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Home My WebLink About98-7452 BUILDING PE^RMIT 7452 IS CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date ~ - y- yy ~~ Property Owne' f&r _ ~~ Job Address: , <: ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ,. Water Meter: T.I.F.'s: Parcell.D. # Zoning: ~ Energy Code: Descriotion of Work. _-^../ f)/I/L . ~ Radon Gas: FINAL '1~ DATE NO OCCUPANCY BEFORE C,O, Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C,Q. DATE Inspector fo p~rmit Fee Il~~ at- Signature r; Company Address Telephone# Valuation or Contract Price //OIJ-v-P ,/ City License Registration # State Certified License# 01- Jh..OA.-- BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. 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 ($16,Oot shall be made for each trip for each trade: /L5: ()7) c. d, e, f, g. 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ..;." '~ i i r.. }-.} l4.__~ --,j \ l _I ,,0 iF II Ie I: I , , -- \ , "'- _\.....,' \ ) k_ I t .....) I.....C , \.--L :?: II _1 '....' t-J.\ <( , ~: ~I ~.) Cl ~/) I) "- ., - ;:- - - \ . --<'] ! ;') ':. ~\ c .~ ~. ~j ...; ~~_. ..l " '...1 ./ I ; ~ I I I 1\ 'I Ii Ii, I' 0"- I! I' i; I I I i I I y -~ ~ () i I i i i _I I -_! _I. -' .~_!. ~ If I ,i ~I ;1 '=1f Jr:: ~.J I .:1.. ! >'" '" i -.l) ;: t. '::::J (:)() () "-, I~ I.L. :t:- ~ CJ \.U ~ :::> a 0:::. '-.:. o \' .1- r \oL--.. 'Z: "J v:i ~A _I .... . ^ , ) I ~-;----_.. ". ~ I;) '21 () ::t:- I t i ~ ~ ,) <;J -.\ I...... L \',~ ~~' -' <t., Q:. L 't-- CL J ':eX ~ ~~- , '-...] ~-: '"r" , I \,j '1-I~ " y 2: x ~ ,~ c{ " ~~ -.. k APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT /_'J-9-9i JOB ADDRESS d~ t'~~aA S.6-/C, rdo~ ,5 ~JVl-<.. /1- .5 ,1 & t!> V -'L PHONE r;g3-~g:~-7 OWNER'S NAME OWNER'S ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. t (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _Other '5 e:. R. c.. r /l( jf t:' ., ;Vl _ec-ercial _Indust. _Swia. Pool _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED _BUILDING $ f / (j & # l!JLJ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHAlfICAL $ Valuation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlUSBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA'l YES NO ****************************************** Signature CONTRACTOR SECTION J COMPANY & ~ ~ / ,/t/. State Cert. or Regist. . U~ UA~ ( City License Registration t ****** ********************************** BUILDER Siimature COMPANY State Cert. or Regist. . City License Registration . ****************************************** RT.ECTRICIAN Signature COMPANY State Cert. or Regist. , City License Registration t ****************************************** PLUKBER MECHANICAL Signature COMPANY State Cert. or Regist. t City License Registration t ****************************************** OTRF.R Signature COMPANY State Cert. or Regist. , City License Registration t ****************************************** APPLICATION APPROVED BY PERKIT 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 assWles 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 OlDer and contractor 111 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, tbey are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, he is advised to bave tbe 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 tbe 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 Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES " D. CONSTRUC'l'ION LIEN L-AW (CHAPTER 713, FLORIDA STATUTES,I AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant is sOIeOne other than the "owner", -I certify that I have obtained a copy of the above described docWlent and prOlise in good faith to deliver it to the "owner" prior to co-encelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' 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 worl or installation has cOllenced prior to issuance of a perlit and that all work will be perlOrled to leet standards of all lils regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveCDIental 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 BnviroDlental Regulation - Cypress Bayheads, Netland Areas and BnviroDlentally Sensitive Lands, Nater/Nastewater Treatlent I Southwest Florida Nater Hanag8lent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Deparllent of Health' Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater Ireallent, Septic lanls · US EnviroDlental Protection Agency - Asbestos abateaent I a1BO certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan addressing a "cOlpensating vol Ole " will be sublitted which iB prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, caocel alter, Or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official lrOl thereafter requiring a correction of errors in plans, construction, or vloiations of any code. Ivery peIlit issued shall becoIe invalid unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day 81tension of tUe, ., he allowed for the perlit with fee charge of $15.00. Tbe 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. WARNING TO OWNBR: YOUR FAILURB TO RECORD A NOTICB OF COHHRNCIHBNT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVBIIII1'S ro YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORREY BEFORE RECORDING YOUR HOIICI OF COHHENCIHBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COIIMIHCBHINT". SIGNATURE: OWNER OR AGENT , I' SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATR 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC