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Home My WebLink About96-5841 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N · (813) 788.6611 ~~5841? Date )-~ j.!;'- -7-b BUILDING ELECTRICAL GUM~ MECHANICAL P,operty Owne" ~ . ~ ~ ., JobAdd,.." 3 ~ .t'y/.LL}- .:er c1. 7 Parcell.D. # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work Energy Code: J ~ {/Yt~...if '7 -;:t;; _oH - , NO OCCUPANCY BEFORE C.O. FINAL /., b l, D TE 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 tLo - crV Signature Company Address Telephone# Valuation or Contract Price _fA c'3 City License Registration # State Certified License# ~J-fP ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough 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. , .... .... APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME J~~ ~~k' PHONE OWNER'S ADDRESS JOB ADDRESS :,~10.b ~" '~,!~ ~~r LEGAL DESCRIPl'ION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPl'ION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _KECHAliICA.L ~~NG $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. t City License Registration t .......................................... Signature :::IAII ~ =~rt. or Regist. . e V-- City License Registration' .......................................... Signature COMPANY ~()N't'~ {(VU(h/~ State Cert. or Regist. t City License Registration' ~~5 .......................................... PLUKBER KECHANICAL COMPANY State Cert. or Regist. t City License Registration . ...........~.............................. Signature OTHRR COMPANY State Cert. or Regist. . City License Registration t ...............****..****..*.**.********.* Signature APPLICATION APPROVED BY PERKIT OFFICER. " " CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit lay be subject to 'deed restrictions" which lay be lOre restrictive than City regulations. 'he undersigned assutes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe 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 lilY be cited for a lisdeteanor 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 ZephyrhiIls Building Depart:lent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the "Contractor Sections" of this application for which 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 the 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 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 Conslller Affairs. If the applicant is SOROne other than the 'ownet', 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 cOlleDceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developtent. 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 perf oIled to leet 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 governtental agencies JaY apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to: * Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater Treat:lent, Septic 'anks * US EnvirODJeDtal Protection Agency - Asbestos abatelent I also certify that, if fill Jaterial is to be used in Flood Zone "AI or "A,etc.', it is understood that a drainage plan addressing a "cOlpensating volute II will be subtitted wbich 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 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 fIOl 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 sucb perlit is cOlllellced 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 c~enced. One 90 day extension of tile, lilY be allowed for the pe~it with fee charge of $15.00. 'be extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned. WARMING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENf MAY RESUL' IN YOUR PAYING NICE FOR IMPROVEIIDl'S TO YOUR PROPERTY. IF YOU INfEKD TO OBTAIN FlMAlCING, COMSULT WITH YOUR LENDER OR AM Af'l'ORNEY BEFORE RECORDIMG YOUR MorICE OF COMMENCEMENf. JOBS UNDER $2,500 IN VALUE DO MOT NEED TO RECORD AND POST A "NOTICE OF COHMENCEMENf". SIGIIATIIRR: OWNER OR AGENf SIGMATIIRR: CONfRACTOR S'I'ATE OF FLORIDA COUM'l'Y OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC