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Home My WebLink About00-9689 BUILDING PERMIT ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09689 J.D -'-"---........ ~ Date ~-~.s-oo ~-- ~... ~~~. Property Owner: . Job Add'... . - - R ~~ - ~ - ;::y rY%~ Parcell.D. # /g-~~-~/-D/If 0 - OOODO- /.> ,:7 () 0 ~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work Ener~:)?;:;; ~ Radon Gas: I~ >< //f NO OCCUPANCY BEFORE C.O. FINAL 1- /3"- 0- 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 ..5') City License Registration # State Certified License# (j) L<.J?J..4~ -Permit Fee 'Signature Company Address ('~ ,~ Valuation or _ L . t1 ,. e..Q.. Contract Price r ~ {j 00 -- <(17 - 7 B- 9', 'r 0 i BUILDING ~~L PLU~~ M~~ICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. ... II) " J ~ ! ! \') . I'f\ .. ~ I : ~ a - j 0 ~ ~ .. ~ ""1.\ r- -:.. . ~ 11 ,,~.~ ~ ...~~ ,... -..~ . " . · · 0 ~C)U 12::2: Z OME4 tnZ o U1 D::= .~=r..JlOZ Ii1CJa:OZ CJZ" 00ll 4~ .Q........:I cn,' .. 12:: en M E-e 0< 0< 01 1'4 a: .0.....: Ol4..:1-a1ZtJ E..:Ii-l E.... fq"'t>OZ Z....!4!4U 014 Z ~ .... llQo>t ZIi1IlQOE-t · ~~"~{J~-U t~ 88= t:Il:Z tt.I f4 "'0::;)-4 .eo. Il&. Cln.~ p. CO f"'o G\ en ..... ... !no N .. fI2 :;) CJ o 4)l1.:c Ii1N >1 "11'0 1'4:;:)- E-ten<<) .c - c>..... QP-== >to< ,~~~ ~~Cl f41~ -; ~ ~" ~l ~~ ~t ~~ '" ~'" 'f" ~~ ~ ~ ~~ ~~ S17) fl...u S \+ALL 1'11\ ~ 11'\\ r tI} It'',\ (C)f.f. f1 bArC ~i) 51 DJi.. ?fi-TB ~\"- ~. tS)/Zco :~f. a~ ~~ ~'" , , I ~ .~ ,'" . "'fb ~~ ~~ .. , )..JI. () I:) ~~ . ...~. ~. ~ '~. ... ~ .i A".,O LOCal:J.?on - ,." ~ ... APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER' S NAKE 5' '7'{'" t/ E OWNER' S ADDRESS ? 9 7 t7 8' JOB ADDRESS =? 9 :/ 0 ff - ? . /?? u,A/ A...r r>?e&./~c....,.I ooc/ .)?? e' ~a/ oc--v od PHONE L60P CCO~ '7?3' bY- c? 9 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' / '1-d26 021 t?/$Lt) Ci'~CO OdOO (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:,KNew Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: ~Single Faaily _M/F _, of Units _M/H _eo..ercia1 _lndust. _Swia. Pool _Other _Restaurant &: Hea1th Departaent Approval DESCRIPTION OF WORK: ~ IJU/[L? /9/.JxI<f . t?- gtJ Square Feet, ~ )h~k"7 rr 7 Height BUILDING SIZE: 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. ~UILDING _ELECTRICAL $ I, &YOo , I PERMITS REOUESTED Va1uation of Total Construction AKP Service Florida Power Corp. W.R.E.C. -llECHANlCAL $ Va1uation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ~Fraae _Steel Other FDfISBED FLOOR ELEVATIONS: YES ~ FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... CONTRACTOR SEG:tlOH~ BUILDER ..- COMPANY t:.,L;.. ~ g.. i:::::oo -/ . ~ ----' State Cert. or Regist. , Signature ~.~ City License Registration' .......................................... ELECTRICIAR COMPANY State Cert. or Regist. . SianAture City License Registration . .......................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... HE~ICAL COMPANY State Cert. or Regist. f Signature City License Registration f .......................................... OTRRR COMPANY State Cert. or Regist. f Signature City License Registration , .......................................... APPLICATION APPROVED BY PERMIT OFFICER. . .' - CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "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 contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have tbe 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 tbe contractor wishes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to peClitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES , ~' , D. CONSTRUCTION LIEN LnW (ClmPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConSUler Affairs. If the applicant is sOIeDne 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 couencl!Jlent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'1' 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, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or installation bas cOllenced prior to issuance of a perlit and that all work will be perforted 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 goverDlental agencies lay apply to tbe intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to: A Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater rreallent A Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses A ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways A Departlent of Health & Rehabilitative Services, RnvirODJental Health Unit - Wells, Wastewater Treablent, Septic Tanks A US EnviroDleDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan addressing a "cOlpensati~g volute" 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 tbe work and not as authority to violate, cancel alter, or set aside any provisionscof tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becoie iDvalid unless the work authorized by such perlit is cOllenced within 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, Ia! be allowed for the per.it with fee charge of $15.00, Tbe extension shall be requested in writing to the Building Official. An approved inspection .ustbe logged during each six I9ntb period, or tbe project will be considered abandoned. WARIIIG TO OIlIER: YOUR FAILURE TO RECORD A 10TICE OF COMMEICIIIKIIl' HAY RESULT II YOUR PAYIIG TlUCK FOR IHPROVIIIBIIl'S TO YOUR PROPERTY. IF YOU UTEID TO OBTAU FIIANCIIG, COISULT WITH YOUR LEIDER OR AI ATTORlEY BEFORH RECORDIIG YOUR IOIICK OF COKHEICEHENT. JOBS UNDER $2,500 II VALUE DO lOT NEED TO RECORD AID POST A "IOTICE OF COHHEICIIIKIIl'". SIGIArURE: OWNER OR AGEIT , I SIGIATURE: COITRACTOR STArE OF FLORIDA COUI1Y OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUITY OF The foregoing instrument was acknowledged before me this , 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