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Home My WebLink About97-6444 BUILDING PERMIT.. 6. ,V' CITY OF ZEPHYRHILLS Permit N. . 444p (813) 788.6611 Date .-2. -7-r;7 --_.._---_.~ C~ ~SewerConn Water Conn: Property Owner: Job Address: Water Meter: T.I.F.'s: Parcell.D. # /1- ~Io-~J- 00/0 . . . ~ Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL q.., DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. 'Co Valuation or il 0 11' - Contract Price ~.LV- City License Registration # / 9 7~ State Certified License# Permit Fee Signature L------- Company Address Telephone# a:-r;j;;~7/6 u~~ BUILDING : EC~AL ~BING ~ANICAL /' Tp. Servo Rough In Meter Can Const. 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 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 w~en 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. (LUt \,,-t~{" l-' C. SMITH FENCING ~c-\L) ~ ALL TYPES OF FENCING AND REPAIRS 20 YEARS EXPERIENCE .----- INSURED BONDED . LICENSED (813) 715-0561 * ESTIMATE * . J 10 \91 CUSTOMER ~1A} L~~ ~~-~;L '"~ll,J. DATE , 'J.. -1, I -I .. .---~-,-_.---.._. -. " .4-13' '3\~Q 4- 8' 1- ---..J C' 0 u / ')..5 I ESTIMATE j,-,y~t~ J 4- 2. i 0} 4- Ij,-~~ ~~t J~,,^-LI( . O)-'t . '^ I Q.~ (\-~u. . Cill ")'l-o",-':lL L.t- L\- ..A..'--~ l V .~. j '-T, C~~~ u.'~",uz....'Yj::jL( ~L", ;-Y\..(."-LL...V~ I ~~LO'Y' ofr _~~LLW ~" .~. /I Price of all materials and installation included 4. Cj 0 , 0 O. Price guaranteed of estimate for '30 days from above date. All materials and in,stallation guaranteed for one (1) full year. I J Customer Signature I Date Contractor Signature I Date Address: 530 <'i3' 55 :t::h ~ . C. Smith Fencing ~~) , ':1...Q . 5124 16th Street Zephyrhills, FL 33540 Phone: 7~'6- i S-J b (813) 715-0561 APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER' S NAKE PHONE OWNER' S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single F8IIily -----1f1 F _, of Units _M/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Depart:lllent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ ~ 1(90' PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECllAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRUCTION: _Block _Fr8lle _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECf IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACfOR SECTION BUTI.DER COMPANY /1\ C\ ~ Q. t 1 L State Cert. or Regist. . Signature L../"'" ~ ~ City License Registration . ****************************************** RI.RC'l'RICIAR COMPANY State Cert. or Regist. . SignAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this petlit JaY be subject to "deed restrictions" wbich JaY be lOre restrictive than City regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired 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 Olmer or intended contractor are uncertain as to wbat licensing requirelents JaY apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbich 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 be is not properly licensed and is not entitled to petlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleOne other than the "owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to coaencl!lent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developent. \ Application is. hereby Jade to obtain a petlit to do work and installation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a petlit and that all work will be perfoIled to leet 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 goveIDJental agencies JaY apply to the 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 luited to: I Departaent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater TreatJent I Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses I Atly Corps of Engineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks I US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill lateria1 is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan addressing a 'cOlpensating voluaeR will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A perlit 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 tbe technical codes, nor shall is~uance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becoae invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of six IOntbs after the tile the work is cOlleDced. One 90 day extension of tile, JaY be allowed for the petlit with fee charge of $IS.OO.Tbe extension sball 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. tlARHING !O OWRER: YOUR FAILURE TO RECORD A NO'I'ICE OF COMMENCBIlBIlT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHEIlTS TO YOUR PROPERTY. IF YOO IJI'IElfD 'l'O OB!AIM FINAMCIMG, COMSUL! WITH YOUR LEIiDD OR AM AftORHEY BEFORE RECORDIMG YOUR MO'I'ICE OF COMMENCEMENT. JOBS UliDER $2,500 IN VALUE 00 NO'I' NEED TO RECORD AND POST A "NOfICE OF COMMENCEHEIlT". SIGNATURB: OWNER OR AGBIlT SIGNA!URE: COIlTRAC'l'OR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum 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