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Home My WebLink About02-1710 BUILDING BUILDING PERMIT . NO Permit - 1710 CITY OF ZEPHYRHILLS (813) 780-0020 Date I/J -.I ~ - () 6<. ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: P,operty Owne" f1' -t+- "-"AI' Job Address: 3 ~ J.Q 9ft. fJ V <e.. Parcell.D. " Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy Code: Radon Gas: ;1 c2'-/O \I S-OA f~l ~ ~e~ ~ pf+-(. NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price DATE Inspector Perm;, Fe-a-- "'" ;:;; ~igflature' t1,.~. ~ Company Address :><Telephone# €?rs Kg'l? 70 c;- (J I~ 3 City License Registration # State Certified License# Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~B~ Efec. ELECTRICAL PLUMBING Breakers Ducts Insl. Compressor Final Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Me,r Final V- /;2 -19.tJ:;.. SLB Tub Set Water Sewer Final 12 L Lf /;/JCJ ,. REINSPECTlON 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 FOR PERMIT CI TY OF ZEPIIYRlIlLLS BUILDING DEPARTMENT OWNER'S NAME PIIONE7Z.11~3~~qtf OWNER · S AUDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BWCR SUBDIVISION PARCEL LD.t/d) 0(, rfll ~, ()Ot"J/'.u) ~.3ro (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ~dition ____Alteration ____Repair ____Install ____Sign ____Hove _Demolish PROPOSED USE: ~..FamilY ____M/F _# of Units _HIli _Collllllercial _lndust. _Swim. Pool _Other DESCRIPTION _Restaurant · lIea1th Departaent Approvd 4 ~ /J OF WORK:F....t- OliO..; 50~ ~~ 01;., /.K:;J ~. X Square Feet, lIeight BUILDING SIZE: RES IDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING /' ELEL......lCAL _MECHANICAL $ Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. $ Valuat:ion of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Fra.e _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTIO~ y-BUll.DER COMPANY State Cert. or Regist. # u City License Registration f *************************************** Signature PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration # ****************************************** KECHANI~ COMPANY State Cert. or Regist. f Signature City License Registration , ****************************************** 2IIlER COMPANY State Cert. or Regist. # Signature City License Registration f ****************************************** APPLICATION APPROVE., BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT J 'A~' NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. the undersigned assUles responsibility for cOlpliance 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 lay be cited for a I~sdeleanor 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 Zephyrhills Building Departlent, (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, rather than the contractor, are responsible for the work. If the cont{actor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled [0 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 Departlent of Agricultur~ 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 couencellent. 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 with all applicable laws regulating construction, loning, 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 has COIIencedo prior to issuance of a perlit and that all work will be perforaed to leet standards of all laws regulating construction, CitYocodes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies JaY apply to the intended wort, 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 Departlent of Environaental Regulation - Cypresso.Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Nastewater treatJent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviIODIental Health Unit - Wells, Wastewater treatJent, Septic Tanks t US Environaental Protection Agency - Asbestos ahatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall hecOJe invalid unless the work authoriled by such perlit is couenced within six IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, JaY be allowed for the perlit with fee charge of $15.00. the extension shall be requested in writing to the Building Official. An approved in ection lust be logged during eacb six IOnth period, or the roject will be considered abandoned. WARNING TO NER: YOUR FAIL TO RECORD A NOTICE OF COHHENCEMBNT MAY R SULf IN YOUR P G 'fIIICH FOR IHPROVIMBHTS to YOUR PROPERTY. YO INTEN to BTA' N FINANCING, COKSULt WITH YOUR LINDER AI A ORBEY FO RECORDIKG YOUR NO'rICH OF COHKENCEHB J UK R ,50 IN VALUE DO KOT HEED TO RECORD AID POS A "N I OF I .- who is~SOnallY produc as identificat. n take an oath who i~sonally ~ to me or who has produce~_ as identification and h take a ' to me or who has (Signatu (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~...I.j.c,~/,_:.' '.. or' ~,~ '1 Dbi)l HALeY.. ., BLlC Sf ATE OF ;1.0,11),\ J\NOTARYPUMlSSIO.N NO. :[)DO~./6917 . COM p.".l i MY COMMl551CN E~ 0 t NorA;~:fJ~~~~~;~~RIDA ! COMMISSION NO:DD076911 ~ HY cnVM'<""Oj\T EXD T ~ N. 1') ~"'~1