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Home My WebLink About02-1582 BUILDING PERMIT Permit N! .. CITY OF ZEPHYRHILLS (813) 780-0020 1582 Date /0 - If- OA- . Job Address: Parcel I. D. , (~lECTR~ p~ M~ Sewer Conn Water Conn: BUilDING- ---- Water Meter: T.LF.'s: Zoning: DescriPtion of Work A /~~ --r- ..,c:::,-=- ~pl')~~ r /::-1- ~ /f@514L' NO OCCUPANCY BEFORE C.O. c!JO- ,~ FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. '()-~~- O:J..- DATE DATE Company ~ ~ Address ~.-.'"--- ..--- ~Telephone# } G~ (]~~kQ C-,-__:~_~CTRICA~ PJ.JJMSTNG Valuation or Contract Price City License Registration # State Certified License# BUlljWtG --- MECHAI\lIrAl '--" Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final viI) ~ 2;2 - tJ 2- Ftr. Pre SLB Lintel FRM. Insul. CL Wl f( Lt. I/U-O r 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. APPLICATION POR PEmnT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT OWNER'S NAKE )IJ II-St=sr; i OAks OWNER'S ADDRESS ,5 ?~/ J-, A-u If?,t; I PHONE JOB ADDRESS (fA-LLC" y / LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---..Alteration _Repair _Install _Sign ---"ove _DeJIOlish PROPOSED USE: _Single Fa.ily _M/F _, of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Deparbtent Approval DESCRIPTION OF WORK:-:r~ $l~~LI t%.~l~j--TA-L 5" ,.I"/S4~ S) (1,;2,/~ (J'(IS---&(.,.1'9 ";<'Y ol-L/' 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 AKP Service Florida Power Corp. W.R.E.C. -"EGllAlUCAI. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrUle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUTI.DER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature ELECTRICIAN COMP~ <: Itktl.. 0 ut-J//J.1rl( E:~/}fICA-L Cd~M7?J~ 4'J - / /J /' State Cert. or Regist. # SilmAture . A:::/~ ( ~~/ City License Registration f O?.;z , ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . ************~***************************** OTHF.R COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS ~F PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit lay be subject to "deed restrictions" whieb lay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting 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, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOIOler's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance witb all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOIIenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in tb~ jurisdiction. I also certify that I understand that the regulations of other goveIDJental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnvirODJental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater !reatlent t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater !reablent, Septic Tanks t US EnvironJental Protection Agency - Asbestos abateJent I also certify that,' if fill laterial is to be used in Flood ZOne "AU or uA,etc.", it is understood that a drainage plan addressing a ucOJpensating volUleR will be subJitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit_ issuance. . A peIlit 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 peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the work authorized by such peIlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, lilY be allowed for the peIlit 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. WARNING TO OWMER: YOUR FAILURE TO RECORD A NO'l'ICK OF COMMENCEMENT MAY RESULT IN YOUR PAYING TlUCK FOR IMPROVEIIENTS TO YOUR PROPERTY. IF YOU INTEHD TO OBTAIN FINAJlCING, CONSULT WITH YOOR LENDER OR AN AftORm BEFORE RECORDING YOUR 1I0000ICK OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO'l' NEED TO RECORD AND POST A "NO'l'ICE OF COMMENCEMENT". )~(;~~ , -GUm: oom urn ~c~~ . SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY 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