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Home My WebLink About97-6672 BUILDING PERMIT ,----- :J-D C~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! 66726 Date ~-/(/-<jl Property Owner: Job Address: Parcel 1.0. # Zoning: Description of Work _~- ~-- ~ICAL '1b9'ti!7!j;i:~ O~. Sewer Conn Water Conn: Water Meter: T.I.F.'s: Energy CLZ ~ Radon GC ~ ,.:2 . -L- - ( - ~1 <; :1 "'-? I~;; 'L. -Icf6-1/ ) FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE /"} t'J J#) City License Registration # ~ L~ te Certified License# Permit Fee Signature Company Address Telephone# Valuation or '-t ~ Contract Price ~ D h 0 . BUILDING PLU . ME\..HANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Con st. 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. 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. APR-10-97 10:~1 AM SCHHP~~ LUNSTRUCTION 3525677073 P.02 :'::"':"":::::''''''''''''':'::.:'''' ...i,:,.::.... ....". .".." .1"....." .......................... ...." ...~......."..... , .'....... . ...""....,..,......,..............,". :i;,,'i.. " ,j: ; ,iii, i ,;i:~ ,:: .:;:.;,:;;~ii: ::;: n.:..:: .:.:.::c.:;;:I ~::;;;.I".::"t..lL,,, E;" C::'; ff-..{ d~::~ F,," ~::::. u=;~: c:: It::) I"J :::::;.'']j IF.;.~ I:,,,ll-l' I CJ ~'''~ (:::: (~.') ,. .. " ., '! :1 q 'I :1 'I :[ RESIDENTIAL & COMMERCIAL :i i;' fi." 9 i :~ t (;. r'" ~ t::: Ei l..\ i J ':~ ;i. f'l ~;~ ;;:; J:;, r'''1 'I.; I' ":'" c:: t; (::ll" j.'.;' ~:'~('" j -=:; t i~ t., E:' C) F( '::> ~::. + ~ f'''! (,) C ':JJ'"~ t ~. ~. .;;~ t (~, r-. F' E: ~) (j ~~:~ ~;: ~~ ::: l.~ F.:c. (n)~::':":~:17 '.':1;::: ,; ., " d ,1 '1 11250 South Highway 98, Dad~ City, ~hcne n (352)567-B580 Bonded ~nd Insured F 1 0 I' ida, 3.~,52~5 ,I i i ., i. :, .. I.J i'.: Iv: ,:: : ..".,...................... ,I i:' ti C r .::;,~::, ,.;.::L;;~;.I:,:;.,~;~;.;:.,;:.,;'-'::.:~..;' ""..".., ,",,,.,,,,, t"" .::.:-..:.. ........'..7;-;:;..7 i'" . '? .':.. ;.:.... 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""k?, I( c:: ,':,:h l"I~;;d'!: il.:' i;,,"" 'r': "~~i'c I::,,:~ iN(:,F,:I;,:{.,r",T' ~ I::: D i;);c.:~:,J'iC' :. ..fJ:.Aj~" ,. ... .. ;;,::::.._c;;; c,w .': 1:.:~~' !=::::.:.;:._..t:~.~:.i::, .~~I," I h~C=":...=:'.;:; ;. ., . 1< ,. '-'. r- . l..... -'.., F;:i:~:::"iC';':!"~:h ...~.......'j"~:",-.....::...__-.,.,...:.:......,.,'~..~':';:'i:::;' ~ :C. i',,~.f-':~ ",' '! 1'"C: i."nF)'. ...... ~ .... ('j~ ,:::JI.,:'n:\;.:j;.'~,.,...:..'I:~;~:, ' I .. . " .,......",,/., '.... I'....,;. , . . :~:; l"..~; !;'~ I., l~""~) , !i ,. !r , II ~I.~: (,:; h~ h: I~ \; "1" ".,. TOT ?\L, COST ~ ~~ ~() GO 0'0 -.. .1 ) ,I " l.~ il"" ;;';::-J:".f.~:~I.C[;..ii=.r\..._ F:,c;i_J:ihh::::: (.., i:."",i:-ir:.LE~-.:,:~:\, :1 " ':' ,;~ r", ....~. j" .... ....,."". : L. CON7RACru!,: . b:l C:t r..,.t'~;.' .)n~.... ...'E: 11~ ..'........M..._.........".."."'....'"..'''''........,...",''','''............,.........: :1 ., " ,.. cr. .~. \:.:. ~ .J.~,,/., ,f...?....... ...... '---. .. """" '''."" ,,,,,,w. ."h"'M, ....... ~::,;. :\ I;, i. ~~': !~ .'..J. ~,'.~. ..".,............................__"... ....0. ''''''I'' .,.......",............."............. _.__....._ ~ : ................. .........- "......,...,..........-...... APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE ~~~ 3 ? 13:2-- S en-(/-( 3 '? q "3 A- 3 G il-H,- Ll~ ~ PHONE , 7/S-7;2{)5 OWNER'S ADDRESS Q/v--( . JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. # / c( - 2 G - 2 I - (J C I tJ - CJO I co - ~ b~<r.IN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign ---1fove _Deaolish PROPOSED USE: _Single Faaily _H/F _' of Units _H/H _ec-ercial _Indust. _Swim. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: Fl' . IS PROJECT IN FLOOD ZONE AREA? ..........................*.*.*.********** YES NO CONTRACTOR SECTION BUU.DER COMPANY State Cert. or Regist. # Signature City License Registration # .******..****************.*....*********** RT.RCTRl;CIAN COMPANY State Cert. or Regist. # SianAture City License Registration # *****.*...*.***************.************** PLUHBRR COMPANY State Cert. or Regist. # Signature City License Registration . ***.***...***.*****.********.************* MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration f .***..*...********.***.*.**.*******.****.* OTRRR COMPANY State Cert. or Regist. , Signature City License Registration t .***.****.**.*****.*******.*.**.********** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT - 'A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be lOre restrictive than City regulations. The undersigned assWles responsibility for co.pliance 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 .ay be cited for a lisde~anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departaent, (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 tbe contractor wisbes JOU to sign as contractor tbat 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 L1\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeaNDer'. Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleOne other than the .owner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the "owner" prior to co..encelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' 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, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation bas cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lila regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies lay apply to tbe intended worl, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: · Departlent of EnviroDlental Regulation - Cypress Baybeads, Metland Areas and EnviroDlentally Sensitive Lands, Mater/Mastewater Treatlent · Southwest Florida Mater Hanagelent District - Mells, Cypress Bayheads, Metland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departaent of Health & Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater 'reatleRt, Septic 'ants · US EnvirODlental Protection Agency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "An or "A,etc.., it is understood tbat a drainage plan addressing a .colpensating volUle" will be sublitted whicb 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 tecbnical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Every per.it issued shall beCOll iDvalid unless the work authorized by such perlit is cOllenced within sil IOntbs of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 da, 81tension of tile, IiJ 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 sil IOnth period, or the project will be considered abandoned. WARNING TO OMNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHHNT HAY RESULT IN YOUR PAYING niCE FOR IHPROVIllllft'S TO YOUR PROPERTY. IF YOU INTIlND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIEY BEFORB RBCORDING YOUR RO'lICH OF COHKENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHENT". , I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUlfTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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