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Home My WebLink About98-7578 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit 7578 Ii Date .3 - /3 - 9' r ~~ ELECTRICAL PLUMBING MECHANICAL 1 - :::::,~:~~"- /it~1-h/l j}~ Parcel J.D. # /1-;;"6 --;;)/- EJ 0/ [/ - 12 jl)!:J 0 - ~Ob 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: DescriPtion of Work En~rgv c~~_ CL ~o Radon Gas: FINAL 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. Inspector DATE . ( Permit Fee Signature Company Address Telephone# ~~'-,~ ~ -l 11 .)uL~f{IJAJ ) Valuation or Contract Price ~/A City License Registration # State Certified License# (;I)/I~~ ~ BUILDING ELECTRICAL PLUMBING 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 OWNER'S NAKE c. ~O I '(}J A. mInes PHONE ')~<?-343J , OWNER'S ADDRESS JOB ADDRESS' -~,. .. !) CJ 2 t., J I th ST _7 L,oA( ~ h ;// j SUBDIVISION FL 3 ::sc.;;Yo LEGAL DESCRIPTION: LOT(S) BWCK PARCEL I.D..--1J - l- b - 1-1 - DOlO - 0 ) I 0 0 -~O (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction -^ddition ----Alteration ---Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single Faaily ----111 F _' of Units _H/H _eo..ercia1 _Indust. _Swia. Pool _Other _Restaurant & Health DeparbRent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMKERCIAL : 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. _HECHAlfICAL $ Valuation of Hechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES . NO .......................................... CONTRACTOR SECTION BUILDER COMPANY ~ ~ t2 )' State Cert. or Regist. . Signature i'~. ~ City License Registration' .......................................... F.T .F.CTRICIAN COKPANY State Cert. or Regist. . SignAture City License Registration . ......................................**.* PLUKBER COKPANY State Cert. or Regist. . Signature City License Registration . ................*.........*..........*..** KECHANICAL COKPANY State Cert. or Regist. I Signature City License Registration . .......................................... OTRR.R COKPANY State Cert. or Regist. I Signature City License Registration . .................*...........*..*.**.*.... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. !he undersigned assutes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAeTOR RESPONSIBILITIES If the ONDer bas bired a contractor or contractors to undertue work, they laY be required to be licensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, both the OIIIler and contractor lily be cited for a lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents laY apply for the intended wort, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. FurtberlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the "Contractor Sections' of this application for wbicb they will be responsible. If you, as the OIfDer sign as the contractor, you are indicating that fOu, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lilY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - 8oIeowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Conslller Affairs. If the applicant is sOleOlle other than the "owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to COIIeDCeaeot. E. eONTRAeTOR'S/OWNER'S AFFIDAVIT I certify that all the inforliltion in tbis application is accurate and that all wort will be done in coapliance with all applicable laws regulating construction, zoning, and land developlent. Application is herehy aade to obtain a perlit to do work and installation as indicated. I certify that no work Or installation bas cDIIeDced prior to issuance of a perlit and that all wort will be perfolled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govelDleDtal agencies aay apply to the intended wort, and that it is If responsibility to identify wbat actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to: I Departaent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaeotally Sensitive Lands, Vater/Wastewater rreatlent I Southwest Florida Water Haoagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Watenays t Departlent of Health i Rehabilitative Services, InvirODleDtal Health Unit - Wells, Wastewater Ireatleot, Septic rants I US InvirODlental Protection Agency - Asbestos abat8leDt 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 'coapensating volute' will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perl!lit issued sball be construed to be a license to proceed with the wort 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 flQl thereafter requiring a correction of errors in plaos, construction, or violations of any code. Bvery peIlit issued shall beODle invalid unless the work authorized by such per.it is cOBenced within sillOntbs of issuance, or if wort authorized by the perlit is suspended or abandoned for a period of sillOnlhs after the tile the wort is c08eDced. One 90 day eJtension of tile, lilY be allowed for the perlit with fee charge of $15.00. rbe l!Itension shall be requested in writing to the Building Official. An approved inspection lust be logged during each sillOl1th period, or the project will be considered abandoned. WADING TO OIIIIIR: YOUR FAILURE TO RECORD A NOnCE OF C<lllBNCIIlBIt' lilY RESULT IN YOUR PAYING !lICE FOR IHPROVIIIBUS ro YOUR PROPERTY. IF YOU IIIDD ro OB'JAIN FIJfAIICING, CONSULr WIrH YOUR LBJIDBR OR All AftORm BEFORE RECORDING YOUR DICE OF COMHENCBHBHT. JOBS UNDER $2,500 IN VALUE 00 Nor NOD TO RECORD AND POsr A 'NOTlCE OF CIIlHDCBIIBNt'.. SIGNATURB: ONIIER OR AGm SIGNATURE: COHrRACrOR srATB OF FLORIDA COlllfY OF The foregoing instrument was acknowledged before me this , 19____ by STAR OF FLORIDA coum 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 bas produced as identification and who did/did not take an oath. 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