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Home My WebLink About02-1526 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 (813) 780-0020 1526 Date /0 --, 8 - () .:z..... Job Address: Parcel 1.0. # MEc~r Conn Water Conn: Zoning: OescriDtion of Work -r ,,.,........ ___.~.o^....~ .,// /" ~G FINAL NO OCCUPANCY BEFORE C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. FrJY--E]) /?EZEl%E5 /O-g-tJ~ /: 3/ Pfr1 j1p Valuation or Contract Price Company City license Registration # /?' :J..... ~ess State Cenlf;ed Ucen~e' 2. ~c>n~ I-;;J~ f; ~~/-t ~ PLUM~--'" ~ ....... SLB Tub Set Water Sewer Final ~ MF=~;\~L Ftr. Pre SLB lintel Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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) 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. p. * * Tra~smissio~ Result Report (MemorvTX) Oct, 8. 20021 4PM) * * Y OF ZEPHYRHILLS * F i Ie No. Mo d e Desti~atio~ P g (s) Result Page Not Se~t - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- - - - - - - - - - - -- 2540 Memory TX 918006798004 p. OK ---------------------------------------------------------------------------------------------------- Reason for error E.]) Hang uP O( line fail E.3l No answer E.2) Busy E . 4) No fa c s i mil e con nee t Ion ~ _ 8TH StnH!lt. ~ophyr1"li88. FL. ~ CITY OF ZEPHVRHILLS BUILDING DEPA.RTIVlENT F~ "Wbc FLORIDA PC>\NER __ BOBBIE SVVETLAND ....... '1-800-679-8004 __. ONLY FAX COVER - - '10J0S102 - ~VVER RELEASES cc:.. CJ -..- x Par..... 'I61111t1l1 CJ ~ c:-...____.& c:J__ 0"--, ~ __ accept the 1'oIICRNing acId.-1Ior electr'ICaI _ rei........... in M8ljeStic 0."': 3932 C1ua__ RidgE> ~ - Let 7B 3936 au._ Ridg_ St. - Let TT 3912 Quaker Ridge St. - l.0I: 83 3U64S Ctua__ RJctge S~ - Let 815 ~ Ctu8ker RJctge St- Lcd: 84 39649 Cog Hill l...acp - Lo~ 86 39701 Cog Hili L.oap - Lot 87 39705 Cog HilI L...ctoo:> - Lcd: as 39709 Cog HIH L.oap - Lot: 89 397"'3 Cog HIB Loop - Lot: 90 3971'7 Cog HI. LJ:x>p - Lot 91 39823 Cog Hill Loop - L01: '106 39B27' Cog HIli Loop - Let '107 If'any questictns. pl_ give me a call. 8'S3-780- 0020. Thank you.. (~~ APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE WA:.-,tf=-,l/./:C' d 4- )( S- OWNER'S ADDRESS r3 1r ( L /-I/{ V ~ L tl A [, L ~ y IJ-,< JOB ADDRESS <l'Art.r.4-.-5 ~"6l/t. - PHONE ?l 1J-u~4 ),F L LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single Faaily _H/F _, of Units _H/H I _pO i# <35 -.A1~b ~(' ~ f35-~~, ptl/'--- _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Deparbaent Approval DESCRIPTION OF WORK: T).;5/ucT PrdU11't-L, J (7.'7;'1~) (If'?,) (?f.fJr) (t'/!r7)('i-g-,f"~) ('14. 9,1 ~()f" Id~) BUILDING SIZE: X Square Feet, Height RESIDENTIAL : COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECllAlfICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature ELECTRICIAN . COMPANY ~ t ~ /-r.-d (/4f~./Jil/l-LL ,/ ~ / I ~., !) // State Cert. or Regist. f SignAture~lJ:U-;, C'l4~.(. t- City License Registration . , ****************************************** (' 4'JAJ):,,f-Il7(f l{ C~ '7;Z,() /I V PLUMBER COMPANY State Cert. or Regist. . Signature Ci~y License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. * Signature City License Registration I ************~***************************** OTRRR COMPANY State Cert. or Regist. . Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peflit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. 'he undersigned assWles responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay 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 EY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. FurtherlOre, 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 sign as the contractor, you are indicating that you, ratber tban the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that Ey be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 - Hoaeowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsDler Affairs. If the applicant is sOleOne other than the 'owner", I certify that I have obtained a copy of the above described dOCUJeDt and pro.ise in good faith to deliver it to the "owner" prior to couence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developllent. Application is hereby lade to obtain a perlit to do work and installation as indicated. i certify that no work or installation has cOllenced prior to issuance of a peflit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in t4e jurisdiction. I also certify that I understand that the regulations of other goveIDJental agenCies Ey apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater Treataent t Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArJy Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departaent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateJeDt I also certify that, if fHllaterial is to be used in Flood Zone "A' or "A,etc.", it is understood that a drainage plan addressing a IIco.pensating volDle" will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A peflit 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 is~uance of a peflit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peflit issued shall beCOle invalid unless the work authorized by such perlit is co_need within six IOnths of issuance, or if work authorized by the peflit is suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tile, lilY be allowed for the peflit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six IOnth period, or the project will be considered abandoned. WARlHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMDCEMENT MAY RRSULT IN YOUR PAYING TWICE FOR IHPROVIJIEI1'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR All Anomy BEFORR RRCORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~.,(~ S GNArURE: OIOOlR OR AGENT ~J C~4 . IGNATURE: CONTRACTOR STATE OF FLORIDA COllH'fY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC