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Home My WebLink About96-6135 .....0. ~ I-l~ ~_9. --~ C~~~ p~ :::::;,~,:~e' :1l~~~ (i91f:,:~ BUILDING PERMIT N~ CITY OF ZEPHYRHILLS PermIt (813) 788-6611 Date /0 .....1-9ft .61356 M~We'CO"" Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zon;ng' Ene'gy Code' R~' Oe,e';pt;on of w~ <y/l? ~~~~~~:7:,<~ ,~" d1.~ J ~ NO OCCUPANCY BEFORE C.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 Inspector Permit Fee Signature. Company Address Telephone# Valuation or Contract Price ~ . D...:- r Dot)-- , C;ty Ueen,e Reg;'''at;on . ~ State Certified License# CZJ"'h? ~y, (UI_d"'1'e4~ BUILDING ELECTRICAL p~_. --- l'1E~- Ftr. Pre SLB Lintel FRM. /J-.J5-9~eJ(.( Insul. CL WL Tp. Serv, SLB Rough In )'Z~ 2. fD- <i0 f3t')fj Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter 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. BUILDER: Wesleyan Church ADDRESS: 38924 "C" Ave. OWNER: SQ. FT. PRICE LIVING OR MAIN AREA: I N/A ~ $ 35.00 ~ OTHER AREA UNDER ROOF:1 N/A I $ 11.00 ~ OTHER: I N/A I $ 11.00 l SQUARE FEET UNDER ROOF: I N/A ~ VALUATION:I $ 3,000.00 ~ ADDRESS: r N/A DRIVEWAY: I N/A FEES:~ $ 30.00 I BLDG. PLUMB. ELEC. MECH. PERMIT FEES:r$ 45.00 I $ - I $ 29.50 ~ $0.00 3/4" 1" 2" WATER METER SIZE: J $ 165.00 I $ 245.00 I $ 610.00 I $ 840.00 I SEWER WATER METER CONNECTION FEES:I $ - I $ - I $ - I RADON GAS:~ PERMIT FEES: ~ $ CONNECTION FEES:1 $ WATER METER:1 $ TRANSPORTATION IMPACT FEES:I 99% 1% CREDIT: t $ SUB-TOTALf $ IRRIGATION METERI N/A TOTAL I $ N/A 74.50 I - ~ - ~ :~: I N/A . - I 74.50 I I 74.60 , , , . . . APPLICATION FOR PERMIT CITY OF ZEPIIYRlULLS BUILDING DEPARTMENT 'J~ - 'T. C;~ fe t-\ I ~.'3 -1C(o 0 '4.) PHONE 1iJ2- '/ 51 l) e...l.. .>L ~ /) A L-- (,.{ A.~ c~~~ i-c,;4 .5 ~f::l 'I LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # _Sign _Move (OBTAIN FROM PROPERTY TAX NOTICE) ~Alteration _Repair ____Install _Demolish WORK PROPOSED:_New ConstrucLiou _Addition PROPOSED USE: _Single Family _M/p _f of Units _M/H +COIIlIlIercial _Restaurant & _Indust. _Swim. Pool _Other Health Department Approval ,.. , iY\ .t.2..1-\'<;*"'-] l~u..L\A\,^-~ f?e,J' c...lCkl,S .l-onv\A.S Square Feet, to Height DESCRIPTION OF WORK: DO>.J'"'--\-.\.~\..~ I BUILDING SIZE: ~ X3~, RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTA~'I (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED /BUILDING --6LE~7RICAL $ Valuatiou of Total Construction AtIP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRU(.7ION: _Block ____Frm.e ____Steel Other FINISHED FLOOR ELEVATIONS: FI. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY ~ '\ ~\ State Cert. or Regist. , Signature ~ - ~ City License Registration' ****************************************** ELECTRICIAN SiRllature D ~ \: L~ COMPANY ~( State Cert. or Regist. , City License Registration , ** *************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration , ****************************************** OTHER COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. ~. . ' CONDITIONS OF PERMIT AFFIDAVIT "" A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive tban City regulations. The 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.ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, botb the owner and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. Further.ore, 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 wisbes 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 (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida Departlent of AgriculturB and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the . "owner" prior to couencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVI'r I certify that all the inforlation 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 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 goverDlental 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: A Departlent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways A Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatetent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it 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 thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, laY be allowed for the per.it 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 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCHHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHHNCEMENT". 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