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Home My WebLink About98-7608 BUILDING PE<RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7608111 c9 - :;J..Jj - '} ~ Date Property Owner: Job Address: Parcel 1.0. # E~CAl P~' ~NI~ ~~,<:!fr!/;ft ~/~ Sewer Conn ~ Water Conn: Water Meter: T.I.F.'s: C!- ,Lad, ct.1..L/>~ FINAL~ ~7 9j 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. c.o. _ DATE Inspector I?'; J Valuation or co Contract Price ~ n {) 0 . - . " OD Permit Fee 'If? ~ 0 I SignatureV' O...J.- ~/'L , I Company Address Telephone# City license Registration # 40c' State Certified license# PLU 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 ($1-5-:eet shall be made for each trip for each trade: .;l..!)- .d7J 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. lr ,. ,'......." '''". SONNV.S UISCOUNt ^l'ttll^NC~9t U~t. 3399 South '''ahw., 30 l f)M)~ CitY, tlorm,^ :H~29 (90") 88t.8tU 1""I""/'~"'1:" ,ll<t ;C-3 ~~/ 7 ~~,. ''''~::Zi~ ~. "'I"'" , tiloiii iOn fj;;r.r I j ~~i .~i7 -- ~--...~-- ,,," I or 1\ 111111 'd~9'"'' ;::/I-f A AI F. () C, D /{1~1! W;i:~y $- I /~~ ~'fl~ ., -/ 1-,. . .~ /~- - zJ::- · ~_- ~f::;f~ I ii~ ii fii i1 ii;;; . . 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",,. tun., ""Yfl'."'".,u\",.n" rnmr..n..,U"" 'n~u1l.t1f., .~:::~~< IIn',,' "~n~- W,,,",, 1\"''' \1. ,,~ I' not ~r",""" ..11"1" ,hy, ~~_._.- -:-----...---~.- ._~.,.---~-~..~. -1". ~._._~...-. ~ _.____...._.~ ( I "rr q""""" It' 1ftat'ht"nt ".~ ~,,,'V,, f''!'''~ .,....111, ~""n, ",.', .." 'it"It.,,=: ~fr ..~U,'""", An,t "'f11 hf"'~"Y ",r"f.,,-.t v"" ~'" ftuthn,i,r-f ... .f, "", ...,n, If ~*': -,,,.., 'fir,' ".,t"..", .,.,1" t,.. ,,,:1,'" ~lt. nu"",'" :,hnvr !;l.nlll",_ l' d.. ,,' ft" "I,t,,,...,,. SI"lIlhMl . , ~~".;;;:; ;ml: :::::::;-t.::===~~::m;:---..---- APPLICATIOJ!ll/ FOR PERKIT CI'IY OF z..twIll'KH IU..s BlllLDlliIG DEPARnII!Xr OWNER'S RAKE co . o/(l7 - 741-1; D/ [) PHONE OWIfER'S JOB ADDRESS LEGAL DESCRIPl'ION: UJI'(S) BI..OC:K SUBDIVISIOS PARCEL I. D. t . /~ . WRK PROPOSED:_lIev Construction _Addition ~ration ~ir _Install S' - J.gIl _nove _I>e.olish PROPOSED USE: Single Faaily .' _KIF _, of Unit:s _K/H _ec:-ercial _Indust. _Swill. Pool Ot:her _Rest:aurant 5: Hea11:h ~tApproval BUILDING SIZE: x Square Feet, Height . RESIDENTIAL: COtttIERCIAL : A'l'TAaI (2) PUJI' PLAIIS 5: (2) SEI'S OF BUILDDiG PUUiS 5: (1) SET ENERGY FORMS. ** ATI'AaI (3) SEI'S OF BOII.DDIG PI..O'S 5: (1) SET ENERGY FORMS. ** **COPY' OF COIITRACT KIlQUIRIlD. ~ KEOUESTED _BUILDING $ Valuation of Tot:a1 Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. $ 2} ,,~(), () 0 _PUJttBllfG GAS ROllFING ~CAL Valuatim. ox Hechanica1 Installation SPECIALTY TYPE OF CONSTRUC'l'IOJ!ll/: _Block _Fra.e _Steel Other FIlIISlIED FLOOR ELEVATImiS: FI' . IS PRO.JECT IN FLOOD ZOllfE AREA? YES NO ****************************************** COJIIIRACIOR SECTION 81JT' .pF.R COItPBY St:ate Gert. or Regist:. I City License Registration , ****************************************** Signature ELECTRICIAN COItPABY St:at:e Gert. or Regist:. , City License Registration , *6&&&66*********************************** SiPll::lture PLUKBER COItPARY St:at:e Gert:. or Regist:. , City License Registration t ****************************************** g ~~ /J /J * JU :=eAIIY Cert. or ;;ft~~ ~ ~'L- City License Registration' .:l c. r ( ***************************************** Signature Signature ~j~fJ. '" ~ ... j- KEawnCAL 0T1IF.R COItPARY State Cert:. or Regist. , Signature City License Regist:rat.ioo. , *********~******************************** APPLICATION APPROVED BY PERKIT OFFICER. <II 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 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 ~ork, they lay be required to be licensed in accordance with state and local regulations. If tlfe t61f\ractor is no~. I icensed as required by law, both the ollner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Departlent, (813l 78B-6611. Furtherlore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 lIishes 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 ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES, D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Nith 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 "oNner", I certify that I have obtained a ~opy of the above described doculent and protise in good faith to deliver it to the "owner" prior to cOllencelent. 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 lalls regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do Mork and installation as indicatea. I certify that no 1I0rk or installation has cOllenced prior to issuance of a perlit and that all Mork Nill be perforaed to aeet standards of all lalls regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to the intended Mork, and that it is IY responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treataent f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - SeaNalls, Docks, Navigable Waterways f Departaent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treataent, Septic Tanks f US Environaental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood zo~~ "A" or cR,e~c.", it is understood that a drainage plan addressing a "coapensating volute" 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 Nith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit 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 Mork authorized by such perlit is coalenced within six lonths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six lonths after the tite the work is coa.enced. One 90 day extension of tile, aay be allowed for the perait 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 aonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCE"ENT 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 CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". 0~~ SIGNATURE: CONTRACTOR . STATE OF FLORIDA ~ COUNTY OF ~ The foregoing ln~tr~~nt was acknowledged before me this GL-~ , 19$ by ~Q(T.v~ who is pelSonally known to me or who has prodLlced as ident' take STATE OF FLORIDA ~ COUNTY OF ~~cJ'~ The foregoing instrLlment was ac~owledged bE'fore me th i s J- .2.....i , 19.d- by ~.,~ who is personally kn wn to me Dr who has PI-odLlced as identifica take an oat (Sign <SignatLlre)