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Home My WebLink About98-8142 BUILDING PE_RMIT- '. CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8142 rl fI /2s /9 P f Date BU~G ELECTR~ PLU~NG 30.00 MECHANICAL Sewer Conn Water Conn: Property Owner: -r; III 1+ Job Address: :)~ 3~ - ofJLbO I L 'I-A (J-j-- . Water Meter: T.I.F.'s: Parcel I. D. # Zoning: Descriotion of Work Energy Code: ~~. ~-lX: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL I). C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price 14Q, 00 ~)<) Permit Fee ~ature Company Address ~Phone# 31"2,- :Jf 7"-"\ Ii 2 ~I/- ~'on!Uj ~t:l-OS City License Registration # State Certified License# BUILDI~ ... ELECTRIa-AL I PLUM~G c MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv. 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 ($ 25.00 I 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. /" i~1 l'1l pH nal ~.. SONNY'S DISr.OUNT APPLIANCES, INC. , n L r t South lIighway 301 LJI\UE. CITY n orWJ^ 33525 (Yl'u 567 622" ':;::~':: .~/6--- 'Ui*~r~Z~.-=I.2~~~~..__ M,~i ~ --TnA'f-~~:~~_______ Ikllllonllllnd Ilstirnntl'5 '01'- ---.-- - - -- ---- - - -- 1'1101 II \'\/I---?_F--7~ . .Inn riiiiji--' lOR I oeA , ION 1 ifio j;, if iiii ;? 1:1- ;t;.., ~030 FT.i g---i(IJI/~~ , /'1 f/, /'1 J"r l'nt,lttltt hereby to flllnish materia' ;md labor complete III au:ordillll e wilh ilhov(! 5111!cilil alions, lor till! ',11111 01 "",,,'oni III h ,noli;o ;t;; 10"OW5;------------ dollars (~//ffl,ljt .. Au Hlltt'U.,' ~, ""Afanl~ct.l lu tJo ., .pec:UIl~c'. All wd'''' In tlf! f llHlph.tt>-ft in . wl)f~fII"nli"'r 1II.lf1l1f~' ;UTtHt1iur. 10 !i.1.HU'.'" JtI.~.th.el. ^uy :tlh!...tilJn 0' tI~vi..lillll "'''" ahuve s,.... tlh;, Ifttns htvCllvllI1 e,hA (u-.t$ will h~ ~JII'cUtrd 0111y IIIKJf1 wtltten Ollt"I', "tld will 'Ir, fill'" ;In "...,. ..hAI'" wet Iud ahn\lp. the "4Shma1e "" "l:u-"''''''"I'' rnntl1lt!f"t1' UllOrl !.hi"f'~. ~Il i<f.."lo;. Uf cl~I",\ ",.-y\,nl' o,n lUl1hul nwm', '0 (,811' 'II~. tmu,.ltlll oIuul ,,1l11~1 'UO("..."ruy ill'lll :t". t' nUl v",OIltfHS .il tully r.h~N;tl' hy Wtu"nI"'U', rfl.lll'pn...nti~, 111'1ll ;UII e . ~~I":I~I~~d~... ' S,/(',,,' II' _.. U..I\! I his 1.tl>P()~; 111<'Y Ite willllhaw" hy It'; if tu.\ ;" u'ph'" wllhill d 1',- ~",__,". .'. _.~_...._.~ ,._.. ,_. ..-.. .__.-. ~.~.. 1\rrr,.hUtfr Ilf tlrl1,1I1llUl 11,1' itho."II,i'IlS. sI'PI,fu;tliOI" 'II'" 'nlulili"'llS lUll sllflslal "uv alld ;tlf' l.....hv lUI "P":lJ Villi ~I" ,IIIIIUIII/,'d 10 tl.. II", work liS SII'" ilh"J ""VIll,,"l w,lI h" Ill;ul" 11~ Ilflllllu'd "h".1' Si~lInllll(> 11,,11' fir ^r."'I"anr',: ~., <;iJ!Il"\UlP "1,1 .III~I ,'\.I.,.~l'.. I...,' .... 1111l11... ",1'1I"f111H"UIII"'I~.",f~;l .' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE JOB ADDRESS f-~ ~. -2-~ PHONE OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE ~ RESTAURANT & H~LTH DEPARTMENT APPROVAL . n -,,l.r--:~ .e'~?LIJ(1:e SQUARE FOOTAGE ~. ." - '!. 1iEIGHT DESCRIPTION OF WORK 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 REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING IJtMECHANICAL $ 1'191. If! VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * MECHANICAL COMPANY ~ A ~ STATE CERT OR R 1ST # SIGNATURE L.~ CITY PROCESSING # 2'O.r ******~** *******:********************************************* OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibi~ty for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating constru~t~on; zoning, and land development. . Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 COMMENCEMENT. JOBS UNDER :~~:::u@:~ TO RECORD AAD POST :,~:::@7r STATE OF FLORIDA A? / r;' , STATE OF FLORIDA !,..}-<.. i.-,/! COUNTY OF tl/Z;<.\ CG COUNTY OF '- ..,~ - - The foregoing i,z.-rument was ac~n,owledge~. The foregoing instfument waj-\JiJkr1wledgedc- Before me this '.. day of /\/J U , 19~ Before me this ~day of I , 19 -,) by , by - / (name of person acknowledged) , / (name of person acknowledged) ~who 1S personally known to me, or ~ho is personally known to me, or Name Sign Official Seal Name type , NOtWP81itfi!.q,ta~-tifFWltimped My Comm. expires June 23. 2001 My Comm. No. CC627276 o who has o who has RD ~futpiQ;:SW~~8ori!j't sta My Comm. expires June 23. 2001 My Comm. No. CC627276