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Home My WebLink About97-7313 BUILDING PE.RMIT 7313 13 Permit CITY OF ZEPHYRHILLS (813) 788-6611 Date j;L-f-77 '1'0. tJ7J BUILDING -.3.S', ro ELECTRICAL -~ .-- O'D ......,~, PLUMBING ;1...5"'" ()1) MECHANICAL Sewer Conn ::~:::,~s:~":33~m3J~ Parcell.D. # .;2 y- ~ -;;;../ - n l) D D - /) t) I /) cJ - J ~ Water Conn: Water Meter: T_I.F.'s: Zoning: Lergy Code; . Radon Gas; DescriPtion of ~rk H -1 1J1 ~J-,I . U ~ NO OCCUPANCY BEFORE C.O. FINAL I Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# 2. g..3 D perm~ Signature Company Address Telephone# Valuation or Contract Price ~. ~ t · V2.uYzP ~ ~ ~IL'<A- d BUILDING O~d Itf'1 ELECTRICAL ~~~ ,J:l.3D PLUMBING ~t/K5 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 ($1-5-:66'1 shall be made for each trip for each trade: ,).,.!J'.G71;J a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT l:} --1/11 OWN8R'S IWIB :& ENe f!/-::: OWNER'S ADDRESS ~..3 cXJ~ M: >> . , <k- , JOB ADDRESS ~<)~J'l-It{ ~ LEGAL DESCRIPTION: LOT(S) #87 BLOCK PARCEL I.D.' 01-1-.2(;.-;2/- ~ -trt)//rt) ~k} 'tI8 PHONE f/.:$ - ?~O - "'Id./7 SUBDIVISION (OBTAIN FaOM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --..Alteration _Repair _Install _Sign _Move _DeJIOlish PROPOSED USE: _Single Faaily _M/F _' of Units -----1f./H _ec-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant lie Health Departaent Approval f?&/f j( jlj tJcI eL cS'eJ2uLJ , BUILDING SIZE: x Square Feet, Height RESIDERTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UlLDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --1fECllARICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FlRISBED FLOOR ELEVAITONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION F.T .F.CTRICIAB SignAture ~/J ~(7U/l- BIJJl.DER ~ COMPANY. . 1..d~" State Cert. or Regist. , Signature ./l~ City License Registration . *********** *************************** COMPANY {&,.d' State Cert. or Regist. . City License Registration' /"'7 ****************************************** lXIlPAHY ~ 4 (~~ State Cert. or Regist. , City License Registration t ~~~~ ************************** PLUMBER Signature MECHANICAL COMPANY ()A 0 ~11-effC?'CA/2..- State Cert. or Regist. t Signature City License Registration ,4s ****************************************** OTRRR COMPANY State Cert. or Regist. f 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 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 reguireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 188-6611. Furtherlore, if the ONner 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 tile contractor, are responsible for the work. If the contractor wisbes 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. CONSTRUC'!'ION LIEN L'.I\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOMDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is BOIeone 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 co..enceJent. E. CONTRACTOR' SjOWNER' S AFFIDAVI1' 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. I 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 perlit and that all work will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies aay 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: · Departlent of EnvirODlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic lanks · US EnviroDlental Protection Agency - Asbestos abateJent 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 volUle" will be sublitted which is prepared by a professional engineer regiBtered in the State of Florida prior to perlit. issuance. . A perlit iBsued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisionB of tbe technical codes, nor shall is~u~nce of a perlit prevent tbe Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit iSBued shall beCOle invalid unless tbe work autborized by such perlit is cOllenced within Bil IOnths of issuance, or if work authorized by the perlit iB suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day eatenBion of tile, Jay 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 sil IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHBNT HAY RESULT IN YOUR PAYING TWICE POR IHPROVIHBIIS TO YOUR PROPERTY. IF YOU IHTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORE RECORDING YOUR 1I000lCE OF COHHENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEKD TO RECORD AND POST A "NOTICK OF COMHINCIMINT". . I SIGNATURB: OOIR OR AGKNT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATK OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by who is personally known to me or who has produced 8S 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 -" ... :!/fEVtT Jfi-e&/}/.-J 33:;;i N/9-j,q(1Ir;ll: J)~- -#37 t, !> -J" .. .. _It - - - -)",.. ... 2,0 ' . .- - - - - ~ ... " - . --- "'.a' " , t 1 hta/}k! &R~ ;t/c;rle/s