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Home My WebLink About96-5611 ~, l/:::;~ "..,,',;" ,,~._~-~"'.,.~~,/ BUILDING PERMII- CITY OF ZEPHYRHILLS Permit l1! (813) 788-6611 j-5611 Date~-~/--CPh ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Zoning: :::::,:::'"' 6 ~ QI}'~ ~J~ Parcell.D. # (!)"'l- - 2 G, -Z 1-~O!tD - 00 J ~ ~ .-C!J 2. ~~ Energy Code: 2:rn RadFn Ga~; ~~ O/J J) 19/ x~r)' (_r--.JIJ~ 'R~~"'" Water Meter: T,I.F.'s: Description of Work NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signatur Company Address Telephone# Valuation or "'6' ) LI ~~ Contract Price _ -r/L) City License Registration # 3:3 ~ State Certified License# BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo 2- -~7J-/ft Ld2l{-ROU9h 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. OWNER'S ADDRESS APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAIU\ C'n~r l~ b V 1:;; l()~ ~ la~ ~:t PHONE g \ ~j - '7 ~~ - {odOS JOB ADDRESS Coo-aL\- (oo~ L\- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION L~ S()fl PARCEL LD.# D-a - ~<.o- ~l -OO~D- C:CJ\CO -o'Q~ (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED :_New Construction _Addition --..Alteration _Repair _Install _Sign --1Iove _Deaolish PROPOSED USE: X Single Faaily _H/F _' of Units _H/H _ec:-ercial _Indust. _Swim. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Departaent Approval [Jab \ q X 0;0 ~nCJUj.Q I q X CJO I ~o Square Feet, Height BUILDING SIZE: RESIDENTIAL: COMMERCIAL : 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. PERMITS REOUESTED _BUILDING $ 1040 QC) Valuation of Total Construction _ELEC'J"RICAL AIIP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF COBSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IB FLOOD ZONE AREA? YES NO ****************************************** . COIiTllAl<IPR SECTI, B~ lnlPAIIY () L d Co \'1 ztr L-C ct.; f:) () ~ State Cert. or Regist. # Si.~ ~.. City License Registration # 33/.." -. . ~~......................... F.T.RCTRICIAN COMPANY State Cert. or Regist. # SianAture City License Registration # ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** MEGHABlCAL COMPANY State Cert. or Regist. t Signature City License Registration # ****************************************** OTHRR COMPANY State Cert. or Regist. t Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penit laY be subject to Ideed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for COIpliance 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 owner and contractor .y be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents .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 hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections I of this application for which 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 .y be an indication that he is not properly licensed and is not entitled to pertitting 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 "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUll!1' Affairs. If the applicant is SOROne other than the "owner", I certify that I have obtained a copy of the above described docUleDt and prOllise in good faith to deliver it to the "owner" prior to COlleJlcuent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has COIIeDced prior to issuance of a petlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlleDtal agenCies .y apply to the intended work, and that it is If responsibility to identify what actions I lUst take to be in colpliance. Such agencies include but are not lilited to: t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagel8Dt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Any Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviIODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood ZOne IA" or "A,etc.", it is understood that a drainage plan addressing a uCQlpensating volDleI will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 penit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid unless the work authorized by such penit is COlleDced within six IOnths of issuance, or if work authorized by the penit is suspended or abandoned for a period of six IOnths after the tile the work is cOlleDced. One 90 day extension of tile, .y be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OIfNER: YOUR FAILURE TO RECORD A NOTICE OF COIIMDCEMIHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMEITS TO YOUR PROPERTY. IF YOU INTEMD TO OBTAIlf FIIIAlfCING, COliSULT WITH YOUR LBJIDIR OR IJI AnORm' BEFORE RiCORDIlfG YOUR IIOTICE OF COMHEIICEHENT. JOBS UlfDER $2,500 III VALUE DO IIOT NEED TO RiCORD AND POST A "NOTICE OF COMHEIfCEHBNTH. SIGJlA'fURI: OIfNER OR AGENT SIGIIATURI: CONTRACTOR S'I'ATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'I'A'I'E OF FLORIDA COUNTY OF The foregoing instrument 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 oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~I GT.amrad- .;;;;;: lQ1IJP)o ~ ~.NI7#Eb J. """-'.... .. IG 6017 Gall BIY!l"~) ...? - ~ ~ - '1/ (813) 7Il2-~t8eePer -- ~w *- OOl-~-dl-DOW_ . 1- fItlONl DbtOO- O~ao J RE./rJ OV"- Ii .; rj Proverbs ~:2" J08 AT1"ENnoN: We hereby SUbmot SOltCII.e.'-a and est-..,. lor: /'1 )(:;'0 5G46 fbu~ /3E A I /V D /lcJfr) ~ /I IJdl1?E OWAJc"es f.,o/lL ( /J-C(ot...J 05 /J.IVjj fQ././U5f/lCc. Fr~ /JR'C.4 YAel) WI 7 H Cd,IV C IZ< 9'.::: C~ fl1cJuf. e XtS1M,Ja- Btac I::. 1 vI) s "--40 (PAT/o) (!)fE;(/ C'()OC"ec7<:} iI :i f; r jV f;: 70 e/(jTE~ i1 i! '1 :i of !; Pag. - I, 1;: -- - ~ y/I r3.~ i' 4/ p~J ~ " ......... · .. .. ........ All .. ___ .. . ---:- Ill'" ..-.....,__ ""IN, -...... tit ........ --.. """ ........ _ ......... .... ..... ........ ;;;-'.......__ - ........ ..... -.. Will lie -... ...., __ ~...... ...... ......... .... .__. ~. e...... -......... tile --.... All .u..~...._.... __ ............... ....JIII -- -........... 0-. .. -.. .... ........ _ _ ~......... 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