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Home My WebLink About97-7084 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7084 E Date /0 -/b-Y"J BUILDING ~c;~;~ ~ Property Owner: . Job Add,..., <3:1 -:: J 11 '* Parcell.D. # PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: ,;...'f T.I.F.'s: Zoning: t:.J /J. Enlj{gy ~code;~ DescriPtion of Work ~~ __ r (if}f:!!fi(!~ LflPLJli!L<~I~~I7J~ /o::l3/i NO ~CU~NCY BEFORE C.O. I FINAL C.O. Radon Gas: 10(')11 /9'7 D TE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE ~ Inspector Permit Fee ~. t)1..I Signature-1). ~~~ Company Address Telephone# --- ~~It City License Registration # J ~7 State Certified License# Valuation or Contract Price a.tl~ a~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo 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 rur a..J BY. . _8 8dlll!lrs ($......, shall be made for each trip for each trade: .:2.:.~:-Fl> 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 PERHIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT lOT OWNER · S NAKE E rY\ r-.(' ,.j ol. '~<:"1 <= 0 d-.. SA r<"\ ~ LEGAL DESCRIPTION: LOT(S) ~L.( PD i n t -G C by" p. A~<::.t-h\,S.T (....)"'11 7 ( PHONE OWNER' S ADDRESS JOB ADDRESS BWCK SUBDIVISION PARCEL LD.t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:ANew Construction ----..Addition ---..Alteration ---.Jtepair _Install _Sign ~ove _Deaolish PROPOSED USE: _S ingle Family ~/F _' of Units ----.Jl/H _C0B8ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction ~ELECTIUCAL --1fECBANlCAL 100 AKP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature ==~~~~ . COMPANY'l<. c;:2d ~ r ~ State Cert. or Regist. . l:--so"'O~>t:> 'I City License Registration , } g 7 ****************************************** PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration # ****************************************** KECHANICAL COMPANY State Cert. or Regist. I Signature City License Registration , ***********~****************************** OTHER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perait lay be subject to 'deed restrictions' wbich Jay be lOre restrictive than City regulations. 'he undersigned assUles responsibility for COIpliance 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, both the ollDer and contractor lay be cited for a lisdeJeanor 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 DepartJent, (813) 788-6611. FurtherlOre, 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 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 LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOJeowner's Protection GuideN prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the 'oIDeru, I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the Nownerl prior to cOJJenceJent. E. CONTRACTOR'SjOWNER'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, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perait and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in tqe jurisdiction. I also certify that I UJ:Iderstand that the regulations of other goveI1llental agencies JaY 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 lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Vastewater TreatJent t Soutbwest Florida Vater ManageJent District - VeIls, Cypress Baybeads, Vetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable.Waterways t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit . Wells, Wastewater freatJent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateJent I also certify that, .if fill laterial is to be used in Flood Zone NA' 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~uance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall heCOle invalid unless the work authorized by such perlit is cOllenced within Sil IOntbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sillOntbs after the tile the work is cODenced. One 90 day extension of tile, Jay be allowed for the perJit 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 Sil IOnth period, or the project will be considered abandoned. VARHING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMKElICEMEKT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMBlffS TO YOUR PROPERTY. IF YOU IKTEND TO OBTAIN FINAKCING, CONSULTWIfH YOUR LENDER OR AK AnOmY BEFORE RECORDING YOUR MOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AKD POST A UNOTICE OF COMMElfCEMEKTIl. SIGNATURE: OVKER OR AGEKT SIGNATURE: COKTRACTOR STATE OF FLORIDA COUK'lY OF 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC