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Home My WebLink About94-4110 BUILDING PERMIT No". Permit C~TY OF ZEPHYRHILLS (813) 788-6611 4110 !3 Date 6' - ;LI-~ Y ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ::~:;:,~:~j b~A.~ .J ~ / / t2 Parcell.D. # Water M~Jer: T.I.F's: Zoning: Energy Code: Description of wor;; R ~ ~ Radon Gas: NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordar<:,e with City Codes and Ordinances. DATE Inspector Pe,m;t Fee ~ Signature ~ ~~ ~ffj~ Company Address Telephone# Valuation or Contract Price ~ r l <..----0. de) City License Registration # oltf"? State Certified License# 11a~ ~ , ELECTRICAL PLUMBING MECHANICAL Ftr. P'e SLB ~~~~= Lintel q FRM. ~ l", l. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. , -, ..... ~PL....~ATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT PHONE 70d - 531j- OWNER'S ADDRESS LQ/l-V'1J JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' WORK PROPOSED:~New Construction ddition --Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: ~e Faaily _"'F _' of Units _"/H _~ercial _Indust. _Swi.. Pool _Other ____Restaurant & Health De~~boent~pproval DESCRIPTION OF WORK:----=rnUpJ e ~ BUILDING SIZE: ),~{.,.,M. flIer' Square Feet. _d Height RESIDENTIAL: CO!tHERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDING $ / a5() ~ { PERMITS REOUESTED Valuation of Total Construction Florida Power Corp. W.R.E.C. _ELEC'fRICAL AMP Service _MECHAIIlCAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER CONTRACTOR SECTION COKPANY~ r ~. IJ.tvrnJ' n Vvn State Cert. or Regist. .. {l ?r.r:~DrJ'7 City License Registration , g ****************************************** Signature ELECTRICIAN SiDflAture COMPANY State Cert. or Regist. f City License Registration t ****************************************** PLUKBER Signature COMPANY State Cert. or Regist. , City License Registration t ****************************************** MECHANICAL Signature COMPANY State Cert. or Regist. f City License Registration , ****************************************** OTRRR Signature COMPANY State Cert. or Regist. t City License Registration t ****************************************** \PPLICATION APPROVED BY PERMIT OFFICER. - CONDITIONS OF PERMIT ~F1DAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this pel'lit lilY be subject to 'deed restrictions I wbich lilY be lOre restrictive than City regulations. !be undersigned asSUle& responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake IIOrt, they tay 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 tay be cited for a lisdelleanOr violation under state law. If the OIfII8r or intended contractor are uncertain as to wbat licensing reguirelellts lilY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, be 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 OIRler sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to perJitting 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, have been provided lith a copy of 'Florida's Construction Lien Law - lIaIeoImer's Protection Guide' prepared by the Florida Departlent of Agriculture and Consl1ler Affairs. If the applicant is 8OI8OIle other than the 'owner", I certify that I have obtained a copy of the above described dOCUlellt and p~ise in good faith to deliver it to the "OII1er' prior to COllenCeJll!llt. E. CONTRACTOR'S/OWER'S AFFIDAVIT I certify that all the infonation in this application is accurate and that all wort will be done in co.pliance with all applicable laws regulating construction, loning, and land developlellt. Application is bereby Iilde to obtain a perlit to do wort and installation as indicated. I certify that no IIOrt or installation bas C31enced prior to issuance of a perlit and that allllOrt lill be perfoDled to _t standards of all laws regulating construction, City codes, loning regulations, and land developll!l1t regulations in the jurisdiction. I also certify that I understand that the regulations of other goverueDtal agencies lilY apply to the intended work, and that it is If responsibility to identify Ibat actions I lUSt tate to be in COIpliance. Such agencies include but are not 11lited to: t Departlent of EnvirODlel1tal Regulation - Cypress Baybeads, Wetland Areas and Invirolllentally Sensitive Lands, Water/lfastewater !real:lent t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, lavigable Watenays t Departlent of Healtb , Rebabilitative Smices, BnvirOJllental Healtb Unit - Wells, Wastewater !reatlent, Septic !ants t US BnvirOJllental Protection Agency - Asbestos abatl!lellt I also certify that, if fill taterial is to be used in Flood Zone "A' or 'I,etc.', it is understood that a drainage plan addressing a 'COIpenSating volUle' will be saitted which 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 with the IIOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball 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 beCCIIe invalid unless tbe IIOrt authorized by such perlit is COIIIlDced within sillOnths of issuance, or if IfOrk authorized by the perlit is suspended or abandoned for a period of sillODtbs after the tile tbe work is co.enced. One 90 day utension of tile, lilY be allowed for the perlit with fee charge of $15.00. !be extension shall be requested in writing to the Building Official. An approved inspection 8USt be logged during each sil IODtb period, or the profect will be considered abandoned. WARIIUG !O lJIDR: YOUR FAILURE !O RECORD I IOfICE OF COIIIDCEIIIM! lilY RBSUL! II YOOR PIYIIG nICE FOR IMPROVIIIII!S !O YOUR PROPEIIft. IF YOU III'lDD 'fO OBt'AIN FIIANCIIG, COIfSUL! WI'IH YOUR LENDER OR U lnoIIDY BBFORI RICORDING YOUR DICE OF COOfEICEMBM'l. JOBS UNDER $2,500 II VALUI 00 10'1 IUD !O RECORD AID POsr A "IOfICE OF COIIIEIICBMIIIr'. SIi!L~~~h) ~tL~ S!A!E OF FLORI~ coom OF 5(20 The forego1ng instrument was acknowledged before me this Ju/./t: IS-, 19~ by ~1A~ m~,Jb/1RR[O;'L/ ~ per ally known to ~ or who has produced as 'dentification an tat an oath. S!I'IE OF FLORIDJr) coum OF (J-7JS (! D The foregoing instrument was acknowledged before .me this .::lit/Uc:' /~, 19~ by or who has I Name Typed, Printed or Stamped) NOTARY PUBLIC (N ed, Printed or Stamped) NOTARY PUBLIC JAMES A, STONE Notary Public, State of Florida My comm. expires May 16, 1995 CC110274 r' ".. ~.. JAMES A. STONE Notary Public, State of Florida My comm. expires May 16, 1995 CC110274 IT] 12 0 ~ n ~ ZN, I ~~ ,.,... ::I"" ~.... .., 0 ~ @g ~~ ~~ ,...'" 0>- :0"" g~ ~~ 'ilE: ~~ ::I~ ~>- >- ,... >- ,... 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