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Home My WebLink About97-6499 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 6499B Date ,) - ~ 7- 7' ~ ELECTRICAL PLUMBING P<opert\' own~ "B .4/0:'; if Job Address: ~ _ E'-----'-_ Parcel I. D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: JtA;::;~e: Description of Work '==::J -~-1l Radon Gas: FINAL "1 NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE 1ft-{) Inspector Permit Fee ~ tJ. iTV Signature Company Address Telephone# Valuation or Contract Price 6l h 't..J. v-v , City License Registration # State Certified License# ,r2J ~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB S-12.-'1.11'},'~ Lintel - FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Driveway yl1." ~') 0& 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. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. )J ~ fJ-' 3-3-?7 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME PAf;L LMvt,T PHONE '730 - trt 08 OWNER'S ADDRESS JOB ADDRESS ~b~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION~O R>1!1~ PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PRoPOsED:1New Construction _Addition ~teration _Repair ~_Install ......, _Sign _Kove _DeIIOlish _ec:-ercial _Indust. _Swia. Pool ~K/H ~ -\kther ' " . PROPOSED USE: _Single Faaily _KIF _' of Units BUILDING SIZE: x Health Departllent Approval D~tu~ ~y I PM / Height _Restaurant & DESCRIPTION OF WORK: CdA'LWF Square Feet, 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 _BUILDING $ ~64? 60 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Kecbanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** Signature CONTRACTOR SECTION COMPANY_va/) C (JArJT. State Cert. or Regist. . City License Registration . ****************************************** BUTI.DER f6fgo . ELECTRICIAN COMPANY State Cert. or Regist. . Si20ature City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRF.R COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS the undersigned understands that this perlit lay be subject to Ddeed restrictionsD which 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 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 lilY 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. FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions uf the DContractor SectionsD 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 ....r as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOleone- Olher than the Downer", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the "ownerD prior to couenceJent. 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, zoning, 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 COIIenced prior to issuance of a perlit and that all work will be perforJed 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 governJental 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 Iilited to: * DepartJent of EnviroDJental Regulation - Cypress Bayheads, Netland Areas and EnvironJentally Sensitive Lands, Nater/Nastewater TreatJent t Southwest Florida Nater HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways t DepartJent of Health & Rehabilitative Services, Environaental Health Unit - NeIls, Nastewater TreatJent, Septic tanks t US EnvirODJental Protection Agency - Asbestos abateJent I also certify that, if fill lateria1 is to be used in Flood ZOne "AD or "A,etc.., it is understood that a drainage plan addressing a .cOJpeDsating valUle. will be subJitted 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 issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or VIolations of any code. Every perlit issued shall beCOJe invalid unless the work authorized by such perlit is cOJJenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tie the work is COllenced. One 90 day extension of tile, lay be allowed for the perlit 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. NARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCBHElf! MAY RESULT IN YOUR PA lfG ICE FOR IMPROVEMBrS TO YOUR PROPERTY. IF YOU Ilf!ElID 1'0 OBTAIN FINAlCING, CONSULT WITH YOUR LElIDER OR AN ATTORIEY HE CORDING YOUR NOtICE OF COHHBNCEHBlf!. JOBS UlIDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A RNOTICE " SIGIfATURE: OIfIfER OR AGED SIGIfATURE: STATE OF FWRIDA coom OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FWRIDA COUIfTY 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 L0\ 9-~ @ '3lJ ~ I \n,/ ~ - -'- -- - - ,- - - - ,- _'__ _ _ _,_..l.---- _ _ -- - -'- - --'- -,--.~._,---,- --- ~~.:----" ... 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