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Home My WebLink About96-6090 - . BUILDING PERMIT ,0 - 6-0--9- # ~-t; CITY OF ZEPHYRHILLS Pe,m;' N · IlD t!JL 9- (813) 788-6611 CJ _ a -96 !)O Date L 7- - ~ ~ ~.~.sewerconn ~" (j. Water Conn: ::::::,~,:~e' 8 t;::,fJ~;;f~;;;eM1tM -::e:,Mele, Parcell.D. # Zoning: Description of Work NO OCCUPANCY BEFORE e.o. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price DO ~ r]OO' -- , Inspector ~~ . Pe,m;' Fee. ~l./vAt'--L- Signature Company Address Telephone# City License Registration # c:21 ~ ~ertifie~fG{!1),~7[ 7& (, Y~to ~.- ~.. _ UILDING ~I~~- PL~~ ..- -- ~NICAL - !Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S ADDRESS Z87T ~fT!O 70fl G' ~ :? tJ $0 J?J~;Jl /t/}t W C.//..lJ rCLl-J) ~ f rJ fe.e PHONE OWNER'S NAME JOB ADDRESS G/J--L L LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration ---ltepair _Install ASign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H ~ec-ercial ____Indus t. _Swia. Pool _Other ~J-rA(L DESCRIPTION OF WORK: a.. 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 ill:.ELEc:rRICAL $ A o' Itl,,~ ~ Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. ---"ECHAIIICAL $ Valuation of Mechanical Installation _PL~ING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? >< YES NO ****************************************** BUILDER ~ <UlPAIIY 'U ~ State Cer . or Regist. . City License Registration , . ****************************************** rlff: Signature COMPANY State Cert. or Regist. . ~ City License Registration . ****************************************** PLOIBER. COMPANY State Cert. or Regist. . City License Registration . ***************************************..* Signature .. MECHANICAL COMPANY State Cert. or Regist. . City License Registration . *.*****************..**.*.*..**...**...*.. Signature OTRRR COMPANY State Cert. or Regist. , City License Registration t *****.*****.*..******....************.**** Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to Ddeed restrictions" wbich lay be lOre restrictive than City regulations. rhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe 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 laY be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguireJents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 188-6611. 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 perlitting 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 - HOJeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is aeone other than the "owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to cOllenceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infoIlation 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 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 perforled 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 goveIDIeDtal agenCies lay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, WaterfWastewater TreatJent * Southwest Florida Water HanageJeDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater rreatlent, Septic ranks * US EnvirODlental Protection Agency - Asbestos abateJent 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 volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida p'rior 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 frOJ thereafter reguiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid unless the work authorized by such perlit is cOlleDced 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 wort is c~ced. One 90 day extension of tile, lilY be allowed for the perlit 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. WARNING 1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCIHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIEn'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIH FINANCING, COHSULT WITH YOUR LBNDER OR AN AnoRlfEY BEFORE RBCORDIHG YOUR HOTICE OF COHHBHCIHENT. JOBS UlfDBR $2,500 IN VALUE DO HOT NEBD TO RECORD AND POST A "NOfICB OF COMHENCIHEII!". A, Jr~ ;1h~h'JI~ AIGNArURE: OOER OR AGENT SIGHAT~OR STATE OF FLORID~ COUNTY OF I o....S c.. 0 The foregoing instrument was acknowledged before me this t4a v.St 11, 19~ by to ob \ 6J..~ who is personally known to m or who has pro uce as identification take ath. STArE OF FLOR~A coum OF ~~ ( () The foregoing instrument w~s acknowledged before me this A .. I ~, 19 ~ by c<J v~1" C A.o...'C' I ~ P oc) I <L ~o is personally known t~or who has produced as identification id not take an oa.tp. (SigIJature) 'D e.y'\ ~ Q.. '"Zf . H ,. nor" c. A.5. (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) \::) ~'" fo... ~. H. ('n '(f ~c..k.s (Name Typed, Printed or Stamped) NOTARY PUBLIC <:>'\~e.." DENEE J HINRICHS "'w co My Cornminion CC449109 * * Expirei' Mar. 28, 199Q -:. ,. Bonded by HAl -r ~ ,.~ Of f\.ll~ 800-422.1555 <:>'\~e.." DENEE J HINRICHS '" C' My Commlsllion CC449109 * ~ * Expirei' Mar. 28, 199Q -:.~ ~'" Bonded by HAl -r,., Of f\.ll~ 800-422.1556