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Home My WebLink About97-7107 BUILDING PE.RM!! 710~ CITY OF ZEPHYRHILLS (813) 788~6611 Date /t) ~J- 97 , /----\ ( ~ __ ELECTRICAL PLUMBING MECHANICAL ::~:::,~:~e~;. ~~Af:;~1f1:~/Ar'("_ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: DescriPtion of Work d:-e~~ Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. 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# Valuation or d) j 0 i> Contract Price ~) /5 7 . - City License Registration # ,//1 State Certified License# \ ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB IOt1/) ('t 1 Lintel FRM. Insul. CL WL &;t( Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($1-5":00') shall be made for each trip for each trade: ~~--;tTD 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. 3('/ ~ / 5 J. ~ 2JZ. 1 , , i I I I , I ! I I I I i I i I i I I I ! i I i i I ! I i I , I \ , I i I ! tJ.li i /- 12 / I I r;J~ I I LS/J ltr ~ I I I : I I ; I j j i i , , I i I I 1 ! i ! i i i j 1 I I i i i ~ \ , ! i I . "'~ "- '- I , , '..i -~ " r--~~~~~~~~ , j , 1 I I , ! ! I i j i ~ I ! I i i i . I i i , , I I ! 1-/ I i i I I I ~ I ! I i I i , I , , i. i" I -:J f"=J" i I i i I i ! , i ! i i ! i i i i 1 I I i I I 1 ,Ii k I I I I I i , , i I .I .i I I ~ ' i i 1 I 1 I i i I i I I I I ! i i1 J , .I/~ ! / i/ l// 11 f\. {1'1 Its ;-=1,tlC )fG~ /... [) T ? t. /456 562. rT, J6 '1"OS. vr,-Z / g~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS nR f MR5 PI<. eriE-a ';:P1EI?JlLD /"0./).)) .AT) r ? c,. PHONE APPLICANT OWNER JOB LOCATION ;;:;/YTEI?J}jj) ;:?o/tVTLoT?t- LOT SIZE~ xtS AREA SQ.FT.""3h" LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4~ / Z 2.X /;:3 ..s Ln.13 WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install ____Sign/Temp. ____sign ____Move. ____Demolish c PROPOSED USE: ____Single Family ~/F ____# of Units -----H/H ____Commercial ____Indust. . ____Swim. Pool Other ____Restaurant & Health Department Approval 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.** **COPY OF CONTRACT REQUIRED. ' PERMITS REQUESTED ____BUILDING ~ELECTRICAL $ 2/8-1, [/0 Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL ____PLUMBIt{G $ Valuation of Mechanical Installation ..... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** _I. _ CONTRACTOR SECTI~ / BUTI.DEll ~ Cto NS.I Company ~'S CvTVsT ~ ~ / /' State Cert. or Regist. i~ exeo ~3<fGI Signature ~.L.~ City License Registration # I--;'? .......................................... F.LF.CTRICTAN Company State Cert. or Regist. # City License Registration # ****************************************** Sirznature Company State Cert. or Regist. # City License Registration # ****************************************** PLlJMRF.R Signature . Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. " CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay bl subject to 'deed restrictions. which lay be lore res~rictive than City regulations. The undersigned assuHlfllponsibiliv..for COlpliam:e 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 il not licensed as required by law, both the owner and contractor lay be cited for a lisde.eanor violation under state lall. If the ollner 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 Departlent, (813) 788-6611. ' Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 pro~erly 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 - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the .owner', I certify that I have obtained a copy of the above described doculent and protise 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 co.pliance 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 COI.enced prior to issuance of a perlit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but <\1 e not Ii.ited to: I Depart.tnt of Envitonlental Requlation - Cypress Bayheads, Wetl~nd Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent. . I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of Enqineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Tr~at.ent. Septic Tanks I US Environ.ental Protection Aqency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone .A. or .A,etc.., it is understood th~t a drainage plan addressing a .colpensating volule' Nill be sublitted which is prepared by a professional engineer r~9istei~d in the State of Florida prior to perlit issu~nce. A per.it issued shall be construed to be a license to proceed with the Kork and not as authority to violate, cancel alter, or set aside any provisions of the technical todes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issllud ~hall becole invalid unless the work authorized by such penit is cOltenced within six lonths of issuance, (Ir if work authc'lILed by the peait is suspended or abandoned for a period of Sil lonths after the tile the work is co..enced. One 90 day e~t~nsioll of ti.e, .ay be allowed for the permit Kith fee charge of $15.00. The extension shall be request~d in Kriting to th~ Building Official. An approved inspection lust be logged during each six lonth period, Dr the prDj~ct will be considered dballdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A'NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU !NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ OWNER OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE_______________________________________ DATE___________________________________ MY COMMISSION EXPIRES______________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ NOTARY AS TO OWNER OR AGENT_____________________________