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Home My WebLink About02-1134 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 BUILDING 1134 (813) 780-0020 Date ^/-s" o~ ELECTRICAL MECHANICAL Sewer Conn PLUMBING Water Conn: Property Owner: --fi1~~ Job Address: '3 '7<; Lf '-/ 5 'S Ave Parcel 1.0. # Water Meter: T.I.F.'s: Zoning: DescriDtion of Work Energy ~Rde: Radon Gas: +V\.<.,T..JJ( fl(e S~~ ~~~ NO OCCUPANCY BEFORE C.O. FINAL C.O. -0 ;L DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price City License Registration # State Certified License# DATE Inspector ~,. t9A> Permit Fee /'l5ignature ~~-Co- ~ ..~ Company Address X'relephone~.r.v ? 9b - yy J3 Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway EL II-",~ ~';-e ...5~ MECHANICAL Breakers Ducts Insl. Compre~or Final ,/t?'-~-pl.:; Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final SlB Tub Set Water Sewer Final c;w~ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~- ,;l-t};;L ~ CITY OF ZEPgYRHILLS PERMIT APPLICATION ____~ BUILDJ:NG nBPART!bmT 5335 8th STOBT ZBPHYRRXLLS, PL 33540 Phone.813-780-0020 Pax. 813-780-00:U . ,J -1CJ _ ~ DATB lUICBIVBD ~ ,.. Z> 0 PLANS RBVIIIIf PBB . . OWNER'S NAMa /Ylltf/./ iH 0 S JOB SITE ADDRESS 3 t zj K , PHONE CONTACT s~'"f"A /hi e LEGAL DBSCRIPTION. LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSBD: ONEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITIO~ o ALTERATION o REPAIR ttINSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING o COMMERCIAL o MULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOMB [J OTHER o RBSTAURANT & HBALTH DaPARTMENT APPROVAL PESCRIPTION OF WORK /A/5~tl /4-IJSlILL hV ~lllltR$j/.,ppt) ~~S~ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET BNERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PBRMITS RBOU.STBD o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o BLBCTRICAL AMP SERVICE o FLORIDA POWER [J W.R.E.C. o PLUMBING ~CHANICAL $ ~ CJO r VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOF;r:NG . 0 SPECIALTY o OTHBR too. 5jD-62-3 0 TYPE OF CONSTRUCTION: 0 BLQCK o FRAMa o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARBAO YBS 0 NO BUILDBR COMPANY STATE CURT. OR REGIST # CITY PROCESSING # SIGNATURE ***********A****************************************************** lILBCTR.IC.IAH SIGNATURE COMPANY STATB CERTOR RBGIST # CITY PROCESSING # *********.******************************************************** PLUJlBBR COMPANY STATE CERT OR,REGIST # CITY PROCESSING # . ., ", SIGNATURE IIBCllAHICAL ****************************************************************** COMPANY STATB CBRT OR RBGIST. # CITY PROCESSING # SIGNATURE ***************************************************************** 'COMPANY~l/7VIjD;:;~ ~~ . STATE CERT OR REGIST #I 5'/75"'05000 1/9 ? . CJTY PROCESSING # _ 93 J/ *******************************..***********~~ ~~~ ~ SIGNATURE CONDITI0NS OF PERMIT AFFIDAVIT A. NOTJCE OF DEED RBSTRICTIONS The undersigned understands t~at this permit may be subject:to "deed restrictions" whiuh may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contraetor or contractors to undertake work, they may be required to be licensed in accordance wit:h state and local regulations. If the contractor is not licensed as required by law, bot:h the owner and contractor may be cited for a misdemeanor violation under state law. If t:he owne~ 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, 813-788-6611. 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 contractor that may he an indication that he is not properly licensed and is not entitled to permitting pri~ileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONBTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA S'l'ATUTEa, AS AMENDED) 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 Agriculture and Consumer Affairs. 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. 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 ap.plicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indioated. I certify that no work or installation has oommenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating oonstruction, 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 *Southwest Florida Water Management Distriot-Wells, Cyp.r:ess 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 ;fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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. Every permit 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 OWNBR: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RBSULT IN YOUR PAYING TWICB FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOfU!: RECORDING YOU NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "N CE OF Co CEMENT". SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Befor:e me this _ day of by acknowledged , 1!L- (name of person acknowledged) .0 who is personally known to me, or o who has produced (type of identification) and whoO did Odid not take an oath. Signature of person taking acknowledgement Name typed, printed or stamped Name c. III ~Ii~~ r". - ct ' -" ~ ~I ~ Ii. ~&"'- ~ - ~ I ~ i \1.1 '~, ~1 \=- I, . ~ I j Ib ~.~. ] ~I;;d , I~L~ !~ I ~~ ~i ; :1 If\'l~~ -.) \/': ! \..L. v L \\" 51. \-./"' .\.+ ~ 1Y,~ t ~ ~~ f, ~~~ i I ~ 1- l..J- n-; ~,~ I I , ~..,l I ~/-l i ~ I '~r".'> -l..~ y :.z;~ I. - -:t -~ i ! 7. 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