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Home My WebLink About98-7576 BUILDING PE,RMIT 7576 J1 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date 3-//-7f-- 1../ () - ITZ? BUILDING ..3..5.--' t'V 3~-: tJ'V PLUMBING ;;LS n:> MECHANICAL Sewer Conn }IJ-~ I ELECTRICAL ~operty owno'~ M ~J /If ~Jt.. Job Address: 7 Pa",enD,' .;!y- -~- tz b" c> -- tT 0/ b 0 ,- Zoning: ~ 1......... Ene~y Code: , ~don Gas: DescriPtionofWor~ ~ )1z~,p (....~J 7 Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C,O, FINAL C,O, J ~ 1 ~ 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 # ~~;~. ~~~O Inspector :~;~~~:w~~./ .. Company __ _6 Address Telephone# Valuation or Contract Price ELECTRICAL ~;)-:uo PLUMBING OAO % ~L?~ BUILDING MECHANICAL 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 ($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. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OllNER'S RAllB,~~n-l.J P~I/ M~ ~ PII0RE 0llNER' S ADDIUlSS 39.. S-o C' h /9dJC ""t . - ii, JOB ADDRESS )6/#7 (j)hl9-/ZT'l- D/2/()!? 7f'o -~2.-// LEGAL DESCRIPTION: LOT(S) PARCEL I.D.' ~ '/ :J? ~ / N-+--t) BLOCK HI I~ SUBDIVISION #7 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition. ---..Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Faai1y _KIF _' of Units _K/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant 5: Hea1t:h DepartJIent Approval DESCRIPTION OF WORK: r/JI!.Y N(Jd~L' .S' e---T- 4p BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COKKERCIAL : ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service F10rida Power Corp. W.R.E,C. .-KECIIAlIICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO *****.**********.**....*.**.....*.*******. 'CONTRACTOR SECTION g BlrrI.DER '4 COMPANY . ~ X~~ ~~ / - State Cert. or Regist. . Signature ~ City License Registration' .a... 2. .3 0 .** .********~.*..***.*..*...*..******** RI.RCTRICIAR COMPANY /Jc~' J1 o+s-/? ;EN c. ,/, n /J /7/J State Cert. or Regist. . e So <' 000 G; ,. SiQllAture c:~ U ,..{!.i:::l/ cYU/I- City License Registration' / fl7 ************.********************.**.**..* PLUMBER COMPANY State Cert. or Regist. . City License Registration . *****.**********.***.******* Signature MECHARICAL Signature cltuJilJ d.~t<A- COMPANY ;Jc.e f( (' 4,' <j ::;;1\,/ c, State Cert. or Regist. ' f C /9- Co J? ? r.;- City License Registration' '7.!J- ****************************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration , **************************************.*** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lhe under.lgned under.tand. 1Io1 Ihl. porail .a, h. .nbjecl I. 'deed r"lrlcli.os' .bieh .., be sor. restrictive tbao Clt, regulations. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'UAC'l'On UESPONSIBIL.l'l'IES 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. . Furtber.ore, if the ONner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the "Contractor Sections" of this application for wbich they wiU 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 wisbes you to sign as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~" D. CONSTRue'I'ION LIEN LftW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ Hoaeowoer's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOleODe other than the "owner", I certify that I have obtained a copy of the above described docu.ent and prOlise in good faith to deliver it to the "oNner" prior to cOllenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developaent. 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 per.it and that all wort will be perf oIled to leet standards of all lawa regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber governaental agencies lay apply to the intended wort, 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: I Departlent of Bnvironaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, . Water/Wastewater rreataent I Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways I De artlent of Healtb & Rehabilitative Services Environaental Health Unit - NeIls, Wastewater rreattent, Septic rants I US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating volUle" will be sub.itted 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 sball 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 pellit iasued shall becoIe iDvalid unless the work authorized by such per.it is cOll8nced witbin six IOntbs of issuance, or if wort autboriJed by the perlit is suspended or abandoned for a period of six IOnths after the ti.e the wort is COllenced. One 90 day 81tension of tile, lay be allowed for the per.it with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or'the project will be considered abandoned. NARMING TO OWIER: YOUR FAILURE TO RECORD A NOrICE OF COHHENCBHRIT HAY RESULT II YOUR PAYlIG rNlCE FOR IHPROVIIIBIrS TO YOUR PROPERTY. IF YOU IlfTRND TO OBTAIN FINANCING, CONSULT NIrH YOUR LEIDER OR All AnORIIY BEFORE RECORDIIG YOUR HO'lICB OF COHMENCRHENT. JOBS UNDER $2,500 II VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHBNCKKBNT". SIGNArURE: OWNER OR AGENT " I SIGNATURE: COHrIACTOR STATI OF FLORIDA COUMTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was aCknowledged , 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 J 0711 7 ?Ob/~ _J:;~/t.J'? < so Ie - . I ~/D --7 f f. _ -.. - \ . -11' . 5 'V - _. ,. ~ ! ~ .3~ ll9/(f ;%d.d - ~o > - .......:x ~ 'r<::5 -7 , iR~ " - .. " l'