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Home My WebLink About01-0529 BUILDING PERMITN~ 0529 Property Owner: Job Address: Parcell.D. # ~ EL~ ~- c::::=> -~i9/~~'I6~~~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit ..--- Date 9- /0''-- 0 I ~/ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL - 'S-{)~ DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE - ~ 9St) 1"5- City License Registration # 0 ~ State Certified License# Valuation or ~ Contract Price Company Address Telephone# EL~ ...- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PL U MBtf\JG/ ~ iL, ~ {Jui e~~ MECHANICAL /7 BUILDING.-----. ~ Ftr. Pre SLB Lintel Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL SLB Tub Set Water Sewer 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 PERKlT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT . ' OWNER' S NAME ~ ~ J ) ~ h.p r"""\,~ 'f:4 'f'Y\ I r\ _ -q cq ft2 t/ C/ -,IJJh - U<.K. - 7 . ~ld~ PHONE ~/3~ 779 - ~t)d 7 33~vo OWNER' S ADDRESS .3 q I () 1/ JOB ADDRESS 3~ /19~ ~ ~ 335\.10 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---..A1teration _Repair -K-Insta1l _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departllent Approval DESCIlIPTION OF WORK:--C.hll",,~ (<vt-3 n~\, In/''-BLQJ.~~ BUILDING SIZE: X Square Feet, Height 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 REOUESTED ~UILDING $ Valuation of Total Construction _ELECTRICAL -KJmCHAliICAL AKP Service Florida Power Corp. W.R.E.C. $ /, Q1JO , Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO 'CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature RT.RCTRICIAN COMPANY State Cert. or Regist. f City License Registration . ****************************************** SimlAture PLUMBER COMPANY State Cert. or Regist. . City License Registration . ****************************************** 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 aay be lOre restrictive than City regulations. ihe undersigned assWles 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 require.ents lay apply Cor the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. . FurtherlOre, 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 OlDer 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 Zephyrbills. C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES ,,~ D. CONSTRUCTION LIEN L~W (ClmPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, 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 ConsWler Affairs. If tbe applicant is BOIeODe other than the "owner", I certify that I have obtained a copy of the above described docWlent and pr08ise in good faith to deliver it to the "owner" prior to co..ence.ent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the inforlation in this application is accurate and that all work will be done in c08pliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify tbat no work or installation bas cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of, all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber govelDlental agencies aay apply to tbe intended wort, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not 11lited to: · Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, , Water/Wastewater Treallent · Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways · Departlent of Health i Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tants · US EnviroDlental Protection Agency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understoodtbat a drainage plan addressing a "c08pensating volllle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . . A per.it issued sball be construed to be a license to proceed with tbe work and not as autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official lrOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becOle invalid unless tbe work authorized by such perlit is cOlIBnced within Sil IOnths of issuance, or if work autboriled by the pellit is suspended or abandoned for a period of Sil lanths after tbe tile the worl is cOll8Dced. One 90 day eltension of tile, III be allowed for tbe perlit with fee charge of $15.00. The 81tension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or'the project will be considered abandoned. WARNING TO OIIHER: YOUR FAILURB TO RBCORD A HOTlCB OF COHHBHCBHBH'l HAY RBSULT IH YOUR PAYIHG 'fIIICE FOR IHPROVIlIIBDS TO YOUR PROPIRTY. IF YOU IHTBHD TO OBTAIN FIHAHCIHG, COHSULT WITH YOUR LBHDBR OR AN ATTORNBY BBFORE RECORDIHG YOUR NOTICE OF COKHIHCIHENT. JOBS UNDER $2,500 IH VALUI DO HOT NEID TO RBCORD AHD POST A "NOTICB OF COHMBHCBHBH'l". ~~~ SI A URE: conDcm - ~~~ SIGHA HI: OVJIER OR . I. STATE OF FLORIDA I.~ roUH'lYOF ~a5 0~ The foregoing instrument was acknowledged " before me this I~~~ ~ by ~ know STATE OF FLORIDA ~ COUNTY OF ~.--cJ The foregoing ins rument was acknowledged before me this ( '-b."s:'Q , ~Ol by ~ r who has (Name Type NOTARY PUB ~!:.ypu,,~ LORIE E. GOUGE '" .t@,<fOdi.4ISSt~8Jl5 It! 0, !\.'O%' EXPIRES: Jul 2, 2004 ~~_~~~~.!~rviC8 & Bonding, Inc. (Si