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Home My WebLink About96-5819 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS permitN. (813) 788-6611 ~ 581~ 13 Date ~<-I 0 -'J? b ~ ELECTRICAL PLUMBING MECHANICAL :~::,::~:J fnb ^"-1-td' ;JA Parcel 1.0. # /;) -~-;l/... () t!) YO - () O;l{)O - 00-30 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoo;og' tie,gy c~ De.cnpdoo of Wo'" k '- ~ - ---;- r Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, Inspector Permit Fee cQ. 0 : o-v \ Signatur~V ~ --~~....... ,.-- Company , I I Address Telephone# Valuation or Contract Price ,.!;J '-CT-zJ. tJ"L:) City License Registration # / ~ Y / State Certified License# 1Jf~i? )t/L.&~ 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 ($15.00) 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 OIlN8R'S _ (~/) 0-/1 ~/.fj (tu'W tV~ ;-"<1 PHO~E ,9.,07 - J'/,s- -8? / CJ OWNER'S ADDRESS 5~3:J~ rIJ $C)K 7St- ~ ~ ~ /l'L. cJ)lc5t6--S- , JOB ADDRESS .$ 933.6 0-M At~- }--R;(ttI&r,JL.Li.J,~.-t. d-:3S-9o , / LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~-Jr/y1 //a~it;;/ PARCEL LD.' /,;).- d.C-a /- 00 f../ 0 ---OO;;{o()-orj3a (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install _Sign _Move _Deaolish ~ PROPOSED USE: _Single Faaily _M/F _' of Units _M/B _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTIOR OF NORK, tc/~17 'If' d1MJ~~/ '70 6 'I L ""'14M / (/ BUILDING SIZE: X Square Feet, Height ffl# ~ /7 " ~ d~dM 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. V _BUILDING PERMITS REOUESTED $ 5ot..'J,00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY _Fr8lle _Steel -:P/~...~}4U~ Other / IS PROJECT IN FLOOD ZONE AREA? TYPE OF CONSTRUCTION: _Block FINISHED FLOOR ELEVATIONS: FT . YES NO ****************************************** I' RunnER CONTRACTOR SECTION COMPANY :1J1. if: 72u' ~>14t:1/J k- State Cert. or Regist. . t2. City License Registration . ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. f City License Registration , ****************************************** SiQllAture PLUMBER COMPANY State Cert. or Regist. t City License Registration t ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. t City License Registration . ****************************************** Signature OTRRR COMPANY State Cert. or Regist. f City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this perait laY be subject to "deed restrictions" wbich laY be lOre restrictive than City regulations. Tbe undersigned assutes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired 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 lilY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (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 Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for tbe work. If the contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to peraitting privileges in the City of Zephyrbills. 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 - HOIeOImer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleOne other than the "owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to cOllBDcelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify tbat 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 bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOIIenced prior to issuance of a perait and that all work will be perforaed to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDleDtal agencies lay apply to the intended work, and that it is If responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lillited to: t Departlent of EnviroDlBDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater freatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - NeIls, Wastewater freatlent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a ucOlpensating volllle" will be subJIitted which 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 witb tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becoae invalid unless the work authoriled by such perlit is COllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the work is cOlleDced. One 90 day extension of tile, lay be allowed for the pera,it 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. WARMING fO OIIlfER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCEHEIIf HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IIIfEND TO OBTAIN FINANCING, CONSULT WIfB YOUR LODER OR AN AffORlBY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UlfDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMEMCEHEMf". ~J~~ S AT HE: COllfRACfO 4VY Ie F Nt~K err;, () 'h. STATE OF FLOR~ coum OF .J eo The foregOing instrument was acknowledged before me thisH#tj /0 , 19~ by ~l'11 E 'lurne/ who is pers ally known to me or who has produced lln'l d{, as identification and ho did/did not take~~~~. . (Sign~re) /~ j e%T", - ~/~ () rr~, (Name Typed} Printed o~ Stamped) NOTARY PUBLIC ........,. JUDY O. PADGETT l;:&!!\"rv..;~\ m COMMISSION' CC369458 EXPIRES :*: :*: May 31. 1998 k~ .~J.i "IN IN$IJAANCE,I~. -'11', .~.. BONDED tHRlJ TROV .~ '~'I~Rf.~"" STATE OF FLORIDA coum OF fJM6-0 The foregoing instrument was acknowledged before me this , 19_____ by .tl#'/ ~ ~ atlc~4-J ~ ~ who is personally known to me or who has produced as identification and who did/did DOt ta~, oa h. ~ Q . >/y- (Si9!liJ~~t '/1, / ~ Ju /) R-eJ& e ~l (Name T ed, pri~d or Stamped) NOTARY PUBLIC "-;;"l;'~',, JUDY 0, PADGETT " l~:&'''. ~\ uv COMMISSION' CC369458 EXP!RE', ".' ... I'IIT 998 ~~ :.~ May 31,1 \r.i'.....~i 80NDED THRU TROV FAIN INS\JIWlCt, 1Nt: "p,,,,~"