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Home My WebLink About94-3968 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 , Permit N4? _ 39686 Date /! -/6 -c;f ~ ~AL PL l,!MBt1'<Jti M~~ Sewer Conn ::~:::,~s:~e' :JJ:f;/;~:. ;~~:t..- ParceII.Q.#. /?- -C)6"";l/- 0.3/0 - c:;tOCJOO - 0 Y70 Zoning: Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY B Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector V I. 4 Vi:) a uatlon or '::f-;.. ~, - Contract Price ,:;2 c:; "7 Pe,m;' Fee ~. - ~. Signature LL 'ML.(..;" '-tI: ~ ;-L2:L Company Address Telephone#V-7;1$- /~Z 0 City License Registration # _____ Qrt;fied Ucense# ____ tlrJ1 JJj BUILDING .", PLUMBI~ --- MEC~. - Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge~! 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 PERKIT CITY OF ZEPIIYRBILLS BUILDING DEPAR'IIIENT OWNER'S fWIE . '17;M/~.J '{;~ ~~/J '" OWNER'S ADDRESS 39;J 4 q g~ ilu't"':-i- L~ JOB ADDRESS // %~.Jc:;; k LEGAL DESCRIPl'IOli: LOT(S) tf7 PARCEL I.D.' PHONE '7 gg - / 1/~ 0 '/ / J;',' / ::/,/1. 22 c:-' , I / ~)c.;jJ;~l.T7.../...I..c-' 7 ,/C ,---AJU Yu '7./Z- /.L- _33596 B~~UBDIVISION...4~/z,u'l tdtzZ;4. . WORK PROPOSED: _Hew Construction _Addition _Alteration _Repair _Install _Sign _Move _D~lish PROPOSED lJISE: V Single F_ily _"IF _, of Units ---'lIH _~rcial _Indust. _Swu. Pool Other _Restaurant 5: Health Departaent Approval BUILDIBG SIZE: / (I X f? , ;:<() ~re Feet, 7 /;? // Height RESIDENTIAL : COtVtERCIAL : ATTACH (2) PLOT PIAriS 5: (2) SETS OF BUILDING PLANS 6: (1) SET ENERGY FORKS. ATTACH (3) SEtS OF BUILDING PLANS 6: (1) SET ENERGY FORKS. PROPERTY SURVEY IlIlQUIRED FOR ALL J!IEW mNSTRUCrION. PERMITS REOUESTED _BUILDUJG $ Valuation of Tota1 Construction _ELEClRlCAL AtIP Service Florida Power Corp. W.R.E.C. _HECHMUCAL $ Valuation of ftechanical Inst:allation _PLUftBlliG GAS ROOFlliG TYPE OF CONSTKUCTION: _BLock _Fr:me V Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? Y YES NO .*....***.*.*.*...*..**...*....*....*..... CONTRACTOR SECl'ION gist. . tration , .*...** egist. , istration . *.*...**. OTRF.R COtIPARY State Cerl:. or Regisl:. t Signature- City License Registration I *.....*.............**..................*. APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this penit lilY be subject to 'deed restrictiCll8' ,bieb I8Y be lOre restricUve than City , regulations. !be undersigned asSUle& responsibility for cmpliance lith any applicable deed restrictiCll8. B. UNLIC8NSED'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIfIIer bas hired a contractor or contractors to undertake IOrk, the, lilY be required to be licensed in accordance with state and local regulatiOllB. If the contractor is not licensed as required by law, both the lJIID8J: and CCIltractor lilY be cited for a lisdeleanor violation under state law. If the 0IIIleI or intended contractor are uncertain as to Ifbat licensing requiruents lilY apply for the intendedllOrk, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. Furtberlore, if the OlDer bas bired a contractor or contractors, be is ad,ised to have the contractor(s) sign portions of the 'Contractor Secti0D8' of this applicaticm for ,bich they ,ill be responsible. If roo, as the lJIID8J: sign as the CCIltractor, you are indicating that you, rather than the, contractor, are responsible for the IIOrk. If the contractor 1i8bes fOIl to sign as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to perJitting privileges in the City of Z8pbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AHBNDED) I