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Home My WebLink About96-5818 BUILDING PERMIT 0 ~... 8 CITY OF ZEPHYRHILLS permitN. . - 581.13 (813) 788-6611 Date S - / tJ - Y .b ~~ ELECTRICAL PLUMBING MECHANICAL ",operty Owne" ~11 ~.JL . Job Address: --373'1" ;;t - ....s _~~ ParceII.D.# 1~-ab~;)J- oOYo-- OOd-OO - t:>Od.- 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~ Code' De",,'pt;on of Wo", 2L . d AA~ 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. ~" <.. NO OCCUPANCY BEFORE C.O. DATE Inspector w~ Permit Fee ..:L o. (J-z) ~ .~ Signatur~1f~ ,..(..---.-:7 ~ ~ Company ,/ Address Telephone# Valuation or Contract Price ~~{)-V. 0-0 City License Registration # / Y Y I State Certified License# fJ/7( J1-11~ BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo 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 ($15.001 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. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT LEGAL DESCRlPTION: LOT(S) PHONE ~ tJ 7 - g;p 3 - SCf 7 J> o 0 ~ 3'.:3S~7"o V3yfr ~~ PARCEL LD..l1-AiZ - ,:) 1- tJoto - O~::,?,oO -DO a", (OB1A1l11 fBOK PJlQPEBTY TAX NQTICEl WORK PROPOSED:_New Construction Addition -----Alteration _Repair _Install s-M A-l/c. L?yjr~~~/' OWNER'S N OWNER'S ADDRf'.C)S BLOCK SUBDIVISION _Sign _Kove _Deaolish v' PROPOSED USE: _Single Faaily _KIF _' of Units ----1l/H _~ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval 7'/ I 'J ' ,A, .... DESCRIPTION OF WORK: tA/~A!f:..,i-1f,t~J If'" CL~<<-7" BUILDING SIZE: X Square Feet, 1/tJ 6'/~' 7:ij Height .r "/ ,/ v 'l,~ It~/ RESIDENTIAL: COMMERCIAL : ATTAcH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~UILDING PERKITS REOUESTED $ 50{). t/t:J Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. ---1IECIIAIIlCAL $ Valuation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY _p.-..e _Steel ,nR;U~ Other./ IS PROJECT IN FLOOD ZONE AREA? TYPE OF CONSTRUCTION: _Block FINISHED FLOOR ELEVATIONS: FT . YES NO ****************************************** /',' '/ Signature""'- . CONTRACTOR SECTION , o COItPANY7?1. If 7'~~'-E ./It<<., State Cert. or Regist. , ~ (7 0 ?l7s-CJ/ ~~City License Registration' /~J' * **************************************** RIJTI.DER SionAture COMPANY State Cert. or Regist. , City License Registration , ****************************************** F.I.ECTRICIAR COMPANY State Cert. or Regist. t City License Registration . ****************************************** PLUKBER Signature COMPANY State Cert. or Regist. f City License Registration , ****************************************** KECHAHICAL Signature COMPANY State Cert. or Regist. t City License Registration t ***************************************.** OTRF.R Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to ndeed restrictionsn which Jay be lOre restrictive than City regulations. fhe undersigned assutes responsibility for cOlpliance 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 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 the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. FurtbeIlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the DContractor Sectionsn 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 wort. If the contractor wishes you to sign as contractor that lay 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, have been provided with a copy of DFlorida's Construction Lien Law _ Hoteowner's Protection Guiden prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleOne other than the Downer", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the "ownern prior to coaenceJent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no work or installation has cOJJenced prior to issuance of a pertit and that all wort will be perforted to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1lllental agencies Jay apply to the intended work, and that 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 Environtental Regulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater freatJent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freattent, Septic fants t US Environtental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone nA" or nA,etc.", it is understood that a drainage plan addressing a uCOlpensating voluteU 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 ffOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued shall beCOle invalid unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if wort authorized by the pertit is suspended or abandoned for a period of six IOntbs after the till! the wort is cOllenced. One 90 day l!Itension of tite, Jay be allowed for the pert).t 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. WARHING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMBNCEMEH'l' HAY RESULf IN YOUR PAYING BICE FOR IHPROVKMBIft'S TO YOUR PROPERTY. IF YOU IH'l'DD '1'0 OBfAIN FlKAHCING, COIfSULf IfIfH YOUR LBJIDBR OR AIf AT'lORm' BEFORE RiCORDllfG YOUR 1f0000ICE OF COHHEIfCIHEH'l'. JOBS UNDBR $2,500 IN VALUE 00 NO'I' NEED fO RECORD AIfD posr A "NOTICE OF COHHEHCEHEIf'lN. ~~ 1~A/UA SI HAM : OWHKR OR GENTpoll 1 C. 7U r r1 € JC- 1=>€- r ,S"OV\ ~ '"1 l~o~...." STA'I'K OF FLORID~ COUIfTY OF rAs &J The foregoing instrument was aCknowledged before me thiYlr It?'#.. , 19~ by M.t w 0 is ersona y own to me or who has produced r as identification and who did/did not take~ath. % .. 1111 (2 n (Signat ~) d...-, Ii tJ ' rt (Name T;:e~, prl~f~~famped) NOTARY PUBLIC """'l~' "~l:"!!\v..~~ JUDY O. PAnam E*f E*! MY COMMISSION # CC369458 EXPIRES '~"" ..,',,~~ May 31, 1998 "'li.fif..~'(..' llONDEo THRu TROY FAIN INSUIlAHCE, INC, l?- I ATURE: CONTRA / F:<- j) If! ,t.. I ::- STATE OF FLO~ COUlf'l'Y OF ~ The foregoing instrument was aCknowledged before me thiS~~/D , 19~ by Ph-Ie. 12 /I//c.fe.r,rtJ ^ who is personally known to me or who has produced F;L. j) ~ ".(., 6 as identification and who did/did not an Oqth. /~./J 'I n~. V "L n-d ~ (Name Ted, Printe or Stamped) NOTARY PUBLIC C- l4t..rle- R N(lkt~ so y> H~.rV ~.-.?~~:t~.,\ JUDYO. PADGm ~;::'~):j MY COMMISSION # CC369458 EXPIRES '~'.....~f,.~ May 31, 1998 '.,9f..r.I." BONDEO THRu TROY FAIN lNSUIWICE, INC. fip~ t)~, SA tiAOJ1..- cf ~ d{ f/~ 'J?- ~ 6' JJ~: 3r83 b SIlL Avp-- ~ <. . ,,-/ / ctJ;r;LitLi /J \ . ;)~~Y:c??-l Vj ~; ~))~ ()~~ soo ~~'~'~~ ~ V ~~ ILl' O~ : V<:'kc(f1~U O~kr ':J~ /I-~ 3713'1:A 5117. AI/v ;Jfl4, 1 uro-Jc : Ey:~ ~ () ~~()o ~rft 4,$ ~~ooo ~..~~ ~~ 1/010 /1 ~;/A, ,) I il . ~~/(; / g <--1 !J c4I}(.