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Home My WebLink About96-6067 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 BUILDING --- PD C:;~.~.~~ ~. " \ . ~ .' . k~ ~tHI:~J c2Je. PLUMBING MECHANICAL Property Owner: Job Address: Parcel I. D. # N! 6067E Permit Date P-~7-9~ . Sewer Conn Water Conn: Water Meter: T.I.F.'s: Inspector Permit Fee ~. Signature~~ __(;.,~ Company Address Zoning: Description of Work FINAL C.O. NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or ~ M Contract Price ;1 City License Registration # State Certified License# 'lbJ-.- Telephone# "7)~AL a~dJ 8hd BUILDI~ ------ PL~- -- ELECTRICAL 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 Driveway --7f€ to.!:J7) I( ~IC~ ~ Breakers Ducts Insl. Compressor Final 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. .. .. ~qjo~ Q~. APPLICATION FOR PERMIT ClTY OF ZEPIlYRlIlLLS BUILDING DEPARTMENT OWN Eli PHONE OWNER JOB AI LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROl)OSED: ____New Construction --^ddition ____Alteration _Repair - Install _Sign ____Move _Demolish PROPOSED USE: ____Single Family -"IF ---- 1t of Units _MIll - Commercial - Indus t . _Swim. Pool _Other ____Restaurant & lIealth Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAl.: COMMERCIAL : ATTACH (2) PLOT PI.ANS & (2) SETS OF BUII.DING PLANS & (1) SET ENERGY FORMS. ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ~LE<'JRICAL AMP Service Florida Power Corp. W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ~LUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _FrUle _Steel Other FINISIIED FLOOR ELEVATIONS: FI. IS PROJECT IN FLOOD ZONE AREA? YES NO ................_.....**..***.....__.**.*. CONTRACTOR SECTION BUIIJ>ER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature ELECTRICIAN. '1 COMPANY IL;?'C Ac-<,r,( ~ ~ L C~-t'c--T c;d'>t.-;(. / / . /' ~ State Cert.. or Regist.. # Si2ll8.tur{~t::..de'<._f/ G."-? .c,~~1' City License Registration # ,(/ /' Z- ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration ## ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration t .*******.*********.********..**.*.***.**** OTIIER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. .n. .NVLll.~ Vi<' Ut.;t.;U H~S'l'RIC1'IONS ~he undersigned understands that-thIS' pel:.lt ]lay besubject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assllles 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 nol licensed as required by law, both the owner and contractor lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lIay apply for the inlended work, they are advised to contact the Cily of Zephyrhills Building Depart.ent, (813) 788-6611. FurtherJlore, 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, ratfler 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 perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida Departlent of Agricultur~ and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I bave obtained a copy of the above described docUllent and prolise in good faith to deliver it to the "owner" prior to couence.ent. 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 compliance 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 per.it and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land deveIopJlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies lay apply to tbe intended work, and that it is IY responsiQility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDJIental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Nater/Nastewater Treat.ent t Southwest Florida Water Hanageaent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Depart.ent of Health & Rehabilitative Services, EnviroDlental H~alth Unit - NeIls, Nastewater TreatJent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatement 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 "colpensating volllle" will be subJlitted 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 frOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within Sil lonths of issuance, or if work authorized by tbe per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tite, tal be allowed for the per.it with fee charge of $15.00. The eltension 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. NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHKNT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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