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Home My WebLink About97-6984 BUILDING PERMIT N~ CITY OF ZEPHYRHILLS Permit (813) 788-6611 - 6984.8 Date 9-/j%-?'J 8 ELECTRICAL PLUMBING Pmperty Owne, ~j/O~ - r::-fr ~ JobAddress:c.. '? _iL -- ?1~ --- Parcel I. D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code:. J ?'X/O.../~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. /J- / ?}.. 9 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector L t...... Permit Fee J...J:,'-,: rro ~ Signaturetd.~i<<~-( . ~~ Company Address Telephone# Valuation or Contract Price /95'.07; City License Registration # State Certified License# ~ - BUILDING ELECTRICAL PLUMBING 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 1"1 J II III. _lIwl '" ($ MII!OO) shall be made for each trip for each trade: .;J.J-' VU 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER' S NAKE fA) (, I / I A-rv1 , W, A~~~;) PHONE 7 Sg - ()g-; ) , OWNER' S ADDRESS JOB ADDRESS : 1 gr;;;.. 0 #/9 ~ I ~ ~~ -2 I 4, ( , LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_Hew Construction --Addition ----^iteration ~epair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily ~/F _' of Units _K/D _~ercial _Indust. _Swia. Pool _Other 'I -.(, _Restaurant & Health Departaent Approval DESCRIPTIOH OF WORK: BUlLDIHG SIZE: x Square 'Feet, Height RESIDEHTIAL: COMMERCIAL : ATTACH (2) PLOT PLAHS & (2) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL HEW CONSTRUCTIOH. f ~~LDIHG $ iqq~ PERKITS REOUESTED Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --1IEGIIAIO.CAL $ Valuation of ttechanical Installation _PLUKBING GAS' ROOFIHG SPECIALTY TYPE OF CONSTRUCTIOH: _B1oclt _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IH FLOOD ZOHE AREA? YES NO .......................................... CONTRACTOR SECTION RUTl.DER COMPANY IrV~ t ~ State Cert. or Regist. · Signature . ~4". 1" . U4L~ License Registration . .............**......~.................. RT.R.CTRTGIAN COMPANY State Cert. or Regist. . SignAture City License Registration . .......................................... PLUKBER COMPANY State Cert. or Regist. . Signature City License Registration . .......................................*.* HECBANICAL COMPANY State Cert. or Regist. f Signature City License Registration . ..*..............*.....*.....**.*....*.... OTIIR.R COMPANY State Cert. or Regist. . Signature City License Registration # .............*.*.....**.........**..****.. APPLICATIOH APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands 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 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, botb 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 the City of Zepbyrhills 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 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 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. CONSTRUCTION LIEN L~W (ClmPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant i8 sOleODe other than the "owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to dellver~t tirthe "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 cOlpliance with all . applicable laws regulating construction, loning, and land developlent. , I , Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet 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 otber goverDlentBl agencies aay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilite4 to: * Departlent of EnviroOlental Regulation - Cypress Bayheads, Vetland Areas and EnviroOlentally Sensitive Lands, Vater/Vastewater Treatlent * Southwest Florida Vater Hanagelent District - VeIls, Cypress B~yheads, Vetland Areas, Altering Vatercourses * ArlY Corps of Engineers - Seawalis, Docks, Navigable Waterways * Departaent of Health' Rehabilitative Services, EnvirODleOtal Health Unit - Wells, Vastewater Treablent, Septic Tanks * US EnviroOlental 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 perlit. issuance. . A perlit 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 perlit prevent the Building Official fCOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIldt issued shall beCDII iovalid unless the worl authorized by such per.it is cOIIenced within six IOnths of issuance, or if lorl authorized by the perJit is suspended or abandoned for a period of six IOnths after the tile the work is COllt!Jlced. One 90 day eatension of tile, laY be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned. WARMING TO OIIIIR: YOUR FAILURI TO RECORD A 10TICI OF COHKEICKJlBIT HAY RlSULT IN YOUR PAYING fIIlCE FOR IHPROVIIIBIIS 1'0 1M PROPERTY. IP YOU Itn'KID TO OBTAIN FIIAICING, CONSULT VITH YOUR LENDER OR AN ArTORRKY BEFORI RlCORDIHG YOUR 1I000lCE OF COKMENCKJlBNT. JOBS UNDER $2,500 IN VALUE DO NOT NIED TO RECORD AND POST A "NOTICE OF COHMKNCKKKHT".. . I SIGNATURI: OWNER OR AGEIT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUDY OF The foregoing instrument before me this was acknowledged , 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 bas 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 J~ ~_____jO-::-"~H,""r _~~<~;___ I I ____ .___ III I, ~"---------_.~Y. . 1 t\:i . ;~ I ~ ' ~ ~ ~= .O.i)!, It~! .'0' ,n~I"O~~ II~ ! 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