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Home My WebLink About97-6951 BUILDING PERMIT .... .. CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! - 69Sttf Date 9-9-7'/ Yo. 07;) BUILDING 3-S-: irD ELECTRICAL s--.S-:~ PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # ~~~,~~;~~ ~ Water Meter: ~ :'r 78 t. (j~dA1~,-$I')cI!2.1. F.' s: Zoning: ~jnJ1rgy Code: Radon Gas: Description of Work III ~ .).(./'y;o 0 ---;:;r ~.L<~ .f..t?~J-)Y-9') f)JZ~'- lo8~~ 11111 NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# yr Inspector Permit Fee d I O. c-i):2 Signature 12.M./l't.. ~ __ .ilnL ~ Company Address Telephone# Valuation or Contract Price ~ iih/~r:t1~ BUILDING C;L~l~ /7D ELECTRICAL .-- ~ .a !7t?'" PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of . L__.. _.._ __. ...!!..! l_II...s ($ ~l shall be made for each trip for each trade: ~:vtJ 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 ZEPHYRHlLLS BUILDING DEPARTMENT PHONE ;7J>;l- ;(0l7? SUBDIVISION PROPOSED USE: _Sign V;ingle -'love (OBTAIN FROM PROPERTY T~ICE) --...Alteration _RepaAr "1":'"':'Instal4-- fl,.,. efl/ll-C e rtt. e."; J _DeIIOlish _' of Units ~ WORK PROPOSED:_New Construction _Addition F8IIily _KIF _eo..ercial _Indust. _Swim. Pool _Other Re~ .. Health nepar..ent Approval DESCRIPTION OF~: e (J4~d- e{J MtJh/J.e. ~wt-€ BUILDING SIZE: lOx 0/'0. I.foo 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. j'UILDIRG _ELECTRICAL PERMITS REOUESTED $ ~) 5'00 Valuation of Total Construction {PO AMP Service Florida Power Corp. W.R.E.C. ~CBANlCAL _PLUMBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... BUn.DER mllTBA'::';ECll1t-J.er.};e IJ Mob " Ie f/-e ~3 State Cert. or Regist. t City License Registration t 1 ~ ................................... COMPANY ~ ~(" J A f'1 G" I e. e.- State Cert. or Regist. t City License Registration t --116 ................................. COMPANY N e, SOn f<.. State Cert. or Regist. t City License Registration t .......................................... State Cert. or Reg s . Si City License Registration t ...........~..........................**.. Signatur OTHRR COMPANY State Cert. or Regist. t Signature City License Registration t .*.....*.....*****..**.*.....**.*.*******. APPLICATION APPROVED BY PERMIT 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 assUles responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On RESPONSIBILITIES If the owner ,has hired a contractor or contractors to undertake work, they .ay 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents .ay apply for the intended work, they are advised to contact thetity of .Zephyrhills Building Departlent, (813) 188-6611. 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 than 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 perlitting privileges in the City of Zephythills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~", D. CONSTRUC'rION LIEN U\.W (CHAPTER 713, FLORIDA STA'I'UTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is &OIeOne other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to couencelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the infor.ation 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 1 Application is hereby .ade to obtain a per.it to do work and instaifation as indicated. I certify that no wort or installation bas cOllenced prior to issuance of a perlit and that all work will be perfOfl8d to leet standards of all law8 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 the intended wort, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: · Deparllent ot HnviroDlental Regulation - Cypress Bayheads, Netland Areas and HnviroDlentally Sensitive Lands, Nater/Nastewater Treallent · Southwest Florida Nater HanagelentDistrict - NeIls, Cypress Bayheads, Netland Areas, Altering .Natercourses · Ar.y Corps of Engineers - Seawalls, Docks, Navigable Naterways · DepartJent of Health & Rehabilitative Services, BnviroDlental Healtb Unit - NeIls, Nastewater !reatlent, Septic rants · US BnvirODlental Protection Agency - Asbestos abateJent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating vO]Dle" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A per.it 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 tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beOOl8 invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is COlllDced. One 90 day 81tension of tile, IIJ be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. 10 approved inspection .ust be logged during each six IOntb period, or the project will be considered abandoned. NARNING TO OIINER: YOUR FAILURB ..TO RECORD A NOTICB OF COMHBNCBHBNT HAY RBSULT IN YOUR PAYING TWICE FOR IHPROVIIIBD'S TO YOUR PROPBRTY. IF YOU INTIND TO OBT~IN FINANCI,NG,CONSULT NITH YOUR LINDIR OR AN ATTORJBY BIFORE RECORDING YOUR IfO'JICI OF COMHINCiHBNT. JOBS UIDER $2,500 IN VALUB DO NOT NIED TO RICaRD AND POST A "NOTICE OF COHHIIfCIHIHTN. ~~- , I STATE OF FLO~DA . COUNTY OF -=tAs ~ The foregOing instrument was acknowledged before me this~€:?T" ~., 19-'tf by --iJ~~ . KYN-f\N who is personally known to me gr whs bAu pf'8d__ed ~s idQAtifiaati9R and who did{did not take~}~jl,,~~,:9_ ~'N-- (Signature) . 'Q, . K A Tl-4 I FA.) ...:r-, .JJ~.... \rJ (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA COUNTY OF -~ ~S e a-" The foregoing instrumen~as acknowledged before me this ~fJT , 19 q7 by 1\!8-&o~<RYN1\N who is personally known to me 8l' "be II.. produced -as ideRtifieeti6ll and who -4ii.a/did not take ~th. d ~ flih-<.J-!J''', f~ (Signab~h' / ~'3~~.j' -:TH LE:.F=-I\.. ;, \ t-J (Name Typed, Printed or Stamped) NOTARY PUBLIC "..1\1 PI/#, +""n".-.. ~.: """ o~ f\.O~ KATHLEEN J BROWN My CornrniRion CC449029 Elqlires Apr. 02. 1999 ".."1 PI/#, .."" n~... ~iW: I'~ Of f~O"'" KATHlEENJBROWN MYCom~~nCC44~ E/(pJro:, Apr. 02, ,_ _,A1Jl , i '" ;#fJV, i ~) r- ~ , GefJfl I o ! i Hd I ~/~61tf/ V"!"{) j) /d/-r GeAMT/oN 1 ,/~ 'U'l ~ , /d- I ' ~_. ~ ':e.4VW7/~,j ,~ , _.-1__ 1fr i IifltM/~ Fit.... W-r- w/ //LJft1ceA/13 6 Z U) ,4/'tJ<Lo41.6/ - L-o T '-3 I Id ee U1<.e /(/4t{