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Home My WebLink About98-7455 BUILDING PERMIT .7455 /J CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date ;2- Y-7~ ~~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn :::,~,:~e:s U;:c!~ i",~< Parcell.D. # J / - J-6-~- t' l) /0 .... tJ 4--1 {) 0 - 0/7 D Zoning: Energy COde:; J Radon Gas: DescriDtion of Work / 0 X / ~ _ 4~ I Water Conn: Water Meter: T,I.F.'s: FINAL :2--//- 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.o. DATE Inspector Permit Fee Signature Company Address Telephone# ~;7f ~~ Valuation or Contract Price ~ '/ If 3. - p-f) /lJ City License Registration # State Certified License# ~~d~ ,,/ 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 (~) shall be made for each trip for each trade: ~e70 a. b. 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. SITE PLAN (RESIDENTIAL USE ONLY) .I- PARCEL I.D~ II - SEe &.- TWl' ~. RNG ~O Y(c.{O 06/0' SUllU l'ROPEHTY HEflSUREMENT o<t;/ CJ(J BLOCK cJ ( 70 LOT CUIUtENT OWNEHS tJ 6/}) C-ICIf ~c D^TE All drawings shall be drawn to scale for all parcels or lots five acres or less. /0' -r~ /1tJ$71fc<., "- IftVCffo ~ 10 '11 ~ f?,e~M?-8 5'~) ['1 IS T(AJ c; t-f. 0 11 ~ /"",' ~ le U , C- '4 A.J-r-- 10 ;c{J J ~ ;~~:w ,~\L,\;XI ~;' 1 :~C !,\~~D FRO POS E~, STR UCTtJl:,ES .e rVING Dni.1'1~S 101-\S MJ!) SETHACLS. !,LSO, !."; ],JL" t.J O. h!, I Lr, !d~D PO/dl,,!, IS (J li[LUUJ !~G h'!dn~s) i\DJ/,CEJ\T TU Tii i: 'i",' ,", \'i.Ji if", ~:.t.~\~: ~':"JF'l.!-:: (IY'ji ,\' 1::' (,(~'. J::F:, ['JWPEJiTY. HJD J C!\TE J l;lllC/,TE t I ! s"" 7J';i S'i1\+I}..?j ~~p -V~ '(1'$: ~Zc;~ . \II1"O'uYrJ\i -=?JJ,.'\I~ C"'J'v1S - ...,.., ,,,..... ..., UlWI --....- -... ll1!l\'l$/<<)J IHJfWO'llUO . IOlHI!lHJ 'lW:) ~c1J "OO1lll!mIlffi "iJ ~ 9- r--~'~I~ I ~'J r-~"~ N 151 \ I...... Iii '--. ~t ~ -' " I~ if !, II L .::. . . ! 0 t': . .. eo .:: . \ lL \ \ 'i ~ I I : ,I I ! ~g ~ 101 ~ I t - II! ~jl , . 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APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE w (!,. / J) C- fG/-/- ~/C' 57 2~ !tp fC-. sr S' ;ft{~. PHONE 7%,3 ~qeJO OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.Do' (1:< ~ ~ tJ6Ie; tJ<(;((j D 0 (78 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~tall ____Sign ____Kove _Deaolish PROPOSED USE: ____Single Family ____KIF ____, of Units _K/H ____CoBBercial _Indust. _Swim 0 Pool _Other ____Restaurant & llealth Department Approval DESCRIPTION OF WORK: 70 rPtJS 771--Lc.- 10 V(~ ~~M-B S If-;g,. b BUILDING SIZE: ? 0 X I(r. , (<:0<) Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKSo PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIONo PERMITS REOUESTED ~UILDING $ 17t.f3 . r70 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corpo W.R.E.Co ---1fECHAHlCAL $ Valuation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae ____Steel Other FINISHED FLOOR ELEVATIONS:' FT 0 IS PROJECT IN FLOOD ZONE AREAl YES NO .......................................... BUlI.DER CONTRACTOR SECTION /./--------~::::> COMPANY S~/KJ.~rJH_z;' ~.. State ~ert. or Registo , ,_ ~=- City L1cense Registration , .......................................... /!C{) If l,u 1/ 1-/ rkc:. 7tJ Signature ELECTRICIAN COMPANY State Certo or Regist. . SiDnAture City License Registration . .......................................... PLUKBER COMPANY State Certo or Registo t Signature City License Registration . .......................................... MECHANICAL COMPANY State Cert. or Registo . Signature City License Registration , ..................................*....