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Home My WebLink About95-4939 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N' 4939 C Date S - /d-. -9...:::.- BUILDING -- ,.....~ ~CTRICA~ PLUMBING MECHANICAL Sewer Conn Water Conn: :~::::,~:~";J.t1~-ffU J tJ..L:: Parcell.D. # Zoning: , Energy Code: RaJ1'n Gas: De,e,;p,;on of WO'k~,flA ~~.J;;.... 01- ~~> /J'H....€.f "1" ..t- /A~ Water Meter: T,I,F.'s: NO OCCUPANCY BEFORE C.O. FINAL ~~ ,'5... '5 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee / () J r di> Signature ~~ #?.AA/ Company Address Tetepli'one# Valuation or Contract Price ~/1\ City License Registration # ..3' crD . (T'D State Certified License# ~hA~ /'~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 5"'-/"1 -Cr~ [j.b SLB Tub Set Water Sewer 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. -~~..-.-,~".~"-".",,. APPLICAnON FOR PElUlIT CITY OF ZEPIIYlUIILLS BUILDING DEPAR'l'HENT OWUR'S NAIfE%.ePHye;/lU s 3P~N' 4JM'€L &>. PHONE S'I S. '7 '13 - 19 $"9 OWI1ER'S ADDBESS ~YSo :)..0"'''' s..,..eu,- :z./E PAl t" R J.I 1I.l..5 , L . 3'3S".yb JOB ADDRESS YS30 .:;J.D .,..,<1 .$ .,..~.,.. ~EPH-r-It.{.JIU$ .;:t... :s 3 No LEGAL DESCRIP'lION: LOT(S) :BLOCIL--.SUBDIVISION PARCEL LD.' (OBTAI. FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ---^<<Idition -----.Alteration ~pair _Install _Sign .-JIove ->>eaolish PROPOSED USE: _Single Faaily ----Jf/F _' of Units ----Jf/H _ec:-ercial _Indust. _Swia. Pool _Other ___...'Restaurant &: Health Departaent Approval DESCRIPTIOII OF WORK: BUILDING SIZE: x , Square Feet, Height RESIDEIITIAL: COMMERCIAL : A'l'TACB (2) PLOT PLABS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATlACII (3) SETS OF BUILDING PLANS &: (1) SET EIIERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. PElUlITS REOUESTED ~UILDING V RT.RCl'RICAL $ Valuation of Total Construction AIIP Service Florida Power Corp. W.R.E.C. ~CAL $ Valuation of Kechanica1 Installation _PLumING GAS ROOFIIIG TYPE 9F COIIS'l'JWCTIOII: -.-..JUocIt _Fraae _Steel SPECIALTY Other PIIIISJIED FLOOK ELEVAnOIlS: Fl. IS PBOJECT IN FLOOD ZOO AREA? YES NO ................................***.*.***. CONTRACTOR SECTION mHPAIIY State Cert. or Regist. . City License Registration . .......................................... . COMPARY /~~~ 4. ~~ State Cert. or Regist.' 6)0 3~1.s ~ . City License Registration' ~ 300 ......................................... RIITTDRR ,Signature RT .Rr.TRTCIAIl Signature B'7d Signature COKPARY State Cert. or Regist. f "... City License Registration f .......................................... PIDlBER. COKPARY State Cert. or Regist. . City License Registration . .......................................*.. HECBAIIICA.T. Signature COMPARY State Cert. or Regist. . City License Registration . .............*............................ OTRRR Signature APPLICATION APPROVED BY PElUlIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS the undersigned understands that this penit Jay be subject to IIdeed restrictions II which lay be lOre restrictive than City regulations. !he undersigned assUleS responsibility for CCIIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES . If the owner has hired a contractor or contractors to undertake work, they 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 OlDer and contractor laY be cited for a lisdsanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents laY apply for the intended work, they are advised to coptact the City of Zepbyrbi11s Building DepartJent, (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 llContractor Sections II of this application for which they will be responsible. If fOU, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. 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 perJitting privileges in 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 IIFlorida's Construction Lien Law - lmeoImer's Protection Guidell prepared by the Florida Departlent of Agriculture and CoIlSUlel' Affairs. If the applicant is aeone other than the lIownerll, I certify tbat I have obtained a copy of the above described docuIent and praUse in good faith to deliver it to the "owner" prior to co.enCeleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infolliltion in this application is accurate and that a11wort will be done in COIpliance with all applicable laws regulating construction, loning, and land developleDt. Application is hereby lade to obtain a pewt to do work and installation as indicated. I certify that no wort or installation has C31eDced prior to issuance of a perJit and that a11work will be perfoX'led to .et standards of all laws requ1atingconstruction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gov8IDl8J1tal agencies IilJ apply to the intended wort, and that it is ., responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not luited to: t Departlent of BnvirOllleDtal Regulation - Cypress Baybeads, Wetland Areas and BnvirOllleDtally Sensitive Lands, Water/Vastewater !reatlent t Southwest Florida Water ManaqeleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Bnqineers - Seawalls, Docks, Navigable Waterways t Departlent of Health' Rebabilitative Services, BnvirODlental Health Unit - Wells, Wastewater !reatleRt, Septic ,ants t US Bnvil'ODll!Jltal Protection Agency - Asbestos abateleDt I also certify that, if filllaterial is to be used in Flood Zone IIA" or "I,etc. II, it is understood that a drainage plan - addressing a llC01pe11Bating vol_II will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A ~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 peIlit prevent the Building Official fIQI thereafter, requiring a correction of errors in plans, construction, or violations of any code. Ivery penit i88Ued &ball ~ invalid unless the IIOrk authorized by such peIlit is ~ced lIithin sillODths of issuance, or if IOrk authoriled by the peIlit is suspended or abandoned for a period of sillODths after the tile tbe work is ~ced. One 90 day atension of tile, laY be allowed for the perJit with fee charge of $15.00. the atension shall be requested in writing to the Building Official. In approved inspection lUSt be logged during each sillODth period, or the project will be considered abaDdoned. WAIUlING 'fO (IIJD: YOUR FAlLlJRB 'fO RlCORD A DICE OF C(lMRCIIIBH lilY RlSUL! II YOUR PAYIHG !IIICE FOR DIPROVIIIDIS 'fO YOUR PROPBm. IF YOU IImD 'fO OBlAIN FIJIUCIBG, COIfSDL' WID YOUR LIIDIR OR AI II'fOBDY BI10BB RICORDIBG YOUR BOIICE OF COIOIIICEIIm'. JOBS lIHDD '2,500 Iff VALUE DO NOIIiDD 'fO RECORD AID POS! I IINOIICE OF COIOIIICBMlllw. SIGllAfUHI: (JfJD OR AGIN1' SIGlAIDRI: COftRACIOR S!UB OF FLORIDA coum OF The foregoing instrument was acknOWledged before me this , 19____ by S!AII OF FLORIDI COUftY OF The foregoing instI'UII8Dt 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 oCJth. (Signature) (Name Typed, Printed or StiUllped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC