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Home My WebLink About94-4345 BUILDING PERMIT Permit N.t? CiTY OF ZEPHYRHILLS (813) 788-6611 434513 Date 9- c17 - 9 'I ~. ELECTRICAL PLUMBING MECHANICAL ::~::;,~,:njll?f;j fk !?:t:!~; 4 Parcell.D, # ,G-dbcJ/~ /1/ - 0 - () JOS Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: E7..rgy Code: Description of Work {" l F4lA" 17_ Radon Gas: y/ NO OCCUPANCY BEFORE C.O. FINAL-'L -111 -q,-/ DATE Complete Plans. Specifications and Fee Must Accompany Application, All work shall be performed in accordarce with City Codes and Ordinances, c.o. Inspector' Permit Fee Signature Company Address Telephone# oLe' . cr--v l~atr m..~ Valuation or Contract Price -<1'0'0. ~9-0 City License Registration # State Certified License# ELECTRICAL PLUMBING MECHANICAL 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 ($15.00) 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. .. ... ,. l .... -" "{ l : . I, ~ . ,. - L \. ; : S :,{.Ll IN trOI 10, ~ . e p~ _I Old 'f.. =+ uno :1 ~Tlqnrl '901 a6Erl ,11 P0P.lO~cU =+'('1d 1f,\nUV:H^l '( 01 =+o'} NO I J,d T}j JS:f(1 -_-J;.....;. ....t APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OIINE"S NAKE ~.s. f!111)ClIJA[d OWNER'S ADDRESS 31 fRo ~ h'\eAc{ (")(UO~~ LOt) r JOB ADDRESS S4:m~-- As. A- hDUe-. 7' ()() - '-/93/ PHONE _ (5 Q.. Zp;hy~(L&: r( 335-<1tl LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I.D.' /.j - d~ -d 1- /"1- D--- 0/03 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign -'love ____Deaolish PROPOSED USE: ____Single Faaily -'l/F ____' of Units ____M/H _C~ercial _Indust. ____Swim. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: 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. PROPERTY SURVEY REQUIRED FOR ALL NEW L~NSTRUCTION. PERMITS REOUESTED _BUILDING $ ,/6D. u-V Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUHBING GAS RQOFING SPECIALTY FeAld!-~ Other TYPE OF CONSTRUCTION: ____Block ____Fraae ____Steel FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regist. , City License Registration . .....~.................................... ELECTRlCIAR COMPANY State Cert. or Regist. . City License Registration , .......................................... Sianature PLUMBER COMPANY State Cert. or Regist. . City License Registration f .......................................... Signature MECHANICAL COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature mlIBR COMPANY State Cert. or Regist. , City License Registration . .......................................... Signature APPLICATION APPROVED BY PERKlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. ~OTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" wbicb lay be lOre restrictive tban City regulations. The undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, tbey lay 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas 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 tbe 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 in tbe City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided witb a copy of "Florida's Construction Lien Law - HOIeowoer's Protection Guide" prepared by the Florida DepartJent 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 tbe "owner" prior to cOllencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all tbe 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 Jade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to teet 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 governaental agencies JaY apply to tbe intended wort, 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: · DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent · Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks · US EnviroDlental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volUle" will 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 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 perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a pe~od of six IOnths after the tite the work is cOlleDced. One 90 day extension of tite, JaY 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 IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEHBNT MAY RESULT IN YOUR PAYING TWICE FOR'IMPROVEHEMlS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURB: OWNER OR AGENT STATB OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oCith. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name,Typed, Printed or Stamped) NOTARY PUBLIC