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Home My WebLink About98-7534 BUILDING PE"RMIT ,.. 0 j;t- ~!J' ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7534~ .1- tl1- 9;J Date ~~_. ~:rconn Water Conn: Property Owner: Job Address: Parcell.D. # '3 Zoning: Description of Work FINAL :5 :; NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector K,'1l PermitFee ~I S . ~ Signature f / . C ~ -- -L? Company Address Telephone# Valuation or Contract Price f)oJ # t 000''-- City License Registration # c2. 99 State Certified License# ~~O(.~id~. i/ BUILDING ELECT' PL~ --- M~AL - 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 ($16.eOt shall be made for each trip for each trade: "- ~,t7V a. b. 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. 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. ~;".s-' e,~c...J..." l...(.) ). t I'~ II .. , -.1 ' ~ 'I I ~' ~.s-(J~ PSZ: C 11'1 Co I~ e .;. e I'~II I"" F () l.l AI d 'b. f - '0 1'-/ P ~ tis .r--. .r--.~ o;::t~ '-.J - ~~ t)<<:) o . .~ o~ ~- ;,,'"l') ,- l:::~ -+u Cl <i. I(fl. -I oC? (fA) 6- 0'91- ",L- ~~/ f'. ~O . \ '=> ~- ~ <~~""=- .~~/.JIIIto. ..:::v \ ., ~.; .;.:~ ~ ~ &0._ _. . ~ .-:::.; {""'.t r--- >- ::: V) I- :. ~ V) C~ ";' :E :z ~~. ~ f- LU o ./ c9 ~f' ~~ .. ~~ :~~7 ;~~~ ~r3~~ ~U~ s . ~ ~ ~ ~ ~; CJ H t ~IH ~ f @I~. ; ~ ~ ~! P.:; ~ .! Uo:1~t APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 1,r<6' ~'70- ,. ,. 1 Jb 1C( '} OWNER'S NAME ~ ~~ f-~I --(#tZM..t.;~ OWNER'S ADDRESS 0-71 9 I ~rk ..f::/. JOB ADDRESS~U. u'" - PHONE ?'IS - 7tf';L - .3.)~ LEGAL DESCRIPTION: LOT(S) /~.;t. BLOCK 6~ SUBDIVISION PARCEL LD.' 11-~-::1J-I:JO'O~"'OO{O (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departllent Approval DESCRIPTION OF WORK: i-::> a f ' 'fJ I~ d cJ t- I? /u 0-t- . Jd u t-------- 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. PERMITS REOUESTED _BUILDING ~. $ ~J & b'tJ . Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLlJHBUIG GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FIllISHED FLOOR ELEVATIONS: FT. IS PROJEct IN FLOOD ZONE AREA? YES NO .......................................... CONTRActOR SECTION COMPANY -; .{ /V ~ ~tate Cert. or Regist. . /f City License Registration . ..............*.*******...*.*.....**....*. 7- J/ BUILDER RT.F.CTRICIAIf COMPANY State Cert. or Regist. . Sionature City License Registration . ........***.*..*.****............*.*...... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration t ............**..*.*..**.........*..**.*... MECHAHlCAL COMPANY State Cert. or Regist. . Signature City License Registration . .................*...*............**...... OTRRR COMPANY State Cert. or Regist. t 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 .ure restrictive than City regulations. rhe undersigned assUles 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 tJJe owner and contractor lilY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 188-6611. FurtherlOre, if the ow~er 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 owner 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 UTILITY CONNECTION FEES I ~' . D. CONSTRUC'l'ION LIEN L'.I\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 _ HOJeOWOer'1 Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the 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 COllenC8Ient. 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 wort or installation has cOllenced prior to issuance of a perlit and that all work will be perforl8d to Jeet ltandards of all lawl regulating construction, City codes, loning regulations, and land developeent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies lay apply to the intended wort, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to: t Departlent of EnviroDleDtal Regulation - Cypress Dayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic lanks t US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.., it is understood tbat a drainage plan addressing a .colpensati~g volUle" 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 the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued &hall becaie invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, III 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 sil I9nth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COtIHKIICRHBNT HAY RESULT III YOUR PAYING TWICK FOR ItIPROVIIIBn'S '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR All AnORRIY BlFORE RECORDING YOUR RoriCK OF COHHHNCHHENT. JOBS UNDER $2,500 IN VALUI DO NOT NEED TO RECORD AND POST A .NOTICE OF COHMINCKMKNT". ~ ~ L --;C ~<{/ .1 GNArURI: OWNER OR AGENT -- STATE OF FLORI91-. COUNTY OF" Y ~ eo- The foregOing instrum~ was acknowledged before me this/a; ,r,,;j-Jg.~ by ~ ;J;..sc8~. who . s 'personall v known to me or who has produced as identification and who did/did not tak7-1an oath. ~ LJ\...-~~--,,-' >-ru ...l~ (Signature) f+yy-, u.. r\Cl K. (0 LA. C\. fI- J e h 0.... c-r. rn (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA COUNTY OF ~ C2.D Co- The foregoing instrument was aCknowledged before me this I C]--l-~ '+~19~ by ~ eX, ~.~ who s personally known to me or who has produced as identification and who did/did not take an oath. ~.AL:l G.IY"~.R 4'A ..:.t:;;t-~ O.rt:M..-vhr- (Signature) I4-rn 0<.. V1d 0-- QUOrt-+- 1",,1:; (A u. rv-- (Name Typed, Printed or Stamped) NOTARY PUBLIC ......'\~~:r~t,,~ Amanda Quattlebaum {*['Ib:'~'f*~ MY COMMISSION /I CC654052 EXPIRES o~',~':eY June 9, 2001 "'''-..'9f.:rr-''''' BONOEO THRU TROY FAIN INSURANCE.INC 'II,\,'t~lft",1 ,~<Hi..~., Amanda n..........._.. ~"':I'. ..~. -lIIlUlIUm N J*~ MY COMMISSION # CC654052 EXPIRES ~'. '<1- J 9 200 -,~,O;;;'~'~ una. 1 .,......... BONDED THRU TROY FAIN INSURANCE. INC