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Home My WebLink About97-6402 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 _n -n./J 6404.0 ~o. (jz) ~0 Pmperty own."7f~Yy~ ~17r Job Address: ? ) . r7 Parcel J.D. # ;2-:J.b .~:;;.I ':S'- cJ Date / - J-:J -17 2o.t)v -~ ~ECT~' PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~gy Code: _~ad?f Gas: Description ~f >fork 'v~ J-l A:.t! dA.A.J.- -41,~VI.!><J ""T- -{.<hL1L f ~ ~ ..,.,.,J,/ ~;.~ NO OCCUPANCY BEFORE C.O. FINAL C.O. 7 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee '//1. ~ Signature ~ ,rl7_~ Company Address Telephone# Valuation or Contract Price <f-7:Tz; . crv City License Registration # State Certified License# (JJr..l'YLLJ -^- /./l..vv-\.o A BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In ,/;; II~ {q 7 f4- Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. \./ 2 "~/ql 110 K 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. "-N -f-., o ~ ~ <:l. ~ ~ ...... ~ ~ n- l^ ~ b " ..... (3 ~ \"i ~ ~ !~ l/\ "- ~. A> C> 0- ~ L ~ '" ~ ~ ( ~ 'A PI 'll\ <- "fl, b- S' c.., '\ [J qu...- JC{K.Lh:'-pTlK-Lt~~ -5ii~'ll..<- .:ptL IfU'::,lC....( led 5;0 ..fk-f ;'IJo p01NT C'-..tol'7 ihr!' I-LooiL L/I>.J n... IN i1-/ti1 wd/ ~p~'1uz... /:> {t/'C(L<- ~ CO ~~-I 1.fA. ~t.... s vI' c.. c!.. '" 0 j- i 2-C.M.rfz:...l{ 'i 6.{.o I..... c<../1 () uf (c: f . :Ii .. , 1-" I' 11t1;. ~ 11'11' \~'I ,.,.._ >1 ( l... "'>,.. """Y- "E'. ~ \.) --' -><.. <- ')~ ~ '-": "" s::. ~ :sf~ <:>:, '" <0 ~ "t"" 1> "1> r r r 1 \) \> ~ -1 ~ , ~ "1 ~ "1 -, '^ ,\) fl\ i~ ~ (]) 0 b :2:.. () l' t'tj ~ y ~ '). \ }. r ~ < \1 11, 'b b n r \"" (\ ft, c ~ 11\ ~ e ~ ~ ~ ~ n ~ Il, 'i fl., " ", -r ~ ..... "7- ;; "'-." ,.., r:\ ~"". ~~~~~~ ~ \- '- 0- '" ... J.S '\ '- ~ - <:t:. N -~. o L -'\ ~ "C b ~ ~ ~ ~ ~ ~ r . :l N '>,. \ \t\ ;n c~ ~)~. \t, ,~ \ ~ ~ t"" ::s 1,: CI) 1 \- - 4- '0 -l N'\ LL t "Z- ~ ~\ ~' \,~ ~ .,., .-\,- J <S- ...., ~~ () J r tl .~ \' ~ ~ >$>- ..\:~ ':S):: "-I"' ~~"- ~ - ~~ o - ~ - -\ r t~ c-. ~\ -- - ~P\ ('-' -- ::t.">< ~ w ~ U\ .... ,. b -+ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT :!F c9/~N;- / -J-) -7'( . // ~~/??~.tft/ t>" PHONE 78~. M3t./ OWNER t S ADDRESS RI~hfJ(l,J d'", m/)~P-l.s ~/ .J 5 f<.o Y I- J- c1i~~Ji"-r . OWNER t S NAME ~ JOB ADDRESS S,o 1'17 to LEGAL DESCRIPTION: LOT(S) J PARCEL I.D.' ~ - Jt~ ,)./- E - !l BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install _Si8!l ---"ove _Deaolish AJ.,f GR.,.fllJ N . PROPOSED USE: +Single Faaily _M/F _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health DepartJllent Approval DESCRIPTION OF WORK: -f !Js1t- L~ (, I--AS~ !AI dvjd()J.!: A N..P PR.-y W-IJ....L. Oq1'SIJJ/:'- WI't-J-:S . BUILDING SIZE: :30 I X 1 ,~7tJ Square Feet,S' 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 -A-BUlLDING -,2L.ELECI'RlCAL $ ~tJb. (}b Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS'PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COKPANY !{ ~ ~ 'l'\\ . State Cert. or Regist. . ~ City License Registration . ****************************************** Signature RToF.CTRICIAB62 . COMPANY ., C\.~ rl\ State Cert. or Regist. t SianAture ~ or ~ City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration , ****************************************** OTRF.R COMPANY State Cert. or Regist. t Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to odeed restrictions" which lay be lOre restrictive than City regulations. 'he undersigned assOles responsibility for coapliance with any applicable deed restrictions. B. UNLIC,ENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITJ:ES. ". If the owner has lJired' 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 asrequiJ:ed. by law;. both .the"01ftle{ and contractor lay be cited for a lisdeaeanor violation under state law. If the owner oC.Intended contractor are uncertain as to what licensing requireaents laY apply for the intended work, they are advised to contact the City of Zephyrhills B~ilding. Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractQr(s) sign portions of the DContractor Sections. of this application for which they will be responsible. If you, as l,be QOeraign"aa 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 perJitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN oLAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of DFlorida's Construction Lien Law - HD*!owner's Protection Guideo prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is sOJeOl1e other than the Downer", I certify that I have obtained a copy of the above described docUlent and prOJlise in good faith to deliver it to the "ownerO prior to cOlleDceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT, . '. '. .... I certify tl)at all the'infomtitm in this application is accurate' and that all 'work will be done in coapliance with all applicable laws regulating construction, zoning, aftdland develo~ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has COIIenced prior to issuance of a perlit and that all work will be perforaed to teet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies laY apply to tbe'intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tants t US Bnvironaental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone oAo or "A,etc.", it is understood that a drainage plan addressing a "coapensating volOle" 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOt thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall beCOle invalid unless the work authorized by such perJit is cOllellced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tile, lily be allowed for the perJit 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. WARNIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMBHCEMBNT HAY RESULT IH YOUR PAYING TWICE FOR IHPROVIHBNIS TO YOUR PROPERTY. IF YOU INTBHD TO OBTAIH FIHAJlCIHG, COHSULT WITH YOUR LBNDER OR AN AftORREY BBFORE RECORDIHG YOUR JlO'IICB OF COHHEHCEHBNT. JOBS UNDER $2,500 IH VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COHMRHCDEHT".. .' , . SIGJlAfURE: omR OR AGENT SIGJlATURE: CONTRACTOR '. , STATE OF FLORIDA COUN'lY OF The foregOing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUHTY 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 bas 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