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Home My WebLink About02-1415 BUILDING PERMIT Permit N~ BUILDING CITY OF ZEPHYRHILLS (813) 780-0020 1415 Date )f- :J.,2 -0 ~ ELECTRICAL MECHANICAL PLUMBING Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. " l/14' I U/ AI '71/ fl-? ~ A.LvJ,..S~~ oW-. Water Meter: T,I.F.'s: Zoning: Energy Code: Radon Gas: DescriPtion of Work I (f-O A~ S a,y v. Foy- V-2.-y/ z.Q;-, F P /f)-I(P'~LJ~ ItI/Ar~.'Y!/Ii2I">TIA)A-11 62&6 NO OCCUPANCY BEFORE C.O. s~,.tc..1, C:..Jo/ ~ FINAL DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price DATE Inspector Permit Fee #5 . "" W )Signature ~ . /A..d,~ -~~-_ _ Companv0 Address \l'TelePhone#( p/3') .2 U f) -/7/ ( tJh ite tle(~ f'JH d. 3 (pO 7 City License Registration # State Certified License# Ftr. Pre SLB Lintel ELECTRICAL .... MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewe Fi Breakers Ducts Insl. Compressor I 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) shaH 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. I OWNER'S NAME ~A' J 2.L)/lJ JOB SITE ADDRESS 7~ .!i. 9 1f~~EAL 8/~~ t/<<? CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 sth STREE'r ZEPIIYRHILLS, FL 33540 PhoneI813-780-0020 FaxI813-780-0021 DATE RBCEIVIllD -----. PLANS RBVIBW FBB PHONE CONTACT~4?2 -;!;7z LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION OD-.OOO (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: o ADDITION o ALTERATION o REPAIR o INSTAr~L o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING IB-CO'MMERC IAL OMULTI -FAMILY 0# OF UNITS o SWIMMING POOL o MOBILE HotlJE o OTUER o INDUSTRIAL DESCRIPTION OF WORK o RESTAURANT & HEAL'l'H DEPARTMENT APPROVAL /ooA~LJ C~I/Er:e- .;lOT<. J4.R/2at/3evJt:---A Ub/-UV/ , SQUARE FOOTAGE HEIGHT BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF Burr,DING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING ~ ELECTRICAL o PLUMB ING $ / 1J'th:7~ VALUATION OF TOTAL CONSTRUCTION /t' 0 AMP SERVICE ~FIIORIDA POWER [] 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 SIGNA'l'URE )(~I_~ :z: k?~;.~,,(J I - ****************************************************************** COMPANY wfifk Ikc7A'C-'9/~ft:-$k""-J;u~ STATE CERT OR REGIST # ~~~~~l? CITY PROCESSING # ~Ot?? PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER "'r...~!tI!o.". ,.,.,' .._. f ***************************************************************** \ .,. . ,'ct'.. .. COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ..... f .~ . 11.i....: r.,('...i:~;~' (_,,.~;; ~~io:<;;f < ~.;K'" " CONDITIONS OF PERM~~ AFFIDAVIT. A. NOTICE OF DEED RESTRICTIONS . The ~ndersigned understands that this permit may be subject to "deed restrictionsH which may be more restrictive than City regulations. Tl1e undersigned assumes responsibility for compliance with any applicable deed L'estrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOH RESPON~iII3ILI'rIES 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 \'lork, 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 SectionsH 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 Zephyrhllls. C. TRANSPOR'l'A'I'ION IMPAC'1' FEES AND UTILITY CONNEC'rION FEES D. CONSTRUC'1'UION LIEN LAW (CHAP'l'ER 713, FLORIDA S'rATUTES, 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 ced,fy that I have obtained a copy of the above described aocument and promise in good faith to deliver it to the "owner" prior to Commencement. E. CON'l'RAC'1'OR' S/OWNER' S AFFIDAVI'1' 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. Appllcation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced 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 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 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 "AH or "A,etc.H, it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared hy 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 ~he 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 connnenced 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 conunenced. One 90 day extension of tirile 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 '1'0 OWNER: YOUR FAII,URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE I!'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A'rTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT". ~J~.~ SIGNATURE: OWNER OR AGENT :t:~~t?-~tf ,,--/ SIGNATURE: CONTRACTOR STATE OF FLORIDA h COUN'rY OF H-; \ \ ~~("Dc....5 The foregoing instrument was acknowledged Before me this Z./~ day of ~ '2coZ- fi ...'; by iname of person acknowledged) ~ is personally known to me, or , STATE OF FLORIDA COUNTY OF H-;Ilsb"r~~'n 1.'he fQregoirl~ inat~ment wa~ack9Qwledged Beforei me this Z'-day of ~~-"':$~ by (name of person acknowledged) ~personally known to me, or o who has produced (type of identification) ~dif~ake an oath. Signature of person takin Owho has produced (type of identification) did~e an oat~ knowledgment' ed '~'.1".if';'.."~:'''>I:.'