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Home My WebLink About94-4226 BUILDING PERMIT Permit ~ BUILDING ;2.6.. tJ7J G~~ C~TY OF ZEPHYRHILLS (813) 788-6611 dl-5-:J?) G~ Sewer Conn Water Conn: 4226/1 Date r-j;l-YY PLUMBING ~~" Property Owner: a ~ Job Address: c 9 7 ~ 'I)' _ . ~ Parcell.D. # l3-:J.6 - ~/-{J/tJ 0 .... OCJCJoo -- CJfJ6 0 Water M~Jer: T,I.F.'s: Zoning: Energy C.ode: Description of work<--;/(! /..-{.. t ~( Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL 9- d; DATE Complete Plans. Specifications and Fee Must Accompany Application, C.O, All work shall be performed in accordarr:-e with City Codes and Ordinances. DATE Inspecto Pe,mit Fee d --- ~ SlgnatuG:._ _ Company Address Telephone# Valuation or Contract Price ~9/~tfV cJ. City License Registration # State Certified License# BUILDING r'f PLUMBING -d!M~ MECHANICAL Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade: a, Wrong Address b, Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site, g, Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CI'lY OF ZEPIIYRBII.LS BOII.DlliG DEPARnIERT t1LLrUb L;~ ~~DR&$.1'~?~~~ OWNER'S RAKE PHOn 7' <T2-.- 5 0 7 ? A ~-hj~ , SUBDIVISION . ~ *MA-' -DOOOO -- CJOGO LEGAL DESCRIPl'IOII: IDr(S) PARCEL LD.' / ~ .- ztP -2-/~o/ 60 , BLOCK: S' - 19D. _Move _Deao1ish "7'R~. irr I' . ^ Install ~-/C- D~~.tr-~ WORK PROPOSED:_Rew Construction _Addition _A1teration PROPOSED USE: Single Faaily Ii. _ff/F _, of Units _K/H _~rcia1 _Indust. _SwbI. Poo1 Other _Restaurant &: Bea1th ~t Approva1 BUILDING SIZE: x Square Feet, Height .. RESIDENTIAL: cotttIERCIAL : ATTACH (2) PLOI' PLAJiS &: (2) SEI'S OF BlJILDDiG PLUS &: (1) SET ENERGY FORKS, ** ATI'AaI (3) SEI'S OF BUIIJ)lliG PLUlS &: (1) SET ENERGY FORKS.*'" **COPY' OF CONTRAGr ~. PERI!IITS REQUESTED _BUILDING $ Va1uation of Tot:a1 Construction _ELECTRICAL AMP Service F10rida Power Corp, $-/9' IV: () U Va1uation of Hec..JumicaI Installation W.R.E.C. --lfECIIAHICAL _PLUMBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTION: _B1ock _Fra.e _Stee1 Other FllIISIIED FLOOR ELEVATImiS: FT. IS PKO.JEGr Di FLOOD ZONE AREA? YES NO ************************************"'***** aE!/lI'RACIOR SECI'ION RmU)F.R COIfPOV State Cert. or Regist. I City License Registration I ******.****..............*************?'*****~****** " Signature KJ.F.cJ.'RICIAN' .. CO!IP. //7 / ~ State &Cert. or gist. I SilPn~ture' ~ .. City License Re istration I ~ '! ~******...************************* PI.DlBER COIfPANY State Cert. or Regist. I City License Registration I **************************** ************ Signature KEalAlfICAL COIfPOY (~~:).//L- Sure Cert. or R gist. .. Signature .. City License Reg1stration ~. ************************************* 0'T1IF.R COIfPARY State Cert. or Regist.. # _._. City License Registration ,. ~ ****~****...***...****************"'****.** S ignat:ure APPLICATION APPBO"VED BY PERKIT O~CER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.itsay be subject to "deed restrictions" whith .ay be lore restrictive than City regulations, The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they ~ay be required to be licensed in accordance with state and local regulations. Ifthe'coOwtractor is. no~. licensed as required by law, both the owner and contractor laY be cited for a .isde.eanor 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 Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or 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 perlitting privileges iri 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 50leone other than the "owner", I certify that I have obtained a copy of the above described document 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 infor.ation 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 .ade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a per.it and that all work will be perforled to leet 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 IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treat.ent , Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , Aray Corps of EnQineers - S~awalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative.Services. Environlental Health Unit - Wells, Wa'stewater Treatlent, Septic Tanks , US Environaenta: Protection AQency - Asbestos abatelent I also certify that, if fill .aterial is t~ U~ u5ed i~ Flood Zune .A' ui "A,etc,", it is und~rst~od that a drainage plan addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall 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 becole invalid unless the work authorized by such perait is cOllenced within six lonths of issuance, 'or if work authorized by the perlit is suspended or abandoned for a period of six aonths after the tile the work is cOI.enced, One 90 day extension of tile, lay be allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official, An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCE"ENT "AY RESULT IN YOUR, PAYING TWICE FOR IHPROVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENC ENT, JOBS U ER t2,50 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT., Gid- ~. SIGNATURE: CO A , STATE OF FLORIDA ~ COUNTY OF r AJSG () The foregoing instr~ent before me this . ~7~ jJti6JCO was ~knOWledged , 19__ (/. by c..:., Stamped) or who has (Si (Name Typed, Printed NOTARY PUBLIC