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Home My WebLink About00-9628 BUILDING PERMIT Permit 09628 Date 7/ JO/l10 J CITY OF ZEPHYRHILLS (813) 788-6611 BU~ING ELEC~ICAL PLUM~G @ qT). - MECHANICAL Sewer Conn Water Conn: Property Owner: I'" r . tJ Y I"" o,~ e Job Address: >~ 00 <f /...;;..uv",,(ltA.. L-p. Parcell.D. # 1l(-:16 - ~,- Dr" o. 00000.- 05 Jo Zoning: ~ergy C?de: Radon Gas: Descriotion of Work A L_ ( _(,\1;. ... P (')f .+ Water Meter: T.I.F.'s: FINAL ./2-/ '"' CP t:J DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector .5"'e City License Registration # State Certified License# 2752 ~)"(, Permit Fee () .- _-'Signature _ . ktt~l'P' ~ Company Address ./ Telephone# 7,) 7 - 77/- ~ \.5 -r Valuation or Contract Price ~ ~ :re:;. Clt -- :Jl' Ai . 6' S ( BU\ DING ELEd RICAL PLUMBI \/G MECHANICAL Ftr. Tp. Servo SLB Breakers Pre SLB Rough In Tub Set \ Ducts Insl. Lintel Meter Can Water Compressor FRM. Const. Pole Sewer \ Final Insul. CL Pool Final \ \ WL 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 ($ 25.001 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. APPLICATION FOR PZlUUT CITY or ZEPHYRHILL8 BUILDING DEPARTMEN'l' DATE RECEIVED PLAN, QVIft 1'1:I: OWNER' s NAME~Mr. ~ tv\r s. vJy tn ar e. JOB ADJ)REss~tOOq L<"l..lJ.J 0.."" o.clo.. PARCEL II) II _i~ )(,-.J)- PHONE 'g' J 3- 703- 7} <=Jr L 00 p ;2 t"fh ~ r h: U~" F1.. ,~,~SJ..j J SUBDIVISION Wo..~u'n[~ h.Nh d ~ t! f ('), &, 0 - 00000 - 0330 (OBTAIN' FROM PROPERTY' TAX NOTICE) BLOCK LEGAL DESCRIPTION: LOT(S) WORK I'HOPSEO: Ol.a:w CONSTRt}C'l'ION OS!GN o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH E'ROPO~:ED USE: OSGL FAMILY DWELLING DCOMMERCH\L OMULTI-FAMILY o INDUSTRIAL 011 OF UNITS o SWIMMING POOL c-,;roBILE HOME o OTHER DESCRIPTION OF WORK CJ C jt) I RESTAURANT , HEAT,1'H DEPARTMENT APPROVAL n t~ To V\ tJSQer f>C)..c:k~g.p Ul\~-+ w 10 UlU ~ -r:'t'lsfa./l Jl.f /n f( etW" f) SQUARE FOOTAGE HEIdHi BUILDING SIZE RE:SIDENTIAL: ATTACH (2) PLOT PLANs, (2) SS;TS OF BUILDING PLANs & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETs OF BUILDING PLANS, [1) SET ENERGY FORMS. PROP~R'I'Y SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [] BUILDING .$ VALUATION OF TOTAL CONSTRUCTION Ci ~~LBC'I'HICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. CI PLUMBING o MECHANICAL .$ 71 f5. I<<P C GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE Of CONSTRUCTION: 0 BLOCK o FRAME o S'l'EEL o OTHER nNISHE:D FLOOR ELEVATIONS IS PROJEC'r IN FLOOD lIONE AREAO YES o NO [---_.. c~~... I"j; !_I;':': rPI'" ,-".;; :1 ~'.l. i j11'" " t I;'," I'!' BUILDER COMPANY STATE CERT OR REGIST # CITY FROCESSING II SIGNATURE *~...**..*..~.*****.**.****.**....*..**..**.**.*.....**..........~ ILECTlUcIAN SIGN....TURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ..~*.*******...**.**.*********.*******...****~**...**............. ~ COMPANY STATE CERT OR REGIST # CITY PROCESSING II SIGNATURE ........ - ............. ........ -. -. - -... -.... If..(. ..if... ............ NlCKANICAL COMPANY I \ ~ I c. -A. ~ )( ~~ STATE CERT OR REGIST # -f:t A (~\5 SIGNA'I'liRE CITY PROCESSING # 27 ..**.*************..*..*..~*A_*.*4*.******.**.****.**............ OTHUl. SIGNATURE _. COMPANY STATE CERT OR REGIST II CITY PROCESSING II .........._...***.***.**...**......**.********..................