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Home My WebLink About01-0204 BUILDING PERMITN~ 0204 tl/c- CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date "J/~J/O' BUILDING ELEC~ICAL PLU~NG MECH~ICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcel I. D, # Zoning: Description of Work ~lV (,~ So 'J 0+ 7yJ...yrh."'s. I~ ~ Water Meter: T.I.F.'s: Energy Code: ~ s-t-ct II ,,)..; c;p r'\ 0+ Radon Gas: 0.--, t2 :;<3 ' WI 0.-7 ,. + 0.... ;1'S I.v~ I ( . ,..-, NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector City License Registration # State Certified License# Permit Fee - Signature Company Address Telephone# tJ Ie ~ 8.. PI-~~~ Valuation or Contract Price (Z/3) b~~'16 1/6 ~~I- /1/ c(.( ~,-'] '~ . '" u". '-"', BUILDING ELECTR CAL PLUMB~IIG MEe- ANICAL 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 Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a, b. c. d. e. f. g, Wrong Address Condemned work resulting from faylty construction. Repairs or corrections not made wh,n inspection called. Work not ready for inspection whenl called. Permit not posted on job site. Plans not at job site. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . . OWNER f S NAME J-I. and ex CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DZPARTMENT 5335 8~ STRBET ZBPHYRHILLS. PL 33540 Phcne;813~780-0020 P&X~813-780~0021 DAT. RECB1VBD PLANS RBViBW ~BB PHONE CONTAC~ IJ)6Jb -16'1t JOB SITE ADDRESS of..-' r;- O~ if .1> i: LOT(S) ~_'1 () Jl LEGAL DESCRIPTION: ROrl~a Sf 2tj'j.'lftil/~ I Pi BLOCK l ~ 300 SUBDIVISION --,.....-------- ,~ PARCEL ID # tv d-b DOll>' l J ~ 00 OtYiD (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR ..p INSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING D COMMERCIAL DMULTI - FAMILY D INDUSTRIAL 0# OF UNITS D SWIMMING POOL o MOBILE HOME ~OTHER c:J RES~AURANT & HEALTH DESCRIPTION OF WOlU< ,J:;:i-iallt,/",.. 0+ oni BUILDING SIZE DEPARTMENT APPROVAL f9 r 1/h101l1/0rlll. " IN t" 1/ i'h ((OW SQUARE FOOTAGE -, _,_- HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS 01<' BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PBRMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL -', AMp SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION ..p..- OTHER - R 6 W perm I: f- o FRAME 0 STEEL -If-oTHER IS ]?~OJECT IN FLOOD ZONE: AREAD YES' 0 NO TYPE OF CONSTRUCTION: 0 BLOCK FINISHED FLOOR ELEVATIONS BUILDER. COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE _._****.**-****...*I..**************..W***************..*********** ELHCTRIC:IAN SIGNATURE COMPANY STATE CERT OR REGrST # CITY PROCESSING # ****..**~***************.*.*..************...******.************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE - MECHAN.ICAI. *******.......************....***.************..*.************.... COMPANY: STATE CERT OR REG~ST. # CITY PROCESSING # Sl:GNATURE ***********.....****.*************.**-************....~********** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ********....************.*******.*.*.*******.*********..********* t: 'd G880'ON SllIH~AHrli7 10 All:! ~rl~?:7. 1007. 'R 'JeW . . CONDITIONS OF PERMIT AFFIDAVIT A. MOTICE OF DEED RESTRICTIONS Th@ undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility 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 ~y be required to be licensed in accordance with state and lOcal regulations. If the contractor is not l1cen$ed as required by law, both the owner and eontractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requir~ents 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 (a) sign portions of the ~Contractox SectionsN of this application for which they will be responsible. If you, as the owner signa 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 pennitting 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, th@apPlicant, have been provided with a copy of ~Florida's Construction lien Law - Homaowner's Protection Gu1del' prepared by the Florida Department of Agriculture and Consumer Affairs. If the appl.icant 1s someone other that the "owne.r", I cerify tha.t I have obtained a copy or the above de8cribed document and promise in good faith to deliver it to the "owner" prior to COIlUtlencement. E. CONTRACTOR' a/OWNER'S MFIDAVIT I certify that a~l the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, 20ning,' and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no woxk or installation has commenced prior to issuance of a permit and that all work will be perfor.med to meet standards of all laws regUlating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that 'I unde~stand 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 includ@ but are not limited to: *Depart~nt of Environmental Regulation-Cypres~ Bayheads; Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Watex Management District-WellS, Cypress Bayneads; Wetland Axeas, Altering Watercouxses *Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways *Department ox Health & RehabilitatiYe Services, EnVironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.s. Environmental Protection AgencY-~bestoB abatement I also certify that, if fill material is to be used in Flood Zone ~AH or ~A,etc.H; it is understood that a dxainage plan addxeBsing a "compensating volumeH 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 constru@d to be a license to p~oceed with the work and not as authority to'violate, cancel, alter, or Bet aside any prOViSions of the technical codes, nor shall issuance of a permit prevent the Building Official f~om thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iSS\led shall become invalid unless the work authorized by such permit is co~nced within six months of issuance, or if woxk authorized by the permit is suspended or abandoned for a period of six months aftex the time the Work is commenced. One 90 day extension of time may be allowed for the per.mit with fee chaxge of $15.00. The extension shall b@ requested in writing to the Building Official. .An approved :inspection must be logged dur.ing 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 UND~R $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTN. ~ 19>.h~, SIGN~ URE: OWNER OR AGENT SIGNATURE: CONTRACTOR STA'rE OF FLORIDA t /" h A COUNTY OF "f"ts or(jiJrj ,. The foregoing instxument was acknowledged Before me tns ~ day of .Mart:A , ~I by C<>I"~ ,.. ft (na e of person ackno~ledged) ~ho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me thi$ day of by acknowledged 19 o who has prodUced (typ@ whoD did ~t1.id not R.- ~ -...... of identification) take an oath. (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and who Dd1.d [}Ud not take an oath Sigrl tuf of person taking acknowledgement ~:/-r hI \( rJ,,,- Name typed, printed or stamped Signature of person taking acknowledgment Name typed, printed or stamped t 'd Z880'ON ~lll H~^Hn:17 ~() ^ II ~ Wrir.7:7 Inn7 'Q 'JeW