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Home My WebLink About01-0475 BUILDING PERMIT~~ Date ~ / t Iv I , 0475 CITY OF ZEPHYRHILLS (813) 788.6611 Permit BUI~NG ELECT~AL Property Owner: )e'ct#'"\ St\ bu- Job Address: S~:2 8 Pro S per Parcell.D. # PLU~NG .-- 00 'I ::>. - MECHANICAL Sewer Conn Water Conn: Ct. Water Meter: T.I.F.'s: Zoning: Description of Work ~ ~ergy Co~e: I Uc...... S' f? Radon Gas: (9 u.\- NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Valuation or Contract Price <<../5 ,,~. o..,e Inspector )( :::::.:e ;;; ~ ~ Company Address X Telephone# 7cJ7- )fV.)- ~~.y'.;2 City License Registration # State Certified License# U. 5. 4~',. Lo"')d,.f, ;'7 ..~ 5- BUlL ING ELEC PLUMBI G MECHANICAL ~s~ 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 FE : 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. APPLICATION FOR PERMIT CITY OF ZEPllYRHILLS BUILDING DEPARTMENT .. -:Sf ~~ S A Q~( ,.E:) (o;)A 9\O~e' C~. JOB ADDRESS 5\,0;18 ~~r ~- ~~~Si g. OWNER'S NAME PHONE ~'3. 1jg3- 3(g~8 OWNER'S ADDR&SS 3?JsLf 0 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition. -.lUteration _Repair LInstall _Sign ----'love _Deaolish PROPOSED USE: _Single Faaily _KIF _, of Units ----'lIH _~ercial _Indust. _Swill. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WO~: C.hOJn~QLCL ('tir ~dLA- 4~ LOo,L.fL BUILDING SIZE: X Square Feet. Height R&SIDENTIAL : COMKERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL tGmCBAliICAL AKP Service Florida Power Corp. W.R.E.C. $ l.\Slo&~ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrUle _Steel other FDUSBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO 'CONTRACTOR SECTION BlITI.DER COKPAHY State Cert. or Regist. t City License Registration t .......................................... Signature Rl.RCTRICIAN COKPANY State Cert. or Regist. t City License Registration t .......................................... SilmAture PLUMBER COMPANY State Cert. or Regist. t City License Registration t .......................................... Signature MECHANICAL COKPAHY . .' ,,' ..\..., ~ ~~ State Cen. or Regist. . Signature /- I - . Y City License Registration t '- ....................................... OTRRR COKPANY State Cert. or Regist. f Signature City License Registration f .......................................... APPLICATION APPROVED BY PERMIT OFFICER. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE:- OF DEED RESTRICTIONS The undersigne~ understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. Tbe 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 tbe contractor is not licensed as required by lall, both the owner and contractor lilY be cited for a lisdeleanor violation under state lall. If the ollner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the ollner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections" of this application for IIbich they lIill be responsible. If you, as the OlDer sign 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND U'fILITY CONNECTION FEES ,-1 . D. CONSTRUC'!'ION LIEN L1\W (CHAPTER '113, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIIOIDer'l Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sDleOne 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 "ollner" prior to COMenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all 1I0rk will be done in COIpliance with all applicable laws regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do 1I0rk and instailation as indicated. 1 certify that no worl or installation has cOllenced prior to issuance of a perlit and that all wort will be perforled to leet standards of. all 1811 regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand tbat the regulations of otber goverDIental 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 lilited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, . Water/Wastellater Treatlent t Southllest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departaent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastellater Treatlent, Septic Tanks t US EnviroDleDtal Protection Agency - Asbestos abatelent I also certify that, if fIll laterial is to be used in Flood Zone .A" or "A,etc.., it is understood that a drainage plan addressing a .cOIpensating volUle" will be sublitted wbicb 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 provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit ilsued shall becole invalid unless the worl authoriled by such perlit is cOllenced within Sil IOnths of issuance, or if worl authoriled by the perJit is suspended or abandoned for a period of Sil IOnths after the tile the work is cOll8nced. One 90 day 81tension of tile, 181 be allowed for the perlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each Sil IOntb period, or' the project will be considered abandoned. WAMING TO OVIIER: YOUR FAILURE TO RECORD A NOTICR OF COHMRNCIiIlBNT HAY RHSULT IN YOUR PAYING TlUCI FOR IHPROVEIIIITS TO YOUR PROPERTY. IF YOU INTEND TO OBTAII FINANCIIG, CONSULT WITH YOUR LEIDER OR AN ATTORlEY BlFORB RlCORDING YOUR NorlCl OF COKKENCHHRNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHENCIMINrN. ~g~ SIG URE: CONTRACTOR . ~~~ . 2?7 SA'l'URB: OVIIER OR' AGENT : I STATE OF FLORIDA R COUNTY OF ~ The foregoing ins~ument was acknowledged before me this3'-..- ~ ' ~~ by to me or who has STATE OF FLORIDA ~ COUNTY OF ,~ The foregoing instrument was acknowledged before me this 3',8 Q I J' ~ ' ~oo \ by ~is (~~ldIY 0~( ~ or lIbo bas produced as ident' take (Name Typed, P NOTARY PUBLIC (Name Typed, Pr NOTARY PUBLIC & BcndInlI. InC.