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Home My WebLink About95-5359 ......-..--...... .// ''', BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit ]I! (813) 788-6611 "7~535M Date / / -b -7-.S~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: '~ ::::,::~:3/Jff~A-- Parcell.D. # =':~~;on of w..; i(" eneq Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL -'7)- DATE ~ Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Pe<mitFe~ ---- Signature Company . ~- .' -~- Address Telephone# Valuation or Contract Price ! 9 7 tJ. d""V City License Registration # c2R tL... State Certified License# c 4!--t~4 ~T BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL ,..,.. Tp. Serv. Rough In Meter Can Canst. 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. AfPLiCAT10N FOR PERMIT CITY OPZEPHYRHILLS BuiWJ:NG DEPARTMENT .' - .' · ~...~ '~.:.:;.U...j r' :::~:::NT \\~~Q~~~~~I ~~ ~Q).A~~. ~ ~~~ '~tt. -:D(4~ ._ ___.._.._..~ .i,..:.~i...',._.:,'... PHON~-~9c4I;\il~ ~~1G~ .'t'- p~'" ,; .,' _. '. I _ .. _ . . . OWNER .... JOB LOCATION .LOT SIZE . . " '.' '.;-~: ~:-.:..- .~ . _. -, X AREA SQ. FT. '. 1/) : . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION '. . ...... ". .' .... .-" PARCEL 1. D. ~~ ." . 1 .. WORK PROPOSED:____New Construction ----Addition ~lteration ----Repair ____Install ____Sign/Temp. ____Sign ____Move ----Demolish PROPOSED USE: ____Single Family ~/F ____# of Units .----"/H ____Commercial ---.:...Indus t:. ____Swim.. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS... COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. ____BUILDING PF.RMITS RF.OUF.STED , \ 7)~-CJ:::> Valuation of Total Construction $' ____ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ~ECHANICAL $ Valuation of Mechanical Installation GAS >< ROOFING SPE~IALTY . ____PLUMBING .#' . TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION .' Company ~ . State Cert. or Regist. # /' City License Regis~ration)( ********************************.******.~ Signature ::::::~::~N / / ./ Company State Cert. or R~gist. # City License Registratio ****************************************** Signat\,lre Company State Cert. or Resist. # City License Registration *****************************************~ Signature Company . State Cert. or Regist. # //' City License Registration 4~ /.,/ ******************************************. ? OTHER ~~, G.~~~~ Signature . .~ Company ~\N(,..... ..... . State Cert. or Regist. ~~_Q~~(::;)O:SOl(o~ City License Registration # ~~~ ****************************************** '. PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS O~ PERMIT AfFIDAVIT A. NOTICE OF DEED RESTRICTIONS ... lhe und~rsigned understa~ds that this perlit lay be 5Ub~ect to .deed restrictions. which lay be aore'restr.ictive thin City regulatloni. lh. und.rllgn.d ailuall rl&ponlibility:for coaplilnc. .ith Iny applicable deed r'ltr1ctionl. . . . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES . If the owner has hired a contr~ctor or contractorl to undertake .ork, they lay be required to be licensed in accordanc; with It.t. '~d loc.l rlgulationl. If th, contractor il not liclftltd al required by law, both the owner .nd contractor liY be cit~d for i lisdeleinor violation under stltl 11.. If thl o.ner or intended contractor are uncertiin is to whit lic,nsing requirelents lay apply for the intlnded .ork, they Irl advilld to contlct the City of Zephyrhilll Building Departlent, (813) 788-6611. Furtheraore, if the owner hal hired a contrlctor or contractors, he is advised to have the contractor 15) sign portions of the 'Contractor.S.ctionl' of thil application for which they will be responlible. If you, al the owner lign il the contrictor, you are indicating that you, rathlr than the contrlctor, are r.sponsible for the work. If the contrictor .ilhel you to sign is contractor that aay be an indication that he il not properly liceni.d and il not ,ntitl.d to peraitting privil.gei 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, hive been provided .ith I copy of .Florida'l Construction Lien La. - HOleowner'1 Protection Guid,. prepar.d by the Florida Dep.rtl.nt of Agriculture and Conluler Affairi. If the applicant il 10leone oth.r thin the .owner., I certify that I have obtained I. copy' of the above d.lcribed docUlent and prolile in good faith to d.liy.r it to the 'owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in thil Ipplicltion is Iccurate and that all work .iIl be done in cOlpliance with all applicable laws regulating construction, loning, and llnd dlvlloplent. . Applicltion is hereby rade to obtain a per.it to do .ork Ind. instlll~tion as indicated. I certify that no work or installation has cOlleneed prior to issuantl of a perlit and that all .ork .ill be perforled to leet standards of all liWS regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of other governaental agencies lay apply'to the intended .ork, and thit it is IY responsibil i ty to ident i fy what actions I lust take to be in cOlpUance. Such agencies include but '" 1I0t lili ted to: . <I.; I Departlent of Environl~ntal Reoulatlon - Cypress Bayheadl, lI.tland Areas and Enyirona.ntally Sensitive l.ndl, lIater/Wast..ater Treatlent . Southwest Florida Water' "anaaelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of Enoin~ers - S.a.alll, Docks, NAvigable Water.aYI . De if lint of Health L Rehabi 1 t' . v nv Hea h U it - lIeUi,' Wasttlfater Trlliltaent. Septic links . US Environlental Prot~ction Aoent~ - Asbestol abatelent 1 also certify that, if fill laterial is to be used in Flood Zone "A. or .A,etc.', it is understood tli.t a drainage plin addressing a 'colp~nsating volule" .ill be lubaitted which il prepared by a professional engineer regist~ied in the Stite of Florida prior to perlit iSSUince. A perlit issued shall be construed to be a licensl to prDceed Ifith the Ifork ilnd not al authority to viol~te, cancel alter, uf set aside any provisions of the tecbnical codes, nor shall issuance of a p~rlit prevent the Building Official frol thereafter requiring a correction of errors in plans. construction, or violations of any code. Every perait iss"~d ;ball becol~ inv.lid unless the. .ork authorized by such penit is cOI..need .ithin lill .onths of issuance, or if work autholued by the perlit i~ suspended 01 abandoned f[of a period of sil lonths aner th. tillt the .ork is collenced. One 90 day l!=tii\iioll of tile, lay b~ allowed for the perlit with fee charge of $15.00. lh. ..t.nlion shall be requested in .riting to the Building Official. An approved inspection lust be logged during each si. lonth period, or the project will be considered ~b.l~on.d. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNSV BEFORE RECORDING YOUR NOTIC.E OF.COMMENCEMENT. ~UNDER 52.S00.. IN VALUE DO NOT N~~ORD AND POST A "NOTICE O.F.. CO ENcaT"~__ SIGNATURE~__~~__~----------- SIGNATURE____ -~~-~--------- IIcMcC rty ~ g, .u_ __n'- ~. ~\lIeeAI\y ~ a ~~ " " '\ ~ t(o~ ~~~~nanv t(no,rm DATE \.\ 9'5' IIDarsonal1v Kn~~~___ DATE________ - ~~-------------------- ~----- ~ ---------~~-----~--- NOTARY AS TO '/~\ No~KATHYC. MONTIETH. ,. NOTARY AS TO .tI\ ,. OWNER OR AGENT____~-~-, _~~~~~ CONTRACTOR____ I ~ No.CC43I231 " MY COMMISSION EXPIRES______________________ MY COMMISSION KATHY C. MONTIETH ~at1'IMrI My Comm. Exp. Jon. 3. 1999 No.;.~S.!:U~l____