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Home My WebLink About02-1432 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1432 ~~- ~.C~ECTRIC~ ~_.. ~ P<apertv Ow",, ~l!;r/ _ ~7- ,Q-<L4L: Job Address: ___ __ - Date 9-,?--D~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: REINSPECTION FEES: Whe charge of twenty-five Parcell.D. II Zoning: Description of Work TE Ftr. Pre SLB Lintel FRM. Insul. CL WL MEC ~ Compressor Final Driveway \0 ra inspection trips are necessary 00 Dollars ($25,00) shall be made fo 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 Receipt N~ 127086 Physical Address ) Paving Assessment Ze hyrhills, Florida 33540 c; _ 0-0015 Date - ~ ,. 200 :2 -"?~ O_-V _ Amount Due c5l..C:.J - - Tax Parcel ID # ) Other Street No. n ~'.CD 7~z:C I oJ2.<ii: c ~JJf; ~& 0.-.5 #. /1J - g -f:!.:L ;~p $.35 .~ GO.: PI Name' City, State, Zip NOTICE: All assessments are due and payable within (30) thirty days afterya~ lI!J~~il.-Q5-0211C-,-":' bear interest at the rate of9% per annum thereafter. Please send postage for return receipt, - ~"Il;' CITY OF ZEPHYRHIIJIJS PERMI'f APPIJICA'l'ION BUILl>IWl lJEPAR'l'MEN'f 5335 8th STREE'f ZEPJlYRHILLS, FL 33540 PhoneI813-780-0020 FaxI813-780-0021 DATE RBCEIVED ----------.--..-----. PLANS RBVIBW FHB ; OWNER I S NM-1E Fo f.f3t::.l/~!J--_(! V1.~~f______.._._____._________ PHONE CONTACT 21 S _ /tJ5"'7 ,JOB S I'l'E ADDRESS __.:t7t/?__9-6.~ ____.________.__ ______._____,_____ _. __.____.___.____________ LEGAL DESCRIPTION: LO'1'(S) BLOCK SUBDIVISION ----~---_.- PARCEL ID # (OBTAIN F'ROM PROPERTY 'I'AX NOTICE) WORK PROPSED: DNEW CONSTRUCTION [] ADDITION ~AL'fERATION [] REPAIR [1 INSTAI,I, [JSIGN LJ MOVE [J DEMOLISH PROPOSED USE: DSGT" FAMU,Y DWELLING [a-Mu LTI .. F'A11I L Y 0# OF UNITS [J MClBnE: lIot/1E [] COI1MERCIAI. [l INDUSTRIAL o SW Il-1MING POOL [J OTHER BUILDING SIZE ------.-------.-- SQUARE FOOTAC3El ---.---- HEIGHT RES IDEN'I'IAL: COMII1ERCIAI, : A'I"I'ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (.I) SElT ENERGY FORII1S. ATTACH (3) SETS OF BUIIJIHNG PLANS & (1) SET ENERGY FORHS. PROPERTY SURVEY REQUIRED FOR ALl, NEW CONSTRUCT ION. PERMlrs REQUESTED o BllILDING ~EC'l'RICAL $ ~DO- VALUATION OF TOTAl, CONSTRUCTION 200 Af\1P SERVICE ifFI,oRIDA pm~ER [] W.R.E.C. ------ r] PI,UMB ING [] [v]E!CHAIHCAL $ --- VAI"UATION OF MECHANCIAI, INSTAl/LA'!' ION [J GAS L1 RUOF IN(~ [] SPECIAUfY [J OTHER TYllBJ OF CONSTRUe'I'lON: [] BLOCK [] FRAME [] STEEL [] OTHER FllHSIIED F'LOOR EIJE!VA'l'IONS IS PROJECT IN FLOOD ZONE AREA[] YES C) NO BUILDHlR COMPANY STATE! CERT OR REGIST # ______ CITY PROCESSING # SIGNATURE ****************************************************************** BLlc'rRICIAN a S.IGNA'l'tJRE -'v Il.. ~. COMPANY ~vJ.rn. ,-h "s~_f!.~~~L~ :;:-xJ~_ STATE CER'I' OR REGIS'!' # --------------------..----- CITY PROCESSING # 29--6Y ****************************************************************** -----.-------.--------...-....--. PLUMBHlR COMPANY-__________.. STATE CERT OR REGIST # CI'!'Y PROCESSING # SIGNATURE: MHlCHAN!(~AL ****************************************************************** ------------------.------ COMPJ\NY ._____'________..__ STATE CERT OR REGrST # CITY PROCESSING # ---------------..----- S JGNJ~TllRE: ***************************************************************** OTHER C0f\1PANY STATE CERT OR REGIST # CITY PROCESSING # S H3NATIJRE ---------------- ***************************************************************** j ----_4__________ A. NOTICE OF DEED RESTRICTIONS 'l'he undersJgned understands that LUll pe,nnJ t may be slIb.leut to "deed restrictions" \-Ih1ch may be more restrictive than City r'I~<JlIl~t.ioIlS. 'l'he undalS I <Jued assumes responsiblU,ty for compliance Hlth any applicable dee,,, l~estL.icl:io:IS. B. UNT,ICENSI!:V CON'1'RACTORS AND CO'J'l' HI\C'l\) F: Ri'!:SPONSIBI [,n'IES If the O\'iner has hired a contract:,r or ::ont_t::actors to undertake work, they n\ay bereqll:l red ' 1:0 be l:l.censed in accordance ..11th :3t:ate and local J:eglllatJons. If the contractor is not IJoensed as reqll:l.red by lavl, both ':he o\'mer and contractor may be c:l. ted for a misdemeanor v:l.olation under state law. If th,= OHflet or ill':ended coutractor are \lIlcertain as to what licelising requirements may apply Eor the intended Hork, they are advised to contact the Cil:y of Zephyrldlls BuildIng Depart:ment, 013-788"6611, F'urt.:hennore, if the owner has h.i1~ed a contracl:or 01: cOlltractors, he is advised to have the oontracto1.'