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Home My WebLink About98-7481 BUILDING PERMIT ELECTRICAL d~- MECHANICAL 7481,t5 Date 82- 11-9,) ~;:: ~:::. J1f~W wate: Me~ 10 p T,I.F. S. fL--- 11J~ BUILDING ~f - CITY OF ZEPHYRHILLS (813) 788-6611 -5S ,- PLUMBING Permit ::~::,~,:~e' rfl~"4~* . ~ Parcell.D.# c:J~-~_ _ - _---=-0 ~o~u ~rf1 -v (~ -q.L KV-'..s/~) NO OCCUPANCY BE E C.O. FINAL Zoning: Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE c:2:2:3D Permit Fee Signature Company Address Valuation or Contract Price 1/4 City License Registration # State Certified License# v~ bf~ BUILDING . at7~KtJ; ELECTRIC '~{J7 c;:~ PLUMBIN{G t> fk. /1(!9~, MECHANICAL~ Tp. Serv, Rough In Meter Can Const, Pole Pool -J---- Pre-Meter /J ~ Final ~ tp1 Ddveway Ylo u)...~ ..w~ ~ REINSPECTION FEES. When ex"a ;nspec';on ,.;ps e,e necessary due '0 anyone of ,f.'~:~ ::1 cha'ge of Filteen and 00/100 Dolla.. I $ ~ shall be mede fo. eech "ip fo. each "ade. "Fo:. 1{t/ r ~.(T1J I 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, Ftr, Pre SLB Lintel Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL SLB Tub Set Water Sewer Final The payment of inspection fees shall be made before any further permits will be issued to the person owning same, APPLICATION FOR PERKlT CITY OF ZEPIIYlUII.LLS BUILDING DEPARTMENT "'" f.Pj~~l. ~5 ~ ., I~.t/l q It' ' ~~ .'P"- . L to' (f~ ('Jtld--/r.8'~T) j/i:~ _ ~~ // OWNER'S N~el/M.d AhlflJ{I fiE OWNER'S ADDRESS ....g.!0 Z ,tff7:l'j L A /9./VF' JOB ADDRESS S/'J/tIC LEGAL DESCRIPTION: LOT(S) 11 R8 BLOCK PARCEL LD.' ;;('i~;). ~ -~/--o-nv - tro Icro PHONE SUBDIVISION &~/Cj';.fcl flr~7E ~d~,fd (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition --Alteration _Repair _Install _Sign --.JIove _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: j//J,ef( IIZJj)n- Se:T-l.( P f BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKlTS REOUESTED '><: BUILDING $ Valuation of Total Construction ~ELEC'fRICAL A,mCHAIIICAL XPLUMBING AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUC'J'ION: _Block _Fraae _Steel Other YES ~ - NO FDlISHED FLOOR ELEVAnORS: F'l' . IS PROJECT IN FLOOD ZORE AREA? .......................................... PLUMBER. CONTRACTOR SECTION aJIIPA1IY L 07t1-u"-'-!"' '" State Cert. or Regist. . City License Registration' ~~D ........... .. ........................... :::CIAH ~l ,~1 COMPANYflpe. r;1ef)-{ 'r1, /}/ ' rr. \...."... State Cert. or Regist. .~~/ <!:. 'Ji/ -fA; ('1. vV VL City License Registration t , ~ <l- · ...................................... I 7J ' { COMPANY ..x:t~L 4".A.!-v-' State Cert. or Regist. . Q City License Registration f 07~~o .***..*..*.....*......~ ~C!~ COMPANY State Cert. or Regist. City License Registration . *..*....*...**.......*..*.*..*.*.....* BUILDER. Signature Signature Signature >( KECBANICAL OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . ....*...*.........*....................... APPLICATION APPROVED BY PERKlT 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 bas bired a contractor or contractors to undertake worl, 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 reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contraclor or contractors, he is advised to have tbe contractor(s) sign portions of the "Contractor Sections" of this application for IIhich they lIill 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 tbe contractor wishes you to sign as contractor tbat lay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES ,,~ D. CONSTRUC'!'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HDIeONDerrs Protection Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant i8 sOleODe other than the "owner", I certify that I bave obtained a copy of lhe above described docUlent and prOlise in good faith to deliver it to the "ollner" prior to COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation 'in tbis application is accurate and that all 1I0rk will be done in cOlpliance with all applicable lalls 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 bas 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 otber governlental agencies laY apply to tbe intended wort, and that it is IY responsibility to identify IIhat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: * Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastellater Treatlent * Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arl' Corps of Engineers - Seallalls, Docks, Navigable Waterways * Departlent of Healtb & Rehabilitative Services, Environlental Healtb Unit - Wells, Wastewater Treatlent, Septic ranks * US EnviroDlental Protection Agency - Asbestos abat8lent 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 "cOIpensating volUle" will be sublitted IIhich is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued shall be construed to be a license to proceed with tbe work and not as autbority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ahall becoIe invalid unless the work autborized by such perlit is cOllenced witbin six IOntha of issuance, or if wort authorized by the pertit is suspended or abandoned for a period of six IOnth8 after the tile the wort is couenced. ODe 90 day eltension of tille, laY be allowed for the per.it with fee charge of '15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOntb period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURR TO RECORD A NOTICR OF COtIHRNCEHBNT HAY RRSULT III YOUR PAYING !lIICE FOR IHPROVIIIIIIS TO YOUR PHOPKRTY. IF YOU IMTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LKNDKR OR AI AnORIBY BBFORE RlCOHOI'" YOUR "OIICE OF ClIfHKNCEHRNT. JOBS UNDER $2,500 IN VALUR 00 NOT NEED TO RECORD AND POST A "NOTICE OF COIIMEICBIIIJIl'''. , I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATR OF FLORIDA COUMTY OF The foregOing instrument w~s acknowledged before me this , 19____ by STATI 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 bas 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 lfj;1t/9/i'd ~ &77j ).~tkl/E ..J5lJ;? J5L~f.L A~.uG ~ t:) r# tf':l .",/ ............ .J? _.___"____.____ _____..____,,_ _ _. n l' s r -;> 4 ./ \. "!' 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