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Home My WebLink About97-6491 BUILDING PERMIT N' Permit -. 649115 CITY OF ZEPHYRHILLS (813) 788-6611 Date )_ . :L~'" - f '1 ~~ ELECTRICAL PLUMBING ::~:::,~.:~:J-~:it! Y1f;~Zb- MECHANICAL Sewer Conn Water Conn: ~,'p Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: . <f-X/O ~/ Radon Gas: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Valuation or Contract Price ~S{; . crv Permit Signature Company Address Telephone# City License Registration # State Certified License# /1""W'Yt/L /L. BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 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. s APPLICATION FOR. PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAHB ~~ ~ V lh'2l( lAJiJ OIiIIER'S ADD~S n~ 78 II ~~: ~;'1 Q_ 1o?? 0 JOB ADDRESS nA ~~I _ 1-0 j .it :?9 LEGAL DESCRIPTION: LOT(S) , <9 PHONE (8/5) 7Es - J{,Sj- (i=n fl4d) ;;~ ,;) BLOCK SUBDIVISION PARCEL 1. D. I (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ----^lteration -Repair _Install _Sign _Kove _Dellolish PROPOSED USE: _Single Faaily _KIF _, of Units _K/H _ec:-ercial _Indust. _Swia. Pool ___Other ---.J<esta1lr8llt & B~epar..ent Approval DESCRIPTION OF WORK: is Y. / (). ~ fJ BUILDING SIZE: x Square Feet, 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. PERKITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _KECHAlUCAL $ Valuation of Kecbanical Installation _PLUMBING GAS ROOFING SPECIALTY TlPE OF CONSTRUCI'ION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECI' IN FLOOD ZONE AREA? ****************************************** YES NO .ml~-) llM CONTRA=~OB State Cert. or Regist. I Signatur~ .j, City License Registration I *******.********************************** RT .RCTRICIAN COMPANY State Cert. or Regist. t SiROAture City License Registration I ****************************************** PLUKaER COMPANY State Cert. or Regist. I Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ************~***************************** OTRRR COMPANY State Cert. or Regist. t Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. .:- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this pertit lay be subject to "deed restrictions" wbich 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 bas bired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance with state and local regulations. If tbe 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 the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe 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 wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to pertitting privileqes in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOlM!One other than the "owner", 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 coaencelent. E. CONTRACTOR'SjOWNER'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 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 COIIeDced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land develo~ent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended wort, 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: · Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks · US EnviroDleDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .cOlPBDsating volllle" will be sublitted which is prepared by a professional engineer reqistered in the State of Florida prior to pert it. 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 sball issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOl9 invalid unless tbe work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day extension of tile, lilY be allowed for tbe pertit with fee charge of $IS.00.The extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each six IODtb period, or the project will be considered abandoned. WARMING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COOtENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMmS TO YOUR PROPERTY. IF YOU IM'I'EHD TO OBTAIN FIlWICING, CONSULT WITH YOUR LBNDER OR AN AnORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMDCEMEN'l". SIGNATURE: OWNER 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 wbo is personally known to me or who bas produced as identification and wbo did/did not take an oath. wbo is personally known to me or wbo bas produced as identification and who did/did not take an oatb. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC q fl R 1< J I\J S ~ LOT ~ <J ( \, '" t~ '\ \\, I~ I ;)0 , 310 f b. 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