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Home My WebLink About95-5265 BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit ]I! (813) 788-6611 "7-526~A Date ji-;yr-9--J- e ELECTRICAL PLUMBING P"'perty Owne" M 1i::z... Job Address: . 3 ~ J../J ./'L; Parcel I. D. # r:J. lJ - d. I:, -:;../.... ,,? 9 - ~,;L- MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work EnergY..!J...de: ,t'/; ,~ - Radon Gas: CL- NO OCCUPANCY BEFORE C.O. FINAL Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City license Registration # State Certified license# p~rmitFee~:~ Signature ~ _ _-------=--- Company ~ Addres/ Telephone# Valuation or Contract Price I .( J/3C). cJ-0 J7Y M/J-::hp~ .(( BUilDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SlB lintel FRM. Insul. Cl WL Tp. Serv. 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE ~ /'? T /- STc> fllC- OWNER'S ADDRESS fP 0 JQB ADDRESS f!Il!t co ~oX 3 ?~/ ~). /0 PHONE c- 1:.- t!:. '?t'K' /.-V ~~ ~ Y~/r C (-~'Ct..A~,6 . /)/C LEGAL DESGRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t 2 ~ - .2 ~ ..21 J 9 q 2- - /6.1 ~ovr:L .r J (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction _Addition ---Alteration _Repair _Install _Sign --.JIove _DeJIOlish PROPOSED USE: _Single FSIIily _ec-ercial ---1t1 F XIndust. _, of Units _K/H _Swia. Pool _Other ---Restaurant &: Health Departaent Approval / DESGRIPTIOB OF WORK: ,~/ c "y "'I",.v A / AI /( r=- c- ....J C c-- BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTAGB (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW COBSTRUCTION. _BUILDING $ ..", / 7.1 "-/:3,, , PERMITS REOUESTED ~ Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. ---1IECllAlllCAL $ Valuation of tlecbanical Installation _PLUtlBING GAS ROOFING TYPE OF GOBSTRUCTION: _Block _Fraae X-Steel SPECIALTY Other FlBISBED FLOOR ELEVAnOBS: FT. IS PROJEC'l IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION Sml.DRR GOtIPANY State Cert. or Regist. t City License Registration , .......................................... Signature RT.RGTRICIAB COMPANY State Cert. or Regist. t City License Registration t .......................................... SiQllAture PLUMBER COMPANY State Cert. or Regist. t City License Registration , .......................................... Signature IlECBANlCAL COMPANY State Gert. or Regist. , City License Registration . .......................................... Signature OTRRR COMPANY 2' E/Hy~ ;:e /V c... C . State Cert. or Regist. , City License Registration t /7~ ........................ Signature, APPLICATION APPROVED BY PERMIT OFFICER. " r CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit laY be subject to Ideed restrictions" whieb lay be lOre restrictive than City regulations. tbe undersigned assUleS 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 lay be required to be licensed in accordance tlith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) . 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the 'Contractor Sectionsl of this application for whieb 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 the contractor wishes you to sign as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrhills. 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 - HoIemmer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is IIOIIt!One other than the 'owner', I certify that I bave obtained a copy of the above described docUleDt andprOlise in good faith to deliver it to the "owner" prior to COlleDCeJellt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOJpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas c~ced prior to issuance of a pertit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental 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 lilited to: t Departlent of Envirolllel1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands, Water/Wastewater treatleRt t Southwest Florida Water Managl!lel1t District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Watenays t Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater treatlent, Septic tanks t tl!! f!lvirODlle!1tal Protection Agency - Asbestos abatuent I also certify that, if fill laterial is to he used in Flood ZOne 'AI or 'A,etc.", it is understood that a drainage plan addressing a ICOlpeDSating volUJe" will be soblitted 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 technical codes, nor sball issuance of a perlit prevent the Building Official frCl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid unless the work authoriled by sueb perlit is cOll8llced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOnths after the tiE the work is cOll8llced. One 90 day l!Itension of tiE, lilY be allowed f~r the pertit with fee ebarge of $15.00. the l!Itension shall he requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned. WARRING fO OWNER: . YOUR FAILURE TO RECORD A NotICE OF COMMERCBMm MAY RESULT IN YOUR PAYING twICE FOR IMPROVIIlEIfS TO YOUR PROPERTY. IF YOU III'IBND TO OmAIN FIWCING, CONSULt WItH YOUR LBIIDER OR All AnoRIIY BEFORE RECORDING YOUR IIOfICE OF COMMIMCEMBlII. JOBS UND VALUE 00 Mot tIlED to RECORD AIfD POST A lINotICE OF COIlMENCEMEIl'f". A)\... (Signature) . _1.-.&'1 (N , . ~d) NOT-. ~~ ~~e SIGDIm. II!BACIIII S'fA'fE OF FLORIDA 'P- . 1fJu coum OF ~M Q :..Q The foregoing instruwen~s ackn~ledged before me this ';;2.1~f-ct s-; , 19~ by S- el-5 ~G who i ersonal y knOWD. 0 me or who has produce . tification and who didtaid no~ o. b SI (Nam NOT , ~. . ... ....-uoed) ftC 173301 ExPM flt. .." .IInuIIy 14. 1. IOHl!P tIRIlNW FAIl""'... fIA.~~" DEBORAH K.1IIOMl.EY {.:~i . fI( COtIMSSION , CC 173301 EXPIRES ~. JanIl8lY 14. 1. '" "iif.~ IlONDED tlIIU TROY FAIN 1IIlIIWCE. ac.