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Home My WebLink About97-6949 BUILDING PERMIT NO 6949E CITY OF ZEPHYRHILLS Permit. · (813) 788-6611 Date r - p- 7 7 iI LJ. c7lJ BUILDING J--S-:cJ'v ELECTRICAL d-S": b7J PLUMBING MECHANICAL Sewer Conn Water Conn: P'operty Owne" ~ - ~ Job Address: -b ~ ../J~ ~ Parcell.D. # Zoning: -J-n..eJPY Code: --:;;t..adon Gas: Description of Work IY/ ~h ):/ ~ -JP; --l' ~~r , / -4~ ~~ //-1'/-97 ~J~~ /1.\3-.s.~}Jn-, NO OCCUPANCY BEFORE C.O. Water Meter: T.I.F.'s: FINAL 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 ~' crD ~ ti Signature It ~A....c e~_ . Company Address Telephone# Valuation or Contract Price ~ City License Registration # y~ State Certified License# BUILDING 9 ~ J;'A-j / '?IJ ELECTRICAL v~~ a1JY PLUMBING yt/AIbrff/tJ 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 r'" J .1:19i ~I-rs ($ -....el shall be made for each trip for each trade: ~-:tJ7) 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE ~ ~ Goss OWNER'S ADDRESS -.5 ~J ~ JOB ADDRESS --r;t-e. LAlit, PHONE 7~J - (1;).. 7? ~ v'lllJje LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED: _New Construction _Addition _Alteration _Repair _Install ~ _Hove _DeJIOlish ~~~~ PROPOSED USE: _Single FaallY _H/F _' of Units _H/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant Ii Health Departaent Approval DESCRIPTION OF 1llIlU(: 1(ff \ AC f.1!) 0\ -{ .. -9 fr\ II b .. Ie. tk ~~ BUILDING SIZE: lOx 35 ~ 3S0 Square Feet, Height RESIDENTIAL: COMKERCIAL : ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~UILDING /' ELECTRICAL PERKITS REOUESTED $ ~).; 00 Valuation of Total Construction (pO AMP Service Florida Power Corp. W.R.E.C. ---?CBANICAL LPLUKBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIliISBED FLOOR ELEVATIONS: FT. 'IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** RITTI.Dg .. CORTRA=::ZT.t.-t;~(d fU:k I!eM~ / /7 State Cer.. or Regi... . $ ~~- City License Registration' _____ ******* ******************************** COKPANY ~ rd 1\'1 ~ I e.. c. State Cert. or Regist. , ':l~ City License Registration , { __ * **************************************** Signature COKPANY e State Cert. or Regist. , City License Registration . ****************************************** CO rt. or Regist. . City License Reg **********~****************************** COKPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RES'l'RICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which aay be 80re restrictive than City regulations. The undersigned aSSU8es responsibility for cOlpliance with any applicable deed restrictions. B. UN~ICENSED' 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 tay be cited for a .Iei.....or .iolatioo oed'r stat. la.. If the owe.r or Intendolcootractor are oecertaio .. to NIot li....ing requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhilll BUilding Departtent, (813) 788-6611. Further.ore, 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 tllan the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the City of Zephyrhills. C. TRANSPQRTATI N IMPACT FEES AND U~'ILITY CONNECTION FEES ".}! D. CONSTRUCTION LIEN LftW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, bave been provided witb a COpy of "Florida's Construction Lien Law _ HoIeowner's Protection Guide~ prepared by the Florida Departlent of Agriculture and ConsU8er Affairs. If tbe applicant is SOIeone other than the "owner", I certify that I bave 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 certify that all the infor.ation in this application is accurate and that all wort will be done in cOlpliance with all applicable laws regulating construction, zoning; and land developlent. I I Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no worl or installation has cOIIenced prior to issuance of a perlit and that all work will be perforted to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber govefDIental agencies aay apply to the intended worl, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: t Departlent ot EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways t De artlent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treattent, Septic lanls t US EnviroDlental 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 "co-pensating vol DIe" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. . A per.it 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 technical codes, nor shall is~u~ce of a per.it prevent the Building Official fIOl tbereafter requiring a correction of errors in plans, construction, or violations 'of any code. Ivery perlit issued shall beCOle invalid unless the wort authorized by such per.it is cOllenced within six IOnths of issuance, or if wort authorized by the perlit is suspended or abandoned for a period of six IOnths after the ti.e the work is COllenced. One 90 day 81tension of tile, I8J be allowed for the per.it with fee charge of $15.00. Tbe 81tension shall be requested in writing to the Building Official. An .approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARHING TO OWNER: YOUR FAILURB TO RBCORD A NOTICE OF COHHBNCEHENT HAY RESULT IN YOUR PAYING rNICE FOR IHPROVEHDrS TO YOUR PROPKRTY. IF YOU IHTEND TO OBTAIN FINANCING, CQNSULT WITH YOUR LINDER OR AN ATTORIKY BKFORIl RIlCORDIMG YOUR MorICE OP COHHKNCBHENT. JOBS R $2,500 IN VALUE DO NOT NERD TO RECORD AND POST A "NOTICE OF COflHIlNCBHEHT". /~fZ~ - . I STATE OF FLORIDA COUHTY OF P A <<) en The foregOing instrument was acknowledged before me this SEPT ~, 1951-. by '-N 8-so J-J --,:: Y /'--f A-JJ who is personally known to me er W~8 has PJ:Muualll as i~~AtifieatieR:and who 444/did not take an oat . STATK OF FLORIDA COUNTY OF .;;> JJ-sc~ c .:> The foregoing instrument was acknowledged before me this &:Pr F , 19-ZZ.. by IUEL<;.nAJ UNA-Ai who is personally own to me CH' ..~ La. predlleed a8 id~Btifigat~9R and who Utd/did not take an o~n/.0:z~ a. &~ (Signature) . CI I (Name ~~7J:lp~~ed ~ S~~~)~61 NOTARY PUBLIC l-~ (Name Typed, Printed NOTARY PUBLIC ...p.Y PU8 +~'\~""t."''' *'.* '" ,. ~ ~"" 1"/ OF f\,ll KATHLEEN J BROWN My Commieslon CC449029 Expir_ Apr.02.1GGG toll' ~/Jq .r::,'.n ('~ ~W: I"t OF f\'\)~ KATHLEEN J BROWN MYCom~~cC44~ Expires Apr. 02.1999 'ij I , I I I I jJpfIfPJ', i .~ (lfiT11 ~p#' I y.3S I ~/fj) e'tP-' II"fdo t /(j!-r G e"LJAM l"1/J# l ~jP - /d/_- /D' ~- -~ 6641/Wf/t7d l~ ~." !o.. __..1_ 7ft- , ~ IIlIL-/A/e Fit- w?" w/ /1LJf/1ce..v13 6f/ 'i ;4l'tJLljJd.51 - iA1r.3; l/tee CA<.e P'14!~