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Home My WebLink About98-8180 BUILDING PERMIT BUltlNG ELECjRICAL PLUMBING ",opertyOwne, W. ~~~~ Job Address: Sa 16 __~ Parcel 1.0. # CITY OF ZEPHYRHILLS (813) 788-6611 J5.00 8180 P . Date~' Permit MECHA1AL Sewer Conn Water Conn: Water Meter: T,IF's: Zoning: DescriPtion of Work Energy ~e: Qo. . Radon Gas: . ..i/f'V') 0 ~ F1 :;) bOi ~11 ~ NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.O. DATE Inspector City License Registration # ;Jj ~ State Certified License# Pe'm;t Fee ~o-a ~~::::: .. ... -. ~ Address LJ:ef'ephone# 7 F L / ,S- ~ I Valuation or Contract Price Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB J.l/J.3(q 8 6J, Tub Set Water Sewer 11"/99 {r/II Final Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($ 25.00) 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. 4.17 '1'011.1':'1' STALLS ~ 8>>.: ~.:: Co8 II 1 .::. I .. :~: ~.~ ?\:.;' :~:::..:.~. ::,": ~:. :,~. :~::;:.d ~'..~".>':; :~.::.\~: ~:;'..:':~'::,:;':.;.(..:.:;;i ':" '. ~-~< ;:~: .; .. .. -t-- II ifi. I .;~ .I.,l, ~ . .. :! Plan Fig. 30 (e) Toilet Stalls (New Construction) :t"-:;' .~.~ .:;:.:::. ~;::'.:;: : :';;'~ ';',\': '.~:.':~'f\~5>'\ ":', \\~: :':. ~,:'ii~,;"":~:"::'~~ ~;:1:~1"~;.::" 'f:;" j.g }/: ~'-':;;;: :.... '.'..,. :....: .~. I,:,: L:~; ~?J :.... ..... ..... ...... 'i ::. ~.:' ..... [~ r~~ , \ \ " '- " '- --- - - ::r 1(. OJ I;.: Elevation .... ~ ~ , -- " " \ \ , I . io ... .. 32 Mln 110 Fig. 30 (f) Toilet Stalls (New Construction) FLORIDA ACCESSIB'UTY CODE FOR BUILDING CONSTRUCTION JANUARY 1994 EDmoN · 51 .~C: ~~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME w , A - t( R-U.Se.J ,(J IlL Ib~, ~a-1 PHONE JOB ADDRESS ~;-V I c.. 2..UO LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPER1'Y TAX NOTICEl ~DDITION [JALTERATION [J REPAIR [J INSTALL [JSIGN [J MOVE [J DEMOLI SH PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [JMULTI-FAMILY ~DUSTIUAL [J# OF UNITS [J SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT APPROVAL ~L~ BUILDING SIZE SQUARE FOOTAGE 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 F'OR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING ~ECTRICAL ~UMBING [J MECHANICAL $ VALUATION OF TOTAL CONS'l'RUCTION AMP SERVICE [J FLORIDA POWER [J W.R.E.C. $ VALUATION OF MECIIANCIAL 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 AREAD YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY: STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** COMPANY STATE CERT OR REG CITY PROCESSING # PLUMBER SIGNATURE yY) MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** O~HER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** /"".., V".----. '-:~~ -----~ SIGNAT~E": ,:-,.2~~R~.R ~ ~~~~~Y O~~;~~~~~q~t7 () The foregoing instrument was acknowledged_ _ J Before me thiS~ day of :l-f;C' , 19.2.J?' by A ,q /(/1. r:;-, 111 /,( _ Jname of person acknowledged) ~o is personally known to me, or CONIJI'l'JONS OF PERMIT AE'FIIJAVI'l' A. NOTICE OE' IJEEIJ RESTIUCTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The complrance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS ANIJ CONTRACTOR HESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance witll 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 requiremellts may apply for the intellded 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 (ClffiPTER 7J3, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protectioll 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 cOllunencement. 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 construction, 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 cOIlunenced 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 'ranks *U.S. Environmental Protection AqencY-Asbesto!'l abatement: I also certify thaL, if Llll material is to be used in E'lood 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 cOllunenced. 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 '1'0 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". 8.~ ht~oA. SIGNATURE: CONTRACTOR STATE OF FLORIDA /J A../) COUNTY OF ~~~ The foregoing instrument was ,acknowledged ""./ Before me this --J.LI!.!-day of ~F( , 19!2.f/ by _ ~e of person acknowledged) ~is personally known to me, or subject to ~deed restrictions" which undersigned assumes responsibility for o who o who has produced ~~(type of identifi..catiOn) G2. did A"t~~th ~. '.JJf~ "- .' J./dM{~ ~;e of perao~ -"king acknowledgment 8EI.c- a. ..;;; WEr~/9AJD Name ~~ prilibbllill~mped ,(:[':"'A~.;.. MY COMMISSION II CC534927 <:\, '., ~...~,~",j February 22. 2000 ";';rOF~~'" BONDED THRU l'llOV fAIN II!SI)R':< '; ......,. and /" ( ~.~Of peraon t king aCknoWledgemen. t . r:1?~~. 55/.JEDrlPD Name typed, printed or stamped ~~~~~v::""'"'' Bobble s. SWetland A....Ji. ~.,;~ MY COMMISSION II CC534927 EXPIRES . ,.: ~ ~= February 22 2000 ':~;'F ..,,?/' BONDED THRU TROY FAiN INSURANCE, INC. ., I. !I'~