certify that I, the applicant, have been provided lith a COPJ of 'Plorida's CODstruction Lien La, - a.o.mer's Protecticm Guidel prepared by the Florida DepartJent of Agriculture and CODsUler Affairs. If the applicant is 8OMOD8 other tbaD the 'OlDer', 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 cc.enCelellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the iDfOIlilUon in this application is accurate and that allllOrk lill be done in COIPliance lith all applicable laws regulating construction, IODing, and land develO(Elt. Application is hereby lade to obtain a perlit to do IIOrk and inBWlaUon as indicated. I certify that no IIOrt or installation bas CDl8Dced prior to issuance of a perlit and that alllOrk lill be perfOrlecl to _t standards of all 1M regulating construction, Cit, codes, loning regulations, and land de,elOpleDt regulations in the jurisdlctioo. I also certify that I understand that the regulations of other !IOV8l1IIIeDtal agencies lilY apply to the intem1ed IIOrl, and that it is If responsibility to identify what actions I lUst take to be in COIPliance. Such agencies include but are not luited to: t DepartJent of InvirODleDtal Rl!!II11aUon - Cypress BaJbeads, Wetland Areas and BnvirODleDWly Sensitive LaDIls, Water/lastelater !reatJent t Soutblfest Florida Water lIana!IeIeIlt District - Wells, Cypress Baybeads, Wetland Areas, Altering WatercOurses t ArJy Corps of Bngineers - Seawalls, Docks, lavigable Waterways t DepartJent of Health i Rehabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic ranks t US BnviIOlJll!lltal Protectioo Agency - Asbestos abatuent I also certify that, if filllilterial is to be used in Flood Zone 'A' or 'A, etc. " it is understood that a drainage plan addressing a 'CCIIpeDB8ting vol_' lill be _itted wbich is prepared by a professional engineer registered in the State of Florida prior to penit issuance. A penit issued shall be construed to be a license to proceed lith the IOrk and not as authority to violate, cancel alter, or set aside an, provisions of the technical codes, nor shall issuance of a perlit prevent the BuildiDg Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code. B,ery perlit issued shall beCC118 invalid unless the IIOrk authoriled by such perlit is ~ced within sillCl1tbs of issuance, or if IOrk authorized by the perlit is suspended or abandoned for a period of sillODtbs after the tile the work is cc.encecl. One 90 day 81tensioo of tile, 18Y be allOled for the perlit lith fee charge of $15.00. !be 81tenslon shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project lill be considered abaDl1ooed. WAIIIIIIG !O (11III: YOOR PllLURB 'fO BBCOD A IO!(CB OF aIIIIDCIIIBft lilY RISUL! II YOOR P1YIIfG !IIICB POI IIIPIJVIIIII!S !O YOOIl PROPBm. IF YOU IJI'IBID 'fO OB!III PIDICI'G, COISUL! lID YOOR LDDIR OR 1I1noRlBY BIPORI RIOIIDII6 YOOII MICB OF <XIUIBICBIIIN!. JOBS UIDIR. $2,500 II VlLUB DO IO! DID !O RICORD lID POS! A 'IO!ICB OF CCIIIICBIID!I. SIGD!URI: comAC'fOR SIGD!URI: (JIIIR OR lGBI! SIAIB OF FLORIDA coum OF Tbe foregoing inst11Jllent was acknowledged before .e this , 19_ by SIAII OF FLORIDA coom OF The foregoing inst~t was acknowledged before lie this , 19_ by wbo is personally known to _ or who has produced as identification and who did/did not take an oQ.th. who is personally known to .e or who has produced as identification and who did/did not take an oath. (Signature) (Na.e Typed, Printed or Sta.ped) NOTARY PUBLIC (Signature) (Name. 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