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Home My WebLink About02-1420 BUILDING PERMIT , NO Permit - .. CITY OF ZEPHYRHILLS (813) 780-0020 BUILDING ELECTRICAL MECHANICAL PLUMBING 7h~tTt:U ~1~ ~ Property Owner: Job Address: Parcell.D. , Zoning: Description of Work 1420 Date ~-~7-()~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: ~e~'Y! Code: , blJ,( S~~ -eh. Radon G:Je ~. W NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. Inspector __ (( _ 0 2- DATE DATE :2i ~ ~... ~ Permit Fee ~ignature Company Address jfftlephone# 7? -;7 - e;67 -. ~c;J'j 0 Valuation or Contract Price - City License Registration # State Certified License# ~ol"J. Ftr. Pre SLB Lintel ELECTRICAL Tp. Servo ./ ~-;2q ,(J;1 tZl# SLB W:JO Rough In Tub Set Meter Can Water Const. Pole Sewe Pool Fin Pre-Metjr Finalt/ 9-11-02- 'f!.{.-ff Driv AL 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 ZEPHYRHIIJLS PERMIT APPLICA'l'ION BUII,nINC~ IJEPAR'l'MElN'r 5335 Sth STREE'f ZBPHYRHILLS, FL 33940 PhoneIS13-780-0020 PaxI813-7S0-0021 DATil RBCBIVIID ____________. PI,ANS Rl!lVIBW FilII , OWNER' S FiAME----.f./~~f'/)~I[T _) L:I?"- r C Cf" fQ., PHONEl CONTAC~_________ ,TaB SI'fE ADDRESS /6J I GfhL_(f(0~______________._________________________ L~GAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION --._----~_.- PARCEL, ID # [JADDITION (OBTAIN F'ROM PROPERTY TAX NOTICE) ~I/rERATION [J REPAIR IJ INSTALl, WORK PROPSEDI ONEW CONSTRUCTION DSIGN [J MOVE rJ DEMor~ISH DESCRIPTION OF NaRK PROPOSED USE; [JSGL FAMILY DWELLING ~MMERCIAlJ D RESTAURANT & HEALTH DElPAR'rtIJEN'I' APPROVAL /Ntr~~~LL_~I._ ~,'I 5~~_____~__~_ [JMULTI - F'AHIlrY 0# OF UNI'I'S [) MOBILE nOF-Hn [] OTIIIllR o INDUS'l'RIAI, [] SWIMMING poor, BtJILDING SIZE SQUARE FOOTAGE RES IDEN'J'IAl,: COMf'.1ElRCIAl~ : HBlIGHT A'I'TACH (2) PLOT PLANS & (2) SETS OF BUII/DING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUII,DIN(~ PLANS & (1) SE'I' ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR AI,I, NEW CONSTRUCTION. PERMITS REQUESTED o BllII,fIING $ .___LO 0 VALUATION OF TOTAl, conSTRUCTION ~lJI!JC'l'RH~AL AMP SERVICE P.r nORIDA POWER [J W.R,E,C. [J PI,UMB ING [] MIlJCHAIHCAL [J GAS [J ROOF INr1 $---------- VALUATION OF MECHANCIAIJ INSTAI,I,ATION [J SPECIAllfY [J OTHER 'I'YPE OF CONS'l'RUC!'flON: [J BLOCK 8T"FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA!:] YES CI NO BUILDER ---- COMPAtlY STATE CERT OR REG 1ST # ___ CITY PROCESSING t~ 8lGNA'fURE .L.CTRIOIAI!~. ".-' , SIGNA'l'lJRE . - ****************************************************************** COMPANY ~e s (Z/~c-t~(J CiJ 1.",Ia!,:~ STATE CERT OR RECHST # G t:. /3 ~:J...3 ~S__________ CITY PROCESSING # PLUMBBR ****************************************************************** --_._--+-_..~---- COMPANY_______,-__________.____.__.___. S'I'ATE CERT OR REGIS'I' # ___________ CITY PROCESSING # SIGNATURE MBCHANICAL COMPJ\NY ___________________ STATE CERT OR RIHHST tI____________ SIGNATURE CITY PROCESSING # ****************************************************************** --_._------------~_.- ..--- -------~--~-+.._-- OTHER ***************************************************************** COMPANY STATE CERT OR REGrST # CITY PROCESSING # SIGNATURE ---------_._~ ***************************************************************** ! ----------- - co~m:'.':'IO~;S U? ?EPV3:T AF'F''::DAVI'J:' A. NOTICE OF DEED RESTRICTIONS 'l'h~ underslgned understands that t.b:L13 pe,nnJ t mat' be subject :~o "deed restrictions" whlch may be l1Iore restt'ictive than City n~qll] Clt:iOllS. 'I'he 11l1(h'lrslgned assumes responsib:t lity for compliance Hith any applicable deE!dcest.rlcti:JIleI. B. UNLICENSED CON'l'R1\C'l'ORS AND CON'l'HAC'1'ClH RH:S PON Ei 181 LI'l'IE;S If the OHner has hired a contractor or contr:a::::t.U1S to undertake work, they nlay be required , Lo be licensed ln accordance viJ tb ala te and loca 1 .regulat lons. 1: f the contractor .i s not liaensed as requi red by law, both the o,'lIler and contractor may be al ted for a misdemeanor violation under state law. I f thE! OHner or intended contractor are uncertai n as to what licellsillg requirements llIay apply fOJ: thE! intenclecl \'/01:1;:, they are advised to contact the City of Zephyrhills Bul.ldlng Department, 013-788"6611. Furthermore, if the o\~ner has hired a contt'actot' or contractors, he is advised to have the oontractor (s) sign portions of the "Contractot' Sections" of this application for \1hich they will be responsible. If you, as the owner signs as the contractor, you are indioating tllat you, rather than the contractor, are responsible fOl- the work. I f the contractor wishes YOll to slgn as contractor that may be an indicatiol1 that he is not properly LIcensed and i.s Hot entitled to permitting privileges ill the City of Zephyrhills. C. 