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Home My WebLink About02-1132 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ 1132 (813) 780-0020 Date if -V- () ~ BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcel I. D. , Water Conn: Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy C2 ~)Cf/~ ~ Radon Gas: FINAL C.O. - 0 p.., DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE )d'!rmit Fee ,.;>cSignature Company Address ~Iephone# J/l> - 7g 3 ~'ff r- Valuation or Contract Price (PI 5 ()l) · 00 City license Registration # State Certified license# Dw~ BUilDING 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 Breaker Ducts nsl. Co Fi al Driveway REINSPECTlON 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) shaH 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. CITYOF II N OT ICE" BUH.DING ZEPHYRHILLS DEPARTMENT OF ADD.ITION OR CORRECTION ~~~~LiliVJ) 11z~z- PERMIT + I THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job . will be accepted. DO NOT REMOVE ~ NfHCS -r~ f?:>J/ Jj~T~, ') 8-5 f\JMJJ.lt:J, NbfL.-tH i5~^ Jt>J~-r <5)~'t>0W"'\ ~ OO~ CiR-- _~~~101~ LA\'{,-,Il )ZXI(lft <S(f~ ~~ -5PfN ~UL \6_ pes S ( 1111 unlawful tor any Carpent.r, Cantractor. Bulld.r, or olh.r peraonl, to cov.r or caUM to be cov.red, any port of th. work wllh flooring. loth, earth or olh.r malerlal, untllth. proper Inlpector hal hod ampl. tim. to approve the Inltallation. , AFTER CORRECTIONS ARE MADE CAlL 788-6611 FOR RE-INSPECTION INSPECTOR -fG~ OfFICE HOURS 8 - 5 MON.-FRI. '";\ / '-\I, ./ ~" ( ~ ~ ~'\ ,~~ ~t ,) I i I '" ~~":' , '. ~ N ~ r.:..,' '.J... ''l ~ ;~ (':-:;::, , ~ i t?" \ .. It! "" P -h~ I I "~ '~I .~, I I ....... <) '"' \~~ ,'"' ., ~} "- .....~: ;;:) ?O ""'-~ .... --~~ ~ - ! ._}~~ ~. . .~ , " ~~ .:;-.... ~~ -6;" ~/ ,...~--'? 'i\ ;; ~ . .~, "'- 7J ~ 1 ~. ~,j '} ~ "- '" ~ to' : ; i , l Iii I r, , " N i I, ~ I ,t "" I I: v' t : r . r ;, ~ I i I " I i.IS i l p~ . I I, \ i ~ I II I I! i';.. yh u ,.:-":..,' /;\ ,~,' ,'. ("'I- I, .~ \'"" \ \, \ \ \, \ \ ~, \ '. ~ ;! j j ~ ij ~~ ~"i ~~. :', "- j4: ~ '-'I. '. i ~~ tJ~ '1 ~ ,"'~ . . '" ~ ~ '~ ~ '~ I' ~ \/ ", -I.~~ . ~ )"..\- ~~~ ~ o'.l I.- il) X \ " "- VI ~ " :I. IN" ",;~ . l\ ~ ... \:;\1 "l \r ;.) , '" ~ \" ( ~ {' -.\ .;>:l- ~r ~ ~'" \ N' -----. ~ " "" - ~"=-. ~~ 4 00 551 ~\1 Citffpd .t( - .. -0 ;)jcf- CITY OF ZEPgYRHILLS PBRMIT APPLICATIO BUILDING DBPART~ 5335 8~ STRBBT ZBPHYRBILLS,.L 33540 ~13-780-0020 Pax.813-780-0021. ~/ ~ DATB illICBIVBD ".., -<::1'- d :L PLANS RBVIIIIf ..B . d ~ J ,-,.-1 . PHONE CONTACT -+~)- 6"18S" BLOCK SUBDIVISION ~DITIO~ o MOVE (OBTAIN FROM PROPBRTY TAX NOTICE) OALTBRATION o RBPAIR o INSTALL o DBMOLISH o MULTI - FAMILY 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER - ~-------.._- o INDUSTRIAL PESCRIPTION OF WORK CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL 1Z"f~~ ,/~ /) BUILDING SIZa SQUARa FOOTAGE RESIDENTIAL: COMMBRCIAL: ~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET BNBRGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SBT BNBRGY FORMS. PROPBRTY SURVEY RBQUIRED FOR ALL NBW CONSTRUCTION. HEIGHT ....e(BUILDING PBRMITS RBQUa~TBD $ ~5"7>, rv VALUATION OF TOTAL CONSTRUCTION o BLHCTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ o GAS o ROOF;J:NG o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPB OF CONSTRUCTION: 0 BLQCK o FRAME o STEEL o OTHER FINISHED FLOOR BLBVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDBR 'Dc~s. SIGNATURE. ~ (' J~.s. ~h ::: // ~tJe~ COMPANY ,'-"-IRF r"- ./ STATE CHRT.OR REGIST # CITY PROCESSING # -1--' ,E.--,'( G~~{_ BLBCTIl.IC.IAH ~.***..*.**.****************************************************** PLUJlBBR ****************************************************************** COMPANY STATE CERTOR REGIST # CITY PROCESSING # SIGNATURE IOICRAJrICAL. ****************************************************************** COMPANy STATE CERT OR.REGIST # CITY PROCESSING # . SIGNATURE OTBBR ***************************************************************** COMPANY STATB CHRT OR ltEGIST. # CITY PROCESSING # SIGNATURE SIGNATURE ***************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # CONDITI0NS OF PERMIT AFFIDAVIT A. NOTJCB OF DaRD RESTRICTIONS The undersigned understands t~at 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 dee~d restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be c~ted for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-66~1. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the UContractor 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 contractor that may be an indication that he ~s not properly licensed and is not entitled to perwdtting pri~ileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTE~, ASJ\MENDED) I certify that I, the applicant, have been provided with a copy of uFlorida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the uowner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver. it to the Uowner" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT 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 perwdt to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a perwdt and that all work will be performed to meet standards of all laws regulating construction, City codes, 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 compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *S.outhwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, 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 till material is to be used in Flood Zone UA" or uA,etc.", it is understood that a drainage plan addressing a ucompensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to perwdt issuance. A perwdt issued shall be construed to be a license to proceed with. the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Everypermdt issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work Is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during 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 TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO N N E. 0 RECORD AND POST A uNOTICE OF COMMENCEMENT". L SIGN SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 1!L- STATE OF FLORIDA COUNTY OF . The foregoing instr~ent was Before me this ~ay of by acknowledged , 19 (name of person ackno~ledged) o who is personally known to me, or o who has produced (type and whoDdid Ddid not (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped