'" I, .l..-I." , , , , I," 'i ! . "r '! ~:"i i I .1 j". ':::~. ,::' I::, 1...,.- . ".'-'jl' -~ '-;.:': '.. :'.,r '"1 ;::';".,(1" 1",::,(,,;:" ..!.!.' (I: ~ . . t... 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"j /I ~ 11 1\'1\\ ( r 1~/1 \, \ J \ 'f,-----., V \ ' .J . ..,~ ,.j/ .... .-.... ..... . r . :", ;",: .~. r:' (....1 '.: ::~:c~~ '.L';~:::.l' :_.1."" I , 'I ", . ..1 ".::' f :~<~.. t:hC,..- .j /;( (~...--~-- v .:' - ......';. - . ..,. . ./ -;7'Z'/~~ l,,-q'Z'(.-/:'''/ 'J.:::"'" I" ,;::--.../.............-... .'?':-, ,... .::,...".::",::.::,;:::;:..,.~",::,."....,. '--') C ( {J J.> / e {.. L/k p/(_ c 7 " ~: ;.-:::-.::.:::---:::~ .II .~/ ,., j c., ( I '( .. ../ .../ I - ((/" ;;7 il.___--- APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT~'BRr 0; b\~) ~a.,^\ ADDRESS 3'1, \ <g S~ Av-L . ?~h~h~cL DWNER ~Cl2/ r ~ \ bl ~ JOB LOCATION 34 \ ''i< ~ ~ ~Lh~r PHONE LOT SIZE_X AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~~ 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 FOR~S,~~: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL i<!'fr _MECHANICAL AMP Service Florida Power Corp. _h'.R.E,C, $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ~*******H**~~:;;:~;~;*;;~;~?;/5**;**~ / /l j I r- Company ~ r{}~ LA wC V1o/J"- ~,\ 'hr(A( ~--. State Cert. or Regist, # Signature City License Registration if: *********************************** ELECTRTCT AN Company State Cert. or Regist, # Signature City License Registration 4~ ****************************************** PLUMBER Company State Cert. or Regist. # Signature City License Registration :fr **********************~******************* MECHANICAL Company State Cert. or Regist, # Signature City License Registration ~F ****************************************** OTHER Company State Cert. or Regist, if: Signature City License Registration if: APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait .aay be subject to 'deed restrictions' which aay be lore restrictive than City regulations. The undersigned assuaes responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contracto~ 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 aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of.Zephyrhills Building'Departlent, (B131 788-6611. Furtherlore, 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 Mill 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 pertitting 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 - Hoaeowner'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 doculent and promise in good faith to deliver it to the 'owner' prior to cOllencelent. ',} 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 coapliance with all applicable laws regulating construction, zoning, and land developaent. I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has coalenced prior to issuance of a perlit and that all work will be perforted 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 IV responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: f Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally 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 Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage pla'1 addressing a 'colpensating volute' will be sublitted 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 alie'! Dr set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol there"fter requiring a correction of errors in plans, construction, Dr violations of any code.. Every perlit issued shall becole invalid unless the work authorized by such per.it is cOlleneed within six lonths of issuance, or if work authorized by the perml! is suspended or abandoned for a period of six lonths after the tile the work is comtenced. One 90 day extension of tile! gat 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 lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO 'lOUR 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'. X 1:y~ (~ S"iAI"R . OWN'R OR ~ ~ , SIGNATURE: CONTRACTOR was acknowledged , 19_ by ~TATE OF F~ORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORTnA COUNTY OF The foregoing instrument befetre 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 oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (SignatUl-e) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC