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Home My WebLink About93-2914 BUILDING PERMIT Permit 2914,E: /-//-9:3 Property Owner: Job Address: Parcell.D. # 35" ~-~ ELECTRIC~ .~ ~ ~-r;1 dl;~(-:?/. CITY OF ZEPHYRHILLS (813) 788-6611 N~ ,- Date B~ ~..sewer Conn Water Conn: Water Meter: T.I.F.'s: Zon;ng' ~Ene,gv Code, Deoc,;pdon ot Wo,k i; 1;~~ Radon Gas: I~ (J() /J nrP , '-~ ~/?#~2 FINAL DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Q~ City License Registration # State Certified License# ~7 C/~ Permit Fee Signature Company Address Telephone# Valuation or Contract Price C;1~VJJ( 6. (!. \.1t7'~! ~ . ELECTRICAL p~_.- c..-- BUILDINji..-.'. ~ .~AL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel 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 ($15.001 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. APPLICATIO~ FOR PERHIT CITY OF ZEmYRHILLS BUJILDI~G DEPARlmJ'NT OWNER · S NAKE FV'Uv1 1< A V €-lI\O C, ~ I v' pOI/li- vd, PRONE OWNER · S ADDRESS ~-O ~ J 5~C/ .2- ~~ 1 L s PI.-- JOB ADDRESS LEGAL DESCRIPl'ION: LO'I'(S) BLOCK SDBDIVISIO~ PARCEL 1.. D. f WORK PROPOSED:_Jifew Construction _Addition _Alteration _Repair _Install _Sign _Hove _D~lish PROPOSED USE: Single F3IIily _"IF _, of Units _H/H _eo..erci.al _Indust. _S,"--. Pool Other _Restaurant & Health Departwent Approval Square Feet. Height BUILDING SIZE: x RESIDENTIAL: COHHERCIAL : ATTACH (2) PLOT PI.AIIS & (2) SEIS OF BUILDING PL.MilS & (I) SET ENERGY FORMS. u ATTACH (3) SETS OF BlITLDDilG PI.AIIS & (1) SET ENERGY FOIDtS.u **COFY OF CO~Cl" REQUJJI.1Ul:D. PEmtITS REQUESTED -i-ELECTRICAL $ I ') C::--f)J 9 i1 . ~ Valuation of Total Construction ~ () 0 3 ef AKP Service IX. Florida Power COrp. , _BUILDING W.R.E.C. _HECHMITCAL s Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTIO~: _Block. _Fr3lle _Steel Other FIJnSHED FLOOR ELEVATIONS: FI' . IS PROJECl" IN FLOOD ZONE AREA? YES NO ****************************************** COmRACIOR SECl"ION BUILDER Signature CDI!IPANY State Cert. or Regist. , City License Registration , ****************************************** ELECTRICL\/I J W!lPANY D.... ~., T · ;z.yv,J...J . State Cert. or Regist. , Si"""ture O,""~ ~ Ci<y License Registration # {, I'J ************************************ PLDKBER CDI!IPANY State Cert:. or Regist:. #F Signature ~~ty L1c~~c RegisL~atiou I ****************************************** MEC'BAIflCAL CDI!IPMfi State Cert. or Regist. # Signature City License Registration I ****************************************** 01'1lER. CDI!IPOY State Cert. or Regist. , Signature City License Registration , ************.***************************** APPLICATION APPROVED BY PERKIT OFFICER. r CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit aay be subject to .deed restrictions. which lay be .ore 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 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 lay be cited for a lisdeleanor violation under state IaN. 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 Departlent, (813! 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 Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LA~ (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 doculent and promise in good faith to deliver it to the "owner. prior to cOllencelent. E. CONTRACTDR'S/DWNER'S AFFIDAVI~ 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 developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of. a perlit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning requlations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies tay 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: f Departlent of Environlental ReQulation - Cypress Bayheads, W2tland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water KanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' t Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, 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" Dr 'A,etc.', it is understood that a drainage plan addressing a .colpensating volule" Kill be subtitted 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, Dr violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the permit 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 exten~ion shall be requested in writing to the Building Official. An approved inspection. lUSt be logged during each six tonth period, or the project will be considered abandoned. 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 LUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT', ;--, ~. -~~-- ~ -....------ ~ ~ SIGNATURE: CONTRACTO STATE OF FLORI~ COUNTY OF ~ The fQreooino instrument before m; this ~/I was ackncwledqed , 19 ~ by STATE OF FLORIDA ~ COUNTY OF ~ The foregoing instrument befol-e .me th i s Ij / I vias ac knovl 1 edged , 19 -!l...l by who is personally prc.duced as identification ta .'e an oath. know~\\ \t'fnE:POi'>'/-:zwho has .Jf' ~ ...........h.... lJ ~ ;;0'" ...~ anJ~}io did/df. ~pt ~ : ~ = " +; : \ ! who is per sona 11 v,,,Al/nown to me Clj- who has \\{\ ""'11. prc.duced ~\\\\ fI" Pu;;~ . as identi fiCff~r'I....ai1i1..... J'%.did/d id not t~ rtf7J.' ....... tak an 021 I~~t " (SignatUl-e) % ..r \. ff ~/...... .... ~~ ':os ~,. ............. ~ \,. {;' (Name Typed, P?~tn,~~d\,~~~Stamped) . 'fI'I/II II nil NOTARY PUBLIC (Name Typed, Printed NOTARY PUBLIC Net..,., P.....~ 5_ "" Ifllof_ ID~ II.- lr~11. Uy eo.....1EJ9. _. U.. ll~ ~ -. << ~~~.. Notary Public. 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