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Home My WebLink About96-6141 BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 6141f? c9- (,)_ () U ctJ D -- C~~ILDIN0 C~~ECTRIC~ ~B~ P,"perty Owne' ~~~~ 1#- . Job Address: ~ -- - ~ - . Parcell.D, # /1- ;2/,-.:)/-/)0 ID,- D ~ ~() O-D050 Zoning: Energy Code: Radon Gas: Oe,c,;pt;on of :0;/1 ~~~<! ~~ ~':'j NO OCCUPANCY BEFORE C.O. Date If) - !1 - <t b ~!-r'.conn Water Conn: Water Meter: T.I.F.'s: -5~M;t .') ~ tJ&;'JA..- A'~ )ztJ6 FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or ~ Contract Price . -3 ,0 <:: 00- Permit Fee Signature Company 8~:fJ 7 City License Registration # ------ State Certified License# ~ C&t.tYYJ-0. - (2)V'n'1 I ~"' ~ ~ 0... ../"~ Breakers Ducts Insl. Compressor Final BUILDING Ftr,(L6-18;fi W ~r1I8 Pre SLB Lintel FRM. Insul. CL WL ELECTRICAL PLUMBING SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. \ *i D~ ._-- ------ ------- - -- - --~ --.------------J - F~<.-rL 0d4\L- _ Z'-t" I II I C1 ) ft?~ r -- 2- :t4- 5 tLl). i51"h<- , I,')") r -/, -) ~ u.) A\.f J . ,--. 'J /J I) .'Rli -- WA-~ ~HA-lL- ~(. 2.'fcf (bit O;l.... ~ \-bk \)001;) tc.- ~r' plkl~ w "t L.. -S-tnJ c. +u (().. \ uJ'l,l1 .s ~~r"\j .~ ~ pLlfuJMD c I if (:) fl... 0 S 13 I"fi-S +-4'\ ,,- d to D - '- \~\ if ILvU1tj' (t;~ l~ c!)..L Uv (; h-L-V f{.( ~ . R~t6.L-'> ~ ~~ J!/li- vttuJ I.4t-1 J"" 2 y. ~ Yel (oJ Plv\(.... DI\l2...c.f 1-1 L<6\ tas Iio o~ JT) U>'- M~~li+'- W,.~ L8 {{ Df &(lA~,HJ /1 i{ J r /1.A fl/ .5iJlfu-O lL prL.iLs.A>rti. 2 };. P. H rl? H It-J..j- '---------.,- -r:-.. iUYlfUl A C/; 0 trl...J< . ') r J.': 1 p~{)JL 6 ~.eAbl..(~' J 0 I~'f. ....~... - -:tUl PLUMBER / COMPANY ) / ~- /77. f..,\JS1AU..tt-' b N of EJ..,\\!.- +n L tJ 0 r-~nbl~ ()JL LL r2~ L<<- 5<fc..~e. +L F'i-> fiUUb fY(, l I ~>-h. L/cJz~ 5lut.v( ~ ~tL~, d.~ I ~ a1 { u..pfLu.~/(.; L 1/i" ,ur0"[ON ~ t2::U(C.+Yl(, ~c::.-.> Ct-v\.L- u (- '-f O..-d.. \l'\ ~ #- cfJo C._"_ 1"'__.. __ D....._.:__... ..n. APPLICATION FOR PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAME G. c a " -e r c..- I C7\. Y OWNER'S ADDRESS 4 ~ :3 S- - J '1~ .CS+- JOB ADDRESSJ ~ ~ ~ -- (9~ Sf PHONE <)( ('3 I~ ~ \ $~S- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION QARCE~__-..) (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction .)(..Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: LSingle Family _H/F _, of Units _H/H _eo..ercial _Indust. ____Swim. Pool ___Other OESCRIYITOR OF wo;:sta~Oi~t~~~ wb~~,~Y~ BUILDING SIZE: l:1f:t.x ~ tiS re 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. _MECHAIilCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUlWER GORTRA=~:12~In77~ /P ~ '~ State Cert. or egist. t Signature Vj~ City License Registration" ... ......................~.............. ~ F.T.F..CTRICIAN . COMPANY (~~~..LY110 U Si~~~:e ~ ~ ~~~e L~~~ O~:~:~:~~i:n . ** *************************************** ~ COMPAN~~J'"'P??#~~3-?1. (h .-J' State Cert. or Regist. , City License Registration , ****** ********************************** PLUMBER / Signature ~ MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration t *************~**************************** OTRF..R COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fhe undersigned understands that this pemit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lily be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (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 lily be an indication that he 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 "Florida's Construction Lien Law _ HOIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docutent and prOlise in good faith to deliver it to the "owner" prior to co_ncetent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to ohtain a perlit to do work and installation as indicated. I certify that no work or installation has COllenced prior to issuance of a pemit and that all work will be perfocted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI11lental agencies lilY apply to the intended work, 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: * Departtent of Environlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater rreattent * Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Amy Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departtent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater freatlent, Septic ranks * US EnviroDlental Protection Agency - Asbestos abatetent 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 volute" will be sublitted 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 pemit prevent the Building Official frOt thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall becOle invalid unless the work authorized by such perlit is couenced within six IOnths of issuance, or if work authorized by the pemit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tite, lilY be allowed for the pemit with fee charge of $15.00. The .extension shall be requested in writing to tbe Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARNING ro OWNER: YOUR FAILURE TO RECORD A NOrICE OF COHMBHCBMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMmS '1'0 YOUR PROPERTY. IF YOU IlfEIfD fO OBTAIII FIIIAlfCIIIG, COIISOLT WITH YOUR LBIDBR OR All AnORHBY BBFORE RBCORDIIIG YOUR lIarICB OF COHHEIICEHRNT. JOBS UIfDER $2,500 1M VALUE DO IIOT IIEBD TO RECORD AIfD POST A "IIOfICE OF COHHEIICEHRNT". SIGIIATURE: OWNER OR AGENT SIGIIATURE: COIITRACfOR STATE OF FLORIDA COUNTY OF The foregOing instrument was acknowledged before me this , 19____ by STAT~ OF FLORIDA COllNfY 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