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Home My WebLink About97-6696 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! .6696 'P Date ''I' -,3 0 -9 7 BUILDING ELECTRICAL ~:i) pro""rtyOwno, ~~ Job Address: c S . Gl--- I:I Parcel I. D. # Zoning: ..- K Ener~y Code: "~ Radon Gas: /J _~ "" .- Description of Work -ar~J! .J2..4c~L--I'r. (J ..-~ ~~. MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: FINAL oS - / - DATE 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 Inspector Permit Fee dO' cr-v 5;gno,",0 - c;;:. /~ comparvt1 (/', Address Telephone# Valuation or ~/ A- Contract Price - / t' I City License Registration # ::2.0 ~ '7 , State Certified License# BUILDING ELECTRICAL >>1~ 41~w~f'd PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE~5€./JA I?LA;M Ce/ , OWNER'S ADDRESS 5 7 ~ 2- 7 L.A '7" c./ C;:) I-J / )AIYl; PHONE Co d. ,,"-/' 7'0 F-?d 3/ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION DC:::>VQ PARCEL I. D. t /0 - eX c;;. - ;:2.. ( ~ c) 0 ,/ C) - 0 99' Z? 0 - (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration X'Repair _Install _Sign --"ove _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units XM/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Deparblent Approval DESCRIPTION OF WORK: ,(? C LJ / ;0 €' / ' BUILDING SIZE: X I E X /::>7/~(' 0A-76r G/~e s ,/ Square Feet, Height A~jJ/'p;>C ;;r.. 0 c:> I c;:; /6 " ,. 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 AKP Service Florida Power Corp. W.R.E.C. --"ECHAIIICAL .KPLUMB~NG $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FINISHED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** RT.RCTRICIAR COMPANY State Cert. or Regist. f SignAture City License Registration , ****************************************** PLUMBER COMPANY / d w IJ' State Cert. or Regist. f C Cfi:2 City License Registration f ************************************ MECHANICAL COMPANY State Cert. or Regist. I Signature City License Registration . ***********~****************************** OTIIY.R COMPANY State Cert. or Regist. f Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT 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. The undersigned assWles 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, botb the owner and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) .188-6611. Furtberlore, if the owner has hired a contractor or contractors, he is advised to have tIle contractor(s) sign portions of the "Contractor Sections. of this application for which they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible (or the work. If the contractor wishes 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 , ..~J , D. CONSTRUCTION LIEN unw (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HoIeoIoer's Protection Guide~ prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If tbe applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described docolent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'f 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 I Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no vorl or installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to Jeet 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 goverRlental agencies laY apply to tbe intended vorl, 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 ot Bnvironlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health' Rehabilitative Services, EnvirORlental Health Unit - Wells, Wastewater rreallent, Septic Tanks · US EnviroRlental 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 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~nce of a perlit prevent the Building Official frUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit i88ued ahall beCOl8 invalid unless the work authorized by such per.it is cOllenced within sil IOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of sil IOnths after the tite the work is cOllenced. One 90 day 81tension of tile, IiY 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 tbe project will be considered abandoned. WARKING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENr HAY RESULT IN YOUR PAY'lNG 'flflCH FOR IMPROVIIIBftS TO YOUR PROPERTY. IF YOU IITEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORlEY BEFORB RlCORDIHG YOUR MorICH OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCEMEIT". . I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUITY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUITY 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 bas 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