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Home My WebLink About95-4632 BUILDING PERMIT Permit N'C? CiTY OF ZEPHYRHILLS (813) 788-6611 4632/l Date / - /~-7.s- ~ ~) Pmp,rty Own" ~ ~ ~ ~ Job Ad dress:....3::; -..3 ....-e...... Parcell.D, # J::1- d-.6 --;l/- 0 CJ-3o - e lJ.SO 0- 0/ tJ () ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work ~ a..-~ ~~ << 0 Radon Gas: G, r FINAL ~ -C}. ~- lS DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application, All work shall be performed in accordarce with City Codes and Ordinances, c.o. DATE Inspector Permit Fee .:l.. (/. 0-0 Signature Xi .tP'A.-' ;</ ~~ Company Address Telephone# Valuation or Contract Price S tr'7;") . c.:r---D City License Registration # State Certified License# OL.... J>1 ~ /1 BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAHR LA~eV c- A~56MS PHONE !/3-- 7/1' !f~ OWNER'S ADDRESS 6902 /1 3?3l 4U/E. JOB ADDRESS'Z~~~ jl,'.(Jg~ft .~~ 13- 2-t!/~v~JJ//~ /9 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' /;;) - ;). b - ;;2/- 00.3 0 -. 0 o.-s-{) 0 -. ~6B~AfN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction -XAddition ----Alteration --Repair _Install _Sign ~ove _Deaolish PROPOSED USE: ~Single Feaily _KIF _' of Units ---If.IH _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval O:PTION OP WORK: ~~o ~~.--llG SIZE: b _~~ , 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 CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AIlP Service Florida Power Corp. W.R.E.C. _HEGBARICAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CORSTRUGTIOR: ____Block _Fr8lle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION' COMPANY State Cert. or Regist. . City License Registration . .......................................... BUILDER Signature Sianature COMPANY State Cert. or Regist. , City License Registration . .......................................... RI.RCTRlCIAN COMPANY State Cert. or Regist. . City License Registration . .......................................... PLUHBER Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... MECHANICAL Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... OTRRR Signature APPLlCAnON APPROVED BY J1 (l"'-L~ rn =.L (j PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands tbat this pecait .ay be subject to "deed restrictions" which 8ay be 8Dre restrictive than City regulations. Ibe undersigned assUles responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas hired a contractor or contractors to undertake work, they.ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the, own,er and contractor laf be cited for a lisdeleanor violati9n under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents 8aY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if tbe owner has bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe .Contractor Sections" of this application for whicb 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 tbe contractor wisbes you to sign as contractor that Jay be an indication that be is not properly licensed and is not entitled to perlitting priVileges in the City of Zepbfrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other tban 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 COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certiff that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developleDt. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certiff that no work or installation bas cOJJenced prior to issuance of a perlit and tbat all wort will be perforaed 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 goveDllental agencies JaY apply to the intended worl, and that it is IY responsibility to identiff wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not liJited to: A Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentallf Sensitive Lands, Water/Wastewater TreatJent A Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses A ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health i Rebabilitative Services, BnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US BnviroDlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a uCOlpensating volUle" will be subtitted whicb 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 witb tbe work and not as authoritf to violate, cancel alter, or set aside any provisions of tbe tecbnical 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. Everf peIlit issued shall becote invalid unless tbe work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized bf the perlit is suspended or abandoned for a period of sil 8Dntbs after the tile the work is c~ced. One 90 day l!Itension of tile, Jay be allowed for tbe perlit with fee charge of $15.00. Tbe l!Itension sball be requested in writing to the Building Official. An approved inspection lust be logged during each sillOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOrICE OF COIItEICBHENf HAY RESULT IN YOUR PAYING fIIICB FOR IHPROVEIIBIft'S TO YOUR PROPERTY. IF YOU IIft'END TO OBTAIN FIlfAJfCING, CONSULT NITR YOUR LBJlDIR OR AX Af'lORNEY BEFORE RECORDIJlG YOUR NOTICE OF COHHENCIHENt'. JOBS UNDER '2,500 IN VALUE 00 NOT NEED fO RECORD AND POST A "NO'fICE OF COHHBNCBHENf". SIGNATURE: ONJIER OR AGEIn' SIGJfATURB: CONTRACTOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNfY 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 oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC CI.TY OF ZBPIIYRJULLS BUIL1HNG DEPARTMENT OWNER JOB LOCATION PARCEL 1.0. # SHOW ALL EXISTING & PROPOSBD STRUCTURES GI.VING DIMENSIONS & SETBACKS. [5~3 f ; !. CIl[! ~ ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ;''' ( , j \ ~ i''' ,0 . se'l C"hf.l 'i, ~ (\., ,( G...4e. , ~6 us.e. 11 --------+-~ C\\f,\t) L\l'\l( I GI\ k. I I i-"~""""",~d_ '. '., UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MA'rION. . -T;'-'--'~ '-1"--- '..,. I ~(h' ,! - I F~:T PROPERTY LINE STREET LJ ou I d L , j(' (' -i 0 S-iac/C If/de -I i p'C , See + 10\'\ C~. e R sf I" , -rc ill! ( I l~ ~ H if:' h ....J - n lori ~ ..i (''' '-' , LI ne. --n'\e rt:~ t' ...... j..l Y I (, h t:\ "Ii l- i /" .L -t pu t- c n C I;~ 1 . 'I e ~ ('j' i.1 d.,: , ." . Lv I II J", :t.".. . I r .\ (" 1 ('~; (.J I) -'-'l:'~-t ..:.. ~\,~ \-1