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Home My WebLink About97-6503 Lj Ii. v~ BUILDING PERMIT N~ CITY OF ZEPHYRHILLS Permit (813) 788-6611 ..... 3.S < t/t) PLUMBING --650313 Date ;L -dK--7 ') BUILDING .-l.5 -~ tJ7J ELECTRICAL 20. cJV MECHANICAL Sewer Conn I j :2 -,;) y - 7' / W"e' Conn' I'~' .;1-.:1:097 Water Meter: T.I.F.'s: p..( -;J.y' - 7 Pmperty owne, '~~ Job Address: ...35. I ~~ _ Pa,cell.D.' dlY- (, ~--~ - 00/00 - 6 7' Zonin~: . X Ene'jY Code: ~ ~ Radon Gas: Description of Work _~ IJ1 ~-L~ ~ .E>1- .J....JI- 9 7 ~ )1f-'n, NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. 3- 3 j- DATE DATE Inspector P.'mit Fe~ t:J. f;z , Signature ~ /\../\1 Company Address Telephone# 4'/k City License Registration # d... 0 I b State Certified License# Valuation or Contract Price ~l 7- 00;) Ie' )JdAJ f2J~cu..vt c? ()~ f~/tf7 ji'/j~/J,l~ t2u% A ~.5- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. 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. AJd, 1-' ;l. -;2 y-- 9 /' 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 ~7z-f'r~ OWNER 'S ADDRES~ / fi,~ L-~ ~ , JOB ADDRESS ~ b C( LEGAL DESCRIPTION: LOT(S) cD 9 PARCEL I.D.' d if -~t, -~ /- !JO&(),.-t)O/OO ~ {;, 9 ;;s-1T d- / ,J/h 1- 00:1.-1, 7e-o 9J>or PHONE BLOCK SUBDIVISION E~I~ (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install _Sign ____Kove ____DeJlolish PROPOSED USE: ____Single Family ____KIF _' of Units ____K/H ____C~ercial _Indust. ____Swia. Pool ___Other ____Restaurant & Health DepartJllent Approval DESCRIPTION OF WORK:n~ (fJ ~jpJ? ~7J7 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 FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ____BUILDING $ 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 ____FrlHle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO BUILDER ~w~ CONTRA,::::ECTIOR a: )~ /\/0 .ffi tt) State Cert. or Regist. f 6 Ovl ~./L- City License Registration . **** ************************************* Signature /' F.T.F.CTRICIAN COMPANY . C ~ ~i:"'-;~d/tdr{ll1 . Lct~~ ~~~\~~:';eO~e:~:~::~i:'" ~************************************** //a..rc>( cI' W"'-;;r <P<-> COIlPAIfY A~c.l~~ ~ '/ I ~ - ~"""'..;J /' ) State Cert. or Regist.' /~'L l. Signature ~.ff U/~4~ity License Registration' / ?..-? ****************************************** / PLUMBER t/' Signature COMPANY State Cert. or Regist. City License Registration f ***********~***************************** ~. MECHANICAL I omRR COMPANY State Cert. or Regist. f Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perait laY be subject to 'deed restrictions" wbicb 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, they lay be required to he 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections' of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber tban 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 perlitting privileges in the City of Zepbyrbills. 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 - HOJeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is sOJeQne 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 cOllenceJeDt. 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 deve,loplent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perait and that all work will be perf oIled 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 goverDIental agencies aay apply to the intended wort, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Aray Corps of Engineers - Seawalls, Docks, Mavigable Waterways t DepartJent of Health & Rehabilitative Services, EnvironJeDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvirODlental 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 "cOlpensating volUle" will be subtitted whieb 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 sball is~uance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball becOle invalid unless tbe work authorized by sucb perlit is cOlleDced within Sil IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of sillOntbs after the tie the work is co.enced. One 90 day extension of tile, laY be allowed for tbe perait with fee charge of tlS.OO.Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eacb sillOnth period, or the project will be considered abandoned. WARMIMG TO OWMER: YOUR FAILURE TO RECORD A MOTICEOF CQMHBRCEIlBtIt' MAY RESULT 1M YOUR PAYlMG TWICE FOR IHPROVBllEll'S TO YOUR PROPERTY. IF YOU ItIt'BHD TO OB'l'AIM FIMAMCIMG, COMSULT WITH YOUR LEIDER OR AM AftORIEY BEFORE RECORDIMG YOUR MOTICE OF ClIlIIDC J()IIS 1IIIlIII12,SOO H VALUE DO HlJ! HEIlD 10 IIICOIlIl ~~~ ArtJRE: COtlt'RAClOR STATE OF FLO~ COUtIt'Y OF ' J-~ The foregoing instrument was acknowledged before me this r::2 - .::2~- , 192..2. by STATE OF FLORIDA COUtlt'Y OF The foregoing instrument was aCknowledged before me this , 19_____ by -aJ\... who is produ as identification and who did/did not ~L<O~~ () YJ1 ~-~. (Signature Ai -<i Jj- J1 / Q. n. c~ t3D ci- V (Name Typed, Print d or Stamped) I NOTARY PUBLIC who is personally known to me or who has produced as identification and who did/did not take an o~th. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ."~'~~";:"'" Nancy A u-. :~F~;""~'!:i~~ . muvuJ :'. 'Ji."'~:~ ~w COMMISSION * CC534806 EXPIRES '~',\>" FebIU8lY 21, 2000 , :":\~9" ilONDED THRlJ TROY FAIN INSURANCE. lNG, K , (p \ I g--t s-./ bq-#- \YK@@ 0 0 A=urnlnurn & Concrete (~ -', .s-/ F \ (.)~ f- (Y), 2'5 6 l '--____.. ...______.._.._ _.u_____ ......... -..- -----,,-""'''-''- /' I / ' r-------. y~~ -"-..:., :;J..D 2-- S C/0 3~ ,.. , =/'-/ ~ 1~() rv p-'. . .J ~\~ r 'Stc'f. 3~ '1 cfi } ) ~,~ ~ . -------..- // '" / \. ~.- . ..........'" ~ 8' s.'