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Home My WebLink About93-3240 BUILDING PERMIT Permit N '! _3240/1 CITY OF ZEPHYRHILLS (813) 788-6611 db < Ol) ~G ~ECTRI0 ~- :::::,~,:~e~z.!;r 6 ~:>>" Date ---S --I Sf - 9.. ? :5 o. o-D ~HA~ Sewer Conn WaH~r Conn: Water Meter: T_I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Work <--11 J2A "'-, 4/ L Radon Gas: FINAL t5-- I 5 NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price ;;).;--; r: tTD / City License Registration # ~ State Certified License# Ftr. Pre SLB Lintel FRM. Insul. CL WL (i1~,,;;o ELECTRICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway DATE Inspector :~;::~ 7~;y Compa ~_ Address Telephone# SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. APPLICATION FOR PE~~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 7~//j/-e ,.;:&?~.. / ~y,ve ~A/eA!- ..r6,oy ~.,II fI / 3tfoWs- E/~,~tpA,/ PHONE , d/dy'A/~ ~~~ , fZoY U #1 f~ I 7..fJ"~~rb-3'f"~ ADDRESS OWNER JOB LOCATION LOT SIZE_____~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# c;2?O,v ~~"r J1c/S re~ WORK PROPOSED:_New Construction _Add"ition _Alteration _Repair L-Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4~ of Units __M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING 1ELECTRICAL -L-MECHANICAL $ ~... '?//J' ,- /50 Valuation of Total Construction AMP Service ;< Florida Power Corp. , _____W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature :::::::~ Company '2-~~,,,-s ~L'k.~ <;eo<v. State Cert. or Regist. # l""X-~CJ :;l...u..~ . - --. -. .*.............~~;~.;~;:~~;*~:~;~;~:;~~: iI Ie, PLUMRER Company State Cert. or Regist. # City License Registration # ****************************************** Signature MECHA~TCAI. ~~ Company ~""## 4,ee (/ .... State Cert. or Regist. 4ft ~.#~ZPt!:1~;!:,P Signature City License Registration l~ J~ ..' . ~....~: ........................**........ / OTHER Company State Cert. or Regist. # Signature City License Registration iF ; - ****************************************** APPLICATION APPROVED BY PEID1IT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this .perlit lay be subject to "de~d restrictions" which lay be lore restrictive than City regulations. The undersigned assumes responsibi}ity for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES - . If the OWner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance Mith state and local regulations. If the contractor is not licensed as required by law, both the owner and cDntractor ~ay be cited 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 Df Zephyrhills Building Department, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions of the "CDntractor SectiDns" of this application for which they Ilill 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 cDntractor that lay be an indication that he is not properly licensed and is not entitled to permitting 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 Nith a copy of "Florida's Construction lien law - Homeowner's Protection Guide" prepared by the Florida Department 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 information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a permit to do Mork and installation as indicated. I certify that no work or installation has co.menced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development 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 Mhat actions I lust take to be in compliance. Such agencies include bllt ~le not limited to: . Departient of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent , Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses . ArlY Corps Df EnQineers - SeaMalls, Docks, Navigable Waterways , Departient of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks . US EnvirDnlental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in Flood lone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to prDceed with the work and not as authority to viDl~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every permit issued ;nall become invalid unless the work authorized by such perlit is co..enced within six months of issuance, Dr if work authol lzed by the per.it is suspended Dr abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~te~sioH of tile, may be allowed for the permit Mith 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 .onth period, or the project will be considered dbdlldoned. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED GRD AND POST A "NOTICE OF COMMENCEMENT". ~ ~- - ~--- ---------- OWNE AGENT DATE_____~~~------------------------ SIGNATURE SIGNATURE DATE________~!~~~__________________ MY COMM I SS IO NOTARY AS CONTRACT NOTARY AS TO OWNER OR AGENT MY COMMI