* 9B"d Lt9B 92S 2t8 3WOSM3N gBg Wd v2:LB BB-6t-,nr JUL-19-00 07:33 PM 813 536 0617 P.05 B0B NElolSOME CONDITIONS Vli P~RMIT AFFIDAVIT A, NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may he more restrictive than City regulations. The compliance with any applicable deed restrictions. B. UNLXCENSED CONTRACTORS AND CONTRACTOR RESPONSIDILITIES If the Owner has hired a contractor or contractors to undertake work, they mllY be required to be licensed in accordance with stftte and local regulations. If the contractor is not l~cens~d as required by law. both the Owner and contractor may be cited for a misdemeanor VJ.olatlon undel.' state law. If the owner or intended contractor are uncertain aB to what licenslnil requirements may apply for the intended Work. they are advised to contact th" City of Zephyrhills BUildinq Department, 813-788-6611. Furthermore, if the cwner has hired a contractor or contractors, he is advised to have the contractor(s) Sign portioll's of the "Contractor Sections" of this application tor 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 .hgn as contractor that may be an indication that he is not properly l1cens..d and is not entitled to permitting priVileges in the City of Zephyrhills. C. TRANSPORTA.TION IMPACT FEES AND UTILI'rY 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 GuideN prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I eerify that I have obtained a copy of the above described dOcument and promise in good faith to delh'er 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 construction, ~oning, and land development. ",pplication .1S hereby made to obtain a permit to do work and installation as i.ndicated. I certify that no work or installation h..s comrnenc..d prior to issuance of a permt.t 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 jUri8d1ction. I also certify that I understand that the regulations of other governmental agenc1es may apply to the j tltended work, and that it is my responsibility to identify what actions! mlJst take to be in compliance. Such agencies include but are not limited to, .Department of Environmental Regulation-Cypress Bayheaus, Wetland Areas and ~nvirolunentally Sensitive Landa, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland ArRas, Altering Watercourses .Army Corps of Rngineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative SerVices, Environmental Health Unit-Wells, Wastew..ter 'rreatment, Septic 'ranks *U,S, Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in FlOOd Zone "An or "A,etc.H, it i$ understood that a drainage plan addressing a "compensating vo!urneN will be submitted which 15 prepar..d by a profeSsional engineer registered .in the State of E'l.orida prior to p<lrmit issuance. A permit issued shall be constru"tj 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 perfnit prevent the BUilding Official from thereafter requiring ~ correction of errors in plans, construction, or violations of any code. Every penmit 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 tho! time the work is COlnmenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed in writing to the B'lilding Official. An approved inspection must be logged during each six month period, or the project will be conSidered abandoned. W~RNING ~O 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 E'INANCING, CONi3UL'r WITH YOUR LENDER OR AN ATTORNF.Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "N01'ICE OF COHMiNCEHENT". !lr/M /;/4- SIGN URE: OWNER OR AGENT llubject to "deed ~estrict:ions" which undersigned assumes responsibility tor SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF 'rhe foregoing instrument Will. acknowledged Before me ttl1s_ day of , 19_ by (name of person acknOWledged) Dwho is personally known to me, or Dwho has Produced OL jfSI/'~5~lotS(.lr (type of identification) !lnd whoDdid Odid not take an oath. STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me th1s -----Pay of by <lckncwledgec.l , 19....:..... (name of person acknowle~ged) (Nho is personally known to me, or o who has produced (type of identification) and who Ddid Oiid not take an oath Siqnaturo of ~erBon t~kihO acknowl~d~oment S~9"At:U."9 Qf p..raOh tak:L.n9 acknow1ecl9ft\t:ll,t Name typed, prInted or stamped Name typed, printed or stamped