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Home My WebLink About02-1277 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N_ 1277 (813) 780-0020 Date G-/I- (J~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ~operty Own.' q /;;{! j ~rl:t t( Job Address: 3 5": 1k4 . Parcell.D. " Water Meter: T,I.F.'s: Zoning: DescriPtion of Work En,rgy", Sfde: Radon Gas: 01 5/~ ~A,IJ,#/"~,r fA,/$e:r NO OCCUPANCY BEFORE C.O. FINAL ~/~ -C? ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# ~5 Inspector P . F ~~(.tO ermlt ee ~ignature 4:) 'te ~ Company Address ,/relephone# ~$2- -r~r (!,om llr ?I VI11616 ilL Valuation or Contract Price --------- Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter. Final PLUMBING MECHANICAL SLB Tub Set Water . Sewer /h _1)- /I::Z RtY Final/ Breakers Ducts Insl. Compresso 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME ~ C &z e.!Z. 'j L (V)4.) 'P H (./ JOB SITE ADDRESS ~ 5/.'7 '5'; tlf'tu't'd__( PIt.;' {/~ PHONE CONTACT LEGAL DESCRIPTION: LOT(S} BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERATION o REPAIR ~ALL DSIGN PROPOSED USE: ~ FAMILY DWELLING o MOVE o DEMOLISH DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Ivu~/d/ ,C;t:l4./ i /vp'l.f'f,/L SQUARE FOOTAGE {; re;o HEIGHT BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL ~UMBING o MECHANICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER (() 1/11 eA-. flu t101.llI' /l/j- t~?:~ ~ COMPANY COUfoP," P I V'/.1~/~' STATE CERT OR REGIST # (, q 5 S CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** COND~~~ONS O~ P~RM~~ A~F~DAV~~ A. NOTICE OF DEED RESTRICTIONS Tilt: undersigned understands that thi:, permi t lni;l, Y be S-lDj ec:t ':0 "deed restrictions" which may be more restrictive than City r.aqulations. The undersiqned assumes responsibility for compliance with any applicable deed T1astricti::ms. B. UNLICENSED CONTRACTORS AND CON'I'HACTOR R!!:SPClN'SIJ3ILlrI!!:S If the owner has hired a contractor 0.1: contractor::; to unden:iike work, they may be required to be licensed in accordance with S1:a':e and local ,I:egul:itions. If the contractor is not licensed as required by law, both th.a owner and contrac'cor may be cited for a misdemeanor violation under state law. If the Ol~J.er or intend.;d cO:J.tra,:::tor are uncertain as to what licensing requirements may apply for 'the intended 'l'lOrk, they are advised to contact the City of Zephyrhills Building Departm,;nt, 813-788-6611. Furthermore, if the owner has hired a contractor or con.trac.tors, 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 th,Ol owner signs as the contractor, you are indicating that you, rather than the contractor, ar,Ol responsible f'or the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA S'TATUTES, ,~S 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 doc:ument 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 t~his application is accurate and that all work will be done in compliance with all applicable laws> regula,ting construction, zoning, and land development. Application is hereby made to obtain a permit to do ~'ork and installation as indicated. I certify that no work or installation has commemced prior to issuance of a permit 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 regulatiomi of other governmental agencies may apply to the intended work, and that it is my responsibilit.y t:o identify what actions I must take to be in compliance. Such agencies include but eLl:e not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wet:landl Al:eas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management Distrie:t-WEllls, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative ServicE~fl, E:nvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is tel 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 registm:ed in the State of Florida prior to permit issuance. A permit issued shall be construed to be a licEmse 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, OJ: violations of any code. Every permit issued shall become invalid unless the work au1:horized 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 commEmced. 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 appr<wed inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOr.rICE OE' COMMENCEMENT 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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND posr.r A "NOr.rICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this -----Pay of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid DUd not take an oath o who has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped