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Home My WebLink About02-1382 c--.:-~ BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N!! BUILDING 1382 (813) 780-0020 Date 8-I-oJ :( ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: VaKIU'Yl U/~e 4s S Job Address: ~ J. I rJ ~ 5{, Parcel 1.0. " Water Meter: T.I.F.'s: Zoning: OescriDtion of Work Energy Code: Up rwlL SPK\J ,'( e Radon Gas: To 2.tJo Il~. S~i/. FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be perf~d in accord,nce with City Codes and Ordinances. r:? lo;;;;~'1~l~~{(f:1;,r{Lt Fee ValuatIon or n ~ ().\. v'l. AJ (... ,... c\-O.I"' Contract Price ,.K'C)OO . ~\eA(,.e ""~C'~'./ ignature ' . .~ J lol,I"1.- "'''-\- L:7 r-eLe ,ve.o n. ~ ": r r". ompany GI.A ~ .J \0 ........ -t . ~ ../ City License Registration # (\te~ 5 ",t-W" ~c~ Address ::> -- o. 7 ~e ~ ..... . DJ.L State Certified License# tx:/lJOOD / lJ",+ .(:0, ~. V. )J'elephone# 6/J' V -lK I Zen W..v..dJ:! BUILDING Ftr. Pre SLB Lintel DATE ELECTRICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Com pre Fin 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. , OWNER'S NAME _Vt~ I Zulli JOB SITE ADDRESS ~:< /7 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 PhoneI813-780-0020 FaxI813-780-0021 DATB RBCBIVBD PLANS RBVIEW FBB tJl2ELeS S 8tH si- PHONE CONTACT LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED; 0 NEW CONSTRUCTION o ADDITION (OBTAIN ~LTERATION o DEMOLI SH FROM PROPERTY TAX NOTICE) o REPAIR [J INSTALL Os IGN o MOVE PROPOSED USE: DSGL FAMILY DWELLING "')iJ COMMERC IAL DMULTI-F'AMILY 0# OF UNITS o SWIMMING POOL o MOBILE HOME ~OTHER o INDUSTRIAL o RESTAURANT & HEALTH DEPARTMEN'r APPROVAL DESCRIPTION OP WORK t<pCf2I/Dr: tiIS-r?/,JI\ (OOI1f!fJ E/ucre,C>(j( ~V/C(' 1:: :;J.D04~ BUILDING SIZE SQUARE FOOTJGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUIlJDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING ~ ELECTRICAL o PLUMBING $ VALUATION OF TOTAL CONSTRUCTION ;;.00 AMP SERVICE o FLORIDA POWER o W.R.E.C. o MECHANICAL $ 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 AREAO YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE BLBCTRICIAN ....................................................~.......... . -' COMPANY t:I~l!,tc, )c:K:i!IAJ6l-t tN\ STATE CERT OR REGIST # EC:.- a:> 0 I~t CITY PROCESSING # S I GNA'l'(JRE ****************************************************** PLUMBBR COMPANY STATE CERT OR REG 1ST # CITY PROCESSING # SIGNATURE MlICHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PEPMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsn which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed J:estrlctions. B. UNLICENSED CONTRACTORS AND CONTRl\CTOR 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 cited 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, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sectionsn 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 is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPOR'l'ATION IMPACT FEES AND UTILITY CONNEC'l'ION FEES D. CONSTRUC'rUION J.IEN LAW (CHAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guiden 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 conunencement. 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 permit to do work and installation as indicated. I certify that no work or installation has conunenced 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 regulations of other governmental agencies may apply to the tntended 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 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 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 conunenced within six months of issuance, or if work authorized by the permtt is suspended or abandoned for a period of six months after the time the work is conunenced. One 90 day extension of thue 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 FAII,URE TO RECORD A NO'I'ICE OF COMMENCEMEN'l' MAY RESUI,T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN FINANCING, CONSUL'l' WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNOER $2,500 IN VALUE DO NOT NEED 'f0 RECORD AND POS'!' A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged ,19_ STATE OF FLORIDA COUNTY OF The foregoing instr.\1ment was Before me this _day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. Owho has produced (type of identification) and who Ddid [}::lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment! Name typed, printed or stamped Name typed, printed or stamped