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Home My WebLink About97-6528 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 - 652813 Date :3 -C:, -7 '? ~~ ELECTRICAL PLUMBING ::",~:::~e6 r, 4/;t CE~ MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcel I. D. # Zoning: Description of Work ];) ~nergy Code: _JvAJ-e~'1 Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector oR Pe'mitFee ~~-:~ Signature / r Company Address Telephone# Valuation or Contract Price II / cr-v - cl-D City license Registration # I G::. 5~ e?- State Certified License# ii-/~ , BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final Ftr. Pre SLB lintel FRM. Insul. CL WL 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. 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 N 5 /071 --if PHONE :7/~J7ol OWNER'S ADDRESS JOB ADDRESS 'J- "2... -J b P J5 if P6 jo ~ LEGAL DESGRIPTION: LOT(S)...J BLOCK SUBDIVISION J Y 5oV) $ () ~ P $":)" ~~ i(~ PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration -.Jlepair Llnstall _Sign _Hove _Deaolish PROPOSED USE: ~ingle Faaily _H/F _, of Units _H/H _eo..ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Departaent Approval s/a.b .fo(' dnVe I/J"t;Y I GlJl.-tC ( r:. t "C ..I ~h"'f , I J~ ,.... , '11 5eff/f (,~~ 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. ~ ! J I t!) () PEBlIITS REOUESTEI! r- 3. 9s'i? 0 D- Valuation of Total Construction I _BUILDING _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ~GllAliICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIRISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO BUILDER CONTRACTOR SECTION ~ COMPANY ;!/(!ort ;II~t~(/M ./ ... . State Cert. or Regist. , ttflfl{ (14 City License Registration , /10 ~2 , t .......................................... Signature RT.RG'1'RICIAR COMPANY State Cert. or Regist. f City License Registration f .......................................... SiR1lAture PLUMBER COMPANY State Cert. or Regist. , City License Registration . .......................................... Signature HECllAlfiCAL COMPANY State Cert. or Regist. . City License Registration f ............~............................. Signature OTRRR COMPANY State Cert. or Regist. , Signature City License Registration I ...............................****.*.***. APPLICATION APPIlOVEo B~QfA/YVI t!d'/}1 ~) PEBIIIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit tay be subject to "deed restrictions" wbicb tay be lOre restrictive than City regulations. The undersigned assutes responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they tay be required to be licensed in accordance with state and local regulations. If tbe contractor is not licensed as required by law, both the mmer and contractor lilY be cited for a tisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguireteDts tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 wbicb 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 tay be an indication that be 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 LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOIeOIIJler's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is soteone other than the Immer", I certify that I have obtained a copy of the above described docutent and prOtise in good faith to deliver it to the "owner" prior to COItellCeteDt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infotlation 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 tade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation has cOlleDced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies tay apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvironteDtal Health Unit - VeIls, Vastewater Treatlent, Septic Tants t US EnvirODlental Protection Agency - Asbestos abatetent I also certify that, if fill taterial is to be used in Flood Zone "AU or "A,etc.", it is understood that a drainage plan addressing a .cOIpeDsating volute. will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit. issuance. . A pertit 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 reguiring a correction of errors in plans, construction, or violations of any code. Every pettit issued shall beCOle invalid unless the work authorized by such pertit is cOllenced 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 c~ced. One 90 day extension of tile, tay 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 .ost be logged during each sixlOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBMCHMm MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMDIS TO YOUR PROPERTY. IF YOU IIIDMD TO OBTAIN FINANCING, CONSULT WITH YOUR LBMDER OR AN AnORMEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMHIICBMEN'f". SIGNAtURE: OWIlER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum 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. 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