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Home My WebLink About97-6545 BUILDING PERMIT N' Permit 6545A CITY OF ZEPHYRHILLS (813) 788-6611 Date .3 - I / ..>? 7 c:9' ELECTRICAL PLUMBING pmpertyowne~~ Job Address: _ _ --,--' Parcell.D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T,LF.'s: Zoning: Description of Work J En~rgy Code: ~ Radon Gas: ~/rd NO OCCUPANCY BEFORE C.O. FINAL C.O. 5 11/97 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE / 1'!?CJ Permit Fee <.3 0 . Signature Company Address Telephone# Valuation or Contract Price :1._9 ~~ ~ , City License Registration # State Certified License# 7/ rf cI 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. 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. )Vtt ~3-/cJ--?/ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME mR ~N\(:D a~u Jnore L PHONE ! 4kl.... 8"\L I OWNER t S ADDRESS JOB ADDRESS ~b--H BLOCK SUBDIVISION E ME. fAC-1J P; IJJ IE LEGAL DESCRIPTION: LOT(S) PARCEL I.D,' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---l\lteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single F8IIily _M/F _' of Units _M/H _ec:-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Departaent Approval CDtOctO!TZ- /Dt<., tJL I p",o ( { Square Feet, BUILDING SIZE: x 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. PERMITS REOUESTED _BUILDING $ ~q5 ~ 71D Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECllAlfiCAL $ Valuation of Mechanical Installation _PLtmBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FT, IS PROJECT IN FLOOD ZONE AREA? FINISHED FLOOR ELEVATIONS: YES NO ****************************************** Signature CONTRACTOR SECTION BUTIJ1ER vV,--D State Cert. or Regist. . City License Registration . ****************************************** COMPANY /100 ELECTRICIAR COMPANY State Cert. or Regist. . SianAture City License Registration f ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ***********~****************************** OTRRR COMPANY State Cert, or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDl'l'IONS OF PERMl'!' AFFIDAVIT A" NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. rhe undersigned assDles responsibility for cOlpliance with any applicable deed restrictions. B, UNLICENSED CONTRACTORS AND CON'!'RAC1'OU 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 aay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing requirelents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, (813) 188-6611. 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 tbat you, rather than the contractor, are responsible for tbe work. If tbe contractor wisbes you to sign 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, CONSTRUC'l'ION LIEN U\W (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOKOer's Protection Guide" prepared by the Florida Departlent of ngriculture and ConsDler Affairs. If the applicant is sOleone otber than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to couenCelent. 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. I \ Application is bereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIental agencies lay apply to tbe 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 11lited to: t Departlent of Bnvironlental Regulation - Cypress Baybeads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Yreatlent, Septic Yanks t US EnviroDlental Protection Agency - Asbestos abat9lent I also certify that, if fill laterial is to be used in Flood Zone "AW or "A,etc.", it is understood that a drainage plan addressing a "colpensating volDle" will be sublitted 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eJtension of tile, lilY be allowed for tbe 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 IOntb period, or the project will be consi ered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCHHHNt' HAY RESULT IN YOUR P G FOR IHPROVIIIDIS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULt' WITH YOUR LENDER OR AN AnORIE E HI RDlliG YOUR 1i000lCl OP COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE Ne Nr". SIGNATURE: OWNER OR AGENT . 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