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Home My WebLink About98-7505 v..CI rfl5~ ~ BUIL~!~9HY~L~.RM!! 7505$ (813) 788-6611 D"e ~ -/ ~-9~ E~t-" () ~ Water Conn: ::~::,~,:~e' :d;1;J~?~ ~;;~ 916P'E?'! ;~:e:,Mete' Parcell.D. # /J~- 62h -~/- I-~-{) -9-tJ9r /It)~J.Pu) -r:-t: -PI<'. t/~ PLU~- MECIIANICAL :Sewer Conn -" Zoning: Description of Work FINAL 1 ~ 19 c.o. 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. DATE Inspector f/'I, Valuation or i:J..' D Y Contract Price 700'- Permit Fee Signature Company Address Telephone# City License Registration ., _______ uert;f;ed Ucense.c. _____ Ld?7~ BUILDING ELECT~' ~ Tp. Servo Rough In Meter Can Const, Pole Pool Pre-Meter Final PLU~' ~ M~ Ftr, Pre SLB Lintel FRM, Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($"Ht."OO) shall be made for each trip for each trade: ~~tTiJ 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAHE4~.5s/'~ OWNER'S ADDRESS ~9 3'79' / JOB ADDRESS L ~-' LEGAL DESCRIPTION: LOT(S) {!J / ' / de y'""'~ PHONE .~ 5'-/1/..59 ~~~y R~ 5r'~ 2.oc 9~ 2?--,A//)s/ r/, ,-~35Ya BLOCK SUBDIVISION PARCEL 1. D. t (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition. --A-lteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single FSIIily _KIF _' of Units _K/H _ec-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK:' /0>< /7 ,S'er-<f/--P"j/} Ic;iJ J11 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 $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --1IEGllARICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'ITON: _Block _FrSlle _Steel Other PlIfISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... Signature .COIlTllACTQR s~ / _ ' ~ GOKPANY~~ ~ i-./ /'~, , State Cert. or Regist. t (./,~~ , ~<dCity License Registration t .......................................... BUTT.DER RJ.R.GTRIGlAN COMPANY State Cert. or Regist. I SianAture City License Registration I .......................................... PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration t .......................................... HECBANICAL COMPANY State Cert. or Regist. I Signature City License Registration t .......................................... OTRRR COMPANY State Cert. or Regist. f Signature City License Registration t .......................................... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMI'l' AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigne~ understands that this perlit lay be subject to "deed restrictions" which lay be .ore restrictive than City regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 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 require.ents lay apply Cor the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. ' 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 responsible. If you, as the OlDer 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 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 U'!'ILl'rY CONNECTION FEES {{ D. CONSTRUC'rION LIEN L'l\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED) I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HDIeOWDer'. Protection Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is SOIeone other than the "owner", I certiCy 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..ence.ent. 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, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that DO worl or installation bas cOIIenced prior to issuance of a perlit and that all work will be perfOrled to leet standards ofoall laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goveInlental agencies lay apply to tbe intended work, and that it is IY responSibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lI.ited to: · Departlent of EnviroRlental Regulation - Cypress Bayheads, Vetland Areas and EnviroRlentally Sensitive Lands, o Water/Wastewater Treallent · Southwest Florida Vater Hanage.ent District - Wells, Cypress Baybeads, Vetland Areas, Altering Vatercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Deparblent of Health i Rehabilitative Services, EnviroRlental Health Unit - VeIls, Vastewater rreallent, Septic ranks · US EnviroRlental Protection Agency - Asbestos abate.ent 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 whicb is prepared by a professional engineer registered in the State of Florida prior to per.it, issuance. , A perlit issued shall be construed to be a license to proceed with tbe work and not as autbarity 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 lrOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery ptrIit iS8ued shall becole invalid unless the work authorized by sucb perlit is cOllenced within sil IOnths of issuance, or if wort authorized by the per.it is suspended or abandoned for a pedod of six IOnths after the tile the work is c~enced. One 90 day 81tension of tile, .y be allowed for the perlit with fee cbarge of $15.00. The 81tension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, orOtbe project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHBNT HAY RESULT IN YOUR PAYING RICE FOR IHPROVIIIBI1'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT VITH YOUR LENDKR OR AN ATTORI8Y BEFORE RECORDING YOUR NOTICI OF COMMENCE"ENT. JOBS UNDRR $2,500 IN VALUE DO NOT NRED TO RECORD AND POST A "NOTICE OF COKKBNCKHlHT". SIGNATURE: OWHER OR AGENT , I SIGNATURE: CONTRACTOR STArE OF FWRIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATK 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 \ 0:> ~ - ~ ----"'\A ~ , ~ 'U ~\ & ~ ... ~\j\ 70 'I ;:s ('> 0 ~ - ~ V\ E ~ ~0,~ D ~ >-- ~. " ?~ ~ -- '=> \\ "" ~ . ~, ~ -v \\ ~ ~ - ~ ~ ~ :s- c- -- - ~ ~ ~ . 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