'l'RANSPOR'l'A'rION IMPAC'l' FEES AllIJ U'l'ILITY CONNEC'l'ION FEES n. CONS'l'RUC'I'l1ION I,IEN LAW (CH1\P'l'ER '713, FLORIDA S'l'A'rUTES, AS AMENDED) I cerli fy that I, the applicant, have been proviqed with a copy of "Ii'lorida's Construction lien Law -- !I0I1leo\111er'S Protection Guide" prepared by the Jl'lorida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerJfy that I have obtained a copy of the above descrlbed document and promise in good faith to deliver it to the "owner" prior to commencemel1t. E. CON'l'HAC'!'OR' S/OWNEH' S AFE'IDAVIT 1 certify that all the il1formation in this application Is accurate and that all Hork \~ill be done in compliance with all applicable laws regulating construction, zoning, alld land development:. Application is her.ehy m~de to obtain a permit to do work and installation as indicated. I certi fy that no Hork or instaliation has commenced prior to issuance of a perm.H: aud that all work will be performed to meet standards of all laws regulating constructioll, City eodes, zoning regulatlons, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies IIIay apply to the lntended work, and that it is my responsibility to identify \'Ihat actions I must take to be .in compliance. Such agencles include but are not limited to: "'Department of Elnvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive l,ands, Water IWas teHa I:er '!'reatrnent "'Southwest: Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses "'Army Corps of Engineers-SeaHalls, Docks, Navigable Waterways "'Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater '1'reatment, Septic 'I'anks *U.S. Enviromnental Protection Agency-Asbestos abatement 1: 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 submttted Hhlch is prepared IlY a professional engineer registered in the state of Florida prior to permit issuanoe. A permit j BSlled shall be construed to be a license to proceed Hith the \-lOrk and not as authorlt.y t.o vlolate, 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, construotio/1, or violations of any oode. Every permit issued shall beoome invalid unless the work authorized by suoh permit is cOllunenced witld n sllt months of issuanoe, or. 1f work author1zed by the perm1t is suspended or abandoned for a period of slx months after the time the work is conunenced. One 90 day extenslon of t hila may be allowed for the permit with fee charge of $15.00. '1'he extension shall be requested in Vlri ting to the Building Official. An approved inspection must be logged dud ng each sl}{ month period, or the project will be considered abandoned. WARNING 'l'0 OWNER: YOUR FAlI.URE TO RECORD A NOTICE OF. COMMI!:NCEMEN'1' MAY RESUJ,'I' III YOUR I?AYING 'I'WICE B'OR INPROVEMEN'1'S TO YOUR I?ROPER'l'Y. IF YOU 1:N'l'E',ND '1'0 OR/l'AIN FINANCING, CONSUL'l' WITH YOUR 1.ENDER OR AN A'I"l'ORNEY BEIfORE RECORDING YOUR NO'I'ICE OF COMMENCEMENT. ,JOBS UNnER $2,50U IN VAI.UE DO NO'1' NEED '1'0 RECORD AND I?OS'I' A "NO'l'ICE OF . ')MMENC SIGNA'I'UREI OWNER OR AGENT STA'l'E OF FI.ORIDA COUN'l'Y OF_______________ 'I'he foregoing instrument VIas ackno\'lledged Before me this __.slay of--.----, 19_~ by _____._____ (name of person acknowledged) Chho is personally known to me, or [] who has produced________.,___ (type of identification) and who Ddid DUd not take an oath S'l'1\'l'E OF E'I,oRTU1\ COUN'l'Y OF The foregoing instrument was ackllowledged Before me this ______ day of _' . l~_ by (name of person ackno~~ledged) [lwho is personally knowrt to m~, or LJwho has produced (type and who!] dId Ddid not of identification) take an oath. Signature of person taking acknowledgement Slgnature of person taklng acknowledgment! NaJl~~-typ;d~--pr-L;t-ed- or'-;t-;~p;d--------_n --------.-------...- "----.,.--"--------- Name typed, printed or stanved