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Home My WebLink About94-4227 BUILDING PERMIT Permit N.~ PLUMBING ~s: cri) ~HANI~ 4227/'1 /I'-I;l -7 '/ CiTY OF ZEPHYRHILLS (813) 788-6611 BUILDING ~o - crv ~CT~ Date Sewer Conn ::::::,~,:n~f!!~~ Parcell.D. # /3 -.;).6 - ;;.../ - !J I () 0- 0 CJ <::JeJ 0 Water Conn: Water Meter: T.I.F.'s: Od C. 6 Zoning: Energy Code: Description of Work :lZL"(~ r ~ C- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL '1"'b- <; DATE 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 Permit Fee ~ t1-v Signatur~ ~__ / Company Address Telephone# Valuation or I 0 Contract Price ./ I I r: cTD City License Registration # ;( State Certified License# BUILDING ~f PLUMBING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ($15.001 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. APPLICATIOR FOR PERHIT CITY OF :z..tll".UI.KH.1J..i.S B1JJII.DIBG DEPAR'DIRNT affiw /Jl~~ . _'S ADDRESSt~:; ,~~ .JOB ADDRESS ;:5 C fJ _ _ _ ~_J::/~- I .....- OWNER'S liAItE PHONE 7 f?2- - J 0 7 f -2 -~~ - ,2-~ ~~4ti LEGAL DESCRIPTIOI!i: I.OI'(S) BI...OCY,,--_SUBDIVISIOR PARCEL IoD. # 1'3 -~(;, -:J-/ - () J () 0 - (j D 0 () 0 - t) 1) 6 0 / . IiORK PROPOSED:_lIew ConstJ:11Ction _Addition _Alteration _Repair iInstall &/1I$6:Z:- A- Je-. . _Sign _!!love _Deaolish ().~ !- ~ PROPOSED USE: Single Faaily ,h _KIF _, of Units _K/B _~rcial _Indost. _SwiJI. Pool Other _Rest:aurant &: Hea11:h. ~t Approval BUILDIIIG SIZE: x Square Feet. Height . RESIDEIITIAL: COIttIERCIAL : A'lTAaI (2) PLOI' PLAIIS &: (2) SETS OF BUILDIIIG PLBS '&: (1) SE.T EllERGY FORKS. ** ATI'AaI (3) SETS OF BUIlJ)ISG PLUS &: (1) SET ElNERGY FORMS. ** **COPY' OF COR'I'RAct REQUIRIl:D. PIr.RKf'T'S REQUESTED --BUILDIIIG $ Valuation of Total ConstJ:11Ction lU.F.CTRICAL AMP Service Florida Power Corp. W.R.E.C. _KECllAllICAL $ Iq/~D[) , .. Valuation of Kechanical Installation _PLUKBIIIG GI\S ROOFDiG SPECIALTY TYPE OF COIISTRUCTIOR: _Block _Pralle _Steel Other FllIISHED FLOOR ELEVATIOllS: FI' . IS P.RO.JECT IN FLOOD ZONE AREA? YES NO ****************************************** com'RACIOR SECTION BtrrT .DER Signature COItPANY State Cert. or Regist. f City License Registration I **************************** *********** ELECTRICIAII Sismature ~- CD!IP. ~ SUre Cert. or gis. # /'::./? hiM ? g- 2.3 .' '.. City License Re istration I ( i ************************************ 7' ,( PLOtIBER COItPANY State Cert:. or Regist. f City License Registration f ************~**************** ********** Signature KECHAlUCAL , COItPARY //---:> I ~ State rt. or gist. # Signature b~ . City License Re istration I }" **~********************************** , 0T1IF.R COItPAIty State Cert. or Regist:. f ___._ City License Registration , *~*************************************** Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit aay be subject to "deed restrictions" which may be lore restrictive than City regulations. The undersigned assules 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 wor~, they may be required to be licensed in accordance with state and local regulations. If l~ cO'll'tractor is,not licl?nsed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owr.er or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOlaencelent. 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 perlit to do work and installation as indicated. I certify that no work Dr installation has cOllenced prior to issuance of a perlit 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 cOlpliance. Such agencies include but are not lilited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treataent , Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Departlent of Health ~ Rehabilitative Services, Environlen~al Health Unit - Wells, Wastewater Treatlent, Septic Tanks , US Environlentci: Protection Aqel1(Y - ,hiJesios rlud~eleni; I also certify that, if fill laterial is to be tsed in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule' Mill be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the Mork 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 perlit is cOI.enced within six lonths of issuance, or'if work authorized by the pertit is suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. 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 COKKENCEKENT MAV RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEMENT. JOBS UNDER $2,5 N VALUE 0 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". S'~R~ STATE OF flORIDA ~ COUNTY OF ('CO The foregoing Instr~mfnt before me th i s cf- /01... was acknowledged , 19L.:L by STATE OF FLORIDA COUNTY OF The forego in? il~~~ffifnt before me thIS .~ tf,os(JJ was acknowledged , 19-Z::L by (Sign who is personally ..., pl-oduced as ident' take al (Sig C'I' Stamped) who is personally produced as identif' take an (Name Typed~ Print~d ~r NOTARY PUBLIC