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Home My WebLink About98-7546 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 7546 r',/{ Date 3 ~s- rrs- BUILDING ELECTRICAL PLUMBING ~HANIC~ewer Conn Water Conn: ~op.rty Own., - ~ ~~ ~7 Job Address: ~ _ / - , ~ . Water Meter: T,I.F.'s: Parcel 1.0. # Zoning: Energy Co~e::;t-- DescriPtion of Work A/ C- C'4t ~ ~ P_ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. .s--- ~ 1 ,. 9 ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# ~O-S.- ;:?LCf /u ~-~ Permit Fee ,. S;gnaMo C2-1- ~-L Company Address Telephone# Inspector Valuation or Contract Price ~ '7 0 7. H / BUILDING ELECTRICAL PLUMBING .0>- ..f1,.~ 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 ($15.00) shall be made for each trip for each trade: 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. APPLICATI05 FOR PERKIT CI1Y OF ZEPIIYRIIILLS BUILDDiG DEPARnIEn' OWNER'S NAItE ~ aAL4.~l./ ~ -~~ /~;~ :6; , OWNER'S ADDRESS . ~~ JOB ADDRESS ~j7 2- LEGAL DESCRIPTImi: I.OT(S) ~SUBDIVISION PARCEL LD.' 1/-.:2 ~ -'2T -t)~/o. -ILj/oe:;;~.per() WRK PROPOSED:_lNIev Construction ~tion _~t'r~t~ _Install S. - 19D. _!!love _Deao1ish PROPOSED USE: Sing1e Faaily .' _fl/F _' of Units _K/H _<=<<-ercia1 _Indust. _S~. Poo1 Ot:her _Rest:aurant 5: Hea1t:h Depar1:.en.t Approva1 BUILDDfG SIZE: x Square Feet, Height . RESIDENTIAL: <XlKItERCIAL : ATTACH (2) PI.OI' PI.AIIS 5: (2) SE.'I'S OF BUILDDIG PlARS 5: (1) SET EBERGY FORKS. ** ATI'ACH (3) SEI'S OF BUILDING PLD'S 5: (1) SET mmRGY FORKS. ** **oopy OF ooIn"HACT BIlQIITRIID. ~ REQUESTED _BUILDING $ Va1uation of Tota1 ConstrUction _ELEC'l'RICAL V-KECIWlICAL AItP Service F10rida Power Corp. I W.R.E.C. $~t/ c> 7: c> () _.. c_ Va1uation of Kechanica1 Installation _PLUKBDfG GAS HOOFING SPECIALTY TYPE OF ooNSTRUCTIOR: _B1ock _~ _Stee1 Ot:her FDIIISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ***~************.************************* COJn'KACTOR SECTION BUILDER CO!IPOY State Cert. or Regist. I City License Registration I ***..*****......*~*..***~*~***~***~**~**** Signature ELEC'l'RICIAN CD!IPAIMY State Cert. or Regist. I City License Registration t **.********.*.**********..***~.****~*~**** Sismature PLOKBER CO!IPMiIY State Cert. or Regist. I Signature City License Registration I .*********..**..**...****~*********~*~**~*~ ~ KECHAnCAL CD!IPAn ~ ,l)~*" ~ J ~ State Cert. or egist. I J Signature (/-.1 ~ City License Registration I .2 D. r ~". *****~**.****************.********~*~*** 0TIIItR CUlPMiIY State Cert. or Regist. I Signature City License Registration # ****.*********..***.***************~****** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait .ay be subject to 'deed restrictiDns' which aay be aore restrictive than City regulations. The undersigned aSSUAeS responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work! they may be required to be licensed in accordance with state and local regulations. If thece,tractor is not licensed as required by law, both the owner and contractor aay be cited for a aisdeaeanor violation under state law. If the ow~~r Dr intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, th~y are advised to contact the City of Zephyrhills Building Departlent, (8131 788-6611. Furtheraore, 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 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 h2 is not properly licensed and is not entitled to perlitting privileges in the City of ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES, D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - HOleowner's Protection Guide' prepared by the Florida Departlent.of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a ~opy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 other governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not liaited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment , Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways , Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks , US Environ.enldl Protection AQency - ~St~5tu~ ~hat~~Dnt I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressinq a "compensating volule' will be subMitted which is prepared by a professional enqineer 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 issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the permit is susp~nded or abandoned for a period of six .onths after the tile the work is cOltenced. One 90 day extension of tile, lay 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 .onth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY,'BEFORE RECORDING YOUR NOTICE OF COM"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~ ~." SIGNATURE: CONTRA{l'(OR ~.: .' __ ~_1J&:~/___ SI6N TURE: OWNER OR AGENT has STATE OF FLORIDA ~ COUNTY OFti' A:1S(j) The foregoing instrumen~was acl~~~ledged befeore me th i s ~ftl'f .z , 19 -Zl::- by ~{)jJ ~ who is personally known to me or who has produced as identific take an c. (Name T NOTARY STATE OF FLORIDA (Nam NOTA lr . . f ...... 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