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Home My WebLink About93-3691 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _ 3691/1 Date/:2 - C-7'3 . BUILDING ELECTRICAL PLUMBING ~HANlc~ew" Cone Water Conn: ~~~ Property Owner: Job Add...", - ~ - .~ l'I. S?::L/ - ~- Parcell.D. # Water Meter; T.I.F.'s: Zoning: . Energy Code; ~ RZ Gas; Description of Work --A-. / c ....;-- Ai. /- -<<~ ~/Y1 rZA / - ;/~J .~Z2 NO OCCUPANCY BEFORE C.O. FINAL DATE Signatur Company Address Telephone# c.o. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price :2.. Yaj. tTZJ " City License Registration # o.L State Certified License# BUILDING ELECTRICAL PLUMBING Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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. '1'. ;~1~ IF 3 )~'51 """""'S RAIlE C?~2fi~-I~ """""'S ADDRIrSS fl~j--- //ftt;4) /[1 .;P7~ ' , APPLICaTIOR FOR PHRJiIIT CI'IY OF ZIlJ."HIKtIlll.T.~ BUII.DTIiG DEPARnIHJItT .JOB ADDRESS [72/ '/- ---~ LEGAL DFSCRIPl'ImJ: 101'(s) BI..OCK SUBDIVISIOB PARCEL I. D. t ~ 1t-/CtI", P--Install ~ WORK PROPOSED:_lMlev Construction _Addition _Alteration _Repair S' - 19I1 _Move __Deaolish PROPOSED USE: //Single Faaily ., _fl/F __, of Unit:s . _K/H _<=<-ercial _Indust. _Swi..-. Pool Ot:her _Rest:aurant &: Bea1t:h Departaent Approval BUILDIlfG SIZE: x Square Feet, Height . RESIDENTIAL: COItIIERCIAL : ATTACH (2) PLOl' PLARS &: (2) SEI'S OF BUlLDDiG PLUS. &: (I) SEI' ENERGY FORKS. ** ATI'ACH (3) SEI'S OF BUII.DDlG PLUJS &: (I) SEI' EHRGY FORKS.** **COPr OF COHTRAC'I' REQUIRED. PERIPIT'I'S REOlJESTED _BUILDIlfG $ Valuation of Total Construction _ELECTRICAL ~CAL . AKP Sen1ic, _'lorida Power ~, 0 0 ValDaH_ 0" llechanical Corp . W.R.E.C'. Installation _PLUKBIIfG GAS ROOFDiG SPECIALTY TYPE OF COlfSTRUCTIOR: _Block __Pralle _St:eel Ot:her FIlIISBED FLOOR ELEVATIORS: FI' . IS PRO.JECT IN FLOOD ZONE AREA? YES NO *********~~****************************** COlITBACIOR SECTION RmTDF.R Signat:ure COItPMiY St:ate Cert:. or Regist. f City License Registration , **********.A&&&.***********~*********~**** ELECTRICIAH COItPMY St:at:e Cert. or Regist. f City License Registration t ******************&&&&&&&***************** Silml'lt:ure PLUKBER COIIPARY State Cert. or Regist. I: CiLlr License Registration I *************************** ************ Signat:ure KECllARICAL , COIIPAn ~ ~ S""~e Cer~. or gist.' Signa. .r- V City License Re istration ~ ******.********************************** 0"nIF.R COIIPANY St:ate Cert:. or Re~-isL ~ _______~ City License Regist.-:.-ation ., *.k**.~*****.~********************~~***:~~ S igoat:ure APPLICATIOR APPROVll'D BY l'F~!:HTT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND 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. Ifth1!'fttMractor is not.. license~ as required by lalt, b.oth the owner and contractor tay be cited for a lisdeleanor violation under state law. If the owner or intended contractor 'are uncertain as to Khat licensing reQuiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, 1813} 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 tay be an indication that he is not properly licensed and is not entitled to pertitting privileges irithe 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 Departaent.of Agriculture and Consuler Affairs. If the applicant is soteone other than the "owner", I certify that I have obtained a copy of the above described document and pro.ise in good faith to deliver it to the "owner" prior to cotlencetent. 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 .ade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a per.it 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 tay apply to the intended work, and that it is ty responsibility to identify what actions I tust take to be in cOlpliance. Such agencies include but are not litited to: . Departlent of Environtental ReQulation - Cypres5 Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent . Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks f US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill taterial is to be u~ed in Flood Zone "A" or "A,etc.', it is undeistood that a drainage plan addressing a "colpensating volute" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit 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 perlit is cot.enced within six lonths of issuance, or if Kork authorized by the perlit is suspended or abandoned for a period of six .onths after the tite the work is cOI.enced. One 90 day extension of tile, lay be allowed for the pertit 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CD""ENC ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". (M-~ SIGNATURE: CON~~r - .- STATE OF FLORIDA d COUNTY m: ~,\(O T'le forego i ng i n~l-ume.p,t l.-Jas acknol.-il edged before me this ~ ~ , 19~ by ~IJIQ 1/ S(q77 ~((/fh to SIGNATURE: OWNER DR AGENT STATE OF FLORIDA ~ COUNTY OF ~rc{) The fe.regoing instrume{lt l-'Jas ac'knowledged befc,re me this ~ 0'--- , 19J:J. by who is personally known to me or who has produced as identi take a