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Home My WebLink About93-2975 BUILDING PERMIT Permit 2975~ /-tl<:;?-'1$ ,/ tftD G-.~ ILDI~_ ./' bJ-.D ~~~~ CITY OF ZEPHYRHILLS (813) 788-6611 ..-. no c;:-) - PLUMBI~ N<! Date M~ Sewer Conn Property Owner: Job Address: Parcel 1.0. # ~--C. ~~ C - -$'.2. -9 . Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE City License Registration # State Certified License# ~== =CV~Jn~ Valuation or Contract Price 4/0()' 4iP (j)Wn~ T(d'_ "ZiiJ.p~ SLB Tub Set Water Sewer Final MEC~ ./ Breakers Ducts Insl. Compressor Final BUILDING ELECTRICAL PLUMBING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 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. ; l), APPLlCA"['IO~ FOR PERMIT CITY OF ZEPHYRITILLS BUTILDISG DEPAR1HR~ OWNER'S NAH.E SO fhJ OWNER'S ADDRESS 5' r; If ~ JOB ADDRESS (1. gr{ S1- S@YVJ i rPlTt2T/1Z(LJ U-- PIIONE 7 g ~-6id. 7 ~ '/~h/ I/r ,rC! 3 3S-~o I / ' LEGAL DESCRIPITON: LOT(S) BLOCK S(])BDIVISIO~ PARCEL I. D. # h"ORK PROPOSED:_~~ Construction _Addition _Alteration ~Repair _Install _Sign _Hove _De~.lish PROPOSED USE: I~ ingle F3IIIily _KIF _, of Units _H/H _~rcial _Indust. _Swi.. Pool Other _Restaurant & Bea.lth Deparblent Approva.l BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMHERCIAL : ATTACH (2) PLOT PL.AIIS & (2) SEIS OF BUILDING PL.AIIS & 0) S:E::T ENERGY FORMS. U ATTACH (3) SlITS OF BUIlJ)DiIG PL.AIIS &: (1) S:E::T gERGY FORMS. u uCOpy OF CONTRACT REQUJlRED. PElmITS REOUESTED _BUILDING $ VaIuation of Tota.l Construction _ELECTRICAL AHP Service Florida Power Corp. W.R.E.C. _HECHAmCAL ,$ VaIuation of Hechanica.l Installation _PLUMBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTION!: _Block _Fr3llle _Steel Other FIlIiISHED FLOOR ELEVATIOINIS: FT. IS PROJECT IN FLOOD ZONE AREA? ~*****~***~~******~~~*~**~~~*~*~~********* YES NO CDrrn'RACY'OR SECT'ION BUILDER SillW'tun,X ~ ELECTRICIAN COHPANIY () 0 ~ State Cert:. or Regist:. # ..(p lJ ~~ ) Cit:y License Registration #I: **********~***~~~***************~******~** Si CUllPANY State Cert. or Regist. #I: Cit)~ License Registration I ****************************************** PLUlKBER SillW'tu~~ KECHAHICAL CDMP.k\NY /) // ra;-h State Cert:. or Regist:. :i# AJ? U a,. -dU City License Registration' ***** *********************************** COlIPArHlY State Cert. or Regist. I City License Registration I *******~~****************~*********~****** Signature OTIIER CC>>IPANY St:ate Cert. or Regist. :i# Cit:y License Registration , **~***~************~***~~****~************ Signature APPLICATION APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules 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 say 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 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 Departaent, (813) 788-6611. Furthermore, 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 .ay 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 document and promise in good faith to deliver it to the "owner' prior to cOllencelent. E. CONTRACTOR'S/DWNER'S AFFIDAVI~ 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 or installation has COllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regtlations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended MorK, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses + Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' I Department of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environ_ental Protection AQency - Asbestos ab~te.ent 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 pertit is co..enced within six Bonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is comeenced. One 90 day extension of time, lay be allowed ~or the perlit with fee charge of iI5.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or 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 RECORDINS YOUR NOTICE OF COMMENCEMENT. 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 LUuHTY UF 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 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 PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC