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Home My WebLink About02-1427 BUILDING PERMIT Permit N~ . CITY Of ZEPHYRHIW (813) 780-0020 1427 Date ~- .30-D~ (-~ El~.(C P~-' Property owner:~' VI J. I~ -. ~J*1 (J'1..U l';~ ~- Job Address: .J 1 .> \. Parcell.D. , Zoning: Energy Code: DescriDtion of Work IIJ()" F-f f~CJL ~-" Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: FINAL / V .- DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ....><Signature Company Address yTelePhone# 1t~~ . / / . ~u~PI .;L'-irf:u"l~ Valuation or Contract Price --....------. City license Registration # State Certified license# ~. /3 - 7 )~. 0" ) s-~ 1 1)wt\.//{ Tp, Servo Rough In Meter Can Const. Pol Pool Pre- F I PLUMBING MECHANICAL BUILDING SLB Tub Set Water Sewer Final // / / #' Breakers Ducts Insl. Compressor Final Ftr. Pre SLB lintel FRM. Insul. CL WL 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) 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 'V,!rUJD ~e.. ULAJ (U ,JOB S I'I'E ADDRESS _G'O~ 3 y-=_ ( i~_- ~f~_='=~=.-_-~=_-=-~_.__._ CITY OF ZEPHYRHIIJIJS PERM!'!' APPLICA'l'ION BUILDING DBPART~ENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 PhoneI813-780-0020 FaxI813-780-0021 DA'ra RBCBIVIllD -----.-----------------... PLANS RBVIBW FBR .. PHONE CONTACT LEGAL DESCRIPTION: LO'1'(S) ---_._---- --~-----_.__._-- BLOCK SUBDIVISION -------_.__.~ PARCEL ID # -------. (OBTAIN P'ROM PROPERTY TAX NOTICE) WORK PROPSED: 'f-jNEW CONSTRUCTION [] ADDITIOH [JALTERATION [] REPAIR [J INSTALl, DSWN rJ MOVE [J DEMOLISH PROPOSED USE: []SGI, F'AMU,Y DWELLING []COMMERCIAl, ~lJLTI - F'M1IJ,Y IlINDUSTRIAI, 0# OF UNITS [J MOBILE Hor-1E []SWH1MING POOl, [J OTHER o RESTAURANT & HEALTH DEPAR'fMEN'l' APPROVAl, DESCRIPTION OF' WORK __ .p(J\.~l__~_~cz ---L_~_':'_____.___ BlJU,DING SIZE ---------- SQUARE FOOTA(3E HEIGH'l' RES IDElN'l'IAI,: COM[\1ERCIAI" : ATTACH (2) PLOT PLANS & (2) SETS OF BUI I,DING PLANa & (1) SET ENERGY FORt.1a, ATTACH (3) SETS OF BUII,DING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED P'OR ALL NEW CONSTRUCTION. PERMlrs REQUESTED o BlJII,IJING $ VALUATION OF TO'!'AL CONS'l'RUCTION rJ ELECTRICAl, Al'-1P SERVICE [] Fl,ORIDA POHER [) W.R.E.C. [1 PI,UMB ING [] MECHANICAL $ --- VAL,UATION OP' MECHANCIAL, IIJSTAI,LA'l'TON [J GAS L1 ROOF 1N<3 CJ SPECIALTY [J OTHER TYllE OF CONS'!'RUC'l'10N: (J BLOCK [] FRANE CJ STEEL [] OTHER FllHSHED FLOOR ELEVATIONS -------- IS PRO,JECT IN FLOOD ZOI1E AREA[] YES [) NO BUILDIllR . !) " / # 8WNATURE_~~~ ~ COMPANY STATE CERT OR REGIST # __ CITY PROCESSING # O(,N htr ****************************************************************** J!ILJIlC'!'RICIAN 81 (3NA'l'IJR E COMPANY_________.______________.m ---'" STATE: CERT OR REGIS'!' # CITY PROCESSING # ---------.--.----.-.....--- ****************************************************************** ---.--.----., PLUMBIllR COMPANY--__,----,-______, STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE: MBCHANICAL ****************************************************************** COMPJ\NY STATE CERT OR REGlST # CITY PROCESSING # S IGNA'I'tJRE ------------------- ***************************************************************** O'fHBlR COf\lPANY STATE CERT OR REGIST # CI1~ PROCESSING # SIGNATURE ------------- ***************************************************************** I -------.- CONDY'J'IONS OF PERMIT AFF'IDAVIT A. NOTICE OF DEED RESTRICTIONS "rile understgned understands that LILLa penni\: may he slIbject to "deed restrictions" \<Ih1ch may be mor.e r.estrictive than City t'eglllations. The undersigned assumes respollsibJ lity for compliance Hi th any applicable deedr:esh:ictions. B. UNI,ICENSED CON'l'R1\CTORS AND CONTHl\CTOR RES E'UIISISIl,I'['IES If the OHl1er has hired a contractor or contractors to ulldertake work, they may be reqlltred to be licensed in accordance vilt!) state and Incal l:egulatJoIlS. If the contractor is not lJcensed as reql11red by laH, both the Ol-mel:' and contractor may be cJ ted for a misdemeanor violation under state laH. If the CHmer or intended contractor are 1I1lcertaln as to what licensing requirements may apply fo!: the intended \vork, they are advised to contact the City of Zephyrldlls Bul1dlng Department, 013-788-6611. F'urtherlllore, if the oHnet' has hired a contractor or contractors, he is advised to have the contractor (s) sign pOl-'tions of the "Contractor Sections" of this app,U,cation for Hhich they Hill be responsible. If you, as the owner signs as tIle contractor, you are indicating that you, rather than the contractor/ are responsible for the'vlOtlc. If the contractor wishes you 1:0 sign as contractor that may be an indicati.on that he is not properly licensed and 1s lIot entitled to permitting privileges in the City of Zephyrhills. C. 