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Home My WebLink About02-1719 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHIW (813) 780-0020 BUILDING ELECTRICAL PLUMBING MECHANICAL ",ope"" owne'c-1<, C~l. j) ~68"'-Y S Job Address: ;; "3 So '- S7. Parcel 1.0. " 1719 Datel:J-1 r- 0 ~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: Zoning: OescriDtion of Work 'f?~E:erq NO OCCUPANCY BEFORE C.O. FINAL Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. /;2 -- (-0;,( DATE DATE Inspector Pe'm;tFe~~ _):a;sn.t~'. -~_ . - _____ Company Address e::::::-;-- .-- \!elephone.t_){of -JL/wS Valuation or Contract Price er0 ;) { 8 L30 . City License Registration # State Certified License# tJ, cLmv 7~ BUILDING PLUMBING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pol Pool Pre-M Fin SLB Tub Set Water Sewer Fina 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 ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. r ,r~-'-'" [ PROPO'SAL) From ,.' ~-'...." .- -" ,,, . ~i ... . ..,..,. ~ , i. . ."",~;' rt- l"f,.. Proposal, Submitted To~ Work To Be- PerfOrmed At: ( We hereby propose to furnish the materials and perform the labor necessary for the completion of I .. -' , .. . .;... ' , L, " I~' ... . ---""-~- '] I I I i I ::.... All material is guaranteed to be as specified, and the abcve 'Nork to be performed in accordance with the drawings and specifications submitted fer above wcrk and completed in substantial workmanlike manner for the sum of qollars [$ with payments to be made as follows: -f.., ~ . .m .n Respectfully submitted - -,..... Per 1.e [3. Note- This proposal may be withdrawn by us if not accepted within days. ~r CITY OF ZEPHYRHILLS PERMIT APPLICATION BUII;DING DEPARTMENT 5335 8th S'rRl!JBl'f ZBlPH'iRHII.rJS, ri, 33S"40 Phoner813-780-Q020 ra~re13-780-0021 tJATBl R!lOJllIVl!In ~.:.._"_ "-_."" .______ P IJANS RlIIV!BlW :rll_~~ ,,-_,_C '[L _______.. :::m::':oN:::;088~~~~~~~~ ~2~~;kl:H~N'~::~'~-:~=::LQ~~~ IJBl<l1\L !)BJSCRIP'rIoN: LO'r(s) M~_'_________ BI,OCK PARC~!lJII IIJ # ------.-..- SUBlJIVISION --------....'--...._-0..__..:._.___ .............------.----------. -----_..__._._-_..~_._--._-_--...~._._----~--_.._-_.~- (OBTAIN FROM PROPERTY 'I'1\!( NO'I'IC!I!J) WURR PRnpSBlfJ I [J NIllN C!ONSTRIICT ION [JSHm [J Af)1J IT ION [J AL'rBlRA'r ION [J RBlPAIR IJ INSTAlJII o MOVE 0 DEMOI,ISII [Jr1lJt,'l'r - FAMIl,Y [J# OF ONITS (J MOBII,El lIor1Bl [J INDlJS'l'RIAT, []SNIMMING POOL, lJOTIIBlR PROI:'OSEIl USE: I [Jsm, FAMny DWELTJHlt4 [J COf1MIII Rl! TAr, IlESCRIP'rWN OF NaRK o RaJSTAtJRAHT & ItBlJ\lJTII DBlPAR1't1ElN'f APPROVAL Q~rnr~ BUu,nrw; SIZEI --- --------...--.---------------- --- ----...~ ..--- SQUAREl FOOTAGE RlllSIDENTIALI COMMBlRCIArJ I HeIGHT ._._________._.__ A'I"rACH (2) 1'1:,0'1' PIJlUIS & (2) SElTS OF BtJrr,IJIN(~ pr ,ANS & (1) SElT ElNBlRI1Y FORMS, A'M;A(~H (3) em'fS OF BtJtLrJING PLANS & (1) SElT ElNElR(lY FORMS, PROPElRTY SURVEY REQUIRElD FOR ALL NEW CONSTRUCTION. R~RMITS REOUESTED [] BtJ IT,IJINt3 $ ~.s:5) 5 _DO, O~.-' VALUATJON OF ----~------:. AMP ~BlRVWEl [] TOTAL CON8'rJH1CTION L1 BlLBlC'J'RlCAl, [J PWt<1BING o I1BICHANWAJ, FUJRIDA POWER [] W.R,E1,Cl, f $ -- --. - VJ\I,UATION OF t-1E:C'HAHCIAr, H1S'1'Al,I:JATTON [J (3A8 LJ ROUFING [.I SPElC11.AUfY [) 01'HER 'l'YPHl OF CON8'I'RtJC'froN I [J BLO(!K [J FRAl<1EJ [] S1'IllBlL [.J OTHER FINISHEr) Fl.fJOR mIJEVATIONS --------- IS PROlTElC't' IN FLOOf> ZONE ARElA 0 YBlS [] NO StJILnBlR BlfJBlOTRIOIAN ****************************************************************** cor<1p AN Y ---.-----------------.---__.__u_...___________ ._, S'rA'I'Ill CFJRT OR REQIST # _______________._.__._~_._______ crry PROCESSING L.________________.____.______ 8tGNATtJRIll , . . _._--,........_-----------------------~-- COHPANY _.__________'-______________._._______.__ ___.'__ STATE CERT OR RElGIST # Sj{3l1A'I'lJREJ ----.----._---------~_______________________ CITY PROCES8INCl # ---- --. .--_..~_.- ---_.--_._-~ --._- ~ _. _....... PIJUMSBlR ****************************************************************** -_."----._~..__.__.._-_._-. ._-_._--~-_. -.-........_-........~_._-_....._.._._-- .--------- (!(J!y! l' ANY ---.--.---.---------------h..----_..____________h____ STATE CElRT OR REGIST # ___~__~________, CITY PROCESSING # 8 WHA'l'IJRl1J MIllCHANICAl. ****************************************************************** --_.__._.._~_._-~----~--_..~------_.~ ....._-.._~-_.__.._- (!OMPANY________________________.._________ STATE! (IElPT OR RElGI8T # ___.__.______________._____. (!l1'Y PROCESSING # 8 IGNA'I'tJtH!I *'*********************'**************~************************** .------..------.- OTltBlR , J; e1----~ (.!ot-1PANY ~ d-ner:T-- C_D --:-:..