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Home My WebLink About03-1797 BUILDING PERMIT . NO CITY OF ZEPHYRHILLS Permit - 1797 (813) 780-0020 Date {- J. 7- 0 3 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ---- ::::,~:~., c/:{~~. Parcell.D. # Zoning: Energy Code: DescriPtion of Work _(];v ('Vf' LJ 1- ~~~f~S./T' I~-rh 'sT. Water Meter: T.\.F.'s: NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.o. ~ ~ Radon Gas: DATE DATE rosel ~~ BUILDING Inspector Permit Fee !i.. 0 . 00 . x-Signature~.----/ /~./ ~ Company Address 0elephone' q /:1 - ? I q '-. =?;?;;:? ? Valuation or Contract Price ) ( <iLJO' I}O City License Registration' ~ 96 7 State Certified License' Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLUMBING .r ~ MECHANIC~L Ftr. /' Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Com pre or Final Driveway II ~ ?:, I -m3 It RL~ 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. CITY OF ZEPHYRHILLS "NOTICE" OF ADDITION OR CORRECTION BUILDING DEPARTMENT /lft{'7 ADDRESS DATE PERMIT.,. / .;~f-O /797 THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job . will be accepted. , DO NOT REMOVE (~.p~ aft . ~oln.. ~ t~ ,~\n~O 8-,~~ -~M4f~~ {)I<:~1o.lll?Ao1~s ..tl-h~) '1 ?I if /Sys l.. . OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION INSPECTOR ~ It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 8th s'rRI!lBl'r ZBlPHYRHILI,S, FL 33540, Phone, 813 -780 - o,n 20 Fa:x: 1813 -7 80.. 0021~TBI RJllO:&lrVI!II) --L~./{_'l:/!-?-- PI,ANS RlIlVIBlW I'JlJi_'-'_'~__n'U_____ oW"B' 'e "AMB___~"''4._____.l~I~!'LSJ~_ .___ i/;---=. ._..____ PlloNB "ON'l'Ar''L7f.~ -gi!'13 ,lOB SITEl 1\DI1RE88_......_____._ ___~_~_.~~___ICp~:?.L.H ______.__ ...._....._.___~_._ .-... -.. .-.-- LEl~AL DESCRIPTIONl Lrrr(S) BI,oC!K StlBIJIV I8lotl PARC1EJI, In # (OBTAIN FROM PROPElRTY TA)( NOl'WEl) [1 (~m1MElRt! lAt, o ADIJI'rIClN [J Al/I'ElRATION [1 RElPAIR [1 INSTAT,!, o MOVE 0 DElMOI,ISII []wJw'r. FAt1II,Y [1# OF mUT8 (] MOB II.El lIomll o INDUS1'RI1U, rJSWIMMING pour.. [] OTHElR H!JRK PROPSEltJ I []NEW t'ONS'I'RUCTION [] S IGl1 PRtWU8EJIJ USE I [Jsr]t, F1\[VlII,Y DWElLI,H1G D RelSTAURANT & HEAlm{ DBlr?ARTt1ElNT APPROVAL IlEl8CRI PT ION OF WORK _____C!!!!.lfi..JiJ!:i._A.f ~ ~---.___-_.._.-.---.----.--..----n. --'-_ n' BUILnINll ElIZEl SQUARE FOO'I'AGE H81HUlT RESIDENTIAlJ I (;OMMIllIWIAIJ I A'Y"Y'1\f;H (2) Pi,OT PIJAI1S & (2) SETS OF BUI! ,DINC~ PI,ANS & (1) SElT ElNHlROY FORMS, A'I"l;A(~H (3) SETS OF BUtIJDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRElD FOR ALL NEW CONSTRUCTION. ~IrIJINC~ ~ERMITS REQUESTED , frO $__.Jri-O 0 r ._.e-' VALUATION OF 'I'OTAL CONSTRUCTION L1 ElLBlC'I'R lCJAI , [J PWt-1BINC3 U HSiUH1\NIUAIJ _____.__~ At-1P SEJRVICEl o FlJORIDA POWER [1 W,R.El.n. . $-.....- _ VALUATION OF t-1EJCliANCIAI, INSTAUJATTON [] W\8 [J ROOFING [] BJ?EatAW'Y o O'1'HER 'l'YPEl OF CON8'I'RtJ~'rroN I [] BLOCK [1 FRl\MEl [J STElElIJ o OTHER FINISHElD FI~OR ELEVATIONS IS PRO,TElCT IN FLOor) ZONEI AREA 0 YIllS o NO ~ , ~~~~:N~-'R-'-~S~- ~~.- -- . .-----.--...-------.- ~ Rl '1' R R ~I81 # _._.________________..-'_..~_.___ / ... :::__-=-- CITY PROCESSING #.._d.___..:J..5.iL."Z.____.____.._._...".___.__ BUILnBlR ****************************************************************** tIIt,!lOTRIC!AN Sl13l1A'I'IJREJ _'_." COI'1PANY _._______________._____.________.... ____ STATE e'ElRT OR REGrST << CITY PROCElSSING # * ** * * * * * It ** ** Ir*** *** *** * ** * * * ** *** ** * ** * ************ *Ir* ** ** ******* PlJUMBJllR S Ic3NA'l'lJREl (~OMPANY--------~----_.-.---------._-- STATE CER1.' OR REGIST # ______.____.... CITY PROCEl8SING # ****************************************************************** MBHJHANICAI, s nmA'l'lJ~E COlvJPANY ---- STATE ~EJRT OR RElGIST # CITY PROCESSING # ******************************************************'*'***'**** OTUBlIl (jOf\1PANY ___________...r'__~_.,__....._____~__... 'R'''~ ,__ STATEl CIDRT OR RElOI8T # CITY PROCElSSING # B WN1\'l'1JREl ******'************************************'***************~***** CONDITIONS OF PERMIT AFFIDAVIT A. NO'l'ICE OF DEED RES'l'RIc'nONS 'l'he undersigned understands thqt thL~ permit may be Subject to "deed restriotions" which may be more restriotive than City regulations. The undersigned assumes responsibility for oompliance with any applicable deed restrictions. B. UNLICENSED C;ONTRAC'l'ORS AND COH'l'RACTOR RESPONSIBII,I'I'IES If the owner has hired a contraotor or contraotors to undertake work, they may be required to be licensed in accordanoe with ~tate and looal regulations. If the oontractor is Ilot lioensed as required by laVI, both the Ovmer and contraotor may be ci ted for a misdemeanor violation under state laH. If the owner or intended contraotor are uncertain as to flhat licensing requirements Inay apply for the intended work, they are advised to contapt the City of Zephyrhills Building Department, 813-788-6611. Furthermol:e, j f the owner has hired a contractor or oontraotors, he is advised to have the contraator(s) sign portions of the "Contractor SectionsN of this application for which they Hill ba responsible, If you, as the OHner signs as the contractor, you. are indicating that you, rather than the oontraotor, are responsible for the Work. If the oontractor wishes you to sign as COlltractor that may be an indioation that he is not properly lioensed and is nol; entJtled to permitting privileges in the City of Zephyrhills. C. 