'l'RANBPOR'l'A'rTON IMPAC'l' FEES AND U'l'ILITY CONNECTION FEES D. CONSrrRUC'l'UION LIEN LAW (CHAP'l'ER '713, FI,ORIDA Srl'A'l'UTES, AS AMH'.NDED) 1 certify that I, the applicant, have been provided Hith a copy of "Ji'lod,da's Construction I ien Law - Homeowner's Protection Guide" prepared by the ff'lorida Department of Agricul t\lre and Cons\lmer Affairs. If the applicant is someone other that the "owner", I carify that I have obtaJnecl a copy of the above described doc\lment and promise in good faith to deliver it to the "owner" prior to conunencement. E:. CON'l'HAC'['OR' S/OWNER' S AFF'IDAVl'l' 1 certify that all the information in this application is accurate and that all Hork vJ11.1 be done in compliance with all appllcable laws regulating construction, zonJng, and land development. Appl.lcatJ on .is hel:eby made to obtaJn a permit to do work and installation as indicated. I cert:Jfy that no Hork or installation has conunenced pr.lor to issuance of a permit:. and that: all work wlI1 be performed to meet standards of all laws regulating oonstruotJon, City codes, zoning regulations, and land development regulations in the jurisd.1.ctJon. I alsn ae.rt i ty that I understand that the regulations of other governmental. agencies may apply to the intended work, and that lt is my responsibility to identify \'Ihat act.lons I must take 1:0 be in cOlnp.llance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Envlronrnentally Sensit.lve I,allds, Water'lWastewal:er '['reatment *Southwest FJorida Water ManagemeIlt DJstr1ct-Wells, Cypress Bayheads, Wetland Areas, Alted,ng Watercourses *Army Corps of Engineers-BeaHalls, Docks, Nav1gable Waterways *Ilepartment: of Health & RehabilJtative Services, Environmental Health Unlt-Wells, Wastewater 'l'reatment, Septlc Tanks "'u.S. Environmental Protection Agency-ASbestos abatement I also certify that, Jf fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" \<1111 be submitted Vlhlch Js prepared ))y a professional engineer registered in the State of FlorJda prlor to permit issuance. A permit lssued shall be construed to be a license to proceed Hith the Hark and not as authority to violate, cancel, aiter, or set aside any provisions of the technical codes, nor shall iss\lance of a permit prevent the 8uJlding Official from thereafter requJr.ing a correcU,on of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced Hithin silt months of issuance, or if \'1ork authorized by the permJt is suspended or abandoned for a period of six mouths after the time the work is conunenced. One 90 day extension of time may be allowed for tile permit Hith fee charge of $15.00. The extension shall be requested ill \<Iriting to the Building Official. An approved inspection must be logged dud ng each a1), mouth per-lod, Dr the project wlll be considered abandoned. WARNING '1'0 OWNER: YOUR FAII.URE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RIr.SlJIiI' HI YOUR P1\YING TWICE IroR IMPROVEMENTS '1'0 YOUR PROPER'ry. IE' YOU IH1'END TO ORr1'AIN FINANCING, CONSUI.'I' WITH YOUR LENDER OR AN A'l''l'ORNEY BEFORE, RECORDING YOUR NO'l'ICE OF COMMENCEMEH'l'. ,fOBfl UNDER $2,500 IN VALUE DO NOrl' NEED '1'0 RECORD AND POST A "NO'l'ICE OF COMMENCEMEN'l'". SIGNATURE: OWNER OR AGH'.NT SIGNA'1'URE: CONTRAC'l'OR S'lWl'E OF Fr,ORIDA COUNTY OF' 'J'he foregoing lnstrument Has acknowledged Before me this _____,_ day of_______, l~_ by ______ (name of person acknowledged) [J who is personally known to me, or STA'l'E: OF FLORIDA COUN'I'Y OF '_______ The foregoing illstrmnent Has acknowledged Before me this __>.slay of--------, 19 by (name of person acknowledged) [1ho 1s personally known to me, or [] Hha has produced (type and Hho[] c:!ld []dJd not [] who has produced___ (type of jdentification) and who Ddid ClUe:! not talce an oath of identification) take an oath. ~_.._-----_._---~.-._.~~---,---------------- Signature of person taking acknowledgement -~_._._------------------------ Signature of person taking acknoHledgment' -~._- -..-._______~__~4_____.______~___._._...________.~____.. Name typed, printed 01: stamped Name typed, pr~nted or stamped