~~~-:_.t- _____---- r- STJ\TE! C'BlRT OR REGIST 'If cc= S 11 ~~ ~ -~ ~ CITY PRO"088ING # ,;;:22L1i~Ll:2==~-==:: ******************************************************* COlWl'rIONS OF PERNl'l' AFFIDAVIT A. ~(J'rICE Olr DEED RESTRICTIONS The undersigned understands thijt Lhis p~rmit may be subject to "deed restriotionsU which may be more restrictive than City regulations. The undersigned assumes responsibility for complii:lnc::e with any applicable deed restrictions. 8. UNLICENSED CON'1'RACTORS AND CON'l'RAC'l'OR RESPONSIBII,I'l'IES If the owner has hired a contractor or contractors to undertake \iork, they may be required to be licensed in accordance with state and local regulations. If the contractor is llot licensed as required by law, both the owner and contractor may be cited for a misdemeanor 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 oontaot the City of Zephyrhills 8uilding Department, 613-766-6611. Furtherlnore, it the owner has hired a contractor or contractors, he is advised to haves the contractor(s) sign portions of the "Contractor Sections" of thia applioation for which they will be responsible. If you, as the owner signs ~s the contractor, YQY are indicating that you, rather than the contractor, are responsible for the work. If the contractor wialles you to sign as uontractor that may be an indication that he is not properly licensed alld is lIot entitled to permitting privileges in the City of Zephyrhills. c. 'I'RANSPOR'l'ATION IMPAC'l' FEES AND U'l'ILI'rY CONNECTION h~EES D. CONS'I'RUC'l'lJION LIEN LAW (CHAP'l'ER 713, FIJORIDA. S'l'ATUTES, 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", 1 carify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRAC'l'OR' 8/m'iNER' S AFIi'IDAVr'1' I certify that all the information in this application is accurate and that all work will be done in compliance with all appUcable laws regulating conetl-uetion, zoning, and land devfillopment. Application is hereby made to obtain a permit to do work and installation as indiaatlild. I ce~tify that no vwrk or installation has commenced prior to iasuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, ~oning regulations, and land development regulations in the jurisdiction. I also certify that I understand that th. regulationa of other governmental agencies loay 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 tal "'Department of Envirollmental Regulatipn-Cypresa Bayheads, Wetland Areas and Environmentally Sens~tive Lands, Water/Wastewater Treabnent *Southwest Jj'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Anny Corps of Engineers-Seawalls, Docks, Navigable Waten~ays *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanka *U,S. Environmental Protection Agency-Asbestos abatement 1 also certify that, if fill material is to be used in Irlood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" "will be SUbll\i tted whioh is prepared by a professional engineer registered in the State of Florida prior to permit issuance, A pennit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, altel., or set aside any provisions of the technioal codes, nor shall isauance of a permit prevent the Building Official from thereafter requiring a correction of errors in plana, 9on~truation, or vio~ations of any oode. 6very p~t~it isau@d ~hall become invalid unless the Hork' authorh;ed by such permit is oOllunenced Hithin six months of issuance, or if work authorized by the permit is suspended or abandoqed for a period of eix 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 requea~ad ill writing to the Building Official. An approved inspection must be logged during each .eix month period, or the project will be conaidered abandoned. , WARNING TO OWNfilRI YOUR Ii'AILURE '1'0 RfilCORD A NO'fICE OF COMMENCEMENT MAY RESUL'l' IN YOUR PAYING TWICE FOR 1M!? R OVEMENTS TO YOUR !?RO!?ER' Y. Iii' ~l.J IN'I'END TO IN ti'INANqWq. .~9N~UL'r Wl'fU YOUR LENDER OR AN A'l"rORNEY BEfORE RECOR ING YOUR OT OF CO ENC MEN'I'. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POS A "NUrI E OF CO ENC EN'!' I . --~--- -----;/ \-~~~ ,,~ ~._--=-':::::::-:~'::::::~--S~~EI ~NTRACTOR STA'rE OF FLORIDA COUNTY OF 'l'he foregoing instrument w~a acknowledged Before me this _-----SJay of , 19....-:.._ by (name of person acknowledged) Qho is pe)::sonally known to me, or S I GNA'l'l1RE I OWNER OR AGENT S'rA'rE Oil' FLORIDA COUNTY OF The foregoing instrument was Before me this ____ day of by~ acknowledged , 19_ (name of person acknowl~dged) Owho is personally known to me, or o who has produced (type and whoD did [Jdid not Owllo has produoed (type of identifioationl and Vlha Ddid DUd npt t,i:\ke an oilth of identification) take an oath. Signature of person taking acknowledgement Signature of person takiu';J acknOWledgment - _._~._..._---"_."--_._-- Name typed, printed 01' stamped Name typed, printed or stamped