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Home My WebLink About98-7640 BUILDING PE,RMIT 7640 B yo. {)V BUILDING ~";cr-V CITY OF ZEPHYRHILLS (813) 788~6611 ~~-; (jiJ PLUMBING Permit Date If-I-err ELECTRICAL M~L- Qp ',,----,10 Sewer Conn Pmperty Own., 5f~~ J IJ!~ t~ ~ Job Address: ~~O /:~~ Parcell.D. # Zoning: 'f~~~Y Code: .-- _ ~a~ ~a;=-- ~~ r Descriotion of Work li1 ~ ,)/..~ /"r.~ Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C,O, FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O, All work shall be performed in accordance with City Codes and Ordinances. DATE .. Inspector City License Registration # State Certified License# ~r Permit Fee Signature Company Address Telephone# (J;:'~ Valuation or Contract Price 3 5- ()l/?:). 00 '/ 73.M/J~I/ BUILDING rl~ /70 ELECTRICAL ,6 hUjZ:P/ PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 ($-1-6-:661 shall be made for each trip for each trade: ~ -: t.TD 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. , r , ; l//4( D Oat-. s:;:: /) ~ L%I1./rUGf ..sT. 4 '~ ,~ ! 'I' ~ ! f 1'1, I I ~-' '-- , 1 ~I l 1\ I \ 0 ~ ~ ,..:> ,Vy r /' t:J / / fG /6 /' (< r--; c. ,~ Lf cJ /"'- .--:-- APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE CJIl1'A.s ,d'-- PHONE "7 g ':2.. ..,. "4 0 I 8' JOB ADDRESS OWNER'S ADDRESS 6J..0 I L /;'A> -< r .......-:- .s/ O/fK,s~ J eo //10" /-:t ~ ~ ~ "'- /hA f) LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. f (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: .....----~ingle Family _KIF _' of Units _K/H _~ercial _Indust. _Swia, Pool _Other _Restaurant & Health DeparbDent Approval DESCRIPTION OF WORK: BUILDING SIZE: ) 7- X <.,to. yfSc) 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. PERMITS REOUESTED _BUILDING $ / 5cr~J, Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ----1fEGllAlfICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDfISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUIIDBR COIPANY ~ M- ff.5 ~ State Cert. or egist. f Signature W ~fJ City License Registration f '1ft: **************************************** ELECTRICIAN COMPANY '":s-~ 2P~.-L ~ State Cert. or Regist. t SiflnSllture UJ~ P.. City License Registration t /70 ***************************************** PIJlDBR COIPANY O~ .A't$5> ~ State Cert. or gist. f Signature LJ~ /1:..(. City License Registration t ~~ * *************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration , ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERKIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands Lhat this perlit lay be subject Lo "deed restrictions" which lay be aore restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAC'l'On RESPONSIBILI1'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 .ay he cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611, Further.ore, 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, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'l'ILI'fY CONNECTION FEES ~" D. CONSTRUCTION LIEN L1\W (CHAPTER 713, FLORIDA STA'fUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeowoer's Protection Guid~" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If the applicant is sOleone 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 couenceaent. E. CONTRACTOR "S/OWNER' 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, 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 bas cOllenced prior to issuance of a perlit and that all work will be perf OIled to aeet 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 governlental agencies lay apply to the intended work, 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: t Departlent of Hnvironlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, , Water/Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abate.ent 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 "colpensating volUle" 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 with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official lrOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid unless the worl authorized by such per.it is cOllenced within six lanths of issuance, or if worl authorized by the perlit is suspended or abandoned for a period of six lanths after the tile the work is cDllenced. One 90 day eJtension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writinq to the Building Official. An approved inspection lust be logqed during each six lantb period, or the project will be considered abandoned. WARNING TO ONNHR: YOUR FAILURE TO RECORD A NOTICE OF COHHHNCHHENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHKNIS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEFORE RECORDIHG YOUR HorlCE OF COHHENCEHKNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMHNCHHlHt". we,)' LJ~ SIGNATURE: OIfllER OR AGENT u~~ SIGNATURE: CONTRACTOR . I STATE OF FLORIDA COUNTY 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 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