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Home My WebLink About02-1185 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! 1185 (813) 780-0020 Date i=J - :2.3 - 0 ~ BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: ~ hV\ M Job Address: tr; (0 5 I 'l f'4 S-r:- Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Descriotion of Work E~de: f,,- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL s:- oP - (J :7- DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Perm;' F~ ~ignature \ ~---1 Company Address 1l"elephone# S~ 3-S--'S g - J I Y ( Valuation or Contract Price j, '/ o-v # f?' City license Registration # State Certified license# ~A~~ BUilDING MECHANICAL Ftr. Tp. Servo SlB Pre SlB Rough In Tub Set lintel Meter Can I Water I : FRM. Const. Pole i Sewer Insul. Cl Pool / Final Wl Pre-Meter I Final / Driveway / I Breakers Ducts Insl. Compress Final 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) 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. OWNBR' S NAMB-~";) b h JOB SITB ADDRIISS G::, I O~ CITY or zapSYRHILLS PBRHiT APPLICATION BUILDINa DBPART~ 533! 8~ STRBwr ZBPBTR.ILLB. FL 3is40 PhoneI813-780-0020 FaxI813-780-0021' bAT. RBCIIXVlID, I'LARS RBVllIIf n. , CoI~ (l~ ~ ~-+- PHONB CONTACT ~ LBGAL DBSCRIPTION. LOT (B) PARCBL ID # BLOCK SUBDIVISION WORK PROPSBD: oNBW CONSTRUCTION -fj:ALTBRATIOH o RIPAIR o INSTALL DSIGN o ADDITIOt{ o MOVR (OBTAIN FROM PROPBRTY TAX NOTICR) PROPOSBD uSRd:tSGL FAMiLY DWBLLING. OMULTI-FAMILY o DBMOLISH o COMMBRCIAL o INDUSTRIAL 0# OF UNITS o SWIMMIN(J PboL o MOBILB HOMB D OTHRR O'RRSTAURANT & HBALTH DBPAaTMBNT APPROVAL I/IBClUP'rIOH op "ORk ,.J)1. A '~6 :2:::;y;:: - S~7? s --bh BUILDING SIZR dl.( SQUARI FOOTAGB HBIGHT RBSIDENTIAL: COMMBRCIAL: ~TTACH (~) J?LOT PLANS & (.:a) .SIiTS OF BUILDING PLANS & (1) SIT BNERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPRRTY SURVEY RIQUIRED FOR ALL HBW CONSTRUCTION. o BUILDI~G o BLBCTRICAL o PLUMBING . RBRIIITS RBaUJiSTBj2 Qltoo . cP VALOATIOH OP TOTAL """STRUCTrou AMP SIIRvIes o FLORIDA pOWBR o ".R.E.C. o MECHANICAL $ o """ ,f(800PlHG . 0 SPRCDu.TY TYPI! OF CONSTRUCTION I D' BLQCI{ FINISHBD FLQOR ELIIVATIONS VALUATION OF MIilCHANCIAL INSTALLATION o OTHJlR o FRAME ..e-sTBBL o OTHSR IS PROJBCT IN FLOoD ZONB ARRAo YBS J2fB0 BUXLD8R 8L8CTRXC.IU ~..********.********.***************.*******.***.******..*******.. COMPANY STATB CBRT'OR RBQIST . CITY PROCESSING * SIGNATURB, SIGNATURill " COMPANY STATE CERT'OR RRGIST # CITY PROC.SSING # PLUllBB. **.*****.A....**************.***.***..*.****************.*.....*.. . IIBCRAIIICAL' ******.....**~********A*.*************.**********.**************** COMPANY' STATB CBRTOR."GIST # CITYPROGBSSIHG #' , SIGNATURB ~'l88a, " .. COMPANY . \" . ~ · ~ ~ J. ~ STATR CRRT OR ltBGrBT . ~o, ~ J sr"""TllRR - ~.. -. -'.'if/>' crTY PRocRs.Sl:NG . ~ . .......... ............................ ......................... *****************************.*****.*****.*.*******.*****.******* COMPANY STATB CSRT OR ~GIST. # CITY PROCESSING # SIGNATURB ~ ~vnU~X~W"5 OF PERMIT AFFIDAVIT A. HOTICE OF DEED RESTRICTIONS T~. und'ersigned understands t~at this permit: may be subject :.to "deed' restrictions" which may be more restrictive than City' ~egulat:ioJls. The undersigned assumes responsibility for compliance with any applicable deed restrict:ions. B. UNLICENSED CONTRACTORS AND CONTRACToR RESPONSIBILITIES If the owner has hired a oontractor or cont1:actors to undertake work, they lIlay b~ required to b. licensed in ~ccordance with state ~nd loc~l regulations. If the contraotor is not licensed as required by