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Home My WebLink About01-0489 BUILDING PERMIT~! 0489 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date 2'-/6-1)/ ~- "",,..."" ElECT~-'-/ ~;~~ Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # Water Meter: Zoning: Descriotion of Work )le~fOd(] - h4-~ Radon Gas~ - (llL C 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. DATE c.o. DATE Valuation or Contract Price ~ ~l~ /J{) r::? D ~ Inspector City license Registration # State Certified license# B~... - E~-- .- ~rR'H: C"'eePhoni13~. Slot InarlLL ~th~3-(2:.. ~~/l PLU~ ~~~:~t~. ....- - 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 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~ OWNER'S N~r. ~ I S. &dt OWNER'S ADDRESS ltl is LEL..J<. \1\9. Kd. JOB ADDRESSI~~ 5'th 811'€. PBONE21:;) ~~d, Q8~5( z"~hJ\~ R. 33::: .0 LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I.D..-1J. ~'a '~I 0010, l(q 'l~O WORK PROPOSED:_New Construction LAddition SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) --..Alteration _Repair _Install _Sign --..Hove _DeJIOlish '" PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Depar~ent Approval ('. H A LJn:L{- Add BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTEq _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp_ W.R.E.C. ----1IECHAlfICAL 00 $-d.aC(J , Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIBISHED FLOOR ELEVAITONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO 'CONTRACTOR SECTION BUILDEIl COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature RT.RCTRICIAN COMPANY State Cert. or Regist. . City License Registration f ****************************************** Si~Ature PLUMBER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature ~ Signat re G.. rKv.e COMPANY State Cert. or gist.' City License Registration . ****************************************** 01'IIRR COMPANY State Cert. or Regist. , City License Registration I ****************************************** Signature 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. Furtberlore, if the owner has hired a contractor or contractors, he is advised to have the 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 the contractor wisbes 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 Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~' D. CONSTRUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED) I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleOOe other than the .owner", I certify tbat I bave obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to COllenCelent. E. CONTRACTOn'S/OWNER'S AFFIDAVIT 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, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO work or installation bas cOll8Oced prior to issuance of a perlit and that all work will be perfoIled to leet standards of all 18ls regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber goverDIental agencies lay apply to tbe intended wort, and that it i8 IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnviroOl8Otal Regulation - Cypress Bayheads, Wetland Areas and RnviroDl8Otally Sensitive Lands, Vater/Vastewater Treatlent t Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departl80t of Healtb & Rehabilitative Services, RnviroDlental Health Unit - VeIls, Wastewater Treatlent, Septic ,ants t US EnviroOlental 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.tbat a drainage plan addressing a "cOlpensating volUl8. will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or set aside any provisions of tbe 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. Bvery.perlit issued shall beoOle invalid unless the work authori~ed by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOntha after the Ule the work is c~ced. One 90 day eltension of tile, III he allowed for the perlit with fee charge of '15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOnth period, or tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURB TO RBCORD A NOTICB OF COHIIHNCBlfHNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBIIDl'S TO YOUR PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDRR OR AN AnORHBY BR RECORDING YOUR KUlICH OF HNCBHBNT. JOBS UNDER '2, IN VALUB DO NOT NEBD TO RBCORD AND POST A "NOTICE OF C CBHBNr". /' STATB OF FLORIDA /'/. 0 COUNTY OF ~-'C. The foregoing i~trum~~>waS~Cknowledged before me thi~ 0 , Rool by STATR OF FLORIDA (Signat Bonded Thru tiuuQtit Notary Services who is personal produced as identifi take an 0