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Home My WebLink About02-1501 BUILDING PERMIT Permit N2 CITY OF ZEPHYRHILLS (813) 780-0020 BUILDING ELECTRICAL MECHANICAL PLUMBING Ci1 Grr- L ~ 5'/ .1S /J'""I't, sT. Property Owner: Job Address: Parcell.D. " Zoning: DescriPtion of Work 1501 Date 9-d7-C~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: Energy co~ '-I Pl I I. (:(l C o Rv~ Inspector Permit Fee 35"..,.0 .>-Signature ~ l Lf .2 '7J~ Company Address JfTelephone# 77f- Ill) I 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. Valuation or Contract Price FINAL - t} Z-- DATE D City License Registration # t--- State Certified License' 1) UI J\l/F BUILDING SLB Tub Set Water Sewer Final Driveway Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter. Final MECHANICAL 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. C1TY OF ZmPHYRHILLS PERMIT APPLICATION BUIr,DING OIlPARTM.IllNT 5335 ath 8'l'R.IllEl'1' ZBlI?H'iRHILI,S, Fl, ],3540 ~hon./813"780-~020 Fax.S13-780-0021 DA'n REOBIIVIID ____._____,_."____ Ii'I,ANS R.Ill\;'IlllW rBII OIiNER'. HAMSLhe, t~~ --~rnJl0-u:,------------H;- PHo"S CO",J'AC!T.J.J!i:-:..!.1J.L, ,JOB 8 I'l'B1 ADDRBlSSJ_:2__Y_. 5__ I g }-~____~_t..:.______i. _-:_~JJ_S______..___. q__..___________.. LEGAL n~ScRIPTIONI LOT(S) BI,QCK SUBDIVISION --.----...,.----.- I?ARCElJ If) # (OBTAIN PROM I?ROLlElR'l'V TAX NO'I'H!Ill) ._-~---------._.._~----,~----....- WORK I?RClI?SI:1ID I lJNEW CONS'l'RIJC'rroN l] SIGN , [) ADDI'l'ION o AurERA T ION [1 REPAIR [J INS'l'M,I, Ll MOVE 0 DElMOI,ISH OMUW'I - FAMIlN 0# OF {IN I '1'8 (] MOBIf,1ll 1I0MBl o INPUS'l'RIAL o SWIMMING PO(J!, [1 OTIlBlJ\ I?RClP08Elll USE I llsc,u, FAMII,y nWELLING fJ Uot~MBlRCIAI, BUH,DING SUE CJ RESTAURANT & HEAW'H IJElPARTMElN'l' APPROVAL I _ 4 d ,_-AO~~_.___ DESCRIPTION OF WORK SQUAREl F'OO'rAGE Hlillmrf RillS IDBlNTIAL I COMMIllR[!IAJJ I A'1"l'ACH (:a) PLOT PI"AllS & (J) SElTS OF BtJI J ,DING PLANS & (1) SElT BlNEJRflY i'ORMS. A'I"l'Al~H (3) BElTS OF BUIIJnnm PLANS & (1) SElT ENERGY FORMS, PROPIilRTV SURVEY RElQUIRED FOR ALL NEW CONS'l'RUCTION, FBRMITS ~EOUma11D [] I3\JIL1HNf3 $-- V1\L!1ATJON OF TO'l'AI, CONS'l'RUc'rroN [] BlLBlC'!'RlCAL AMI? /3ElRVIUBl o FLORIDA POWElR o W,R,H.C), [J PLUMBING o 1<la:UUIUHUATJ $-_. VALUATION OF MElCHANmAI, INS'l'AI,LA'l'ION o 011.8 o ROQFIHG [J S!?iCJIAVrY o OTHER TYPE OF CON8'I'Rl1CTlDN I [] BLOCK o FRANE o STEEL (J OTHEJR 1<'INISHElIJ FJ.()OR Bll,EVATIONS I S PROd ECT IN l<'LOOfI ZONEJ ARIilA 0 VEllS /J NO BUILDIllR COtIJI?AN'l ~_._.,_____.______._ Q"PI 0 n . I r: LIlA ^ STA'I'E1 CalRT OR RElGIS'!' # ~.____._.___________ EHI1NATURE --_.L..J..IV~__.........L.L~--6:2J7 Q_ _ CITY PRO(1ElBSING L__._________..__,____._ ____ *************'h'******'******,****,*,****,*,,****,**,*"*,*,,t.**, JU,JII0TRICIAH CGt1PAHY STATE CERT OR REGIST # CITY PROCESSING # 8] GHA'rI1RBJ __.__'_____..__._________~ .~_.__.__._~--'--.-...---~-------...-..... *'*'t*'******"*"'**'**'**""*,**,***""""",,,**",**"".,* ~---_.--.__._--_.__..,_....-....-.._.~- PLUMBIlIR --._-...._---~..._-_._--------------- COMPANY ______.__.,____ STATE CHlRT OR ~EGIBT It ________,_______. CITY PROCESSING # SWNA'I'IIRBl M.IllClHANI CAJ, ****"""*'*"*'*'*****'****'***'****"**'*""""'*'********k" COIVJPANY_________,____~_._._~_________.__._._ STATE CElR'f OR REGIS'I' # CITY PROCESSING # -----------.-------- S IGl'lA'1'IlREl --~--..-~--~-- *.********"*******'******'**********'~***'*********'*,**...***** OTIIIDR CO/>1PANY STATE CERT OR REll118T # CITY PROCESSING # S IlJHA'l'UREl -----~---._-----._-_. ------------~-_.....---_...._--_.- **.*'*******'*'****'**'*"*""**"***'***"**'**"**********'*** -------------._~--_._--- CONDITIONS OF PE~~IT AFFIDAVIT A_ NotICE OF DEED RESTRICTIONS The undersigned understands that this permit Inay be subject to "deed restrictions" which may be more restrictive than City regulcltions. The undersigned assumes responsibility for compliance with any applicable deed ~rest:ricti()ns. B. UNLICENSED CONTRAC'l'ORS AND CON'fRAC'rOR RESPONSIBII~I'rrES 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 OWneL" 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 Sections" 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONBTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, 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 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 corrunencement. 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 corrunenced 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 *Departrnent 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.H, it is understood that a drainage plan addressing a "compensating volumeH 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 commenced 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 commenced. One 90 day extension of time 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 19......:.._ (name of person acknowledged) Owho is personally known to me, or Owho has produced (type and whoO did Odid not of identification) take an oath. (name of person acknowledged) [1ho is personally known to me, or Owho has produced (type of identification) and who Odid [):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