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Home My WebLink About01-0200 BUILDING PERMIT~~ ... 0200 CITY OF ZEPHYRHILLS (813) 788-6611 Permit ,.. .00 5~. - BUILDING Date } /22/01 E~TRICAL ~BING MEC~ICAL Sewer Conn Property Owner: L.a.", €-.e Job Address: ~ t.t ~ C, Parcell.D, # 0 ~ ~ ~(, " 11, s '"'"' :~ l:k", + ~ "'~ ~.., 011.0 -(0)00' Water Conn: \)r. 0991 Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: ackl. .5 C -,(Ie...., Radon Gas: ']. 0..::.. fDr,,'" NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans. Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, City License Registration # State Certified License# Permit Fee _ Signature Company Address ... Telephone# Inspector Valuation or -1 'V c... Contract Price 0 0 0 ,- 7fJ}- ~ J-3 ~ 6 0 \d ~f1c1dl: 0 f\ J.#o.... (1 j BUILDING ELE TRICAL I LUMBING M CHANICAL ~ Ftr.' . Tp. Servo SLB Breakers Pre SLB Rough In Tub Set Ducts 1m . Lintel Meter Can Water Compres or 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 Twenty Five 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. " ro'l21o HUNT r4YrMJ UlI~ - < SQ. FEET PRICE ' - . IWN OR LMNG AREA $ OTHER'AREA UNDER ROOF ~~ $ 15~ ~~ OTHER . VAUJAnoN $ APPLICATION FOR PERMIT CITY 01' ZZPHYRHILLS , BUILDING Dl!:PARTMImT DATE lU!:Cl:IVZD ~ - 1ft:,' -n / PLANS RZVtn dB ~~~ SUBDIVISION fJtvl/ tJ4 ft-vs,e Ck. L.:~f#.~:: ioYd_ v~'- ,Dr: 'afi17/k/!S LEGAL DESCRIPTION: LOT(S) ~- BLOCK, PARCEL ID # 03-t9/g-:J!-CJIJO-(){J(!b) - ()C(q/ /) ~' WORK PROPSED: DNEW CONSTRUCTION p4 ADn-rfIoN OWNER'S NAME JOB ADDRESS (OBTATU FROM PROPERTY TAx NOTICE) o ALT E RAT I ON o REPAIR o INSTAtL o SIGN PROPOSED USE:~SGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH OMULTI - FAMI L Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL D MOBILE HOME o OTHER BUILDING SIZE CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL odd Qreer, frch SQUARE FOOTAGE ~O HEIGHT 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 , BUILDING $ / f!IJlJ II? VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO SIGNATURE ;fws~c, , COMPANY e- STATE CERT OR REGIST # CITY PROCESSING # I~ l. _, BUILDD ****************************************************************** BLBCTlUCIAR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE **********~************************************************.****** COMPANY STATE CERT OR REGIST # CITY PROCESSING # amCllARlCAL ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** ......"'u.v.....J.....vutJ V.L: CJ:lC\,t"l..L.l L-\..r r _l.UJ-\V~'-,). A. NOTICE OF DEED RESTRICTIONS ,The und~rsigned understands that this permit may be may be more restrictive than City regulations. The 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 conttactor(s) sign portions of the "Contractor Sections" of this application for which the: will be responsible. If you, as the owner signs as the contractor, you are indicating tha; you, rather than the contractor, are responsible for the work. If the contractor ~ishes you to sign as contractor that may be an indication that he is not properly licensed and ii not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN ~W (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 aocument 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 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 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 tc be in compliance. Such agencies include but are rtot 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 Areast 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, CONSUL! WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2t500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGl/AT~E~ SIGNATURE: CONTRACTOR STATE OF FLORIDA ()AG II O. STATE OF FLORIDA COUNTY OF ~- COUNTY OF The foregoing i ~Iument was aCk~wledjAg~~1n1 The foregoing instrument was acknowledged Befo,re me th s ~ day of rn,1IV/V\ , ldY'I Before me this _day of , 19 ~ by .' ~ by -1 (name of person acknowledged) ~who is personally known to me, or subject to "deed restrictions", which undersi';Jned assumes responsibility for (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) a~h.oO d,i. d ~dii not take an oath. ~~~:tt\ .~~~. Signature of person taking acknowledgement o who has produced (type of identification) and who Ddid [}:lid not take an oath Signature of person taking acknowledgment Name typed, .-!I"'''''''' ~rit~.. 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