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Home My WebLink About96-6310 BUILDING PERMIT 0 -. ... , CITY OF ZEPHYRHILLS Permit N. 63101'1 (813) 788-6611 PLUMBING 26 . (.7i) ~HA~I~ Date /;) - f' -?b BUILDING ,:) 0 . <..ri) ~~ P<aperty Owno, .k 2 ~ ~ Job Address: t / S -....../ ~ '~ Sewer Conn Water Conn: 6Y~ Water Meter: T,LF.'s: Parcel LD. # Zoning: Energy Code: f- Description of Work '-f1..J-t...J ~ r ~ -4,( p~ .Juw.w ~ --<l~ NO OCCUPANCY BEFORE C.O. ~don Gas: ~~A~ I;I.-'I-PI:, /I}01) Jt 1J1 FINAL 2-5-9 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE 3d permitFee~. trO ~ 5;9nO,",0 ~ &rk~L Company _ Address Telephone# Valuation or Contract Price d.-/ ChJ . cr-O ,/ City License Registration # 7/ State Certified License# t~Af/ J7~ ~-A~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final ~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway Id-4 -9l.o 605 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S ADDRESS 0/0'1 /11;41 ~ f~~~ ~~. ~T- PHONE OWNER · S NAME ifFIV' JOB ADDRESS .0 /S" I LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --..Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Siogle Feaily _M/F _' of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PWT 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. ~CBAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIRISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION RUTI.DER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature :.=:CI.AIf~ ' COMPANY~-i1P(tJ C/C/f/'/ff4-LL fr'?lFc?/e/'CJ;Le4,;JT. , r" / /J /' .0 State Cert. or Regist. t e ~ U4...ccq-a~/ City License Registration' 0 :;'~ , ****************************************** PLUMBER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature HECBAlUGAL ___) ~ .,.,.~,- /' Signatur(:~' ,,/ ,7 ~ COMPANY ~./~./ S S~tate Cert. or Regist. # ~ty License Registration f ****************************************** OTRRR COMPANY State Cert. or Regist. # City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peflit Jay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for COIpliance witb 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 JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtheflOre, 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 JaY be an indication that he is not properly licensed and is not entitled to pertitting 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 - HOJeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture.and ConsUler Affairs. If the applicant is sOJeOne other than the "owner 'I , I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to cOlleDceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoflation 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 Jade 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 peflit and that all work will be perforted 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 goverDJental agenCies JaY 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 liJited to: t DepartJent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODJental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.", it is understood that a drainage plan addressing a .cOJpensating volUle" will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued sball 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 pertit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless the work authorized by such pertit is COJJeDced within six IOnths of issuance, or if work authoriled by the pertit is suspended or abandoned for a period of six IOnths after the tile the work is c~ced. One 90 day extension of tile, lilY be allowed for the pertit 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. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING nICE FOR IHPROVEIIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAMCIMG, CONSULT WITH YOUR LENDER OR AM AftORNEY BEFORE RECORDING YOUR MOTICE OF COMMENCEMENT. JOBS UNDER '2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: O'rIllBR OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC