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Home My WebLink About02-1196 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ BUilDING '\ 1196 (813) 780-0020 Date -'-I '"2& -() ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: f!l~ 0JhJ'~ Property Owner: Job Address: Parcel I. D, , Zoning: Description of Work Water Meter: T,I.F.'s: Energy Code: , ~adon xas: Bee. ~~_ ~ NO OCCUPANCY BEFORE C.O. FINAL C.O. '-<J;l... DATE Complete Plans, Specifications and Fee Must Accompany Applicationo All work shall be performed in accordance with City Codes and Ordinanceso Valuation or Contract Price Inspector DATE f/50 -- Permit Fee r:2 S- . #0 YSignature~~ c:r t? Company Address >6'elephone# (<6l?) qt;}'1' 4-014- City license Registration # State Certified license# fOro Ftro Pre SlB lintel FRM. Insul. Cl Wl Driveway f~6Iec. ELECTRICAL ICAl Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final,/ 9 -L{ - 0 "2- SlB Tub Set Water Sewer Final Breakers Ducts I I. Comp Final 1<. ut f /0"', REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25000) shall be made for each trip for each trade: ao 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 CITY or ZmpSYRHILLS PERMIT APPLICATION BUILDIHQ nBPARTKBHT 633! 8~ STa"T ZHPRYRRILLS. FL 33840 >>hone.I.3-7ID-DD2D >>Ox.I.3-710-002.- _ //_ ~7'- ~ bATH llRcBJ:VlID, 7 - eX' 0 ~ PLARS aBYI'" ...a , JOB SITB AnnRBSS PHONB CONTACT LBGAL DBSCRIPTION. LOT(S) PARCBL ID # BLOCK SUBDIVISION WORK PROPSBD: ONBN CONSTRUCTION (OBTAIN FROM PROPBRTY TAX NOTICR) Osnnt o ADDITIO~ o MOVR o ALTlRAT ION o RBPAIR o INSTALL PROPOSBD USR: OSGL FAMj~y DWRLLING. DMULTI-FAMILY o DEMOLISH [] COMMIIRC~AL o INDUSTRIAL , 0# OF UNITS o SWIMMING. PbOL o MoBILI HOMB o OTHBR ,QBSCRIPTION OF WORK CJ 'RBSTAtJRANT " HHALTH DBPAaTMBNT APPROVAL SQUARB FOOTAGR BUILDING SIZR RBSIDBNTIAL: COMMIRCIALr ~TTACH (J ) PLOT PLANS & (,;a), SETS OF BUILDING PLANS Ii (1) SBT aNBRGY FORMS. ATTACH (3) SBTS OF BUILDING PLANS & (1) SBT INaRGY PaRMS. PROPBRTY SURVEY RBQUIRBD FOR ALL NBW CONSTRUCTIQN. HEIGHT [] BUILDI~G [] BLBCTRICAL PBRIlITS RBOU.'TBD $ VAi.UATION OF TOTAL CONSTRUCTION AMP SIIRVICB [] FLORIDA POWBR o ".R.B.c. [] PLUMBING [] MBOHANICAL $ VALUATION OF MBCHAifCIAL INSTALLATION [] GAS o ROOP'J,NG ,[] SPECIALTY, [] OTHBR TYPB OF CONSTRUCTIO>> r [], BI,QCK [] FRAMB [] STaaL [] OTHBR FINISHBD FLQOR BLBVATIONS IS PROJBCT IN FLOoD ZONa AR:llAO YBs [] NO BUILnHa 8LBCTRJ:CJ:AH , COMPANY FEE t: ~~ '-- I V" , ' '.. ' ~k, ~., {) STATB, CBRT ',0, R RBGIST # E R.OQOY<OYt) SIOIIATURli _L'l~ u-V-- ~ CITY PROC~SS_. [0<., .................................................................. ~................................................................. CO~PANY STATB CBRT'OR RBGIST # CITY PROCESSING # BIGNATURIlI PLUllBBR , IIBCIlAlfICAL' .................................................................. COMPANY , STATB caRT OR,~GIST # CITYPROCBSBI~G #' .. SIGNATtmB COMPANY. STATB CBRT OR ~IST. # CITY PROCBSSING # SIGNATURB OTRa.. , ................................................................. SIGNATtJRB ...............................*...........*..................*.. COMPANY STATE CBRT OR RBGIST # CITY PROCBSSING # ~vnu~I~~NB OF PERMIT AFFIDAVIT A. NOTIC~ OF DEED RESTRICTIONS 'I'h. und'ersigned understands t~at this permit JRflY bel;lUbject :,to "deed' restrictions" which ,mlty be more restrictive than City'~egulations. The undersigned assum.es responsibility for compliance with any applicable deed restrictiolll~. B. UNLICI!lHSED CONTRACTORS AND CONTllACToR RESp.onsIBn,ITIEB If the owner has hired a contractor or contraCltClrs to undertake work, they lIlay b~ required ,to be licensed in accordance with state lilnd loctol regulations. If the contraotor is not licensed as required by law, both the owner anol contraotor inay be cited 1!or a misdemeanor violation under state law. If the owner; or int,ended contractor are uncertain as to what lioensing requirements may apply for the intended work, they are advised to contact the City of Zephyrl1ills Building Depart~ent, 813-788-661)L. Furthermore" if the owner has hired a contractor or'oontractors, he is advised to have the contractor(s) sign portions of the "Contractor Sect!onsN of this applioation 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 contraotor wishes you to sign as contractor that may be an indioation that he is not properly licensed and is not entitled to permitting priVileges in the City of Zephyrhills. C. TRAN~PORTATION IMPACT rBES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 113, FLORIDA STATUTEa, AS 'AHEHDED) 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 "ownero, I cerify that I bave obtained a copy of the above described document and proudse in good faith to deliver it to the ~owner" prior to commencement. E. CONTRACTOR' S/OWNER' S Ali'FlDAVIT I certify that all the information in this application is accurate and that all work will be ~one in compliance with allap'plicable laws regulating construction, Z9ning, and land development. Application is hereby made to obtain a pe~t to do work and installation as indicated. I certify thaf no work or installation has commenced prior to iSSUance of a permdt and that all work will be perfooned to meet standards of all laws regulating const~uction, City codes, zoning regulations, and land development regulations in the juriSdiction. I also certify that 01 understand that the regulations t:lf 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. Suoh 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 Hanagement District-Wells, CypEess Bayheada, Wetland Areas, Altering Watercourses *Army Corps of Engineers-S.awalls, Docks, Navigable Waterways *Department of Health i Rehabilitative Services., Environmental Health Unit:;-lIells, Wastewater Treatment, Septic Tanks *U.8. Environmental Proteotion AgencY-A8be.tos abatement I also certify that, if ;f.f..ll material is to be {lsed in Flood Zone ~\A" or ~A, etc.", it is understood that a drainage plan addressin~ a ~compensating volumeN will be subndtted which is prepared by a professional engineer registered in the State of Florida prior to peDmit issuance. . . A permdt issued shall be construed to be a license to proceed with' the ,work ~nd not as authQrity to viOlate, cancel, alter, or set aside any provisions of the technical oodes, nor shall issuance of a permit prevent the Building Offioial from thereafter requiring a correotion of errors in plans, construction, or violation. of any oode. Bvery,peDmit issued shall beQome invalid unless the work authorized by such pe~t is oommenc~d 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 ti~e may be allowed for the per..u.t with f_e charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspeQtion must be logged during each six month period, or the project will be considered abandoned. \ ' WARNING TO OWNER. YOUR IrAILURI: TO RE90RD A NOTICE 01' COMMBNC""T MAY RESULT IN YOUR PAYING TWICE FOR IH~ROVI!lMEHTS TO YOUR PROPBRTY. II!' YOU INTIlND TO OBTAIN !'INANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORHBY BSI'OJ\B RECORDING YOUR NOTICS 01' COMMBNCIilMBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE or COMMENCEMENTN'. ,SIGNATURE; OWNER OR AGENT SIGNATURE. COHTIu\cTOR '14t STATE OJ!' FLORIDA COUNTY 01' . The foregoing instrument was Be~ore me this_____day of by (name of person ackno~ledged) 'q who is personally known to me, or acknowledged , 1 !l...- STATE 01' FLORIDA COUNTY OF . The foregoing iustrqment was actnowledged Before me this ~ay of , 19 ~ by (name of person aCknowledged) [Lho is personelly known to me, or Owho has produced (type of identification) and whoD did Ddid not take an oath. o who' has produce~ , (type of identifioation) and who Ddid DUd not take an oath, Signature of person taking acknowledgement Signatu~e of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped