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Home My WebLink About97-7194 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7194 E Date //-I-~'/ , BUILDING '--~, ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcel I. O. # Zoning: /J Energy..Code: ') /1 , Radon Gas: OescriDtion of Work _..J ~ ~/-f' AI.-/? { ~.A.1 ~ p-; p. ~ /1-//}--7/ ,*:03 r9.S NO OCCUPANCY BEFORE C.O. ~JJ~2;( Water Conn: cl~ Water Meter: T.I.F.'s: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE DATE Valuation or Contract Price 'YA- 91' Inspector Permit Feetit 2..~"7 0 (.) , /} Signature ~ /" #(,./'~ Company Address Telephone# City License Registration # State Certified License# JJ1~ 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:ee'l shall be made for each trip for each trade: .:L!>'.,;ro 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 ZEPHYRHlLLS BUILDING DEPARTMENT OWNER' S NAME ~~-H=' 3rg-Je2/ S.;J'm(/ ~' ~ j?1o~ b~5 fftt JIu e, PHONE OWNER' S ADDRESS JOB ADDRESS LEGAL DESGRlPTION: LOT(S) PARCEL I. D. f BI.OGIL--SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ---.Addition ---.Alteration -.Jlepair _Install _Sign --.Kove _Deaolish PROPOSED USE: _Single Faaily --.KIF _' of Units --.KIH _~ercial _Indust. _Swia. Pool _Other _Restaurant DESCRIPTION OF WORK: (j ~ e::/'~L Ser {I c.. e t:;? IV rLW /1A' e. I >cl.B, e ~ Square Feet, i IUo IIG- er t'tc'C-.f BUILDING SIZE: X RESIDENTIAL: COMMERCIAL : A'lTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELEGTRlCAL AtIP Service Florida Power Gorp. W.R.E.C. --1IECIIAIflCAL $ Valuation of Mechanical Installation _PLutlBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDlISHED FLOOR ELEVATIONS: FT. IS PROJEC'l IN FLOOD ZONE AREA? *****************..*........**...........* YES NO CONTRAC'lOR SECTION BIJTI.DER GOttPANY State Cert. or Regist. , City License Registration , **************.......*****..************** i~~ t? I2r~ ;!JI/rAiv a~,,~ JvUt - Signature R1.RGTRlClAR COMPANY jYl#/+~w U~(L toe:- State Cert. or Regist.' ~;;t !-,f.{t{'7 City License Registration . ~~ *****.****.**.***...****.*.**************. SiOTulture PLOMBER GOttPANY State Cert. or Regist. , City License Registration , ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature OTRRR COMPANY State Cert. or Regist. t City License Registration f *************.**************************** Signature APPLICATION APPROVED BY PERKIT OFFICER. J 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, 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 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(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 wort. If tbe contractor wishes JOu to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'I'ILITY CONNECTION FEES I ~' , D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED) I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HoIeoIner's Protection Guide. prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOJeOne other than the .owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the .owner" prior to COllenCelent. E. CONTRACTOR r S/OWNER' S AFFIDAVI'I' I certify that all the inforlation in this application is accurate and that all work will be done incOlpliance with all applicable laws regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do wort and instailation as indicated. I certify that no work or installation has cOIIeDced prior to issuance of a per.it and that all wort will be perfoIJed to l8et standards of all IllS regulating construction, City codes, loning regulations, and land developl8Dt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveCRIental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not Iilited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDleDtally Sensitive Lands, Vater/Vastewater Treallent · Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses t Ar., Corps of Engineers - Seawalls, Docks, Havigable Waterways t DepartJent of Healtb & Rehabilitative Services, EnvirODJeDtal Healtb Unit - VeIls, Wastewater Treatlent, Septic !ants t US EnviroDlental 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 volUJe" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. . A perlit issued sball be construed to be a license to proceed with tbe wort and not as autbority to violate, cancel alter, or set aside any provisions of the tecbnical codes, nor shall is~u~nce of a per.it prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Iver, peIlit issued shall beCOll invalid unless the wort authorized by such per.it is cOllenced within six IOntbs of issuance, or if work authorized b, the perJit is suspended or abandoned for a period of six IOnths after the tile the wort is couenced. One 90 day utension of tile, II, be allowed for the per.it 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 IOntb period, or the project will be considered abandoned. WARNIHG TO OWNER: YOUR FAILURI TO RECORD A HOTICI OF COHHIHCKMBNT HAY RBSULT IH YOUR PAYlHG BICB FOR IMPROVIIIDIS 10 YOUR PROPIRTY. IF YOU INTEND TO OBTAIH FIHAHCING, COHSULT WITH YOUR LIHDIR OR AH ATTORlBY BEFORB RICORDIHG YOUR HOIICI OF COHHIHCIHIHT. JOBS UHDIR $2,500 IN VALUI DO HOT HElD TO RICORD AHD POST A .NOTICI OF COHKEHCKMINI". : I SIGHATURI: OWNIR OR AGINT SIGHATURI: COHTRACTOR STATI OF FLORIDA COUnY OF The foregoing instrument before me this was acknowledged , 19_ by STATI OF FLORIDA COUHTY 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