(s) sign portions of the "Cont.ractor Sections" of thls application for vlh1ch they Vl1] 1 be responsible. If you, as the mmer signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes you [:0 sJgn as contractor that may be an indicatlon that he is not properly licensed and is lIot entItled to permitting privileges in the City of Zephyrhills. C. '1'RANSPOR'l'ArnON IMPACT FEES AND U'l'ILITY CONNECTION F.'EES D. CONS'fRlJC'fUION LIEN LAW (CHAP'1'ER 713, FI,oRIDA S'1'A'1'UTES, AS AMENDED) J cerUfy that I, the applicant, have been provided w.ith a copy of \\F.'lor.i.da's Constrllct.i.on 1 ien LaH -- Homeowner's Protection Guide" prepared by the Florida Department of Agr1cul ture and COIIS\1l11er Affairs. If the applJ cant is som~one other that the "owner", I cedfy that I have obtained a copy of the above descrlbed document and promise in good faith to deLiver it to the "owner" pri.or to conunencernent. Po. CON'['RACTOH' S/OWNER' S AFF.'IDAVl'l' I certify that all the informaUon in this application ls accurate and thaI: all Hark vlll] be done 1n compiiance HJth all applicable laws reglllating const.ruction, zoning, <lnd land development. ApplJcation is IJereby made to obtajn a permit to do work and installation as indicated. I cerU fy that 110 work or instaLlation has conunenced pr,ior to issuance of a permit and that all work wiil be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development reglllatJ.ons in the jUl'lsd.ictJon. I also ce.rt tfy tha t: . I understand that the regulations of other governmental agencies may app ty to I:be intended work, and that it is my responsibili,ty to ident.ify ",,11at actJons I must: take l:o be in compliance. SlIcb agenc.ies include bllt are not limited to: *Department of fi~nvirontnent.:al Regulation-Cypl:ess Bayheads, Wetland Areas and Envlronrnentally Sensitive r,ands, Water/Wastewater 'l'reatment *Southwesl: Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, 1\1ted,ng Watercourses *ArlllY Corps of Englneers-Seal'ialls, Docks, Navigable Waterways *Ilepartlllent: of Health & Rehabilitative Services, Environmental Health Hnlt-Wells, Wast.ewat.:er 'l'r.eatment, Septic Tanks ....U. S. Environmental Protection Agency-Asbestos abatement: I also cert.:Jfy that, :l.f flll materJ.al is to be used in Flood Zone "A" or "A,etc.", J.t is underst.:ood that a drainage plan addressing a "compensat.:.ing volllmetl will be submit.:ted \'Ih1ch 18 prepared by a professional eng.l.neel. regJstered in the state of I!'lorlda prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work <lnd not as authority to vlolBte, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bu.U,ding Offlcial from thereafter requlrlng EI correctioll of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is cm~~nced within all( months of lss11ance, or if work authod,zed by the permit is suspended or abandoned for a period of slx months after the time the work is commenced. One 90 day extensioll of time may be aUoVled for 1:1Ie permit \'lith fee charge of $15.00. '1'he extension shaLl be r.equested ill writing to the Building Official. An approved inspection must be logged dud ng each all( month ped.od, or the project Hill be considered abandoned. WARNING '1'0 OWNER: YOUR IfAII.URE '1'0 RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESULT IN YOUR PAYING TWICE I!'OR IMPROVEMENTS '1'0 YOUR PROPER'1'Y, IE' YOU IN'l'END '1'0 OB'1'AIN FINANCING, CON 3\11,'1' WITH YOUR r,ENIJER OR AN A'1"1'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER *2, 500 _::_ VAT,U' 1m NOT_~"O 'I'~'C~R~ MID PO''T' :-ail OF ~~:F"""-__~__ CO.l\;!)!.r~l.'IO~'~S 0:: :?~,PMI'J1 AFF'IDAVTT SlGNArl'lJRE: OWNER OR AGENT SIGNA'rIJRE: CONTRA.C'rOn S'l'A'1'E OF FI,ORIIJA. COUNr1'Y OF 'J'he forego.ing instrument vias acknowledged Before me this _____ day of_______, l~_ by _______ (name of person acknowledged) [] l'iho is personally known to me, or STA'l'!!: OF FLORIDA COUN'I'Y OF ___________ 'l'he foregoing instr\1ment was ackno"'lledged Bafore me this __..slay of--------, 19 _..:..._ by .____._.___ (name of person acknowledged) [1ho is personally known t.o me, or Dwho has produc~d , (type of jdsntification) and \-Iho Odid Cl:iid not take an oath [] who has produced (type and who!] dld []dJd lIot of identification) take an oath. ~_._-_.._-------~._._._._---------_.__._-- Signature of person taking acknowledgement ---y_._---------------------~---- Signature of person taking acknoHledgmentf -~._~....-.__.__._----._-_._._----,-_..__.__.~---~~---.- Name typed, prillled or stamped Name typed, printed or s l:amped