law, both the owner and contractor may be cited for a miSdemeanor violation under state law. If the 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 Zephyr~ills Building Depart~ent, 813-788-6611. Furthermore,. if the owner has hired a contractor or:contractors, he is advised to have the oontractor(s) sign portions of the "Contraotor Sect!ons" of this application for which they will be responsible. If you, as the owner signs as the contr.ctor, 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 indicati~n that he is not properly licensed and is not entitled to pe~tting pri~ileges in the City of Zephyrhills. C. TRAH~PORTATION IMPACT FIES AND UTILITY CONNBCTION FIllSS D. CONSTRUCTUION LIEN LAW (CHAPTI!:R 113, FLORIDA S'tATUTEa, AS ,AtfBHDED) 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 bave obtained a oopy 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 t~atall the information in this application is accurate and that all work will be 40ne in compliance with allap.plicable laws regUlating construction, zoning, and land development. Application is hereby made to obtain a penmit to do work and installation as indicated. I certity that no work or installation has commenced prior to issuance of a permQt and that ~ll work will be perfor.med to meet standards of all laws regUlating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that"r understand that the regulations of other gove~ntal 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 tal *Department of Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *S.outhwest Florida Water Management District-Wells, Cyp~ells Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Bngineers-Seawalls, Docks, Navigable Waterways *Department of Health , Rehabilitative Services, Environmental Health UniE~Wells, Wastewater Treatment, Septic Tanks *u.s. Environmental frotection Agency-~bestos 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 addressin~ a "compensating volumeR will be submitted which is prepared by a professional engineer registered in the State of Florida prior to petmit issuance. A permit issued shall be construed to be a license to proceed with' the work ~nd not as authority to violate, cllncel, alter, or set aside any provisions of the technical oodes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violation. of any code. BverY.peDmit issued shall become invalid unless the work authorized by 8uch permit is commenc~d ~ithin six months of issuance, or if' work authorized by the penmit 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 .ust be logge~ during each six month period, or the project will be considered abandoned. \ WARNING TO OWNER: YOUR FAILURIl TO RECORD A NOTICE OF COHMBNC_SNT MAY RI!:SULT IN YOUR 'iAYING TWICI!: FOR IHl'ROVI!lHIlHTS TO YOUR' PROl'BRTY. IF YOU INTEND TO OBTAIN I'IHAHCING, CONSULT WITH YOUR LINDIllR OR AN ATTORNEY BBJ!'Of\& RBCORDING YOUR NOTICI!i OF COMMBNCI!lMENT. JOBS UNDI!iR $2,500 IN VALUE DO NOT N!:I!iD TO RECORD AND POST A "NOTICE or COMMENCEMBHT"'. r,~t STATE or FLORIDA COUNTY OF The fcregoing instrument was Before me this _ day of by ~..~j SIG~ ~ COHT OR tjJ-/l' . SIGNATURlih OWNIllR OR AGEN'!' acknowledged , 1'L- STAT!: OF FLORIDA COUNTY 01' " The foregoing instrqment was ac~nowledged Before me this ~ay of , 19 ~ by (name of person aCknOWledged) [Lho is personally known to me, or (name of person .ckno~ledged) '0 who is pEJrsonally known to me, or o who has produced (type of identification) and whoD did Ddid not take an oath. Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ...._....._________e