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Home My WebLink About93-3185 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 3185 If ~-c2~-9.S Date ~I~ EL~ ::~:::,~:~e:;R~ /)::-E.-r- a4~ Parcell.D. # -3 <,;-- --?-,..s:-~..2/ - /') rl.f.. 7J -- t') DOc> 0 - Zoning: Energy Code: Ra,do?7Gas: Description of Work ~~ A-'" -r-o- dYl _ ..:1--<-- rk_~ -+- PlU~rv1ECH~sewer Conn Water Conn: Water Meter: ToI.F.'s: (J 7/ 0 _-'l(l~~.~ NO OCCUPANCY BEFORE C.O. <c::::. 7 FINAL c) ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector ~~/ I P~rmit Fee c.2Q-V '7 6 slQnatur~~~ (1--/ lA _ Company Address Telephone# Valuation or Contract Price ;] /'Jfr7'), cro , City License Registration # / ~a:&'fl~::U {h-J"y\ e- /'\... (~ El~AL _.- P~-- MEC~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway ~30-93 R5 Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr, Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATIOlil FOR PERKIT GIn OF ZEPllYRBIu..s BUILDIliIG DEPAR11IE'RT' =:: ::~t-f;f~~~/;;~ -;2,~ ~7 JOB ADDRESS :3 sY cf' c) C ~~~~-7~~~ a- -R~ LEGAL DESCRIP'l'IOl!i: LOT(S) Cf ~I BLOCK I SUBDIVISION ~.;L,A~ 2 ~ _ ? :;: .~ ,..,c,. / .~ D CI ..,.:: ::) - ,~o <..1 ,,'::.;' -,~~ '1 "'I (/ PARCEL LD.I <;LIZ . A/H ,;;7' #"~ N(;ft"%.('" . 100.0 WORK PROPOSED :_Nev Construction ~ Addition _Alteration _Repair _Install _Sign _!!love _Deaolish PROPOSED USE: ~e:l e F3IIily _KIF _. of Units _K/H _~rcial _Indust. _Swia. Pool Ot:her _Restaurant & Health Deparblent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT :PI.AliIS & (2) SEIS OF BUILDING PLUS & (1) SET ENERGY FORKS. ** ATI'A-CD (3) SILTs OF' BlITLDDilG PI..MilS & (1) S~ ElNERGY FORKS.** **COPY OF CONTRACT RmlmRED. ~LDING Valuation of Total Construction _ELECTRICAL AKP Service L_Florida Power COrp. W.R.E.C. _MECHANICAL $ Valuation of Kechanical Inst:allat:ion , _PLUMBING GAS ROOFING \ SPECIALTY t/ Other TYPE OF CONSTRUC'I'ION: _Block _Pralle __Steel FllUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE ARE/\.? ~ YES NO ****************************************** COlfn'RACIOR SECTION BUILDER COItPMIY Sta~e Cert:. or Regist:. I City License Registration I *****************~************************ Signature ELECTRICIAN CO!IPMlIY St:at:e Cert:. or Regist:. I City License Registration f ****************************************** SiJm3ture PIHmER CO'!tPMlIY St:ate Cert:. or Regist:. #f: City license Registration I ****************************************** Signature KECHMITCAL COlfPMlIY St:ate Cert. or Regist. I City License Registration I ****************************************** Signat:ure OTHER C01fPMlIY ~ / State Cert. or Regist:. I Signat:ura..-/~~........-. ~ City License Registration I ;l' *****************************************~ J)7' L? Co"Jc/t-~ I P APPLICATION APPROVED BY PERKIT OFFICER. f CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understal~s that this perlit .ay 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 ~ND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake 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 aay be cited for a lisde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (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 aay 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 A~IENDED) I certify that I, the applicant, have been provided with a CDPY of 'Florida's Construction Lien LaN - Hoaeowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is so.eone 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 co.aence.ent. 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 nD work or installation has cOllenced prior to issuance of a perl;~ and that all work will be perforled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to b~ in cOlpliance. Such agencies include but are not lilited to: I Depart.ent of Environlental ReQulation - Cypress Bayheads, ~ctland Areas and Environlentally Sensitive Lands, Water/Waste~dter Treat.ent I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departaent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environ.ental Protertion AQencv - Asbestos abatement I also certify that, if fill ~ateria: is to ~e use~ In Flo~d Z~ne "A" or "A,etL.', it is ~nder5tt3d that a drai~age plan addressing a 'co.pensating volute' ~ill be sub.itted which is prepared by a professional engineer registered in the 3tate of Florida prior to per.it issuance. A perlit issued shall be construed to be a license to proceed with the worK and not as authority to violate, ~ancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. 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 perlit is cOI.eneed within six tonths 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 comDenced. One 90 day extension of tiDe, 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 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 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 STATE OF ~LORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument hefore me this was acknowledged ~ 19____ by was acknowledged , 19_____ by who is personally ~~now~ t~ me ~T ~;h0 h~= produced as identification and who did/did nGt take an oath. ~h0 is per5~~2!1: ~n0wn to me Dr 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 Dr Stamped) NOTARY PUBLIC