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HomeMy WebLinkAbout02-0979 BUILDING PERMIT~~ 0979 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date d-II-07 ,~ Property Owner: Job Address: Parcel I. D. # Zoning: 7rgy Code: Description of Workr---..... f?fi1J141 . PLUMBING ----- MECHANIr.AI c::."wer,.Conn Water Conn: Water Meter: T,I.F.'s: tA'v ~,~don Gas: t:;It. . u. Ai jf d..if. NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. FINAL DATE Valuation or Contract Price C);:) I., /00' Inspector City License Registration # ______- ertified Licens~ BUILDING ELECT~- ----- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ~'"' P NG 1l..1CeMAI'Ill,AL Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. .... ... ~ C--~~~~::~.:~~~.i:: Y: ~ C~~~~7~1 .- . LEGAL DESCRIPTION: LOT(S) BLQCK CITY OJ' ZIIPHYRRILLS PlliRJIIT APPLICAT:IONA 0 0; 1/ 9 ' BU.ILDi:HQ DIIPARTJUurr 5335 8th 8ftRIIT ZRPRTUJ:LLS, I'L- 33S4({ ~ Phone.813-780-0020 l'ax.813-780-0021' DATIl .BClIl:VJID :2 - / /-eJZ PLARS IlBV.IIIIf I'RR PHONB CONTACT ~'" SUBDIVISION PARCEL ID # WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) OSIGN o ADDITION o MOVE o ALTERATION o DEMOLISH o RBPAIR o INSTALL PROPOSED USE: OeGL FAMILY DW.&;LLING [] COMM.l!lRCIAL OMuLTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOMB o OTHER ,; DESCRIPTION OF WORK o RESTAURANT " HEALTH DEPARTMRNT APPROVAL .~"'<AA l.... J'fk.U7. h::l~djldL SQUARE F AGE HEIGHT BUILDINCl SIZE RESiDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS" (2) SETS OF BUILDINCl PLANS" (1) SET DRRClY FORMS. ATTACH (3 ) SETS OF BUILDINCl PLANS " ( 1) SST RNBRClY FORMS. PROPERTY SURVEY RBQUIRRD FOR ALL NO CONSTRUCTION. rX~UILDINCl o RLBCTRICAL PBRMITS, RBQUBSTBD $ ~ /OD' , ~, VALUATION OF TOTAL CONSTRUCTION AMP SIIRVICR o FLORIDA POWER o W.R.E.C. [] PLUMBINCl [] MECHANICAL $ VALUATION OF MBCHANCIAL INSTALLATION [JClM [] ROOFING o SPECIALTY o OTHBR TYPJI OF CONSTRUCTION t 0 BLOCK FINISHED FLQOR IILEVATIONS o FRAMB [] STERL o OTHBR IS PROJBCT IN FLOOn ZONE ARBAO YBS 0 NO BUJ:LDBR SIClNATURE ,r.~ At: .~ ~~~ '- ! COMPANY STATE CHRT OR REClIBT # CITY PROCBSSINCl # , *................................................................. BLBCTR:tCJ:Q SiClNATURB COMPANY STATE CHRT OR REQIST # CITY PROCRSSINCl # .................................................................. PLUllBBR COMPANY STATE CERT OR REClIST # CITY PROCESSINCl # SIClNATVRE IIIICIlANJ:CAL .................................................................. COMPANY. STATB CBRT OR REGrST # CITY PROCESSINCl # SIClNATURE ........................~........................................ OTBBR SIClNATURB COMPANY STATE CERT OR RBClIST # CITY PROCRSSINCl# ................................................................. A. NOTICE OF DEED RESTRICTIONS f The und'ersigned understands that this pennit may be sub:lect 1i:O "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 RESJ?ONSIBII.ITIJ!iS If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in'accordance with st~te ~nd local regulations. If the contractor is not licensed as required by law, both the owner and contraotor may be oited for a misdemeanor violation under state law. If the owner or intended contra'~tor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact t~e 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(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs 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 contraptor that may be an indication that he is not properly licensed and is not entitleq to pennitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUIQN LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AttENDED) 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 Agricultrtre and Consumer Affalrs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. J E. CONTRACTOR'S/OWNER'S AFFIDAVlT 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 pennit to do work and installation as indicated. I certify thae no work or installation has commenced prior to issuance of a pennit and that all work will be perfonmed to meet standards of all laws regulating construotion, City code~, 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 to be in oompliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment ' *Southwest Florida Water Management Distriot-Wells, Cyp~ess Bayheads, Wetland Areas, Altering Watercourses *Anny corps of Bngineers-Seawalis, 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 "oompensating'volume" will be s~bm1tted which is prepared by a professional engineer registered in the State of Florida prior to peomit issuance. A perRdt issued shall be construed to be a license to prooeed with' the work and not as authority to violate, cancel, alter, or set aside any provisions of the teohnical codes, nor shall issuance of a permit prevent the Building Offic~al from thereafter requiring a corr~ction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenoe~ within six months of issua~ce, or if work authorized 'by the perRdt is suspended or abandoned for a period of six months after the time the work 1s comm.nced. One 90 day extension of time may be allowed for the permdtwith fee charge of $15.00. The extension shall be requested, in writing to the Building Offioial. An approved inspection must be logged during each six month period, or the projeot will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIC~ OF COMMEHCEMENT ,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 COMMENCi:MENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD .AND POST A "NQTICE OF COMMENCEMENT". --~.._--........._....- -I,;. .J;.......~......1...J.. n..t:/:'J.,'..J.fi..V}_'.': SIGNATURE I OWNER OR AGENT' SIGNATURE I CONTIU\CTOR STATE 01' FLORIDA COUNTY OJ!' The foregoing instrument was Before me this _ day of by acknowledged , 1!L- STATE OF FLORIDA COUNTY OF. The foregoing ins~rument was Before me this ~ay of by acknowledged , 19 (name of person aokno~ledged) '0 who is personally known to me, or of identification) take an oath. (n~e of person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) and who Ddid [}lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledqment Name typed, printed or stamped Name typed, printed or stamped