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Home My WebLink About97-6418 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 6418/( BUILDING d-D - oi) ~~TRI~ ~opertyOwno' JJ~71~L~1r Job Address: .GJ 6-0 / ? PLUMBING 3c.J - cr-V ~~~ Date l_d-~-/~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: Description of Work Energy Code: A-/ L Yl .R--L.} Radon Gas: ~_.<-~/\~ O~~ ~ ~.: '"~ m~/ NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Valuation or Contract Price ;;L if :? ~ -: crL> Inspector IS 0 Pe'mit Fee ~'-o. 0<:> ~ e==- Signature ~~_~ ~ Company .... City License Registration # 7"/ State Certified License# Address Telephone# ti~Lu 17 J- (J,AcLLxL BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ~ 1-3o-Q7 8GB SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 NAME PHONE OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single Faaily _H/F _, of Units _H/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Deparbaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL ATrACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATrACH (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. _HECHAIfICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUTT.DER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature ~ COMPANY t cL.c~f!... CI:f!n-jV'd,(jL~_E4;"C-7~(<:4'- (c?,1..,T, State Cert. or Regist. . City License Registration . ****************************************** " 7,;{ RT.RCTRIClAN SiQllature ~/r:.c c-t~,-.i:' -7 PLUMBER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. # City License Registration . ************~***************************** Signature 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 peIlit lay be subject to .deed restrictions" which lay be lOre restrictive than City regulations. Tbe 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 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the RContractor Sections. of this application for which tbey 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 lay be an indication that he is not properly licensed and is not entitled to peIlitting 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, bave been provided with a copy of .Florida's Construction Lien Law - HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOJeOne 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 cOlleDcelent. 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, loning, 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 peIlit and that all work will be perforted to aeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in 14e jurisdiction. I also certify that I understand that the regulations of other goveIDJeDtal 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: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treablent t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departtent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US Environtental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "AR or "A, etc. ", it is understood that a drainage plan addressing a .cOlpensating volute" 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 is~uance of a perlit prevent the Building Official frot 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 perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tiae the work is cOllenced. One 90 day l!Itension of tile, lilY be allowed for the peIlit with fee charge of $15.00. Tbe 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 OilNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBKCEMEKT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVBMBIft'S TO YOUR PROPERTY. IF YOU IKTEND TO OBTAIN FI.NANCING, CONSULT WITH YOUR LENDER OR All AnORHBY BEFORE RECORDI.NG YOUR .NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMBNCEMBKT". SIGNA'l'URE: ONIfER OR AGEKT SIGNATURE: COKTRACTOR STATE OF FLORIDA COUKTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument was aCknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC {,. >$..