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Home My WebLink About97-6781 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! 6781[) Date ~-//-7? c9 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Job Address: Parcel I. D. # Zoning: I Energy Code: / Description of Work 1 C L ~ .A" <2- " Water Conn: Water Meter: T.I.F.'s: c) Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. JO-9~ 97 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City license Registration # State Certified license# Inspector '~ Permit Fee - ~ S;gnaMe~ ~ ~ companfl!- J Address u/ Valuation or Contract Price J (7/9 , t:TD Telephone# (/)~Jy\ f? /) BUilDING ElECTRICAL PLUMBING MECHANICAL Ftr. Pre SlB lintel FRM. Insul. Cl Wl Tp. Servo Rough In Meter Can Const. 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPI~IILLS~ BUILDING DBPARTHENT OWNER ~ ~/ ~ JOB LOCATION (59 70 C; ~d'7~oU/7,.;rJ ~oD ___ / PARCEL 1.0. # 1..5-;<r; -.:< / - C)/~c;-CJoooo - ()~7/') SHOH ALL EXISTING & PROPOSED STRUCTURES GIVING DIHRNSIONS & SETBACKS. ~ "'2i ALLEYWAY ACCESS FOR GARAGE OR CARPORT _ 15 FOOT SETBACK REQUIRED. H ou.5 <e.- ~ e I ~ Ct/i A~ ! I I f " v Lj ~I UTILITY BUILDINGS MUST SHOW SiZE & FOUNDATION INFOR- MA'l'ION. FRONT PROPERTY LINE STREET APPLICATION FOR PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT . ;) r' Ol/NER'S - ~h1C6 Y O/!"? r$(YV mONE7d'"<r'-/?/G OWNER'S ADDRESS 3976-C; tIe/lclocvocJcI hC/o JOB ADDRESS ~ ?C;/s&/I/~dwooc/ ~O,p I LEGAL DESCRIPTION: LOT(S) '"'fF7 BLOCK SUBDIVISION /JI/e/lclow OOc! PARCEL I.D.' 13-.2C,~-o/o/O,- 60000 --0070 (OBTAIN FROM PROPERTY TAX NOTICE) .' WORK PROPOSED:_New Construction _Addition _Alteration _Sign _Move _Deaolish _Repair ~Install ~t7r41'/ FeNC~ PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _ec-ercial _Indust. _Swia. 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. _BUILDING $ ~Qo."l> PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL AttP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDfISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** ELECTRICIAN COMPANY State Cert. or Regist. , SignAture City License Registration , ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** MECHANI~ COMPANY State Cert. or Regist. t Signature City License Registration , ************~*.*************************** OTHRR COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this pertit lay be subject to Rdeed restrictions" wbicb JaY be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the-owner bas bired 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for tbe intended work, they are advised to contact tbe City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the "Contractor Sectionsn of this application for wbicb they will be responsible. If you, as tile, owner sign as the contractor, you are indicating that you, ratber tban the contractor, are responsible for tbe work. If the contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of nFlorida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone otber tban the nowner", I certify that I bave obtained a copy of the above described docUJeIlt and prolise in good faith to deliver it to the "ownern prior to COllencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in tbis 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~enced prior to issuance of a perli t and that all work will be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govel1lJelltal agenCies JaY apply to the 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 lilited to: * Departlent of EnvironJental Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater TreatJent * Soutbwest -Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnvironJental Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnvironJental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "An or "A, etc. ", it is understood that a drainage plan addressing a 'cOJpensating volllle" will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior toperlit_ 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 pertit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOJe invalid unless the work autborized by such perlit is cOIIenced witbin six IOnths of issuance, or if work autborized by the pertit is suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, JaY be ailowed for the pertit with fee charge of $15.00. Tbe 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 considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEHf MAY RESULT IN YOUR PAYING TWICE FOR IMPROVBIIBlIl'S TO YOUR PROPERTY. IF YOU IHfEtID TO OBtAIN FINANCING, CONSULT WITH YOUR LENDER OR All AtTORREY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UHDER $2,500 IN VALUE DO NOT HEED TO RECORD AtID POST A "NOTICE OF COMMENCEMENT". SIGNATURE: COHfRACYOR SIGNAtURE: OWNER OR AGEHf STATE OF FLORIDA COUHfY 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. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC