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Home My WebLink About96-5977 BUILDING PERMIT 0 ~- 7 CITY OF ZEPHYRHILLS Permit N · - 597 _13 (813) 788.6611 Date 'l-/tJ -76 ~~) ELECTRICAL PLUMBING MECHANICAL P,"perty Owne" ~", r1j~~_ . Job Address: 3~_;)""- ~~ _ rJld' Parcell.D. # / J -~h -(J../ - (;) 0 Yo .Jo e 0-.$0 0 - D 0 ~ l) r Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work (" Energy Code: Radon Gas: X R- ~J!.-<~/"{J NO OCCUPANCY BEFORE C.O. FINAL C.O. "7--- ;) 3- {( DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# ;L D. c:rzj Valuation or Contract Price 6SI. 00 ~ ,~ r/X(/7 0Yl/yl -4' A BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 OWNER'S -- ~~.~ til!L OWNER'S ADDRESS 1..?3 --';;.;;1- .;2:J 4L~-::I ~ PHONE 7?~-3}J ?p JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. f (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/H _ec-ercial _Indust. _Swia. Pool f.....45ther _Restaurant &: Health Departaent Approval IJ DESCRIPTION OF WORK~d ...-- BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL 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 AMP Service Florida Power Corp. W.R.E.C. -1IEGllANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF GORSTRUGTION: _Block _Fraae _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA'l YES NO ...*....*.*..**.**.*..**..***.**********.* COR TRACTOR SECTION Signature ~ GOMPARY [; ~ State Cert. or Regist. . . City License Registration f **.**.....* *.********..**..************ COMPANY State Cert. or Regist. t City License Registration t *....*..*.*..***.**********...**.********* RUTT.DER F.T .RGTRlCIAR SiOOAture GOMPARY State Cert. or Regist. t City License Registration t ...*.****.*******.******.*.*************** PLUMBER Signature COMPANY State Cert. or Regist. , City License Registration f .*.********~****.********.**************** KECHANICAL Signature COMPARY State Cert. or Regist. t City License Registration t .*.*.....*...***.*.*.******...*..*.****.*. OTRRR Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to Rdeed restrictionsR which lay be lOre restrictive than City regulations. fhe undersigned assUles 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 lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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- 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 lay be an indication that he 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 - HOI8owner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOJleone other than the .owner", I certify that I have obtained a copy of the above described docuaent and prOJlise in good faith to deliver it to the "ownerR prior to couenc8lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis 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 work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to Jeet 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 governJeDtal agencies JaY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to: I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater freatJent I Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways I DepartJent of Health & Rehabilitative Services, BnvirODJeDtal Health Unit - Wells, Wastewater freatJent, Septic fanks I US Bnvironaental Protection Agency - Asbestos abat8lent I also certify that, if fill Jaterial is to be used in Flood Zone BAR or "A, etc. " , it is understood that a drainage plan addressing a uCOJlpensating volUleH will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perait, 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 perait prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid unless the work authorized by such perait is cODenced within sillOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six IOnths after the tile the work is cOllellced. One 90 day extension of tile, JaY be allowed for the perait with fee charge of $15.00. fhe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IODtb period, or the project will be considered abandoned. WARHING fO OIINER: YOUR FAILURE fO RBCORD A IOTICH OF COMMBtICEMBIff MAY RESUL!' II YOUR PAYIIG flflCH FOR IMPROVEMBIlt'S !'O YOUR PROPBRfY. IF YOU IIffEIfD !'O OBUII FIIfAlfCIIG, CONSUL!' WI'lH YOUR LBIfDD OR All A!'tOmY BEFORE RECORDIIG YOUR 1f000ICE OF COMMEIfCEMBIfT. JOBS UHDER $2,500 IN VALUE DO NO!' NEED !'O RECORD AND POS!' A "NOTICE OF COMMENCEMBIff". SIGJlA'fURB: OWIIER OR AGEIlt' SIGJlAfURE: COIffRACfOR SfATB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19~ by Sf ArE 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC , .. ~6l)s.e -Ff<c -G) L r9 ....n ~ ....-~ IT 0.--7 -) l' (~..~~,_ d i\ ", ~_.._-,.,o . 0 _..,.".,..,- ~ 0'" J- ~ If;) f\J VI ./ EO. Referred By: If LENGTH Sty'e: Size: W'dth Door(s) Type. Vent(s) Type:'6' '((, Opt'ons: Cash Check No. :J. '3 Other Credit Card: F.O. Date Serial No. ,> (H Date Delivered -~'7'8 (FAX) v x Length Roof Windows Size & F'n'sh: ~I..I iHOR,IZED BY: TERMS OF CONTRACT: _% DEPOSIT REQUIRED; BALANCE DUE UPON DElIVERY UNLESS OTHERWISE NOTED. UNITS WILL BE HELDAT SAlES LOT TWO WEEKS PENDING DELIVERY UNLESS PAID IN FUlL THERE WILL BEA 10% CHARGE FORALl CANCELLED ORDERS, AlL BIll.S ARE DUE AND PAYABLE UPON RECEIPT. A 1%% FINANCE CHARGE (PER MONTl-t), WHICH IS AN ANNUAL PERCENTAGE RATE OF 1'% WILL BE ASSESSED ON AlL OUTSTANDING BALANCES WHICH ARE DUE FOR 30 DAYS OR MORE. THE UNDERSIGNED CUSTOMER GRANTS TO TED'S SHEDSAPURCHASE MONEY SECURllY INTEREST IN THE SHEDANOIOR EQUIPMENT DESCRIBEDASOVE, WHICH SHAlL BE DEEMED PERSONAL PROPERTY. TED'S SHEDS SHAlL BE ENTITlED TO RECOVERAlL THE COSTS OF COlLECTION FOR ANY AMOUNTS DUE AND OWING UNDER THIS AGREEMENTS OR IN CONJUNCTION WITH THIS AGREEMENT, INCLUDING, BUT NOT LIMITED TO: ATTORNEY'S FEES, COURT COSTS AND ANY OTHER COSTS OF COlLECTION. WHEN A SPECIFIC PLACEMENT OF A UNIT IS REQUESTED,. THE BUYER ACCEPTS FUll RESPONSIBILllY FOR DAMAGE INCURRED BY OBSTACLES THAT HAVE NOT BEEN REMOVEDAND FOR UNDERGROUND UTILITIES WHICH INTERFERE WlTHANCHOR INSTAlLATION. IT IS AlSO THE BUYERS RESPONSIBllIlY TO ECK N AND COMPLY WITH ZONING AND BUILDING PERMIT REQUIREMENTS AND mY DEED RESTRICTI NS FILE F ECO Sub Tota' Tax B.O.S. Labor Total Deposit Ba'ance DELIVERY. Pink 00