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Home My WebLink About96-5655 BUILDING PERMII- CITY OF ZEPHYRHILLS Permit Jl! (813) 788-6611 -;-565513 ~ . ..- Date -.S~;;;l ~9 6> . 0~L~' ELECTRICAL PLUMBING MECHANICAL ~operty Owne'~ (];:r~ + J ~J!-~La- Job Address: ~ !~ _ _ __--C- - Parcel J.D. # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code: Description of wo;;-:;lf J2 . .A-;~ Radon Gas: Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. (p NO OCCUPANCY BEFORE C.O. DATE Valuation or Contract Price ~ g-()7) ~ ~ City License Registration # / 7 tJ / State Certified License# Permit Fee ~.b~ Signature -t ~ CompanyD Address Inspector ~b fJr , Telephone# -Il",~tr'4-~ Jjl~ BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv, Rough In Meter Can Const. Pole Pool ,Pre-Meter Final Ftr, Pre SLB Lintel FRM. Insul. CL WL 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 PERKIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAME ItAJbGL ~ RGI~lL/f ffGr<N/lA/CC2. OWNER' S ADDRESS 612-~' /0 'tI1 )"T- JOB ADDRESS S/ftI16 Z-EPf(, FL~ PHONE 7~?~ - 50 73 53 s-4&T LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROM PROPERTY TAX. NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration ~epair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/B _eo..ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Beight RESIDENTIAL: COKKERCIAL : 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 ~UlLDING $ Valuation of Total Construction. _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. _KECBAII1CAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frlme _Steel Other PDI1SBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COKPANY State Cert. or Regist. , City License Registration , ****************************************** RITTlnER Signature SiROAture COHPANY State Cert. or Regist. t City License Registration t ****************************************** RT.ECTRICIAR COMPANY State Cert. or Regist. , City License Registration . ****************************************** PLUMBER Signature COMPANY State Cert. or Regist. t City License Registration , ****************************************** KECBARlCAL Signature OTRF.R () Signature~ COHPANY State Cert. or Regist. . ity License Registration . *************************************** /70/ 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" which Jay be lOre restrictive than City regulations. fbe undersigned assUJes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas hired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance with state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor Jay be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents lay apply for tbe intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sectionsll 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 wisbes you to sign as contractor that Jay be an indication that he is not properly licensed and is not entitled to perlitting 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, bave been provided with a copy of IIFlorida's Construction Lien Law - HOJeOw.Der's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOIeone other than the lIowner", I certify that I bave obtained a copy of the above described docUJent and prlmise in good faith to deliver it to the "owner" prior to couenCeJel1t. E. CONTRACTOR'S/OWNER'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 develo(Went. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDJental agencies JaY apply to the intended work, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, Water/Wastewater freatJent * Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freablent, Septic fanks t US EnviroDlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "All or "A, etc. II , it is understood that a drainage plan addressing a "cOJpensating volUJe" 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 perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless the work authorized by such perlit is cOJJenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the till! the work is co.enced. One 90 day extension of tile, Jay 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBNCEMBII'l' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMElft'S TO YOUR PROPERTY. IF YOU Ilft'EID TO OBTAIN FIIWfCING, CONSULT WITH YOUR LEIDER 0 All AnORm' BEFORE RECORDING YOUR HOTICE OF COMMENCKMEHT. JOBS UlmER $2,500 II VALUE DO NOT HEED TO RECORD AID T A 'NOTICE OF COMMENCEHElft'''. SIGNATURE: OWIER OR AGElfJ' STATE OF FLORIDA COUll'l'Y 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. STATE OF FLORIDA ~ COUll'l'Y OF '~ 7) The foregoing i strument was acknowledged before me this J - /;2.. , 19 ~ by {~n~~ who is person~ ~ me or who has produced ~~ H./Yrr>-L. as identification who did/did not ta~e oath.l/'Vi 4= ' tilLl-~ (Sig a~~ ' (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC "'1111',,, Nancy A Moody i~.-.r.'t.f~~ . f*: "Ji.'= :*~ MY COMMISSION' CC534806 EXPIRES ~'~''J.f' February 21. 2000 ..."'.f.p.r..~~. BONDED THRU TROY FAIN 1tl9lJRAHCC, INC,