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Home My WebLink About96-6285 BUILDING PERMIT NO CITY OF ZEPHYRHILLS Permit. (813) 788-6611 .6285/1 Date / I "'cJ~ - 9~ .-.~ BUILDING ELECTRICAL PLUMBING ~ANI~ Sewer Conn Water Conn: Pmperty Owne, fL ~ ~ :2 ~ ,i"'~ U. wafe: Mete< Job Address: .Ji!!i....~ __ _"- T.I.F. s. Parcell.D. # Zoning: Energy Code: Radc)n ~s: Description of Work 'e-~ ~7:::.Lf:' y./ if"";! ~.....~~ NO OCCUPANCY BEFORE C.O. FINAL /.l -.:2 -76 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector~~ Valuation or _ A/' / L.. Contract Price ='7Ln- City License Registration # 1.5-; " State Certified License# Permit Fee blLJ. c./2) Signature ~ p~ Company Address Telephone# ~4~ 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 PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKEZ~p~yrh'l I /j FJ~14- m4,.k~/J;I'IY mSe}o'CPHONE OWNER'S ADDRESS 3 Cf 3310 C} h ,q,vr~ y R ~ 2-t'pk.yr h; 11_,) ,Fc JOB ADDRESS ~ ~ WI <' J4-. ~ A- b () u < LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.,JLJ -J~- .21- ~ODO - ~61l10 - 00 ~ 0 WORK PRoposED:LNew Construction _Addition (OBTAIN FROM PROPERTY TAX NOTICE) _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _CoBBercial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: T,0 s, +\4LL 4 1 c: A LTA tJ k BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL 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. _HECHAIIlCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BITIT.DER. COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature F.T .RCTRICIAR COMPANY State Cert. or Regist. , City License Registration # ****************************************** SiQIIAture PLUMBER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. t City License Registration t *************~**************************** Signature OTRRR COMPANY E Y'Y\? " N' C. ~..s State Cert. or Regist. t City License Registration # J~~J( ************************************** v-~ Signatur APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. ~ NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lOre restrictive than 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 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiretents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (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 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 (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoteowner'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 couencetent. 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 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 goveIDlelltal agencies laY 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 EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departtent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnvirODlental Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "AD or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating volUle" will be subtitted 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 thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid unless the work authorized by such peIlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day l!Itension of tite, laY 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. WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEJIENTS TO YOUR PROPEm. IF YOU IH'l'END TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN ATroRREY BEFORE RECORDING YOUR NOTICE OF COMMENCEMBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUH'l'Y OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC -- \r.J "' r ~ ":2 <.... <:;[ <<:' ..J -.-J o .S'- I ---- I t \ i ~ \ ,~) \ . "- \ 0 ,-r i If) C~f1tJttl'1' ... ....... 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