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Home My WebLink About97-7104 BUILDING PERMIT 7104 Permit CITY OF ZEPHYRHILLS (813) 788-6611 E Date / 0 -d../ - 7 7 . BUILDING GCT~9 PmpertyOwne' ~Jc! ~.;ii: Job Address: ".-;::. ".il PLUMBING MECHANICAL Sewer Conn Water Conn: Parcell.D. # ,~~~T Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: fJ.a~~ V1~ / -31- r'~ 9;cJ.. Y Yl Jt1 Radon Gas: VJY E c.... I 0 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 Inspector Permit Fee Signature Company Address Telephone# .2---5"': z:rv ().~~ Valuation or Contract Price ,~/* )P-~ , City License Registration # State Certified License# 01fLJ ~ BUILDING ELECTRICAL 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 Ins!. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of r...... J 80. III T ., s ($~) shall be made for each trip for each trade: .:l..6-'tl1:> a. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. vii tI /0-;)./-9>; The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ! ',~' .:' -': ;". - ;i'~r;~-<,>;(.'!' tJ;":{ :;or: ~ ~~: i ,:r,.~ ; ; ;, jT "..}" ,,: i 'J'I E :: 1'1 [+:1 I n ; i (.. ~ 'I.:: ;.._ L. r,.L:I\i r F.'(~;L r:>!:~:;.:;~p" I f T 1 t'-JCi PASCO CO~N1Y, FLORID~ CI.1L Clf.: CJ; .:::11 ::'~:''';.-:;:./:'I .'...__l "')~)(~i.) <)(f 1'.'"'.1(1 .,} L: '."._1 rei: (:;L. (01"\<."::;..11..: j:' C.,:: .!\j-r:::::r:;.' 10. Iii !I.lUI'l I I u. 1,/.':'~~-9F<'-t; :.(.iL ] Ii L.li"~::.T[ r FL. I) F: '.:::; (: r~~ :c r :~j'r I (J I'-,J f' L,. r--~ r.!l' 1'.:1 (,-,~.'1 {:~ !:.l F,' ./ :"., ~:~ C i' .ll-'Ir:rl"-',~\/ {~I(.l. cn..ir'.~'r t'! < _:'-, >:~ !,. )~ ) --.;!::: ',-', \. 1_~ -'.~' 1;:' ..../ .....j......::.. . ,. . ~ -- .-- ,,_. ~., '" ".. '* L:!:"irL,~ t() ';,:~ .}/ ;'JtVIL:: .!. ~ (I I F.'(';(;E: ~ (J~ I '::.,:::;i_.IE~ ',' I ! t. I . . .'....\ ;1 F<l;:.( 'E~: :!: F"r j',J,CJt"1E{F;::~ (>(1 ',,'.r::: '" ..;, -; '. .1..' . c! r. F:" I i_, C: :, fJ ;'~~'j.[I f::. ! ::: ",- APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT JOB ADDRESS LOT OWNER · S NAME E me r " \ A fbL h \----e..- r c>,r rO. OWNER' S ADDRESS ~ q 1.0 0 ~ A hI. --e t- h. y s t W ~t ,-V111l e.- '11 PHONE ''( f&' ~d..JY\ tt il LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.0.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction _Addition _Alteration -3epair _Install _Sign ----1Iove _Deaolish PROPOSED USE: _Single Family ----11/ F _, of Units _M/H _eo.tercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHHERCIAL : ATTACH (2) PLOT PLARS & (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 ~ELECTRICAL 100 AMP Service Florida Power Corp. W.R.E.C. _MECHAHlCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FlHISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. I City License Registration , ****************************************** Signature =~ff~ . COMPANY)( ~ ~ of- ~ State Cert. or Regist. I i:o-SOtPOce. ,/ City License Registration' } g 7 ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration I ***********~****************************** OTHER COMPANY State Cert. or Regist. I Signature City License Registration I ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. . . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to Rdeed restrictionsR 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, both the owner and contractor lilY be cited for a lisdl!leanor 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 Zepbyrhills Building Departlent, (813) 788-6611. FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor SectionsR of this application for wbich 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 wort. If the contractor wisbes you to sign as contractor that lily be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of RFlorida's Construction Lien Law - HOIeOIIDer's Protection GuideR prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeone other than the RomerU, I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the .owner. prior to cOlleDcl!lent. 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 co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in ~e jurisdiction. I also certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnvironJental Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands, Vater/Vastewater Treatlent t Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable,Waterways t Departlent of Health << Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US BnvironJental Protection Agency - Asbestos abatl!lent I also certify that, ,if fill laterial is to be used in Flood ZOne UAR or "A,etc.., it is understood that a drainage plan addressing a .cOlpensating volUleR will be sub.itted 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 perJit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball becOle invalid unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sillOnths after the tile the work is cOllenced. One 90 day I!Jtension of tile, laY be allowed for the perlit with fee charge of $15.00. The I!Jtension 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. VAIUIING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCBHEH'J' HAY RESULf IN YOUR PAYING 'fIUCR FOR IHPROVEMmS TO YOUR PROPER'l'Y. IF YOU IIft'EHD fO OBTAIN FIWCING, CONSULT WIrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENf. JOBS UNDER $2,500 IN VALUE DO NOT NEED fO RECORD AND POST A "NOTICE OF COHMBNCBHEHru. SIGNATURE: OVHER OR AGEHr SIGNATURE: COHrRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by Sf ATE OF FLORIDA COON'l'Y 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