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Home My WebLink About98-7613 BUILDING PE<RMIT " CITY OF ZEPHYRHILLS (813) 788-6611 Permit .7613.g 3-c:2-/f- rp Jf ~UILDIN~ Date EL~.... p~-_... ~werConn CA.LAt~ /A;~ ;Z;~ ~' Water Conn: Property Owner: Job Address: Parcell.D. # I~~ -99 o')q~ Water Meter: T.I.F.'s: Zoning: Description of Work Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. 6. 1 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~ Permit Fee Signature' Company Address Telephone# , W Valuation or ~ ~ . "..:::.. Contract Pric r.<!. IrJ 0 , City License Registration # c:2~.9.. State Certified License# ~ ~7YGA &(o~)lJ4'':-' BUILDING ELE.CJ=R'!'CAL PLUMmNG ~ICAL 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 S.DOI shall be made for each trip for each trade: ...l~':VV 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. r .1 D II II "-. - II .n II I I I 11250 South Highway 98, Dade City, Florida 33525 I Phone # (352)567-8580 I 0 Bonded and Insured ! la" /" '--'eLl J;:" D ~ I z,. -z., ~ - 'Z I - Do"'O - CO 3<:;0 - C<;):3 --- --- .' I.:::' "";'. LJ L SCHAF-E:R ROOF I NG COMF'ANY . , "4'. RESIDENTIAL & COMMERCIAL Registered Building Contractor Registered Roofin~ Contractor RB 0032524 RC 0056763 ", t-------- - -,- ~ - I~. hereby submit specifications and I - REMOVE EXISTING SHINGLES, DRIP EDGE, AND DAMAGED WOOD I - '"".. WOOD ALLOWANC", ~ ( M @) 7./ lJ 7 V vI^-....., h .r- 1 - INST~iL.L NEW J r LB_ FELT DRY-IN I -f-:.2-- I I I , I II i I I I II II I I , I I I I I I I '1 ACCEF::'TED : . . I [) ~ t e -....-:r-----.--- H' R____. .._......_ - I hlSTAU"" NEW - INSTALL NEW VALLEY METAL AND FLASHING /I- (fA ()./\__ DRIP EDGE - INSTALL. NEW VENT BOOTS -- lNSHlLL. ~YEAR MANUFACTURE~S WARRANTIJP FIBERGLASS SHINGLE~3 8F~{~ND : .6,1- F COLOR: Ut t11\. '" tA/\ 0 (./\. - COMPLETE TRASH REMOVAL -- ~C~OUNTY PERM I T INCLUDED -- __~ YEAR CONTRACTOR' 5 LEAK WARRANTY c."v TOTAL COST. S -vl( G 0 --- ( l~ ^ .J-~m'tt=~et:..'"'M:El1T'; BALANCE AT COMPLET I ON ;; i gna tw"\:" J,~ C-C'~L~. k <-~ CONTRACTOR S i,gn.a tW'E? , \ ..-.,..'- "'"-'--'-...' ~~'~"'-'~:a....-.... ~'':''._-,.~ ..:....:.._-~, "'--"'~"~'~~"'~'~'~~.~"~~'.:=:;;:.;;:;;:r~.~"~,_~.~~_~.:...::...,:~.. OWNER' S NAME ;t1~ /I era.. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTKENT aettki~, PHONE ; 7J;;2-11Jl( OWNER · S ADDRESS JOB ADDRESS 3Q{J3(, 2- -e{'hr Ave.. BLOCK - t<~~-kl LEGAL DESGRlPTION: LOT(S) SUBDIVISION PARCEL LD.' /;/.-)..(0- 52-1.... 0t13tJ-L1j3(Jo-aJ3:J (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install. _Sign -'love _DeIIOlish PROPOSED USE: _Single Faaily _KIF _, of Units -'lIH _~ercial _lndust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: <;j( er(}trP" BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : 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. _BUILDING $ d.. ,'-f CIJ, ~ PERKITS REOUESTED Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Gorp. W.R.E.C. --"EGHAlfICAL $ Va1uation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDlISBED FLOOR ELEVAnONS: F'f . IS PROJECI' IN FLOOD ZORE AREA? YES NO ****************************************** ~~ BUTT.DER / Signat City License Registration . ****************************************** F.T.RGTRIGIAN COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature PLUMBER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature KEGBANIGAL COMPANY State Cert. or Regist. t City License Registration . ****************************************** Signature OTIIF.R COMPANY State Cert. or Regist. , City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERKIT 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 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 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 tbe owner and contractor JaY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of tbe "Contractor Sections" of this application for which tbey Ifill be responsible. If you, as the ONDer sign as tbe contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes 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 , , D. CONSTRUC'l'ION LIEN LnW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeowDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If tbe applicant is sOlBODe otber tban the "owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faitb to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work Ifill be done in cOlpliance witb 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 worl or installation has cOIIenced prior to issuance of a perlit and that all Ifork will be perforJed to lBet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in tbe jurisdiction. I also certify that I understand that the regulations of otber govefDIental agencies JaY apply to tbe intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lillted to: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroOlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · DepartJent of Healtb & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks · US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "colpensating volUle" will be sublitted whicb 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 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. Every perlit issued shall beCOle invalid unless tbe work authorized by such perl it is cOllenced within six IOntbs of issuance, or if work authorized by the perait is suspended or abandoned for a periOd of six IOnths after the tile the work is COllBnced. One 90 day eatension of tile, JaY be allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARHING TO OWNER: YOUR FAILURB TO RICORD A NOTICB OF COHHBNCBHlNT HAY RESULT III YOUR PAYING llllCE FOR IHI'ROVBIIm'S TO YOUR PROPERTY. IF'YOU INTBND TO OBTAIN FIIIANCING, CONSULT WITH YOUR LBNDBR OR AN AnORREY BEFORE RECORDIIIG YOUR JorICE OF COHHINCBHBNT. SUNDER $2,5 N VALUB DO NOT NERD TO RBCORD AND POST A "NOTICE OF COHMINCBHBNT". . 7 e 1Itt7.J7d;PIk"~ . I STATB OF FLORIDA COUIITY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY 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. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC