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Home My WebLink About97-6922 BUILDING PERMIT N! Permit "",............,..., !:;~ ~~' :;s- ~AL CITY OF ZEPHYRHILLS (813) 788-6611 - 692aL5 Date q- 21- 9'7 . ~-- MEt:r4~I'III\..AL -,. Sewer Conn Water Conn: ::~::,::~e', ql1::~ ~;:!t-f:ii{f3~ r4/: Parcell.D. # /1- .!It.- ~?/ -l) 0 I V().~- Ij'YDD'O L/t) Water Meter: T.I.F.'s: Zoning: Description of Work FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or J./... . "t) D Contract Pric "7; lJ 00- City License Registration # ~ / L {) State Certified License# /Y/~ (~f~;'~ (~~. ,Yr/~ f}~';);{; liAr BUILDING ELECTRICALtf 9''7 ,P~G MEC~ICAL -- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final /fJ fY1 ~ 7 M Tp. Servo Rough In '8 (~lh'" 6\)1] Meter Can Const. Pole Pool Pre-Meter JO b,!Q7 fdl Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway F; MJ\ lOhlln L& 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 ZEPIIYRHILLS BUILDING DEPARTMENT . ('L~ '& tr sf/~fe X OWNER' S NAKE 'f OWNER' S ADDRESS '{. JOB ADDRESS S 7 / 1 If A..i7P>0 ; ~ Hi j- ch !(.tJw ; 72 (;/ 3z; /47( s7: Al, qflt:5'T PHONE '7& /:; ?~otl 'f LEGAL DESCRIFl'ION: LOT(S) tf.- i-] BLOCK tJ-b Y PARCEL LD.' 112&.~ Z/OO.' /pc J, tP&'t> 0(;> 'to WORK PROPOSED :_New Construction ~ddition SUBDIVISION (OBTAIN FROK PROPERTY TAX NOTICE) ---..J\lte rat ion ~Repair _Install _Sign ---"ove _DeIIOlish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIFl'ION OF WORK: . - i ~ '\ ~k{ '{BUILDING SIZE: 28 X ~ . ~ 4~ 2...-squa1e Feet. f3 Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED -LBUILDING ~ELECTRICAL --lIECHAIIICAL $ Ii 7.ppp .#,) Valuation of Total Construction AKP Service )t Florida Power Corp. . W.R.E.C. $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING TYPE OF CONSTRUG'l'ION: -LBloclt _Fraae _Steel SPECIALTY Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** Signature CONTRACTOR SECTION COMPANY 1Jl,4"t./L /5/ e:/c{" LI7u-~1 (0 I..tf;~ ~ State Cert. or Regist. . R,f!;. (JOLt ~-pp #: City License Registration' bl-/ & 0 , ****************************************** BIJTl.DER i \ COMPANY M. ,...h~ E:I-L<..--+r-c'r..- State Cert. or Regist. . h 0 City License Registration . ****************************************** COMPANY State Cert. or Regist. . City License Registration . ****************************************** PLUMBER Signature COMPANY State Cert. or Regist. . City License Registration . ****************************************** MECHANICAL Signature COMPANY State Cert. or Regist. , City License Registration . ****************************************** OTRRR Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~ds that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulatIons. The undersIgned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'RACl'on 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 188-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be'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 wishes IOU to sign as contractor that lay be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND U'!'ILITY CONNECTION FEES " " D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOWner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOIeDne other than the "owner", I certify tbat I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllenCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'I' I certify tbat all tbe inforlation in tbis application is accurate and tbat all work will be done in cOlpliance witb all applicable laws regulating construction, laning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or installation bas cOllenced prior to issuance of a perlit and that all work will be perf OIled 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 govefDIental agencies lay 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 liJited to: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Nater/Wastewater Treatlent · Soutbwest Florida Water HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways · DepartJent of Health & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater Treatlent, Septic Tants · US EnviroDlental Protection Agency - Asbestos abat8lent 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 tecbnical' 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. Sverl pt[Iit iBlued &ball becoIe invalid unless the work authorized by sucb perlit is cOllenced within sil IOnths of issuance, or if wort authorized by tbe perlit is suspended or abandoned for a period of sil IOnths after tbe tile the work is cOllenced. One 90 day ezt808ion of tile, lIy be allowed for the perlit with fee charge of $15.00. The eltension sball 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COHHENCEHEHT HAY RESULT IN YOUR PAYING RICK FOR IHPROVIIIDTS TO YOUR PROPERTY. IP 'YOU IH1'END TO OBTAIH FIKANCING, CONSULT WITH YOUR LEHDER OR AN AnORNEY BEFORE RIlCORDIKG YOUR IOllCE OF COHHEKCEHEHT. JOBS UNDER $2,500 IN VALUE DO NOT NEilD TO RECORD AND POST A "HOTICIl OP COHMEHCBIIEH1'". . ~44f SIGNATURE: ONMIlR OR AGIlNT ~~~?P SIGNATURE: CONTRACTOR : I " STATE OF FLORIDA COUH1'Y OF The foregoing instrument before me this was acknowledged , 19_ by STATK OF FLORIDA COUNTY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC --, ,I<:... ~/?f/~ 12 7)1!-1 tv,; 1/ " i'L ~,d.c ? bl./J' 'r,- t_c,.'7'/V ~' 6Ihok-", / I'lle'f of. ~w ;;it; C' j? -ptz; /!. ~ -4- ;? ';.n.. 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