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Home My WebLink About94-4074 BUILDING PERMIT Permit NC? BUILDING ;;Le;, tYV ~CTRI~ PLUMBING ;L5" o-iJ ~HANICAY Sewer Conn Water Conn: _ 407411 t, -'.-? -7-~ CiTY OF ZEPHYRHILLS (813) 788-6611 Date Pmperty Own", Q.,AA-<j - ~rv ~--=- JObAddress:~~~~ Parcell.D, # Water Meter: T.I.F.'s: Zoning: Energy C~d.2! Radon Gas: ~ 0.,c,;p,;onofwo'k4C c..A A'.d cq.s2 /L.,.u;.i2 ~/f ~ NO OCCUPANCY BEFORE C.O. l)-.... FINAL Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordarr:-e with City Codes and Ordinances. DATE DATE Inspector Valuation or Contract Price Ir~{J, 0-0 / Permit Fee ~~"'.. 0-0 \L1141t 7'(!:ffiJvv City License Registration # State Certified License# 7? Signature Company Address Telephone# BUILDING -rff/C PLUMBING MECHANICAL Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, Rough In Meter Can Canst. Pole Pool Pre-Meter 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT BaJ1r6 f(op~ne &s ~ Alc.,' :me. t1~41 Allen RcL JeYr~ Bo~ t ' , JOB LOCATION 6417 g-M 5t ADDRESS PHONE 19~-6a/3 OWNER LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. ~t WORK PROPOSED:____New Construction _Addition _Alteration ____Repair _Install ____Sign/Temp. _Sign _Move ____Demolish PROPOSED USE: vi Single Family _M/F _~t 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 ~ELECTRICAL LMECHANICAL $ ~~a:~~:ion of Total Construction JOO ~viU~~ida 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. it City License Registration # ****************************************** BUILDER Signature ::::::::~~ ~ ~ompanY C"4- 1-1- :r o.q J .,., ,0../ tate Cert. or Regis t.!fr ~ City License Registration lfr c 'Cjy;- ~ ...................................., Company State Cert. or Regist, # City License Registration # ****************************************** PLUMBER Signature MECHANICAL Company J3ahr S frbVtU16 Gt-s ~ AIc~ :me. 1\.9 f\ II'A ~ M..A A_. , State Cert. or Regi'st. # CACCJ43 ~E ~~~ I~~ City License Registration # 11 ****************************************** Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this persit say be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuses responsibility for cotpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES , , If the owner has hired a contractor or contractors to undertake work, they say be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a sisdeseanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) 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 - HOleowner's Protection Guide' prepared by the Florida Departlent 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 doculent and prolise in good faith to deliver it to the 'owner' prior to cOllence.ent. 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 lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a persit and that all work will be performed to meet 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 lay apply to the intended work, and that it is /tY responsibility to identify what actions I /tust take to be in cOllpliance. Such agencies include bill ~ie nol liltited to: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensjtjv~ !.ands, Water/Wastewater Treatsent I Southwest Florida Water ManaQesent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environsental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environ_ental Protection AQency - Asbestos abateaent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a 'cotpensating volute' will be subsitted 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 vioiate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offi[i~l from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued 3nall becole invalid unless the work authorized by such pertit is co..enced within six months of issuance, or if work authul lzed by the pertit is suspended or abandoned for a period of six .onths after the tite the wor~ is cOlmenced. One 90 day e~tfnsioli of tile, may 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 must be logged during each six lonth period, or the project will be considered dbalidoned. 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 NEED TO RECORD AND POST A "NOTICE 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 ----------------------