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Home My WebLink About95-4794 BUILDING PERMIT Permit N.! CITY OF ZEPHYRHILLS (813) 788-6611 _4794A DateJ -:J9'-y~- ~' ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ::~:::,~:~~?rlts h'tf/;-fA!z::e.L- Parcell.D. # Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work J4-t "i.:c //~~J-I: . 4M A--d/L- Rad~ Gas: ~~.J) cf ~J-?t1. .. <- <L ~~/...-1-~;O FINAL :]- .- NO OCCUPANCY BEFORE C.O. ") DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signature Comp Addr Telephone# Inspector Valuation or Contract Price J :;L6--dD City License Registration # .y-Y6 State Certified License# l. :t;~-1 BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final v Tp. Serv. 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 ($15.001 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. APPLICATION FOR PElUIIT CITY OF ZEPBYRBILLS BUILDING DEPARTKENT OWNER'S IWIE 5t, Jose-r~ OWNER'S ADDUSS 3 0- K 0 ~ JOB ADDRESS 55)Ro;), 5-~ LEGAL DESCRIP'I'ION: LOT(S) C'\LtJu L('0 CMUr('~ J r;;ti. ~JL-' ]2pill1rJit U\ ili"L. JlPf~yfl fllll\ F/Ci. BLOCK SUBDIVISION PHONE F( CC' 33~'-fO 33 "':- if {; ..,1 , PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:___Rew Construction ---..Addition ~teration ~pair _Install _Sign --lIove _Deaolish PROPOSED USE: v'" Single F_ily ~/F _' of Units ~/H _ec-ercial _Indust. _Swia. Pool _Other ___.:Restaurant Ii: Hea1th Departaent Approval DESCRIPTION OF WORK:L~c.,h:L[( llJ/nd6W wtwr~~ do6t~...- (", OV'~ U((6 0ef2.'S~ BUILDING SIZE: x Square Feet, Height USIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED V BUILDING $ 3:.20 00 Valuation of Total Construction RT.RCTRICAL AIIP Service Florida Power Corp. W.R.E.C. --..-JIECllAliICAL $ Valuation of Hechanical Installation --YLtRlBIBG GAS ROOFING SPECIALTY TYPE ~P: COIlSTRUCTION: ~loclt _Fr~ _Steel Other FIllISBED FLOOR ELEVAnOIlS: Fr. IS PROJECT IN FLOOD ZONE AllEAf YES NO .......................................... CONTRACTOR SECTION RIITl.DRR COHPANY State Cert. or Regist. . Signature City License Registration . .......................................... RT.RCTRTCTAR COHPANY State Cert. or Regist. . Sia-nAture City License Registration . .......................................... PLUMBER COKPANY State Cert. or Regist. . Signature City License Registration . .......................................... KEClWiIGAL COHPANY State Cert. or Regist. . SigDature City License Registration . .......................................... OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... APPLI.CATI.ON APPROVED BY PERHIT OFFICER. --_..._-..---......--~~:--_. --- r---.-,I --',._-~--_. - ..--........-------...-..-__ -...~~_...--..,...-...--.-:f- __.... r~ations. fhe undersigned asSUJe8 responsibility for co.pliance with any applicable deed restrictions. ,. ., . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIOler has hired a contractor or contractors to undertake worl, tlley lilY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the 0IIDer and contractor lilY be cited for a lisc1eJeaDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiruents lilY apply for the intended worl, they are advised to contact the City of Zepbyrhllls Building DepartJent, (813) 788-6611. ' FurtherlOre, if the OIfner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the -Contractor SectiODS- of this application for which they will be responsible. If JOU, as the 0IIDer 8ign as the cootractor, you are indicating that JOu, rather than the contractor, are responsible for the wort. If the contractor wishes you to 8ign as contractor that lily be an indication that he is not properly licensed and is not entitled to peraitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, ASAMEHDED) I certify that I, the applicant, have been provided with a copy of -Florida's COnstruction Lien Law .. ~'s Protection Guide- prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8OIl!OIlI other than the -OIIJ1er-, I certify that I have obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the -OlDer- prior to C088J1Cl!IeDt. E. CONTRACTOR' S/OWHER 'S AFFIDAVIT I certify that all the infOIlation in this application is accurate and that all worl will be done in cmpliance with all applicable laws regulating construction, JODing, and land develO(ll8J1t. Application is hereby Iilde to obtain a perlit to do wort and installation as indicated. I certify that no work or installation bas CDIeJ1ced prior to issuance of a perlit and that allworl will be perfOlled to _t 8tandarda of all1.s regulating construction, City codes, loning regulations, and land developlellt regulatiODS in the juriadicUCIl..I also certify that I understand that the regulations of other gov8IllleDW agencies lilY apply to the intendec1lfOlk, and that it is If responsibility to identify what actions I lust take to be in COIpliance. Such agenciesJnc1ude but..JlOt lwted to: I DepartJent of InvirDDlelltal Regulation - Cypress Baybeac1a, lIetlanclAreas ancllnviIOllll!llta11y Sensitive ~, Water/llastewater lreatlent t Southwest Florida lIater llanaguent District - lIells, Cypress Bayhea4a, lIetland Areas, Altering Watercourses I lrIJ Corps of Ingineera - Seawalls, Docks, Ifavigable lIaterways I Departlent of Health' Rebabilitative Services, InvirODl8l1tal Health Unit - lIells, lIastewater freatlent, Septic lanka I US EnvirODll!lltal Protection Agency - l8hest08 abateJel1t I also certify that, if flllllilteria! is to be used in Flood Zone IAI or -A,ete. -, it is understood that a drainage plan addressing a -CGlp8D8ating vol.- will be sublitted I.bich is prepared by a profesaionalengiDeer registered in tile State of Florida prior to perlit issuance. . A Perlit issued shall be construed to be a license to proceed with the worl and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall iasU8Dce of a perlit prevent the Building Official fa thereafter requiring a correction of errors in plana, construction, or violations of any code. Ivery peait illuell shall becme invalid unless theworl authorilellby such peait is co.encedwithin s!laths of issuance, orif"work autboriJed br..tIIe peait is suspended or abandoned for a period of sbaths after the tile the work is C088J1cell. One 90 day 81tenaion of tile, IIilY be allowed for the perlit with fee charge of $15.00. fhe 81tension shall be requeatedin writing to tile Building Official. An approved inspection IUIt be logged during each sillODth periocJ, or the project will be COD8illered abandoned. IlARlfING 10 (lOR: YOUR FAILURE 10 BICORD A HOIlCE OF WlllDCllllllIIIY ar.1 II YOUR PIYIJIGftlICI fOR 1IIPROVIIIII!8 10 YQUi PROPIII'fY. IF YOU moo 10 OBIm FIIlUCIIG, CONSULI WIR YOUR LIIDIR OJ II AftORDY BIPORB RBCOIDIIG YOUB DICE OF C(JOfUCIIIBIt'. JOBS UNDER $2,500 IIf VlLUI DO 101 DID 10 RECORD MD POSf A I.OIICK OF aJIIDClllDfI. SlUE OF FLORIDA coum OF The foregoing instrulllent was acknowledged before me this , 19____ by "j ~:r ~~ SIGIl'fUJII; COIIRlCIOR , ' I / . G SIAII OF ~DA coum OF The foregoing instrument was acknowledged before lie this , 19 ~ by SIGIf1'fUJ11: 0IfIIBR OR AG.DI who is personally known to lie or who, has produced as identification and who did/did not take an oath. who is personally mown to lie or who has produced as identification.~dwho did/did not take an o~tb. . (Signature) (Name. Typed, Printed or Stamped) NOTARY PUBLIC . (Signature) (Nue Typed, Printed or Staped) NOTARY PUBLIC '