'I'RANSPOR'l'ATION IMPAC'!' /fEES AND UTILITY CONNECTION FEES D. CONS'fRIJC'rUION LIEN LAW (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED) r certify that I, the applioant, have been provided with a oopy of "Florida's constr\!otion lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agrioulture and consumer Affairs. If the applioant is someone other that: the "OwlU:rN, I Derity that I have obtained a copy of the above desoribed dooument and promise in good taith to deliver it to the "owner" prior to oonunencement. E, CON'rRAC'l'OR' a/OWNER'S AFFIDAVI'r I oertify that all the information in this application is acourate and that all work will be done in oomplianoe with all applicable laws regulatlng construotion, zoning, and land deVelopment. Application is hereby made to obtain a permjt to do work and installation as indicated. I certify that no Hork or installation has conunenoed prior to issuance at a permit and tbat all work 1'1111 be performed to meet standards of all laws regUlating construotion, City codes, zoning regulations, and land development regulations in the jurisdiotion. I alao certify that I undel:stand that thl? regulations of other governmental agenciea may apply to the intended work, and that it is my responsibility to identify what aationa I Irluat take to La in complianoe. Such agencies include but are not limited tOI *Department of Environmental Regulatipn-cypress Bayheads, Wetland Areas and Environmentally Sens~tive Lands, Water/Wastewater Treatment *Soutllwest Florida Water Management Distriat-Wells,Cypress BaybeadsJ Wetland Areas, Altering Watercourses 'Army Corps of EngineerS-Seawalls, Docks, Navigable WaterHays *lJepartll\ent of Health lie Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septio Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone qA" or "A,etc.N, it is understood that a drai.nage plan addressing a "compensating volurne"'will be submitted whioh is prepared by a professional engineer registered in the State of Florida prior to permit iSrlluance, A permit issued shall be construed to be a lioense to proceed with the work and not as authority to violate, oancel, alter, or set aside any provisions of the technical oodes, nor shall issuance of a permit prevent the Building Offioial from thereafter requiring a cor~ection of errors in plans, oon~tructio~! or vio~ations of any code. Every p~rmit iasu~d ahall beoome invalid unless th~ work authorized by such permit is oomrnenced ~lithin sixmontlls of issuanoe, or if work authorized by the permit is suspended or abandoijed f~r a period of six months after the time the work is oonunenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed in writing to the Building Official. An approved inspection must be logged during eaoh six month period, or the project will be oonsidered abandoned. . WARNING TO OWNIDRI YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 'rWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND TO OB'fAIN FINANqINq,~qN'lJLrI' Wl'!'H YOUR LENDER OR AN A'l"fORNEY BEFORID RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER 92,500 IN VAWEJ DO NOT NlilED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ...----.--.--. SIGNA'rtJRE: OWNlilR OR AGEN'l' SIGNA'l'URE I CONTRACTOR S'fA'rm OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 1!L- STA'l'E OF FLORIDA COUNTY OF The foregoing instrument w~s aoknowledged Before me this --Fay 0[-_, H ~~ by (name of person aaknowledg~d) [1ho is personally known to me, Dr Owho has produced (type of identifiqation) and vlho Ddid DUd not t.ake an oath (name of person ackno"l~dged) Dwho is personally known to me, or o who ha", produoed (type and who[] did []did not of identifioation) take an oath. Signature of person taking acknowledgement Signature of person taking acknOWledgment .-..--- .._._~.__._----~ Name typed, lJd nted or stamped Name typed, printed OJ:' stamped -....--_.__.-....~--- - \) -~ , ~ t \. ~ ~ -- t4rt C-- ~ ?~ lIo/7?~ i I h1 cd ~ 1.1.6 ~ (I,lf~ ;;::> - _. - - _.. - _.. _. - --- ~ ~ ~ \' "- ~n ~ - .-"