*.. OTHER COMPANY State Certo or Registo t Signature City License Registration , .......................................... APPLICATION APPROVED BY PERMIT OFFICER. ~"'...u.LL.l.Vn.:> V... l'.t;HMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The lIndersigned understands Lhat Lhis 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 restrictionso B 0 . UNLICENSED CONTRACTORS AND CON'I.RAC'I'On 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 OWDer and contractor aay 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 Zephyrbills Building Departlent, (813) 788-66110 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 responsibleo If you, as the owner sign as the contractor, you are indicating that you, raUler than the contractor, are responsible for the work. If the contractor wishes fOU to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peflitting privileges in the City of Zephyrbills. Co TRANSPORTATION IMPACT FEES AND U'fILITY CONNECTION FEES I l , Do CONSTRUC'I'ION LIEN M\W (CHAPTER 713, FLORIDA STATUTES, 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 tbe applicant is sOl8ODe 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 cOllenceaent. E. CONTRACTOR IS/OWNER'S AFFIDAVrf I certify tbat all the inforlation in tbis application is accurate and tbat all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicatedo I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all law8 regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdictiono I also certify that I understand that the regulations of other governtental agencies aay apply to the intended wort, and that it is IY responSibility to identify what actions I lUSt take to be in cOlpliance. Sucb agencies include but are not lilited to: I Departlent of EnviroDlental Regulation,- Cypress Bayheads, Wetland Areas and HnviroDlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida'Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways I Departlent of Healtb & Rehabilitative Services, Environtental Healtb Unit - Wells, Wastewater Treallent, Septic Tanks I US BnviroDlental Protection Agency - Asbestos abateaent 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 wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit, issuanceo . A perlit issued sball be construed to be a license to proceed witb tbe work and not as autbority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor sball is~u~nce of a perlit prevent the Building Official IrUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Hvery pBrlit issued sball beCOle invalid unless the work authorized by such perlit is cOllenced within six IOntbs of issuance, or if work autboriled by the peIllt is suspended or abandoned for a period of sil IOnths after tbe tile the worl is cOllencedo One 90 day 81tension of tile, IiY be allowed for the perlit with fee cbarge of $15000. Tbe extension shall be requested in writing to the Building Offlcialo An approved inspection lust be logged during eacb six IOntb period, or tbe project will be considered abandoned. WARKING TO OWIER: YOUR FAILURB TO RBCORD A 10TICH OF COHHHKCBHBIT MAY RBSULT 11 YOUR PAYING nlCl FOR IMPROVEllBIl'S TO YOUR PROPIRTY. IF YOU INTEND TO OBTAII FIIAICING, COISULT WITH YOUR LBNDIR OR AN AnORllY BIFORB RICORDIIG YOUR 1fOlICB OF aMlC~~:~~ to RlCURD AID MWrA:I~~:~~ SIGlnUR~:(/~h01rAGINT 'p/kJl- C"o~r;(, s~:cONiRACTOR P'+Utr (~~uolt , I STATH OF FLORIDA COUHlY OF f:t6CO The foregoing instrument before me this was acknowledged , 19_ by //f'SC:() The foregoing instrument was aCknowledged before me this , 19 by STATB OF FLORIDA COUITY OF who is personally known to me or who has produced as identification an,~d, ~ w, 0 did/did not take an oath~t--{/ ~ (Signature) who is personally known to me or who has produced as identification and who did/did not take an oatho,i~ ~~ (Signature) H MY COMMISSION' CC 451416 EXPIRES: May 13. 1999 Bonded TImI NotIIy PubIc lIndIrwlflIrI (Name Typed, Printed or Stamped) NOTARY PUBLIC KEITH CORREIA MY COMMISSION' CC 451416 ~RES:May13.1999 Bonded lllru NotaIy PubIc ~