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Home My WebLink About97-6983 BUILDING PERMIT N! CITY OF ZEPHYRHILLS Permit (813) 788-6611 69836 a 0 - cJ7:/ Date 9- /7-- 9'1 ~LD'~) 2-..$ -- o""'?/ 0UMBI~ p,"pertYowne~~~ y;~ Job Address:.3 !) 1'. Parcel 1.0. # L::l--;;l6 _. d-/- b 0 J-D - 01300... 0 ? 7' / ELECTRICAL MECHANICAL Sewer Conn WatlH Conn: Water Meter: T,I.F.'s: Zoning: -jergy ~ oesc~o'" Jf2L .;~,~~ r; R~on~s~ ~ - AA~;dI rU-"4#1 ~~ - .~ NO OCCUPANCY BEFORE C,Q, 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 ~ -:.s. ~} Signature ~ ~, Company Address Telephone# ~? (J~ Valuation or Contract Price b). I u-zr-v - C/""i.) ;' City license Registration # State Certified license# ~ /11.-:' 701t,~_ b.'~~ BUILDING ELECTRICAL PLUMBING MECHANICAL I&!.~ r Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB lintel FRM. 1"- r...q-:> Insul. CL WL SLB Tub Set 10-3.111 /lL;:t 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 ,.1,___. _.L .. - - I.dl _ ($1..-e) shall be made for each trip for each trade: ~t7D a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~~ UJ;:z) 0 ~ '-C' "-.. ~ .:\:; (", ('\ " w ~ ~~ ~ C,' ~ ~,~ ,j '--::-- ~ --'CJ VI t?,,~ ~_ _ "'{: '\,,' '-...i l' C::;. '-..." I 1. ' ,'\ ~ '" \""', ~~ '< ". ~ ~ \ ~ A ..,.1 ~."\,;IU 1111 Jl \If, ~J I : I . , I .' , \;0 .~~ ~~ f'n tA '/)~7'7T b b )i ^ '~.~.'(;~b~ ~ ,h , c:> , . 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A -vf - 7~ P//Yl( /rk?L5,//t:! 3.3.5!/eJ JOB ADDRESS -5/) ML 4..5' 4 ?jc-v:L LEGAL DESCRIPTION: LOT(S) 9~.J1-. /? :21 BI.OCK.-SUBDIVISION Y /.Nt-L//y~ s- A j)j)) J/O/l J PARCEL 1.D.' );)....... ~( -- /) I - 0 6 j(] '- {J /3tJ tJ --CJ9~ I (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration ---.Jtepair ~ta1l APPLICATION FOR PERMIT CITY OF ZEPllYRHILLS BUILDING DEPARTMENT _Sign ---'love _Deaolish PROPOSED~E: ~~eF~i~ _KIF -'--, of Units ---1'l/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: /j /))) S))W~Jf wA/i 7VlbJ)) J~jJ/Jftj,ej) W$t?(j~ ll~??/}Cf ])eeJ?.s I' / / BUILDING SIZE:~b X /79: /(,If' Square Feet. =- Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. COMMERCIAL: ATtACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ .!J. 000 , , Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECllAlUCAL ~UKB~NG $ Valuation of Kechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block -L6raae _Steel Other FIl[[SBED FLOOR ELEVAITONS: 0 Ff . IS PROJECI IN FLOOD ZONE AREA'l ~ YES NO .......................................... CONTRACTOR SECTION RUTT .DER Signature 02 COKPANY ~ "\ State Cert. or Regist. , ).}VI' City License Registration . .......................................... Rl.RCTRIClAN COMPANY State Cert. or Regist. , City License Registration f .......................................... SimlAture PLUMBER f'\ SignaturQ -::r G'~ COMPANY State Cert. or Regist. , City License Registration f .......................................... MECHANICAL COMPANY State Cert. or Regist. . City License Registration . .......................................... " Signature OTR'RR COMPANY State Cert. or Regist. f City License Registration f .......................................... Signature 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 ~y be lOre restrictive than City regulations. The undersigned assUles 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. U the contractor is not licensed as required by law, both the owner and contractor lal 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 the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtberlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wlticb they wiU 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 10U to sign as contractor tbat 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 ~ ~ D. CONSTRUC'rION LIEN Lnw (CHAPTER 713, FLORIDA STATUTES., 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 tbe applicant is SOl8ODe other than the "owner", I certify that 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 AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOIpliance with all applicable laws regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO worl or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to l8et 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 governlental agencies lay apply to the intended worl, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnvironleDtal Regulation - Cypress Bayheads, Wetland Areas and InviroDlentally Sensitive Lands, Water/Wastewater Treallent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviroRl8Dtal Health Unit - Wells, Wastewater Treatlent, Septic lanks t US EnviroRl8Dtal 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 per.it, 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~ce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery petlit issued &ball beCOle invalid unless the work authorized by such perlit is cOll8nced within sil IOnths of issuance, or if work authoriled by the peflit is suspended or abandoned for a period of six IOnths after the U. the work is couenced. One 90 day 81tension of 0., la, be allowed for the perlit 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 sil IOnth period, or the project will be considered abandoned. WARNING TO OIlIER: YOUR FAILURR TO RRCORD A NOTICR OF COHHRNCRHBIIf ItAY RISULT III YOUR PAYING DICK POR IIIPROVIIIIIIS 10 YOUR PROPERTY. IF YOU IIITEND TO OBTAIN FINANCING, CONSULT WITH YOUR LIIDBR OR AN Anon.BY BlPORE RECORDIHG YOUR HOliCK OF ClJIHRNCBHENT. JOBS UNDER '2,500 IN VALUE DO NOT NEED TO RRCORD AND POST A "NOTICE OF COHHRNCEIIIIII". ' ~~'" SIGNArURI: OWNER 0 A T SIGNATURE: CONTRACTOR . I STArR OF FLORIDA -p 4 CooIITY OF ;' ,.5' C. 0 The foregoing instrument was acknowledged before me this , 19____ by STATE 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