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Home My WebLink About98-7526 BUILDING PERMIT , 7526 t3 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date d. - ~6 --9' <f- ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn PropertyOwne, ~Jj ~ Yl-:1; Job Address: ~ 7";)... - ~ Water Conn: Water Meter: T.I.F.'s: Parcell.D, # Zoning: Energy Code: Description of Work'-- R(J ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# Permit Fee ~-. p-z,) Signature t . 'c/ /J11C;.- J?1..l-t.J Company Address Telephone# Valuation or Contract Price 6?V.t:?-i) Uk!'Y\..Q/L BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ($-1 (;.90) shall be made for each trip for each trade: ~~-.. GTf) Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. a. b. C. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME V--/ DOIJI9 LD M_A/EI L- . OWNER'S ADDRESS" .ij1 -t/;2 ,-) /d ~~- JOB ADDRESS V'-- ~ nJ.lJE PHONE j) ~- ?6'o~ /2d,J LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition. --Alteration _Repair _Insta11 _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant &: Hea1th Departaent Approval DESCRIPTION OF WORK: ~ rf E !? 06 F BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. V;;UILDING .$/htJ()~ PERMITS REOUESTED Valuation of Total Construction _ELEC'l'RICAL AMP Service Florida Power Corp. W.R.E.C. --1IECBANICAL $ Va1uation of Mechanical Installation -PLUMBING GAS ROOFING TYPE OF CONSTRUCTION: _Block _Fraae _Steel SPECIALTY Other FDnSHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO 'CONTRACTOR ~C:Tl;~~ COMPANY -9/~ ~/_) I) ../ YI/1 1/1?F/J State Cert. or Regist. . Signature,/' ~~ ' //. ~ %.r City License Registration' ****************************************** BIJTI.nm RI.RCTRTCIAN COMPANY State Cert. or Regist. f SianAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT 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 owner and contractor lay be cited for a lisdeleanor violation under state law. If Lhe owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, Lhey 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 per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPAC'l' FEES AND U'l'ILI'l'Y CONNECTION FEES " .' D. CONSTRUCI'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 _ HOIeOIDer's Protection Guide" prepared by the Florida DeparLlent of Agriculture and ConsWler Affairs. If the applicant is sOleDne 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 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 instailation as indicated. I certify that no wor1 or installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to Jeet standards of. all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govelDlental agencies lay 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 EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treallent · Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Arl' Corps of Engineers - Seawalls, Docks, Navigable Naterways · Deparllent of Health & Rehabilitative Services, EnviroOlental Health Unit - Wells, Wastewater rreatlent, Septic lauls · US EnviroOlental Protection Agency - Asbestos abatelent 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 volWle" will be sublitted which 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 authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official ltOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becole invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if lark authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, Ja1 be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or'tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCE OF COHHENCHHBNr HAY RESULT IN YOlIR PAYING TIIICH FOR IHPROVIIIm'S TO YOUR PROPERTY. IF YOU IITEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN AnORNHY BEFORE RECORDING YOUR HorlCH OF COKMENCBHHNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICH OF COHHHNCKMBNr". SIGNATURH: OWNER OR AGHNT . I SIGNATURE: CONTRACTOR STATB OF FLORIDA COUNTY OF The foregOing instrument was acknowledged before me this , 19____ by STATE 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