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Home My WebLink About93-3135 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 3135 Date .4- f -. ~~ .~ El:[~ r'H~""l. Pl~l\lD,~ ~1[01 ,,....,~,\....~L Sewer Conn Property Owner: Job Address: Parcell.D. # ~~ *-) f~t1 ~:fc cD / fC) ~ I ;i. '"f-5 S If-t"~c:.. Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work . E,rgy Cjlde: Ra~n Gas: -I- -.:::-i:=. c::;: {.:2 tL f ,c-; ~- -k>r Do ~ h .::" j{r:"'1"=- ( I NO OCCUPANCY BEFORE C.O. FINAL C.O. _ 'j6/ DATE Inspector <'\. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Pe'm;t Fee ;;:"'.6-' ~ Signatur~/C:Z(1 --'~. ~> q/ Company Address Telephone# Valuation or Contract Price I', 2..00 ,0.9- t'"5? City License Registration # State Certified License# ~0 BUILDING <= ~I bt"':1 J..l,r'.f ____'w..... ~b....-.n 1:11 '" ('" ---r- ~~.~-h. .r41&L ~:~ s~/5-q3~1 Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SlB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. ,- APPLICA'T.I:OlN1 FOR Pmu-IIT CI'lY OF ZEPIIYRllILI..s nllTII..DIlN1G DEPAR'IHFl:1IIT OWNER'S NAME '/-l.[113F .;I\T~~':\'e.Y"[vj kl;j... E- OWKER'S ADDRESS-t.' / c-: (, PHONE , I /L7/T -S'/ I .JOB ADDRF..sS 8"/c;; / ;77).; .57; LEGAL DESCRIPTION: LDT(S) r . ) RI..OCK SImDIVISION PARCEL I. D . # c: ~ -- --? {'( . - c~ rn 2 C {:: c,_~-/'D.- (.;r"2 ) "'URK PROPOSED:_!!i.'ew Construction vAddition _Alteration _Repair _Install _Sign _Hove _Demolish PROPOSED USE: Single Faaily ~tf/F _I of Units _M/H _Commercial _Indust. _Swim. 1'001 Other _Restaurant << Health Deparbment Approval BUILDING SIZE: /C X Z(- , ? ((: (~; Square Feet, I /L'J Height RESIDENTIAL: COHHRRCIAL : ATTACll (2) PLOT PLANs << (2) SETS OF n~ING PLANS & (1) SET ENERGY FO~~.** ATTACll (3) SilTS OF BUilDING PLAlNlS << (1) SET ENERGY FOmIS. ~~ ~~COPY OF CONTRACT RE:QlJTIRED. PEMrITS REQUF_~TF.:D _BUILDING $ :-) 1--- r - ~- - Valuation of-Total \~nstnlction _ELECTRICAL MfP Service Florida POli'Cr COrp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING VFr3llle _S teel SPECIALTY TYPE OF CONSTRUCTION: _Block Other ITl'fiSIIED FLOOR ELEVATIm~S: FT. IS PROJECT IN FLOOD ZONE ARF~-\? YES NO ~~*~~~~~**~~***************~*******~~*~*** CU1ll1T'RACTOR SECT'IOiN RUH,DY.R ~j/~ / /_'~C-;~-_;t/ f / /" /~;! ~-~ COHPANY fJ..--J 5 Cc- 0-. /,C; 'j St:ate Cert. or Regist.!If C i:; C C 3 :..~2 / City License }{egisl:ration #= /_5-:5- ~~***~***~***~~**~~********~************** Signature F:T.ECTRICIAN c:mIPANY Stat:.e Cerl:. or Regist. #i City License Registration * **~********~**********~*~***************~* Sirolature PUJKRER COHPANY____ Stat:e Ceil:. or Regist. #f: City License Regist.ration fj' ******************~**********~*********~** Signature MP.'CJ1ANTCAL CQHPMW State Cert. or Regist. # Signature City License Registration ~ *~*********~****~*~************~*********~ 0T1TY.R COHPANY State Cert. or Regist. #!: Signature City License Registration ill ***********************************~~*~*** APPLICATION APPROVED BY PF.RffiT OFFICER. ~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.itaay be subject to .deed restrictions' which r.ay be .ore restrictive than City regulations. The undersigned assules responsibility for COlpliance with any applicable deed restrictions. B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESPQ.t.;!.2.l.!il..b..I T I E8. If the owner has hired a contract~r or contracto~s to undertake work, they ~ay be required t~ be licensed in accordance with state and local regulations. If the' coTit'Tador is not",'licensed as required by law, both the owner and contractor uy b!! cit!!d for a lisdeleanor violation under state law. 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, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 may 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 - HOleowner's Protection Guide' prepared by the Florida Depart.ent 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/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work Hill be done in COlpliance with all applicable laMS regulating construction, zoning, 'and land development. Application is hereby lade to obtain a perlit to do Kork and installation as indicated. I certify that no Mor~ or installation has COllenced prior to issuance of, a perlit and that' all work Hill be performed to Jeet 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 governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not li.ited to: f Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and EnvironMentally Sensitive Lands, 'Water/Wastewater Treatment f SouthMest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.en~ of Health ~ Rehabilitative Services. Environmental Health Unit - ~ells, Wastewater Treataent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to ue used in Flood Zone .A' or 'A,etc.', it is understood that a drainage plan addressing a 'colilpensating volulle' will be sublitted whic~)s pr~p_ared by a professional engineer registered in the state of Florida prior to perait issuance. A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froD thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per~it issued shall becole invalid unless the work authorized by such permit is comllenced within six months of issuance, or if Hork authorized by the perlit is suspended or abandoned for a period of six Aonths after the tilile the Hork is coc~enced. One 90 day extension of ti~e, lay be allowed f~r the per.it with fee charge of $15.00; 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 wi 11 be considered abandoned. WARNING TO OIlIlER: Yl1UR FAILURE TO RECORD A NOnCE OF COMMENCEMENT MAY RESULT IN YOUR PII'IIIIG T\lICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IllTEND TO OBTAIH FINAHCIHG, 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 COMMEr~CEMENT'. ---.~._~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY O( ~______._. The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY OF _______ The foregoing instrument befol-e me th is - vias acknol.Jl edged , 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 pl-oduced as identification and who did/did not take an oath. (Signatul-e) (Signature) (Name Typed, Printed Dr Stamped) t10TARY PLlpLJ~ (Name Typed, Printed or Stamped) NOTARY PUBLIC I ----",,-! ~- -:1 I I I' .-. 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