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Home My WebLink About94-3942 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 3942/1 7/- / -7Y Date BUILDING ELECTRICAL PLUMBING ~HANIC~ :::::'~':~~5-}~ff:-#7I-~ - Parcell.D. # Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work A-I ;_nergy ..so~: ~..? Radon Gas: f-L- ~~ tC/J NO OCCUPANCY BEFORE C.O. ~91 I f.-- 7 FINAL DATE Complete Plans. Specifications and Fee Must Accompany Application, C,Q, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee~~ Signature ~ Company Address Telephone# r V 'I - J,., '5' / Valuation or Contract Price ! X-- 07J . c/D City License Registration # / ~- State Certified License# BUILDING ELECTRICAL PLUMBING Tp, Servo Rough In Meter Can Const, 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, ~~ ", ~ 'f' : '. or ~ \" " APPLICATION FOR PHRKIT CITY OF ZEPHYlUIILLS BUILDING DEPARTKKNT OWNER'S lWIE'A If. C ' . OWNER'S ADDRESS ::)',.4 n IE ~32.'-I .PHONE r: te CI (..{..~ ( ?fL - IIOnt.€. 319-;3 JOB ADDRESS LEGAL DESCRlPI'ION: toTeS) BLOCK SUBDIVISION PARCEL I. D.' WORK PROPOSED:_Rev Construct.ion _Addition ~ecation ---...Repair _Install _Sign _Hove _DeJIOl.ish PROPOSED USE: Single F_ily _H/F _' of Units -.Jt/B _ec-ercial _Indust. _Svia. Pool Other ---...Restaurant & Health Deparbtent Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: cotIHERCL\L : ATI'ACK (2) PLOT PLAIIS & (2) SEIS OF BUILDING PLAliS & (1) SET ERERGY FORMS. ATI'ACII (3) SETS OF BUILDIBG PLAliS & (1) SET ENERGY FOBBS. PROPERTY SURVEY REQUIRED FOR ALL IiRV CONSTRUCTION. PERtIITS REOUESTED _BUILDING $ Valuation of Total Construction _~ICAL ~HEClWlICAL $ AIIP Service CJC1 1,f()tJ --- Florida Power Corp. W.R.E.C. Valuation of Mechanical Installation _PLUHBIRG GAS ROOFING SPECIALTY TYPE OF CORSTRUCI'ION: _Mock _Fc_e _Steel. Other FINISHED FLOOR ELEVATIONS: Fr. IS PROJECI' IN FLOOD ZONE AREA? .......................................... YES NO CONTRACI'OR SECI'lON BUILDER COHPAlIY State Cert. or Regist. I City License Registration I .......................................... Signature F.1.F.CTRl CIAlI COtIPARY State CerL or Regist. I City License Registration I .......................................... Sipn:llture PLUtlBER COHPARY State Cert. or Regist. I City License Registration , .......................................... Signature ItECIIMllCAL S~tU<e r COMPANY ArT-J (AJ ~4/c- J ~ State Cert. or Reglst. . fi' ~ f2.() I ,<"' "if S" . . City License Registration I / l./ S- ..... .................................. OTHF.R . COHPARY StaLe Cert. or Regist. I City License Registration I .......................................... Signature APPLICATION APPRoVED BY PERKlT OFFICER. :' .i;.., ''': CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'lbe undersigned understands that this penit lilY be subject to 'deed restrictions' Ibieb lilY be lOre restrictive than City regulations. !be uildersigned assUle& responsibility for CCIIpliance lith any applicable deed restricti0D8. B.UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIfIIer baS. bired a contractor or contractors to undertake IOrt, they lilY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the OIIDelanc1 CODtractor Iilr be cited for a lisc1eleaDor violation under state lal. If the 0IIIIer or intended contractor are uncertain as to Ifbat licensiDq reguirl!leDts lilY apply for the intendedlOrt, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the 0IIIIer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portiODS of the 'Contractor Sections' of this applicatioo for which they lill be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IIOrt. If the contractor lisbes you to sign as contractor tbat lilY be an indication tbat be is not properly licensed and is not entitled to perlittiDg privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided lith a copy of 'Florida's construction Lien Law - lkIIeoImer's Protection Guide' prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is -.one other than the 'OIfDer', I certify that I bave obtained a copy of the above described docUIent and pro.ise in good faith to deliver it to the 'OlDer' prior to co.enCl!leDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIliltion in this application is accurate and that all IOrt lill be done in COIpliance lith all applicable 1_ regulating construction, loning, and land developleDt. Application is hereby lade to obtain a perllt to do IIOrt and installation as indicated. I certify that 110 IIOIt or installation bas CDl8Dced prior to issuance of a perlit and that all IIOfk li11 be perfOll8d to _t st:aDdards of all 1_ regulating construction, City codes, loning regulations, and land develO(lll!J1t regulations in the jurisdictim. I also certify that I understand that the regulations of other goveruenW agencies lilY apply to the intended IIOfl, and that it is If responsibility to identify Ibat actions I lUst take to be in COJpliance. Such agencies include but are not liaited to: t DepartJent of EnvirOllll!lltal Regulation - Cypress Blyheads, letland Areas and EnvitollleDWly Sensitive Lands, lfater/last8later !reatJent t Southwest Florida later IlanageleDt District - lells, Cypress Baybeads, letland Areas, Altering laterCOllises t AllY Corps of Bngineers - Sealalls, Docks, lavigable laterways t DepartJent of Health i Rehabilitative Services, BnviIODl8Dtal Health Unit - lells, lastewater rreablent, Septic ranks t US BnvirODl8Dtal Protection Agency - Asbestos abatl!leDt I also certify that, if fIll Iilterial is to be used in Flood Zone lA' or 'A,etc.', it is understood that a drainage plan addressing a 'c~ating volue' lill be sulllitted lhich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. . A perlit issued sball be construed to be a license to proceed lith the IIOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball i88uance of a perlit prevent the Bullc1ing Official f~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pentt 188ued sball becoIe invalid unless the IIOrt authoriled by sueb penit is co.encecl1fithin sUlDDtbs of i88uance, or if IIOrt authoriled by the peIllt is suspended or abandoned for a period of 8il IODtbs after the tile the IIOfk is ~cecl. One 90 day 81tensloo of tile, ., be allOlfed for the perlit lith fee ebarge of $15.00. rhe 81tension shall be requested in Iriting to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project lill be considered abaDlJoDed. IAlUtIIG !O (MIl: YOOR FAlLURI !O RECORD A IOIICE OF CCIlIIDCIIaI lilY RESULT II YOOR PAYIIG niCE fOR IIIPROVIIID!S !O YOOR PROPIRft. IF YOU II'DIID !O OB'IAII FIIAlCIIG, CONSUL! II!B YOOR LIIDIR OR D AnoRDY BlFORB RICORDIIG YOOR DICE OF allMllCIMBIIr. JOBS UIDIR '2,500 1M VALUE 110 101 IBID !O RECORD AID POSr A 'IOl'ICE OF ClJIIIIICIIID!'. / Jd:cmZ~/ v SrATI OF FLORIDA coum OF The foregoing instI'Ullent was acknowledged before me this , 19____ by . STArB OF FLORIDA coum OF The foregoing instrument was aCknowledged before me this , 19_ by who is personally know.o to ~ or who has produced as identification and who did/did not take an oath. . who is personally know.o to me or who has produced as identification and who did/did not take an oiJth. (Signature) (Rame. Typed, Printed or Stamped) ROTARY PUBLIC (Signature) (Rue Typed, Printed or Stuped) ROTARY PUBLIC