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Home My WebLink About98-7409 BUILDING PE.RMIT 7409 ..u CITY OF ZEPHYRHILLS (813) 788.6611 Permit Date 1- ;(;) "- 9<f- c~ ELECTRICAL PLUMBING MECHANICAL Pmperty owne'~ NC'~ Job Address: '- _ _ ~ -- -- Parcell.D. # ,. 7q . Zoning: . Ener~y Code: Radon Gas: Descriotion of Work ../ h J!.. - tf-X / ~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: FINAL 2 DATE 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# c7!ii;:: ~' Valuation or Contract Price }I u-o - crD /'I!} City License Registration # State Certified License# ~~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 00/1 00 Dollars ($1-6-=6Oi shall be made for each trip for each trade: ...1-S':em 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 ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT t'R.rrAIK /-/-~/LJEg L-oT f) ~ n P1 "Ei JZ FJ .L. D jJ f) I ~E ADDRESS OWNER JOB LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) PARCEL I.D.4~ BLOCK SUBDIVISION WORK PROPOSED: New Construction ----Addition ----Alteration ____Repair ____Install c ____Sign/Temp. _Sign _Move . ~emolish PROPOSED USE: _Single Family --.Jl/ F ____# of Units ----H/H ____Commercial .......::..-Indust. ____Swim. Pool Other BUILDING ~IZE: _Restaurant & Health Department Approval 'Se (3 x/OJ Square :Fee t . IJ , 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 REOUESTED ____BUILDING $ /JO~{}ZJ Valuation of Total Construction --':"ELECTRICAL AMP Service Florida Power Corp. _W.R,E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIrfG .. GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER ~ 'JA/.= ~ CONT&IoCICl! ~ECT~, _ ~~ - ~ Company '5 C tJ~,/ y State Cert. or Regist. # (fi Co :33?2./ City License Registration # /"1") ;; .......................................... Signature ELECTRICIAN' Company State Cert. or Regist. # City License Registration # ****************************************** S i [;ma ture Company State Cert. or Regist, # City License Registration # ****************************************** PLUMBER 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 per.it .ay b, subject to "deed restrictions" whicfi lay be lore res~rictive than City regulations. The undersigned a55UIII r,aponsibilit!.,for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If th, owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor 1s not licensed II required by law, both the owner and contractor lay be cited for a .isde.eanor violation under state law" If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. ' Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of th~ "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 .ay 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" 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 - Ho.eowner's Protection Suide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOle one other than the "owner", I certify that I have obtained a copy of the above described doculent and proaise in good faith to deliver it to the "owner" prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work Dr installation has co..enced prior to issuance of a per.it and that all work will be performed to .eet 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 govern.ental agencies aay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include b\l~ ~Ie not li.ited to: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetl~nd Areas and Environlentally Sensitive lands, Water/Wastewater Treat.ent ' I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.v Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - W~lls, Wastewater Tr~at.ent. Septic Tanks I US Environlental 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 that a drainage plan addressing a "co.pensating volu.e" will be sublitted which is prepared by a professional engineer register~d in the State of Florida prior to per.it issu~nce" A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it pr~vent the Building Official fro. thereafter requiring a correction of errors in plans, construction, Dr violations of, any code. Every pertit issuud ihall beco.e invalid unless the work authorind by such penH is co..enced within six tonths of issuance, or if liork author lied by the perlit is suspended or abandoned for a period of six lonths after the tile the work is COlmenced. One 90 day e~t~nsiou of tile, .ay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An approved inspection lust be logged during each six .onth period, or the proj~ct will be considered dbal~oned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU tNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE ------------------------------ CONTRACTOR SIGNATURE__________________________________ OWNER OR AGENT DATE ----------------------------------- DATE_______________________________________ MY COMMISSION EXPIRES______________________ NOTARY AS TO ' CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ NOTARY AS TO OWNER OR AGENT_____________________________ .. 1 Of ZEFHYRHILLS BU ILDl h..., ,-,_ . OWNER rRJ7vVK I-/D/VE~ JOB LOCATION LoT :; ~ EI>4FM-t._D f'D/j...TJ LEGAL DESCRIPTION/SUB DIV. BLK. LOT Show all existing and proposed structures giving dimensions & setbacks. NOTE EXAMPLES 1 . 2 CD 811I.1 bll.tl4s f.' ~-, I ~.L f 1f~3 , XCH'Ilft! No+~ : Q.t'.,fiI. .o' q.,..~..t f~ .'lfl'1 "'"~ + /''''''E /4' w.t~~. tJ f;/, 't 7::iJi:r1." ,*'1> f ..b .il,ClIo rf ~tA,J~ ill :r;:;,..., ~ __ :>f~f f:1"'O"t' ~ ," Pi" j. ~.. i . ~,;., - ~,~ "l\ )'~{~",,;;:l:~."::~r>;' : .t< 3,6 >1 'f I'D B S ;lED (,3 E t~ ~ r. J , Street 60' ~. ~ "0' ID' HS' 8.+b&fI~) (of 1\--:4- ...11 ..~ ~, )If . \0 , I()' . \~ Iii EK;S T(~" ~ I t/O' ElC ioS 'ti "C'f - 1 w' Pre. p....al ~Jij itl'c" '50' otf, sl f, _._.__ 5/re~+ ,:ro1f , IQ~ ~~. ,"",.V;,_: · .., ;. _, _.:")" 1;"':'" '~', .'. '~';~';> )r~."it ;':'F.;i~H~;ri1!:}.;':,/ :""" : "!'\.~r?"'~,;