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Home My WebLink About95-5010 BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit N~ (813) 788-6611 --5010 1::: Date 6 -/c;l-9~ BUILDING ~T~ P<operty Own." ~-;AA ~ Job Address: ,-'5 'iQ.. 0 ~ - . PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcel I. D. # Zoning: ~ne~ ~de~ ~ A Description of Work _~ _~_ Radon Gas: FINAL - .q':) DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Oxlst.pole FPC (Mary) Nancy 06/13/95 09:15 P.M. Inspector Permit Fee ~o. CT-z- Sign~ture~ _____(S0~ Company Address Telephone# Valuation or Contract Price 1//t City License Registration # 02. 7 .lJ State Certified License# BUILDING y...., ... 7....,~ "- ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp.Serv. Rough In Meter Can 6 -0 - f...5" Const. Pole b-Ij -'15 ~.b Pool Pre-Meter Final to~J3'95 ~ 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. "'~.."~'T:~. ,. ..._..!'9'11"!....,.,.....,- ~...,..".e.'..^e,'~."_-==-_:::"',.~'..~~__ .. APPLICATION FOR PERKIT CITY OF ZEPIIYlUIILLS BUILDING DEPAR'l'HEI11' \~I~I~I.~'t" (l.C.J/\ j) ~e~V'k;ll<k,PHONE ,R ~ -=>___'" eJ\..< ~ It;; S'\ ~15 /~2'1bI5 OWNER'S IINIK OWlIER'S ADDRESS S" J.. \ L JOB ADDRESS .s '2 0 I ......... LEGAL DESCRIP'lION: LOT(S)--.J ) ?..~ ~ /1- ?-b- ?- 1.... PARCEL I.D.I 0C/ 10 - ~<6t4 00 - 00\ 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: /New Construction ----..Addition ---Alteration --.Jtepair _Install B~SUBDIVISION c.-~ * 2.. kJL< --1!Jign --.JIove ->>eaolish PROPOSED USE: --1!Jingle Faaily ---"IF _' of Units ---"/H / ~ther _ec-ercial _Indust. _Swia. Pool Restaurant & Health Departaent Approval DESCRIPTION OF WOlUt: -r;-lN\.~(Jy;;, ';; ~pI( P BUILDING SIZE: X' .--- ~e Feet, ---------Height RESIDENTIAL: ATTACH (2) PLOT PLUS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. COMMERCIAL: AftACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOBHS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING ~.RcrnCAL $ Valuation of Total Construction I (J cJ AIIP Service /Florida Power Corp. N.R.E.C. ~CAL $ Valuation of llechanica1 Inst:allation -PLUIIBING GAS ROOFING SPECIALTY TYPE QF mRST.R.UC'l'IOIi: ~loclt _Fraae _Steel Other FIIIISJIBD PJ.OOR. ELEVAnORS: FT. IS P:R.O.JECT IN FLOOD ZONE ABEAT YES NO .......................................... j,;:,. " NT,/Mi- (''l.i;~: r,,~ ','l. J-/', _' -'-'Ji'f..) BmT.DRR mNTRACTOR SECTION OOHPAIIY State Cert. or Regist. I City License Registration , .......................................... Signature . <;;;~cU. . COIlPAIIY WOVC.7\" <, :+c~~ ~~=~~~ ~(~ State Cert. or Regist. , ,~ Q:J1C;, City License Registration , '7 ~ I .......................................... PLUMBER 0 j( '__ A:, J fi ~ / OOHPANY State Cert. or Regist. , City License Registration , .......................................... Signature IlECllANICAL COMPANY State Cert. or Regist. I Signature City License Registration f .......................................... nTIIRR COMPANY State Cert. or Regist. '- Signature City License :Registration '- .......................................... APPLICATION APPROVED BY PERKIT OFFICER. .( .~_..... ,-~,....."~..,, CONDITIONS OF PERMIT AF#IDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this penit aay be subject to 'deed restrictions" wbich aay be lOre restrictive than City regulations. !be undersigned il88UIIe& responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors ~ to undertake work, they JaY be required to be licensed in accordance with state and local regulation,s. If the contractor is Dot licensed as required by law, both the owner and mntractor aa, be cited for a lisdeleallOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelellts aay apply for the intended work, they are advised to CODtact the City of Zepbyrhills Building DepartleDt, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich they will be responsible. If JOU, as the owner sign as the contractor, you are inclicating that JOU, rather than the contractor, are responsible for the wort. If the contractor .iabes JOU to sign as contractor that lilY be an indication that be is Dot properly licensed and Is not entitled to peraitting privileges in the City of Zepbyrbills. 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 'Plorida's construction Lien Law - lkIIeoImer's Protection Guide' prepared by the Plorida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is SOIeODe other than the 'owner', I certify that I bave obtained a copy of the above described dOCUleDt and prClUse in good faith to deliver it to the "owner' prior to co.enceleJlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all wort will'be done in COIpliance with all applicable laws regulating construction, loning, and land developleDt. Application is hereby lade to obtain a peIlit to do wort and installation as indicated. I certify that no work or installation baa CDIeIlCed prior to issuance of a penit and that all work will be perfOIJed to leet standarlls of all 1_ regulating construction, City codes, loning regulations, and land developlleDt regulations in the jurisdictiOll. I also certify that I understand that the regulations of other goverDlleDtal agenCies IilJ apply to the intended worl, and that it is If responsibility to identify wbat actions I lUst take to be in COIPliance. Such agencies include but are not lialted to: t Departlent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, lIater /liastewater freataent I Southwest Florida lIater Hanageaent District - lIells, Cypress Baybead8, lIetland Areas, Altering lIatercourses I Ally Corps of Engineers - Seawalls, Docks, Ravigable lIaterways I Departaent of Health i Rehabilitative Services, Environaental Health Unit - lIells, Wastewater freataent, septic lants I US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill aaterial is to be used in Plood ZOne 'A' or "A,etc.", it is understood that a drainage plan addressing a 'coapensating volae" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit 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 petlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued shall becme invalid unless the work authoriled by such perlit is ~ced lIithin sillODtbs of issuance, or if work autboriJed by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. one 90 day eltensiOll of tile, IIilJ be allowed for the perait with fee charge of $15.00. !be stension shall be requested in writing to the Building Official. An approved inspection at be logged during each SDlOIlth period, or the project will be considered abanc1oned. IIAlUIING !O WID: YOUR PAILURE !O RECORD A ROIICE OF aIIIIDCBIIU! MAl RlSULI IN YOOR PAIIIG niCE FOR IIIPROVIIIDIS !O lOOK PROPEII'lY. IP YOU IIDID !O OBfIIN PIlIIICIIG, COIISUL! 111m YOOR LIIIDIR OR AI AnomY BIPORE RICORDDG YOURlOIlCE OP allMDCEHm. JOBS UJlDIR $2,500 III VALUE DO IOIIDD !O RECORD AID POSf A 'IOIICE OF aJIIDCBIIIII'f'. SIGIIA!URB: (JftIIR OR AGD'l SIGIIA!URI: COlI!BAC!OR SfAfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SIAn OP FLORIDA room OF The foregoing instl'Ullellt was acknowledged before me this , 19_ by who is personally known to lie 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 oiJth. (Signature) (Na.e Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC