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Home My WebLink About93-3104 BUILDING PERMIT ./ ~o ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit NC? _ 31046 .3-,~:2 -$~~ Date ELECIBJ.GAt ---- MEC~wer Conn Property Owner: Job Address: Parcell.D. # P~ C~ a4~~~ -;3 '7 ~,.:; D V11~A..,I.&<..)rJc)"- (5f'br) /q -;?" -- 2/ - )J/- ()-- ) J ~ , " I Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Y BEFORE C.O. FINAL DATE NO OCCUPA Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Valuation or Contract Price ErO ~Si), .- //7 &1&. { i:f.' e Permit Fee - - Signature~. /"?7 ~ /'-" Company Address BUILDING M~'.. 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 ($15.00) 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. -- APPLICATIOl!il FOR PERMIT GI'IY OF ZEPJIYRHILLS BUlLDIl!iIG DEPARl'm!',NT OWNER · S NAKE (!~rc/' (1:1~ " p' , ,~./ A' ~r,A./ ~e?./ / _.~ o /9 /Yl s:- , Pl10NE /.....4"'(9 u/ . / ?F'-S? 5? I OWNER · S ADDRESS \? 9 \r~ .c JOB ADDRESS LEGAL DESCRIPTION: wr(S) BLOC.K SUBDIVISION I /J-- ill ~ It../ J!'; L , <!""CI> .-/. ,. - PARCEL I. D . # /..1 -db. -d I It{ (:) WORK PROPOSED:_!Il1ev Construction ~ition _Alteration _Repair ..L-Install _Sign _I!fove _Deaolish PROPOSED USE: Single Faaily _KIF _'. of Units _M/H _eo..ercial _Indust__ _ _Swi. _ Pool Other _Restaurant & Health Dep:rrtae:nt 4\l'prova1 J::-" BUILDING SIZE: x Square Feet, Height RESIDENTIAL: cot1KERCIAL : A'ITACII (2) PLOT PLANlS & (2) SETS OF BlllLDIl!iIG PI..!U!S & (1) SET ENERGY FORMS_** ATTACH (3) SETS OF B1llLDDG PLANS & (1) SET ENERGY FORi.."IS.u '4--4'COFY OF COI!ITRACT REQUHRIJD. PERKITS REOUP_c;TED _BUILDING $ u' 53-0' - Valuation of Total Construction _ELECTRICAL MfP Service Florida Power COrp. W.R.E.C. _MECHANICAL s -. Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr3llle _Steel Other FINISHED FLOOR ELEVATIOl!iS: FT. IS PROJECT IN FLOOD ZONE ARE.>\? ):"ES NO -4''4-'4-~~~-4'-4'-4'-4'-4'*******-4'*****~-4'-4'~~********~*~*~ Signature ~ COllilTRACTOR SF.CTIOIH COHPAHY ~~.itA ~ C'..~ St:ate Cert. or Regist. I d. 00 .." ~ ~ ~/ City License Registration;# '$I 7 *~******-4'**-4'*-4'***-4'****-4'******************* RUILDY.R ..., EI.ECTRICIAN COHPANY St:ate Cert. or Regist. # Sismature City License Registration f -4'*-4'-4'-4'*-4'***-4'*-4'*-4'*****-4'-4'-4'*-4'*-4'**'4-*-4'****-4'-4'**** PLOKBER cmlPANY State Cert. or Regist. j Signature City I"icense Registration it ~**-4'**-4'~****-4'**-4'-4'-4'**-4'-4'****~****-4'****-4'-4'*~~* MECHANICAL cmlPANY St:ate Cert. or Rcgist. , Signature City License Registration I -4'*-4'-4'-4'-4'*-4'-4'-4'-4'-4'-4'***-4'-4'-4'-4'-4'*-4'**-4'-4'**-4'**********~* OTHER COMPANY State Cert. or Regist. I Signature City License Registration , ...*...................................... APPLICATION APPROVED BY PERKIT OFFICER. Ii CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it 'Iay be subject to 'deed restrictions" which aay be .ore restrictive than City regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contra~tors to undertake Mork, they .ay be r~quired to be licensed in accordance with state and local regulations. If th'~"cbfifractor is.not''licensed as required by laM, both the owner and contractor lay be cited for a .isdeleanor violation under state IaN. If th~ ONner 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 Depart.ent, (8131 788-6611. Furtherlore, if the ONner has hired a contractDr or contractors, he is advised tr,- have the contraCtOr(5) 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 Nork. If the contractoruwishes-you--to sign as contractor that eay be an indication that he is not properly licensed and is not entitled to per.itting 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 - Ho.eowner'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 cOI.encelent. - 1:.. CONTRACTOR'S/C~~ER:S ^ r -;- r ',,,,\ ^ 1 IT"" . ..'~ ,- .. w. '... -. I 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 de work and installation as indicated. I certify that no work or installation has cO.lenced prior to issuance ~f. 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. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is .Y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but ar~ not lilited to: f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands, .Water/Wastewater Treatment f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses + ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Service~. Environ.ent<<l Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection Aqency - Asbest~~ a~ate.ent-- I also certify that, if fill iciterial lS~u'h,~.._J ir!;,;iluJ;-'~ik GA" ar '1\,,,1.':.", ;1. is undersbod that a driiiliage pliln addressing a 'colpensating voluae' will be sublitted which is prepared by a professional engineer registered in the State' of Florida prior to perlit issuance. A per.it 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 irsuance of a per.it prevent the Building Official fro. 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 per.it is cOI.enced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six tonths after the tile the work is comaenced. One 90 day extension of tile, lay be allowed f~r 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 to nth peTiod, or the project will be considered abandoned. WARNING TO OWNER: Y~UR FAILURE TO RECORD A NOTiCE OF COHMENCEi1ENT HAY 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 was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcl\-e me th i s STATE OF FLORIDA ~ COUNTY OF The foregoing instrument befc.re me th i s ~Ias ackno~J1edged 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) (SignatLl'l-e) (Name Typed~ Printed or Stamped) NOTARY PUBLIC (Name Typed~ Printed or Stamped) ~OTAR,( PUBLIC