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Home My WebLink About96-5980 BUILDING PERMllo CITY OF ZEPHYRHILLS Permit N · (813) 788-6611 ~ 5980 /1 Datil 7 - /~--,7-b BUILDING rfL 6 . en) ~RICY e~' fL .:S Property Owner: 2 '''''.-., .. Job Address: \.. -S--O - ~ ~ I Parcel 1.0. # /1-::16 - J-I- a ~ / () -~/ ~ /J o'~ 0 1/ -S- Zoning: Energy Code; Radon Gas: Description of Work ~~) ~G C:-./<?~~~~ /~ ~ 1ill11.j~Jd~~.1!UI.ri_\~1i"F..,.-..~~l~ NO OCCUPANCY BEFORE C.O. PLUMBING S/J.L7V ~ANiV Sewer Conn Water Conn: Water Meter: T,I.F.'s: <"--"";''/~J .-/~ FINAL 7-{'1-'1 DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee Signatur Compa Address Telephone# Valuation or Contract Price ~ ,~ V, u-u 60 City License Registration # State Certified License# /~~ /'/b 1~-4. "f/ ~ BUILDING ELECTRICAL PLUMBING - MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 PERMIT CITY OF ZEPHYRHILIS BUILDING DEPARTMENT OWNER t S ADDRESS CLIFf ,0 i).. If 50;tlf c-PP'lcL. / '1-tJ.. U' 19~U, PHONE 8)'3 -. 7 f3- 3'1 & 2.. OWNER t S NAKE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL 1. D. f 1/ - ;;J.. "-;;2 ( - 0 O( 0 ~ ( h 0 0 011 S' (OBTAIN FROM PROPERTY TAX. NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair 4-Install _Sign _Move _Deaolish PROPOSED USE: -LSingle Faaily _KIF _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: :r JJ~'1A-u.. ;I.J~ To c/ cO'...rh'4\ L Af r " f-k-A /.""'1 '5., ~7~ . 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 FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. -"ECIIAIilCAL $ ~ 750' ~ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRUCTIOR: _Block _Fraae _Steel Other FIRISHED FLOOR ELEVATIORS: FT. IS PROJECT IR FLOOD ZORE AREA? YES NO ****************************************** CORTRACTOR SECTION Birr' JlER Signature COHPARY State Cert. or Regist. f City License Registration f *********************************** CO ANY S te Cert. or Regist. f IV <;0 ty License Registration . *************************** PLUMBER Signature COHPARY State Cert. or Regist. f City License Registration f *********************************** COHPARY {!/;i/ ; .,If" ~ 1/61 ,i;:~ . State Cert. or Regist. f C!.A D l.I2U"7. City License Registration f ~tJ ***********~****************************** omRR COHPARY State Cert. or Regist. f Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. - CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pemit lay be subject to "deed restrictions" which JaY be lOre restrictive tltan 'City regulations. 'he undersigned assOles 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtheIlOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for wbicb 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 be is not properly licensed and is not entitled to pemitting 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 ftFlorida's Construction Lien Law - HOJeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to couenCMent. 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, zoning, and land developllent. Application is bereby 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 pemit and that all work will be perfoIJed to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developllent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies JaY 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 liJited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Amy Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Vastewater rreallent, Septic 'anks t US EnviroDlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "Aft or "A, etc. ft, it is understood that a drainage plan addressing a .cOlpeDsating volOle" will be sublitted wbicb 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 pemit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pentit issued sball becOJe invalid unless the work authorized 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 IOnths after the tile the work is co.enced. One 90 day extension of tile, JaY be allowed for the pemit with fee charge of $15.00. rhe extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCBMEN'l MAY RESU ING !IIICE FOR IMPROVEMEN'fS ro YOUR PROPERTY. IF YOU IN'lEND '0 OBTAIN FlNAlCING, CONSULT WITH YOUR LENDE AN AT'fORRBY FO RECORDING UR HOT CE OF COMMENCKMEMT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND OST A "NOTICE C 6~ STATE OF FLORIDA f' COUN'lY OF lc/Q.,O Q...J.C) The foregoing instrument was acknowledged before me this Jv....lw lS, 193JGL by \ (' J,~fo '(cl ~, CZppi'd'\ who is personalll knotJii' to. me or who has produced ~ L DR L \ ( E Ul se- as identification and who di4[~I~n~ take~~ (Signa .~~ RHONDA DUNCAN ~~f" '..t~ MY COMMISSION /I CC384519 EXPIRES (Name : F~' ~ PiIj~ NI ~d) NOTARY ~BLIC STATE OF FLORI~ COUNTY OF rr~ CO The foregoing instrument was acknowledged befor~ me this]71/l{ IS, 1910 by {~,~.~ <r).C,Q(~ who is ~ersonally known to me or who has produced " as identification and who did~~ tat an tho - U July 31, 1998 THRU TROY FAIN INSURANCE. INC. or Stamped) (Name Typed, NOTARY PUBLIC