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Home My WebLink About97-6510 BUILDING PERMIT N! CITY OF ZEPHYRHILLS . Permit (813) 788-6611 Date (? -..3 - <7 "1 -- .- 6510 13 ~ ELECTRICAL PLUMBING :~~::,~:~.~ ~ JI-;1;;!r:E- MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel 1.0. # Zoning: Description of Work ( 1er:/ode: ~ I,., . ta)< P- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# 7[) P~rmitFe. ~~ Signature _ __ _ _./ a Company Address Telephone# Valuation or Contract Price b 7"CJ - 0-0 , c-L/~;;/~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. - APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME ;Z) ~& ~ 0IiIIIlR' S ADOIIESs 3~? 6 () JOB ADDRESS ~.-r- .!-~ c,L LEGAL DESCRIPTION: LOT(S) F.41e IPJ Jh9-H C~t /D ~1'1 ~ PHONE 7g~;2 /~ folrJ{ rev: 2310 JJ;~4 BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED :_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _DeJlolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _ec:-ercial _Indust. _Swim. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: % I A.J9;-:;f-cc ~ ~~ BUILDING SIZE: LX '3", ~ Square Feet, bV-s;' ?~$ S~. 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. _BUILDING $ 070 ,cD PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlUSBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO BUTT.nER COMPANY State Cert. or Regist. . City License Registration . ***************************************** CONTRACTOR SECTION S()I.JS~ /!r::.-v1('11I.I(/iY '/0 I Signature F.T.F.CTRICIAN COMPANY State Cert. or Regist. t SignAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF FERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that tbis pemit lay be subject to .deed restrictions. which laY 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 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 laY be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJeDts lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections. 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 as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges 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 that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOJeowner's Protection Guide. prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the DownerD, I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the "ownerD prior to coaencl!Ient. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation 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 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 perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land develo.-ent regulations in th~ jurisdiction. I also certify that I understand that the regulations of other goveIDJeDtal 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 lilited to: t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Amy Corps of Engineers - Seawalls, Docks, Mavigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDJeDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "AR or RA,etc.", it is understood that a drainage plan addressing a uCOlpensating VOlUleR 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a pemit prevent the Building Official frOl 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 cOlleDced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the work is couenced. One 90 day extension of tile, JaY be allowed for the pemit with fee cbarge of $15.00. 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. WARHIMG TO OVMER: YOUR FAILURE TO RECORD A MOTICE OF COMMEMCEMEM'l MAY RESULT IN YOUR PAYIMG TWICE FOR IMPROVEMEMTS TO YOUR PROPERTY. IF YOU III'fEND TO OBTAIM FINBCING, CONSULT WITH YOUR LENDER OR All AnORREY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 1M VALUE DO MOT NEED TO RECORD AIID POST A uNOTICE OF COMMENCEMEIlT". ~ ~.-..,~~.. ..'---", ~- ,- ~ 0~ -.~~ SIGlA~ ... -cc::>_. ,/'SIGIIf."~. __. --- '---...-.-.-. STATE OF FLORIDA // COUNTY OF rR/5 CO The foregoing inst~ent was acknowledged before me this :3 3 , 19-2;2 by STATE OF FLORIDA /J coum OF /' rftc5'" Cd The foregoing inst~~t was acknowledged before me this 2f-2 , 19-U by who is personally known to me or who has produced as identification take an oath. who is personally known to me or who has produced as identification and. ~w~ did/did not take an oath.~ ~ (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLI ,........., KEITH CORREIA f:'t:&If>..r~~?;: MY COMMISSION f# CC 451416 tJ. :,yj EXPIRES: May 13. 1999 ~..",.. '0';"" b......... Thru .......~ PublIc UndeIWll1lr8 "",Rr..r~,'"'' OUIIUVU 1"''''' (Name Typed, Pro NOTARY PUBLIC ""~";"" KEITH C RREIA !~~..~~ MY COMMISSION' CC 451416 J;J exPIRES: May 13. 1999 ....'<f,/ Bonded ThIll NoIIIY PublIc lJIIdeIWI\lIIS u" .,. (RE.SIPEHTlAL USE ONLY) . . ,rARCEL Lb. SEe TWI' RNC -~ SUUU ULOCK :-----:.... LOT I'RO,rEHTY HEASUHEMENT .~y- I!ObP~T. 3Cj- ,E~~.b.. F/f7t/ IPtJ ~ Pr. ~~ CUI(H}::r~T Q\.lNERS DATE ~ All ch"ll\.iings filmll be dr,al/n to Bcale for l1lljillrcels or ,lota five llcres or less. f 50' 5' '7D I'NS //1<-<- ,~ tL /f7tJ CI(bI?- --I ~1q Slf~ J;- ~ ~ \( /tff) K'f(>7?A.J , 5 (4-0 &.., HvTOR..../ ~ <fa SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DDi.E.NSIOHS AND SETlIACKS. ALSO, INDICATE AXY BOVIES Of WATER AND ROAJJ\.lAYS (INCLUDING NAJ1.ES) ADJACENT TO TilE PHOPEHTY. INVIC/ITE THE SIZE, YE.AR, f_"l9 ~.^_'1E: OF MOBILE; SUCH AS 12' ^ 60'. 1981. FLEETwOOD. All "EASEMENTS", "RIGIIT-Of-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. no tlllT r~:rp()^rll j!:Tq ,''IV 1'.....1"11".'1' "1"',. . ...,,,..,..,..,.,