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Home My WebLink About94-3905 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N C! _ 39051"l J-R--7Y' Date BUILDING ELECTRICAL PLUMBING ~ANI~) Sewer Conn Water Conn: Pmpeny Owne, -~0~ Job Address: ..0::, - c- ~. Parcell.D. # 1/- d-b -,;1/ - L3 / t y L... / 9~ .;LO Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work C-./1..,~ ~ c Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee c.S tJ ' c/z) Signature ~ /5--<'-' Company Address Telephone# Valuation or Contract Price r:2 .3 ..!> -0 . d-o I City License Registration # --Z/ State Certified License# :? ~ ..s733 ,8 K3dL~~+AI- BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor 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. Refer .Jo perm i 1 :t ~733 a APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER 134 h r ~ Pro pOA1~ Get 6 ~ Ale,1 .T.#1c.. 444-1 Allen Roact Ufh~rnjJJ~, Pl At W .' ,100 4~ Sfred , J 33Gt11 PHONE 11;;"'6018 APPLICANT ADDRESS JOB LOCATION Z .L h'J/ FJ... 33541 ~r I 1LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign ---- Move _Demolish PROPOSED USE: vi Single Family _M/F _4F 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 $ Valuation of Total Construction _ELECTRICAL LMECHANICAL AMP Service Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER Company State Cert. or Regist. ~ Signature City License Registration iF ****************************************** ::::::~,?:lti d;~!d!.....~!~~:;~;;;~::;:;;;~;;i~;~ ,/ Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Signature ~Wv (' Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Company State Cert. or Regist. iF City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . -. ."".-".' ~ " . The undersigned understands that this perlit lay be subjeE~ to "deed restrictions. which lay be lore restrict~ve than City regulati ons. The undersi gned assulU rl!sponsibi Ii ty . fpr. '.$:PIP 1 r.np?' IIi tti anyappl i cable', deed' TF!'Str ictl'CiIls. \ ..' ~. . '. < B. UNL I CENSE'D 'CONTRACTOR~'AND COtHRAGn:l'~ 'R~SPONS I B-! LIT I~,S . .:. If the owner has hired a contractor or contractors to undertake work, they lay be required to be licepsed in accordance with state and local regulations. If the cont~~.ior .-6 not)icen~ed as required by, law, beoth t~e .owner' ~nil contr.actor lay be cited for a lisdeleanor violation under state law. If the-.Clltner,c.r. iTlte.n~ed cQntr~ct.or.are untertatn'as :to what licensing requirelents lay apply for the intended work, they are advised to confact the City of Zephyrhills Building Department, lB13l 788-6611. Furthermore, 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 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 with a copy of "Florida's Construction Lien Law - Homeowner's Protection 6uide' prepared by the Florida Departlent 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 doculent and promise in good faith to deliver it to the 'owner' prior to cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforiation in this application is accurate and that all work will be done in cospliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has commenced 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. 1 also certify that 1 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 bllt ~le not limited to: . I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater TreatMent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I DepartMent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environ_ental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbit a drainage plan addressing a "colpensating volule" will be subMitted which is prepared by a professional engineer regi,tcied in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficio! frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued ;hall becole invalid unless the work authorized by such per_it is co.eenced within six sonths of issuance, or if work auth01 lzed by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day u~ttDsioli of tile, .ay be allowed for the permit 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 month period, or the project will be considered abaildoned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT. NFiED .TO RECORD AND POST A "NOT I CE OF COMMENCEMENT". SIGNATURE SIGNATURE ---------------------------------- OWNER OR AGENT CONTRACTOR DATE DATE ----------------------------------- --------------------------------------- NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES MY COMMISSION EXPIRES