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Home My WebLink About97-7322 BUILDING PE.RMIT 7322-13 Permit CITY OF ZEPHYRHILLS (813) 788~6611 Date /J--/:J--97 VtJ. tr[) ~DI~ ELECTRICAL @MB1N0 P,opertyOwne, .1dAL2JJfL- Job Address: 3 __------ ~ ~ Parcell.D. # 3~-'-. aD MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: En,v Code: M Radon Gas: Description of wo~ /} 111- #< ../ ~ ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O, DATE Inspector Permit ~~ ~--S-. t~ 0- ~ I Sign~ -\ ~'-~ ~~~"- '4 Company Address Telephone# Valuation or Contract Price City License Registration # d).. J-~""'" d- State Certified License# ~~'~ J11E~ , /J1 ~ .?-~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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-S-:-gel shall be made for each trip for each trade: .2.s ': zrv 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE 0'\... Q Y\1\C\ ~ d. u '\ ~ tu ~ ~ 0Ii\lER' S ADDJl&'lS 39 1.0 n::<, 0 (Y'() 1:11 ! ~:l JOB ADDRESS .~ G.b ~ ' LEGAL DESCRIPTION: LOT(S) "5 BLOCK PHONE~;\ -S-12r)- \()CJ~ 1) ~ 2-tll \\5 SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -----Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant lie Health Department Approval DESCRIPTION OF WORK:?~ \'(\c.~\ ?::AGj 'J~ c:J X .I-\D, BUILDING SIZE: ~ . ~ Square Feet, Height RESIDENTIAL: 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 _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECBAInCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FDITSBED FLOOR ELEVAITONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER .,/.4 ,,,-/ Signature. ..-.:.."..J"- ----- <..---.. .' CONTRACTOR SECTION COMPANY \ \ -_____ ...-?/~ L.. State Cert. or Regist. . \ , r'" (.7" ?-t!" :-City License Registration' ****************************************** v F.1.F.CTRICIAR COMPANY State Cert. or Regist. , City License Registration . ****************************************** "---' / PLUMBER ~ COMPANY )t:Ynm" b lrr'(!}' / . ~u4'~ /'-7 State Cert. or Regist. . Signat~ . ~~~yv/.-* ~,City License Registration t ~ ****************************************** Si~Ature ~ .1-.>- rl..... v MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT . A. NOTICE OF DEED RESTRICTIONS rhe undersigned understands !hat tbis ....it ..y be subject to "deed restrictions" 'hleb ..y be lOre restrlctl.. than City regulations. The undersigned assUles responsibility for co.pliance with allY 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 .tate aDd local regulations. If lbe contract.r is not licensed as required by I.., botb the ...er and CODtroclor JOy be cited f.r a .I.d......r vi.lati.. u.der state I... If 1Io "'er or i.teeded cuntractor are ..certain as to oIot licensing requlresents lOy apply for lbe Intended oorl, they are ad,ised to cootact tbe City of Zephyrhill. Building Deparlsont, 1813) 188-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Section." of Ibis application for .hleb they .ill he responsible. If you, a. the ...er sign as lb. CODtractor, 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 properly licensed and is not entitled ,to perlitting privileges in the City of Zephyr hills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES , ~I , D. CONSTRUC'l'ION LIEN LflW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOMner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If the applicant is SOleDne 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..eIlC8lent. 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 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 wor1 or installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled 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 otber goverDlental agencies lay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands, Nater/Wastewater Treallent I Southwest Florida Nater Hanag8lent District - Wells, Cypress Bayheads, Netland Areas, Altering Natercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways t De arllent of Health & Rehabilitative Services EnviroDlental Health Unit - NeIls, Nastewater Treatlent, Septic rants t US EnviroDlental Protection Agencl - Asbestos abat8lent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating voIUle" will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. .:;< (> .... , OJ /I ~id \J SIGHATURE: OWHRR OR A &t .. . A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Bvery peClit iSBUed shall beCOle invalid unless the wort authorized by such perlit is cOllenced within six IOntha of issuance, or if work authoriled by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, l8y 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. NAMING TO OWNER: YOUR FAILURE TO RECORD A NOTICR OF COHHEHCBHRH'l HAY RESULT IN YOUR PAYING DICK FOR IHPROVBIIII1'S TO YOUR PROPERTY. IF YOU IH'lEHD TO OBTAIN FINANCING, CONSULT NITH YOUR LEHDER OR AN AnORIIRY BEFORE RECORDING YOUR .0001CK OF COHHRNCEHRNT. JOBS UNDER $2,500 IN VALUE DO NOT NERD TO RECORD AND POST A "NOTICR OF COHHENCBHEH'l". A ~ ~~A/L/ . // ~IGlIAfIIRE: ~ 011 I STATE OF F~ I...... v COUNTY OF . Z) _'"-- The foregOing i~: .... .cknowledged before me this I I , 19? 7 by J-., 8e ,d~+I- who is personally known to me or who has produced as identification and who did/did not take~n~~ / ~ (Signalbre) . STATE OF FLORII}A)O. J. v' COUNTY OF (-( "- f.-- The foregOing instrument was acknowledged before me this 12-- Ii 2-, 192.Z.. by I ~t) -;;',?J16 /J?ocL- who is personally known to me or who bas produced as identification and who did/did not take an o~~ . -;: &AtJ (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC .,.....~-_... y P OFFICIAL NotARY 510".. :\p..~ u~<: FRANK T CRUM ~'\n.,SS7T "0 COMYSSION NUMBER 1:. ~! ~ CC596868 7~~;:;jJ S MY COMMISSION E_RES ~ OF F\.oq; OCT. 2820'0 . ..~Y Pu OF'-JCIAL NOTARY SEAL I Qto ~<;., FRANK T CRUM .,~ ('l COMIUSloN NUMBER ~ . ~ ~ CC596869 ~ ~ MY ~ EXPIREs ~ OF FI.Oq:. OCT. 28,2(j(\r) 5 , .; , ~''-1J~:'''~t;-:Ylr''"'''' .-:' -:-:~-. :. .~ )~I-" 5 } (') 6 ~ . h . -S ~ ~ I ~ .' , ~.~~.;-f".. ~. ,;.,.... ...........- ", ,- _ .5..' I ,. . " '~O .e u r- = i ~ ... ....J ::U _: J .~ I rr. ~' .