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Home My WebLink About98-7638 BUILDING PE.RMIT 7638 IS Permit J~':~ ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 dS '.. V>> PLUMBING Date l.f-/-Cj'~ JfP. ilV BUILDING ..... - ~.~ MECHANICAL Sewer Conn L:J... ~ 8: (}1) 7' , Water Conn: 3~. /J7> Water Meter: ) e--IJ ' t1Z; T,I.F.'s: 3'11. i7'O Property Owner: Zoning: Energy Code: Description of Work J1t ~7-€' ~7 ~ ~? ),#40 Ph\. ~-::Gt: r/~/lA. ~ . NO OCCUPANCY BEFORE C,O, Radon Gas: Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, FINAL C,Q, . DATE Inspector Do6 p~'m;~~ Signa re Compan Address Telephone# Valuation or Contract Price 3!7 f?ro. "cr-iJ ~ City License Registration # ~ d- Y () State Certified License# ELECTRICAL ~4<:r PLUMBING - tfJ4tL- '1~ f-Ao,~'r Iff! BUILDING a.~ /R-'l MECHANICAL Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr, Pre SLB Lintel FRM, Insul. CL WL SLB Tub Set Water Sewer Final J.fr 1D-~ Pj1 Breakers Ducts Insl. Compressor FinalllG'orCf'8" t:-)....!t Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 'H1:'OO1 shall be made for each trip for each trade: j .;1.5-: ()"z) jJ/ -;! /)" ., 71- IJ iJ'_j_ 7 ~ a. Wrong Address ~ ~~,..v"J.~.u2 r' a b. Condemned work resulting from faulty construction. ~ C. Repairs or corrections not made when inspection called. ~ ~u d, Work not ready for inspection when called, ~ e, Permit not posted on job site, i 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 a. r~IU 12.4 LD f\ m, ~ P a..Jv PHONE 8(3 -? gJ -j rft6 OWNER'S ADDRESS 7 ~ J./r- G-~" .c;/fJoe DfZ..-' .:z~h.erhdJs , :1-1 I 33S3 '1 JOB ADDRESS .31 ~3 cJ /A-JIJ D l~ ~ ' .4u s. / LEGAL DESCRIPTION: LOT(S) q t{ BLOCK SUBDIVISION~Mwj ,i!o,i1nfl f}1.J.i.,Pk, PARCEL 1.D.' 31-JS:- J 1-0010 - 0 /30 () (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units /M/H _eo..ercial _Indust. _Swim. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: -1 e{ h1ill e. ~\L BUILDING SIZE: a ~ x jj , Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. y/; /Jt ./J~SIb/--'<fJ _BUILDING $ .LELECTRICAL V' KEGIIANlCAL $ V PLmm~NG PERMITS REOUESTED l(Poo~ Valuation of Total Construction AKP Service Florida Power Corp. W.R.E.C. Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF GONSTRUC'l'ION: _Block _Fraae _Steel itJ/fl Other FlIIISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? / YES NO .......................................... CONTRACTOR SECTION Blrrl.DER ~ q" COMPANY Je1 J1,'/tCl,4 /IJ Jt.itf 4~ U l)tJ , // St:ate Cert. or Regist.' Iff/!) (JOt) I~I SignaturV~/ 1/11..# . / City License Registration , ;2..~ V . ....................................... m~' dk ~ COMPANY e- , ~: Wi( ~~.., ,/ State Cert. or Regist.' - Si QfI ec::/..e-<.J<!....I /' (..,t.., City License Registration , ........................................ PLllKBER J;..l i4 - COMPANY"- i.lv ~' / - State Cert. or gist.' Signatur'A 14-. 0 ", City License Registration' . . ........~*............................ ~ ! KECHARICAL I COMPANY State Cert. or Regist. . Signature City License Registration , ..................................... ,/" ~ / OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... / APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that Lhis perlit lay be subject Lo "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 with state and local regulations. If the contractor is not licensed as required by law, both the owner and ~ontr8ctor 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 Cor the intended work, Lhey are advised to contact the City of Zephyrbills Building Departlent, (813) 188-6611, FurtberlOre, 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, 8sthe 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 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 U'rILITY CONNECTION FEES ..' D. CONSTRUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ ROIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to CODencyent. E. CONTRACTOR' SjOWNER' S AFFIDAVI'l' I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, Joning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govefRIental agencies laY apply to tbe intended vort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: I Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treallent I Southwest Florida Water Hanagelent District - Wells, Cypress Hayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways I Deparllent of Healtb & Rehabilitative Services, EnviroDlental Reaith Unit - Wells, Wastewater Treatlent, Septic Tanks I US EnviroDlental Protection Agency - Asbestos abatetent 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 wbich is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance, , A perlit issued sball 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. Bvery perlit issued shall beCDII invalid unless the work authorized by sucb per.it is cOllenced witbin six IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, .y 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 tbe project will be considered abandoned. WARKING TO ONHER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHEHT HAY RESULT IH YOUR PAYIHG TWICI FOR IHPROVEIIBIIIS TO YOUR PROPIlRTY. IF YOU IHTEND TO OBTAlH FIHAHCIHG, COHSULT WITH YOUR LEHDER OR AH AnORllIlY BEF RBCORDIHG YOUR IfOTICI OP COHHIlHCEHIlHT, JOBS UNDIlR $2,500 IN VALUE DO HOT HEED TO RECORD AXD POST A OrICE OF NCEMBIII". SIGHATURE: OWNER OR AGEHT .... . I STATIl OF FLORIDA COUHTY OF The foregoing instrument before me this was acknowledged , 19_ by STATIl 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 /' /~ ~ I f ~+ qy r;'~a,\"J u."lf,-z.,,, \ l}) 151 I I I I , I I I ,/1 ,~ I '~ :":;j -t I..J , \\ )\D~ ~ fPV> \- (,;>0' ~g ~o.. \ I'J I p.~~-: ~'., , ~I /S" r , I r , r l' :: ~ t='o...:.~.; , <"~Q ...~ ,. -- I 8 v/,lJ.oo.v" wle'" 10 _--- ,rJ ill.u~ __/).,jJ.::L..._ ..~'...~ ~ ~..u..r "1J. V, ') " '1 ' I I,> \ Ie. ~ ~ 1~/a 7 ~ q\ cnll"IT'j' i',: (:J ~'.l ! .. I:' d)l"'f.' ." 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