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Home My WebLink About02-1718 BUILDING PERMIT Permit N! CITY OF ZEPHYRHILLS (813) 780-0020 BUILDING ELECTRICAL PLUMBING MECHANICAL Property Owner: Job Address: Parcell.D. " i-l~ tit%" Ft. i1.Jku.~~h Ie 11/1' J- Rd ' 1718 -, Date-l;)- (J-~ o~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Radon Gas: E~ Code: e-~ FINAL /r9 -3/-0..2 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. Inspector DATE DATE /-fJ7J d R L 7' I 4'19. &0 I j510 ~72PO Permit Fee ! ~~-'Od'~<S" Address XFelephone# 51 or - ) 4\.0 " Valuation or Contract Price City license Registration # State Certified license# =---.... 1.),tko4f~i3 BUILDING Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. P e Pool Pre- Fi I SLB Tub Set Water Sewe Fi 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. ~:::':;:.":::;~}d~~V\J 0 , <~~~M~d-c--- PHON'~~ -f]---- ___10__.. ~.------ _-E1=__._ __ -__.-ij-_____.___ .._-2-ep~.---_---- _ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUIIlDING DBIi'ARTMBlN'r 5335 8th S'rRl!Im'r ZIlJPH'lRHIr,I,S, lI'L 33540 PhoneI813-780-Q020 Fa~le13-780-0021 fJ1\.'rm RBOEIVl!lb PI,ANS RJllVnw 11'"--- IJEr11\L H81S(!RTP'rroN: LOT(S) BLOCK PARC!ElIJ In # --------~.._- SUBIJIVISlON ---.------.---- -~-----~---- '+.._-~-..._-.-....._-~ -- '."-'---"- [Jsnm o ADDITION fJ ALTERA'rION [1 R!!JPAIR IJ INSTAI,J, fJ MOVE 0 DEMar,ISH [Jrmul'I - FAMIl,y 0# OF {'NITS U MOB tl,ill Ilm-11ll o INDUS'1'RIATJ fJ SNIMMING POOTJ (J OTHBlR "----- ---.-..----------.~-----.-,... _'__'h_"~___,.___.,,_ (OBTAIN P'ROM PROPERTY '!'1\!( NO'l'H!El) WURK PROPSBlrJ I [J N81W ('ONS'rRI1CT ION ~-~--~---.._.--_4.___.____._______________ PRtWOSEIJ USE: I [Jsm, FJ\lvIII/i DWELl,Ilm [] cm1MIllR(!IAl, o RBl8TAURANT & HElAI,TII DBlPARTr1IllN'!' APPROVAL, ] ,"8CR I p'rION OF 1<ORK .-~.QO \2._._._ ______..__._______~._... __._____._ ..~_. .__ BUH,DINl! SIZE ----.--...------- SQUARE FOOTAGE RESIIJElNTIAT'I (~Of\1MBlRCIAIJ I ---------- HEJll1ft'r ...___._______ A'r'rACH (2) PLOT PIJAllS & (2) SElTS OF BUU,DING PLANS & (1.) BElT ElNIlIROY FORMa, 1\,'n;AC!H (J) SE'rs OF ButLDING PLANS & (1) SElT ENEfWY FORMS. PROPERTY SURVEY REQUIRElIJ FOR ALL NEW CONSTRUCTION. r~lJl'IJINc3 $ ---l!i? c; PERMITS REQUESTED VALUATION OF TOTAL CONs'rRUCTION LJ ElIJmCTRlCAr, -~._~---....._--~ Ar-1P 9ElRVICEI o FI,oRIDA POWER o N,R.Bl.C. [J Pl,WIJ8ING U I<lBIUHAJ:HCArJ $---_: -- VAIJUATION OF rIJEC'HANC!1U, INSTAI,I,ATTON [] (3AB [) ROOFING [J SPEotAI/l'Y [J O'I'HER 'l'YPI:il OF CON8TRtJc'rWN I [J BLOCK o FRAtIJEJ f] STBlElL [) OTItER FIN!BHEIJ Fl,OOR FJIJEVATIONS -.--------- r S PRO,TBlC'l' IN FLOOD ZONE ARElA. 0 HIS o NO SUILDBlR B1UldTRICIAN ****************************************************************** cor'! PAN Y ____ _.____~___....________ "__.. ___.__ _.____.______.__ STATE CPJRT OR RElrJI8T ## ---------------_.__n__~________ ___ CITY PROCESSING L___________________ ....------__u_u_ SlrJNATUREl . . . --'----~._~_._-_._--_."'---------------~-_._--- 8 J 131 l1\'l'lJRE _.._. . ._-_.~.- '-'-'-~ ---- -"---..---.. ._----_._._._--_.__._----~- cor.1 P ANY _.______.________ __ _.______________._______.___ _ . __.__ STATE CERT OR RE~T8'l' # CITY PROCEJ8SIN(~ # "---- --.--.--....,. ._---_._-._-----_.__..,-~.._- PJJT1MBIIR **************************'********'***'*****************'******** ---_.~---_.- --..--. - -..--- _._-_..__..~---_. ..-.-------- .~....~'_M._..____,_..___ --_._-~--- (~OM PANY ----_______._.______________._________.___.._____._ STATE CER'I' OR RBlrJlST # _______---..;______ CITY PROCE8SINrJ # 8 WHA'rI1~EJ MBlCHANICAl. ~***************************************************************** ---.-.- ..._-_._--._--_...._-.._-._~----- SIGNA' El ---~....., . '" - \. ._--------~----._--.,..._-- COMPANY _____________._.___________ _____... __..____ S'I'ATE ~ERT OR RBlGIST # CITY PROCESSINrJ ## --------...-----..-.--..---......------ *********************************~************************** _._--~----_.__._._._-,.._------ ***************************************************** (~ot1PANY ~n-eL -I:LCx(~ f1~. --- q---;s-. ___..___ STA'I'E C'ElRT OR RBlaIST # 0::-1= 7 </\... CI'rY PROCESSING # __~_51._i?.~_. _ ::L:~~___=~_.