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Home My WebLink About97-7165 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7165 )1 Date /D --3/- 9' BUILDING ELECTRICAL PLUMBING ~H~N~sewer Conn Water Conn: :::::,~:~.;c.1L* ;t 1z~ Parcell.D. # Water Meter: T.I.F.'s: Zoning: Energ~e: DescriDtion of Work -.A--I L ~ r Radon Gas: 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. Inspector DATE 'gO(l ~. Permit Fee .. Signature l /)1 Company Address Telephone# ~~. Valuation or Contract Price l.:) 'i Ol:J - t:J<.J City License Registration # !).J- d- </ State Certified License# ~~ ;;~t; 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 Fifteen and 00/100 Dollars ($+5-:66) shall be made for each trip for each trade: c2~-' ~ 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. a. b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . ..." APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTHENT OWNER 'S NAKE /YJ /}/2/Y ;t/ ,A/ tfTbM Il// OWNER'S ADDRESS ~ /5'2- /7 .J- S/ JOB ADDRESS .5",t::)J?\ ..J. PHONE ;g/S -? <::YZ .-.3 Sf/I LEGAL DESCRIPTION: LOT(S) B~SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition --Alteration --J.epair _Install _Sign --.JIove _DeJIOlish PROPOSED USE: _Single F8IIily _KIF _' of Units _K/H _c.:-ercial _Indust. _Swia. Pool _Other _Restaurant I( Health Departaent Approval DESCRIPTION OF NORK: R.e;:;~[ '€ Z-S 7i N A ri C fl,cf Sv.s ~ '"^ BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Valuation of Total Construction _ELEC'l'RICAL ~CIIAlfICAL AKP Service Florida Power Corp. N.R.E.C. $ &~ttJ ()t dO Valuation of Mechanical Installation --..PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _F1"8II~ _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECl IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION RIITIJlER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature F.1.RCTRICIAR COMPANY State Cert. or Regist. . City License Registration . ............................*............. Si MUll ture PLUMBER COMPANY State Cert. or Regist. . City License Registration' .......................................... COIfPAllYU..!'7:eI+/ &ft~ LO State Cert. or Regist. . ~:3 4 <I City License Registration . c;).. J..- J- L{ .......................................... Signature =ur~rD~ Jll~ OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... 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 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 laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirBlents lay apply for tbe intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 780-6611. Furtberlore, 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 ONDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you 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 U'!'ILI'rY CONNECTION FEES ~, D. CONSTRUC'I'ION LIEN LnW (CHAPTER "/13, FLORIDA STATUTES,., AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeowner'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 pro.ise in good faith to deliver it to the "owner" prior to co-.encBlent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. , Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perforted 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 governtental agencies laY apply to the intended warl, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: * Departlent of EnviroOlental Regulation - Cypress BByheads, Wetland Areas and EnviroDlentally Sensitive Lands, Nater/Nastewater Treallent * Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health' Rehabilitative Services, BnvirODlental Health Unit - NeIls, Wastewater Treatlent, Septic Tanks * US EnviroDleDtal Protection Agency - Asbestos abatBlent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.R, it is understood that a drainage plan addressing a "cOlpensating volUleR 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 wort and not as autbority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official floa thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery per.it issued ahall beCDII Invalid unless the work authoriled by such perlit is cOlIBnced within six IOnths of issuance, or if warl autboriled by the per.it is suspended or abandoned for a period of six 80nths after the tile the work is c~ced. One 90 day Bltension of tile, liy 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 the project will be considered abandoned. NARlflffG TO ONffER: YOUR FAILURE TO RECORD A NOTICE OF COIIIIENCKHENT HAY RESULT Iff YOUR PAYIffG 'DICE FOR IHPROVIIIDl'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIH FIHAHCING, COHSULT WITH YOUR LENDER OR AN ATTORlfEY BEFORE RECORDIKG YOUR KOlICE OF COKMEH Hr. JOBS UNDER $2,500 IN VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COKKEKCKKKNI". n J ~ .1 ~m (SJ2b--- SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY 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