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Home My WebLink About93-2901 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit NC! 2901/1 Date / -S--7S ~ E~ PL~ ME~ ::::::,~,:~.*i~~f1Y~~ Parcell.D. # / 1- ~6 - c:z/- C) c) / 0 - /./ 1/ C? 0 .... 0 ZJ ,/ / Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work &.~~ r ci- ~~~~ NO OCCUPANCY BEFORE C.O. FINAL 1- ZO.- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee Signature Company Address Telephone# ctf;t'!lkm#- il-J ~5 Cc 1'. Valuation or Contract Price ~ 6 t:::7C) . rJ-z.-) City License Registration # ~~ -:r State Certified License# ~.~~ _ BUILDING_ /- 7,-;3 ~ Et&::rnICAL -. P~ M~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter ~" Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway L..("5:" JiI'~ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. I -'\ iJ f()sc k : fl\ofoP-.T .T;:J- (. fit\. Jf." _ ~ jlVI/$ [ ~I . 21- I 22'-, =:J i r at: t 8f'fJr\ 2 'A' 3x'.3 fosB ,,' ;11J1"r b# ... .' 12..~ J f) TH -57 ;1 , . '-~ 0:3 L e fJ-l,..r .L1 II /Y\ t: /7.// 7' c...l:. - ~ -'r> Nl FS)/ w/;-./AJt......, I 70 ,51 B / C } ~, -I{ fJE./~j) ~ '1 )Iou,~ c- IIA1I ("-~~ ....." . 0 . - - -_.. ..,--.. --_.~~~""'"""""-'--'';'~;''~'''''~:''~'':",;~':''=--_''-U_~~'~~''~!,,,~___, APPLICATIOIlll FOR PERtfiT CI'lYOFZEPII'flmILLs B1ITIJ)DIG DEPARDImiIT OWNER · S BAKE /!., cf/ A~ p ,7b09 ~i(/OJ) I.oV" CI<TJ-) J ') T/'; 0- 7: J'13 5- ZIt, /. ~ - ///1_/- ~ PHORE OWNER' S ADDRFSS .JOB ADDRESS -- .~/";j /h r LEGAL DESCIUPTIOI!f: UJI'(S) BI..OCX SUBDIVISIOR PARCEL I. D. t /1- 2.6,,... 2-/ -CO/D-I/-JfOt.? - 60/) IiORK PROPOSED:_lNIev Construction ~ition _Al.teration ______Repair _Install S. - 19I1 _l!Iove _De.o1ish PROPOSED USE: ~ingl.e F~ily _KIF _' of llfnit:s _KID c..... I~ If f> otA J' Other _ec-ercia1 _Indust. _Stria. Pool _Restaurant & Bea1t:h ))eparbM!nt Approva1 BUILDIRG SIZE: x Square Feet. Height RESIDERTIAL : COttItERCIAL : A'lTACII (2) PLOI' PIAlIS & (2) SEI'S OF BUll.DIBG PLABS & (1) SRI' ENERGY FORKS. ** ATI'ACH (3) SETS OF BUll.DDlG PIAIIlIS & (1) SRI' E5HRGY FORKS. ** **COPY OF CORTRACT RIlX!OIRED. PERllITS REOOESTED _BUILDIRG $ /~ 0 0 Va1uatioo of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _KEalAlUCAL $ Va1uation of Mechanical Inst:allation _PLUMBIBG GAS HOOFING SPECIALTY TYPE OF CORST.RIJCTIOli: _B1oclt _Fra.e _Stee1 fJLvp-) Other FIlIISHED FLOOR ELEVATIONS: Fr. IS P.RO.JECT IN FLOOD ZOBE AREA? t/ YES NO ****************************************** RMT.DF.R COlI'I'RACIOR SECTION OO!IPDY .If \i 5 L f) .71/s../- Q ~ fl.! _ / A State Cert. or Regist:. I C I< C C :3.:?9 2. J .1.r~ ~?[;(( City License Registration I ,I, ~ S- ****************************************** Signature ELECTRICIAN' OO!IPARY State Cert. or Regist. f City License Registration t ****************************************** Silm#lture PLUKBER OO!IPAIiY 5bd:e CeLt.. or Roegist:. " City License Registration I ****************************************** Signature flEalAl[[CAL OO!IPArIY State Cert. or Regist. I City License Registration I ****************************************** Signature onIF.R OO!IPARY State Cert. or Regist. t City License Registration I ****************************************** Signature APPLICATION APPROVED BY PERtIIT OFFICER. ~ CONDITIONS OF PERl"iIT AFFID/WIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which lay be lore 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 ~ontractors to pndertake 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to Khat 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 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 ZephyrhilIs. 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 docu.ent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has cOllenced prior to issuance of a perlit 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. 1 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 lust take to be in cOlpliance. Such agencies include but are not lilited to: , Departlent of EnvironlentaI ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent , Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks , US 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 plan addressing a "colpensating volule" 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 alter, or 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, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is COllenced within six lonths of issuance, Dr if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile 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 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""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVE"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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"KENCEKENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF flORIDA COUNTY OF The foregoing instrument befc.re me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLI C (Name Typed, Printed or Stamped) NOT ARY PUBLI C r (} .') f C :I . ~9t7/ /J ) ,) -rfi ....$ T 12- 71 l J1lJfo(t ~X:I:S r; .8E1{_*",,1'95~ _ .5 ""'- ~ LL 6...// ~;;:- Q/(j'}; .. ,.._.-~_~,__:~SS'l) - · ,,/; 'ZsCc/ ... ...--...----- ./ !~ 11-(