~ CONDITIONS OF PEPJv1I'I' AFFIDAVIT A. NO~lCE OF DEED RESTRIC~IONS . The.undersigned understands thijt lhis p~rmit may be subject ~o "deed restriationsH ~hich may be more restrictive tllan City regulations. The undersigned assumes responsibility f0r aomplii:lllCe with any applicable deedcestl:ictions. "B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'HAC'l'OH HESI:'ONS IBII.I'l'IES If tile owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local reyulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a miademeallor violation under state law. If the owner 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, 813-78B-6611. FurtheJ:more, if the owner has hired a contractor or contractors, he 1a advised to have the contractor(sl sign portions of the "Contractor SectionsH of this application for which they v/ill be responsible. If you, as the ovmer signs as the contractor, YQ4 are i.ndicating that you, rather than the contractor, are responsible for the work. If the contracto!.' wishes you to 51gn as contractor that may be an ind1cation that he is not properly licensed and is Ilot entitled to permitting privil~ges in the city of Zephyrh1lls. C. 'l'RANSl:'OR'!'A'rION IMI?AC'l' FEES AHD U'!'ILI'l'Y CONNECTION ~'EES D. CONS'PRUCTUION LIEN LAW (CHAP'l'ER 713, FLORIDA s'rATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "FloJ:ida's Construction lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I !Iave obtained a copy of the above described document and promise in good faith to deliver 1t to the "ownerH prior to commencement. E. CON'rRAC'rOR' a/OWNER'S AFFIDAVI'P 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 dev~lopment. Applioation is hereby made to obtain a permit to do work and installation as indioa.ted. I ce,l:tify that no Hark or installation has commenced prior to iSl;luance of a permit and that all work will be performed to meet standards of all laws regulating c6nstruotion, City codes, zoning regulations, and land development regulatlons in the juri::idiction. I also certify that I understand that the regulations of other governmental agencies may apply to tile intended work, and that it is my responsibility to identify what aotions I "mst take to be in compliance. Such agencies include but are not limited tOI *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Ben~.tive Lands, Water/Wastewater Treatment *Soutllwest Florida Water Management District-Wells, -Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-WeLls, Wastewater Treatment, Septic Tanks *U.6. Environmental I?roteation Agency-Asbestos abatemf'mt 1 also oertify 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 volume" "will be submitted Hhich is prepared by a professional engineer registered in the State of florida prior to permit iasuance. 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 p.l;ovisions of the technioal codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, ~on~truction, or vio~ations of any oode. every p.,~it issued shall beoome invalid unless the ~-Iork. authori:l;ed by such permit is oOllunenced within aix months of issuance, or if \-Iot"k authorized by the permlt il;l l;Iuspended or abandol1@d for a period of s12t months after the time the work is commenced. One 90 day eKtension of time may be allowed for the permit with fee charge of $15.00. The eKtension shall be tequea~ad in writing to the Building Official. Ju1 approved inap~ction must be logged during each 15tH month period, or the project will be considered abandoned. WARNING TO OWNElRI YOUR FAILURE '1'0 RECORD A NorrrCE OF COMMENCEMEN'l' MAY RESUL'!' IN YOUR E'AYING 'l'WICE FOR IMPROVEMEN'l'S TO YOUR PROPERrry. IF YOU INTEND TO OB'rAIN FINANqINq. _~'~N~UL'r WI'!'H YOUR LENDER OR AN A'!"l'ORNEY BEFORE RECORDING Y NOTICE OF COMMENCEMEN'l'. JOBS UNDER $2,500 IN VALUE DO NO'l' NI!:ED '1'0 RECORD AND POS'l' "NOrrre, F" ENCEMEN'r" . .....) SIGHA'l'URE: OWNER OR AGENT STA'n OF FLORIDA COUN'l'Y OF The foregoing instrument w~a acknowledged Before me this ~ay of----, 19....:.._ by (name of person acknowledgedl Qho is personally known to me, or s'rA'rlll Qlf FLORIDA COUNTY OF The foregolng instrument was acknowledged Before me thia ______ day of ____, 19_ by (name of person acknowl~dged) Dwho is personally known to me, or [] who has produced (type and who[] did [Jdid not of identification) take an oath. Owho has produced (type of identifioation) and vlha Ddid DUd not t.ake an oath Signature of peraon taking acknowledgement Signature of person taking aoknow.l.edgment Name typed, printed or stamped Name typed, p.dnted or. stamped IT n f) ~~ C) It) (~ ;'~:' :J ~h ,J ") J " '~ ." , , .. .. " II II " " , j j 1 ./ i~ [ PROP.QSAL J From , . :.......,.. ..-.r.--"" ",..:\ Sheet No, Proposal Submitted To: Work To Be Performed At: We hereby propose to ~urnjsh the materials and perform the labor necessary fer the completion of - . ....._:::,. ,._.~__plr.r, "---..- - ~ ;)i ;:,f " 1 : .~ II 'I " I:, , J rit' 11 j 1 " I I ! , I i I " i I I j j I ~ All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in substantial workmanlike manner for the sum of Dollars [$ J with pa~Ql6l'Jts to be made as follows: i~, j ...j..;. _","'~ , .' ,.$_.,.~'., '. . <.<.. . ..: ... ., {- Respectfully submitted Per Note- This .Jroposal may be withdrawn by us if not accepted within days. r I 1'/,,:\, ".' i!!