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Home My WebLink About95-5193 ---- BUILDING PERMIt-- CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 i"-519~ Date e -/8 -9,-ry- M~h...AL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Complete Plans, Specifications and Fee Must Accom All work shall be performed in accordance with Cit C ny Application. s and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector /' ~ Telephone# CAL P MIiCf..lANICAL 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. I hereby certify SUrvey reprea~nt~d made under IIY ell r ahown baaed ,on, tt nished to me, as nc of '.Y knowle"'e. to. 'the KinllftUIIl . for Land Survey!n Flo,J:ida . in aecor. 61G17-6~ Flori4a~ PRE~ARe~ BYt~ iMf.URl .' ProlE . Flor j :. Ro. < -., SCALE: 1"=,30' S.7[jJ'":J3' c 48"[ Lot 13 CUR\! E 16 Rodiu s = 170 .00' ARC = 52.48' C ho rd = 52.27' Be orin, = S. 23058' 06 "w. Delta = 17041'12" I 1 ____ 5/8" IR & cop#LB6382 SET T P.R.M.-4'CM #4281 FOUND "'-' -j--~'''' NOT VAWn.UNLESS 11' APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTKENT OWNER · S NAME !A~oLb ~1(1t /~I)?p 5LC:~ ~~-~ /(I,.{/ ~) PHONE 7~-3~b9j / OWNER · S ADDRESS 5 L> >'__-r- . - ~~-" ~ LEGAL DESCRIPTION: LOT(S) / 71 /)/<. . JOB ADDRESS BLOCK SUBDIVISION 5~_?77 ~J'~~ ~ ~ L f PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ----..Alteration -Repair _Install _Sign -.JIove _Deaolish PROPOSED USE: _Single Feaily -.JI/F _' of Units -.JI/H _ec-ercial _Indust. _Swi.. Pool _Other _Restaurant & Health Depar~ent Approval OBSCRIPTIOR OF 1iOIlk: l/J; L, [j; <: '/""'b BUILDING SIZE: / /) X I"Z--- . ~ Square Feet. Height RESIDENTIAL: COKMERClAL : 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. ~ILDING $ .I; aOO' e<-> - PERMITS REOUESTED Valuation of Total Construction "'--- _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. -"ECllARICAL $ Valuation of Mechanical Installation -- _PLUKBING GAS ROOFING TYPE OF CONSTRUCTION: _Block -XFreae _Steel SPECIALTY Other FIRlSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO ****************************************** COR'IIlAC'l1IIl, SEC1;W . ) ~ ~ ~ COIIPA1IY W7{~ h / State Cert. or Resist. , Signature ~ ~.h'~~ City License Registration , ~**************************************** BUILDER ELECTRICIAN COMPANY State Cert. or Regist. , SignAture City License Registration , ****************************************** PLUKBER COMPANY State Cert. or Resist. , Signature City License Registration , ****************************************** HECBANIGAL COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** OmF:R COMPANY State Cert. or Resist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to 'deed restrictions' whieb laY be lOre restrictive than City regulations. !be undersigned asSUleS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ~er bas bired 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 owner and contractor laY be ci ted for a lisdelH!anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for the intended work, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tbe "Contractor Sections' of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber tban the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting 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 - lIoIeoImer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleODe other than the lowner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to cOll8Dcelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cQIPliance with all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOlleDced prior to issuance of a perlit and tbat all work will be perforled to leet standards of all laws regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDIeDtal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not lutted to: * DepartJent of EnviroDlental Regulation - Cypress BBybeads, Vetland Areas and EnviroDleDtally Sensitive Lands, Vater/Vastewater Treatlent * Southwest Florida Vater Managelent District - Wells, Cypress Baybeads, Vetland Areas, Altering Vatercourses * ArlY Corps of Engineers - Seawalls, Docks, R~vigable Waterways * Departlent of Health i Rebabilitative Services, EnvirODlental Health Unit - Veils, Vastewater !reatlent, Septic lanks * US BnvirODleDtal Protection Agency - Asbestos abatelH!nt 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 'cQlpeDsating volUle" will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 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. Every perlit issued shall beCOle invalid unless the work authoriled by sueb perlit is cOllllnced within sillOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sillOnths after the tile the work is c.-enced. One 90 dar I!Itension of tiJle, laY be allowed for the peIlit with fee ebarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eaeb sil IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR PAILURE TO RECORD A NOTICE OF C(lfMBNCEllBNT MAY RESULI IN YOUR PAYIRG nICE FOR IMPROVEIIDl'S TO YOUR PROPERTY. IF YOU INTBND 10 OBTAIN PIHARCING, CONSULT WITH YOUR LEER OR All AnORllY BEFORE RBCORDIRG YOUR )(()'fICE OF COMMERCBMBNT. JOBS UNDER $2,500 IN VALUE DO NOT NBED 10 RECORD AIID POST A "NOTICB OP C(JIMDCEMBN'f". SIGHATURB: CONTRACTOR SIGNATURE: OIOfBR OR AGBNT STATB OF FLORIDA COURTY OF The foregoing instrument was acknowledged before me this , 19____ by STAn: OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who bas 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARy'PUBLIC