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Home My WebLink About03-1821 BUILDING PERMIT Permit N2 1821 -0 (/ t> ;, {).., CITY OF ZEPHYRHILLS (813) 780-0020 OV ~5'~ ELECTRICAL PL~ P<aperty Own., ~ t~r: _~~ Job Address: 0-3_ _ ______ _ 11 Parcell.D. # /:;-:;/4. ;;/-0 O::l./{02 3DOnDln zoning:;t' rgy Code: d Radon GaS () Oe,c<;pnonof W..k (~d -dJ-L ~,)t'Clll tJ-A~ ~ ... BUILDING NO OCCUPANCY BEFORE C.O. Date ,2-~-O.s ME~L Sewer Conn Water Conn: Water Meter: T,I.F.'s: r4JI) .Jt1lr1d V 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 L/~7S - BUILDING ELECTRICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway DATE Inspector Permit Fee ---------.. ~nat~re Company Address ~~~-~~~ 7!3z-9'/&S- M ICAL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. ~1Sbr-#-r itmrr-w)(P (o~f,/L) ~c '3 ~ Ctll, t~V, ,- ! Ii // c~ ;2 ~ ^! - ra ff;u SQ. FT. Main 187 Other Area Under Roof Valuation: 1'( bn- ~,~ Building: ~z.. )"'0 Electric: ? 5. CfJ Plumbing: tll ~ Mechanical: ,AJ I Pr- Radon: tJ lit PRICE '2 ~, ..."'" ~-r~ / 41>//7. ~./ " /" "'--___~__-....--'A School Impact , I J Fees: IV /vt Connection Fees: tJlvt Trans. 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W i_... . _I ':::{ 5' ;:)rQ > ':l> '"' - .....,.. ~ ;... l', lie ',' 'I IV' , ;I, I r F- ..--.-----,,-- ............... c : " '.....' " ~ .--::-- '-' -;:;;.. '- ... -- "- .... - .. '~ ~ '.1 .\.. <'J-. ~ 'X "- ~ ...... \ \ "'\ 1 o r' ~"",......-""'...__ -- ". ~.."'"...--.,,-..... ..[ :::.. .. -- , 'q '...y'----.. -.....,_.._~'t ,"-.;-J >-. -:> - --- ~ ---- -' i I I ! I : I ,I () ---- '-~ '- -... ; , ~ - 'U: x 1'.( q ....... , t ~ -----J '-,.."...~--- u.. "~ ~ ~',~, ~ ... ""-.; 1: c...... -- I !- .. =:::::::::::::------. --,""'" ;:""-- .l.-~~/""" I - ~ ',,~ ) ; 1 ......... ":> :>. ~ --...... "~ \..', ... "-- , ~ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUII,DU/(~ IHlJl?ARTMIllNT 5335 8th S'fREE'f ZEPHYRHILLS, rL 33540 I?honeI813-780-n020 FaxIS13-780.0021 DATBl RlIOmrVl!ID .I-:J?.l:p.~__ PIJANS RmVIBlW rBlBl '... OI1I1B.'. IIAMO<::::jf;6E~{ J ~ ~h,>---____u. PHONB coN'j'^"1'i'~~~;i~~_~_ ,T08 8 ITEl ADl)RFlJ88V'~___2'lP~_el_h.2_~A~~________________________h___________,______ ____ IJEJrJAL DESCRIPTION: LOT(S) BfJOCK SUBDIVISl'ON --.._~_._-- PAROB', It> #:112'-& z: CQQ?-1li2 ~~ c>.C> &cJ 10 .._..I_O~TA:"_FROM PROP.RT~T.~X_~~~"'8!__ HURl\: PROPSElIlI [JNFlJN c'ONS'fRt1CTION [J ADDITION rJAL'I'ElRATION [J RElPAIR IJ INSTAL!I --~_.-.._..."-~,..._.,_.<_._--- [JSH;tl o MOVE o DElf.10I,ISH PROI,IOSEll USE I CJ8GI, FAMILY DWEJLIJING []t1lJUI'r. FAt"'U.Y [] # OF UN n'8 rJSWIMMING POUL [J MOB!I,El HOt1El IJ OTHElR rJ COMMIlJR(!lAI, [J INDUS1'RIAL ~,,']~.TAtJRAHT & 118",1'11 DmPARTMo,,'1' APPROVAL Ilm.ORIP'1'WN OF 110R~~<J"IL"'.':I:" <;C~ ~ ~ ~~.il.A--"'~__~___ B!1Ir.rHNH SIZE -~-- SQUARE FOOTAGE .------~_.__.._-- REJSIDENTIAL! (~OMMI!lRC!IAI'1 .....--- --------,..- HElH3H'r A'r'rT\CH ( 2) PIlOT A'I"liA(~H (,]) BE'fS PROPElRTY SURVEY PIJAlrs & (2) SETS OF BUIT/DUH) PLANS,&- rn- sEI'r ENIllRO'lFORMS, OF BU!LIJING PLANS & (1) SElT IllNEla.ffYFORMS, RElQUIRIllD FOR ALL NEW CON8TRUc.rimr, / ._--"'--~-'--........._- )6"'!3tJ IJ,lJINc~ )${'ElLmCTRICJAl, , #: $_LQ/l7 - FERMITS REQUEST C!.,dL ~ {'f- --~ 3 Z- f ._--.-::.~ VALUATION OF 'fOTAIJ CONSTRt ~ - ------...------- m1P SElRVICEI o FLORIDA POWER o W,R,EJ,(!, [] PI,UMB 11'1[3 o I1ElUHAN WATJ . $----,,- VALUATION OF ~-1E:CHANCIAL, IHSTAI,lJATTON [] (JA8 LJ ROOFING [J SPIllOIAI/l'Y [] OTHER 'l'Y'Pl3l OF CONS'I'RtJC!TION I [J BLOCK [J FRAMEJ [J STEEL [] OTHElR FIN ISHElll FLOOR IllfJEV^TIONS ------..---- 18 PRO,JECT IN FLOOD ZONE AREA 0 YIllS o NO Bt1ILnIllR SIGNATUREl CDt1PANY___\ ---~--___u,______ '___.___________ STATE UEJRT'-rm REJ(]tST # ___"'__________________,__,_~____ CITY PROCESSING L.,_________.__________ ____,____.._____ .1'.<1TRI~:~ ~ C#I- COMP.NY_~ttLV~____.______ 81 "ll^'1]JRp-~C_ ___~_= _____.._ ~;~'~. P~~~~.~~,,~B~ r:~#_=::.=====.=..:::~ ****************************************************************** PIJt1MBlIIR ._-....~---~------.........- -~~ -.---..--- COMPANY_________-._______________.._ STATE CElRT OR RIlJ(]tST # _______.-----'_____.. CITY PROCESSING # SWNA'I'lJRE Ml/lCHANICAf, ****************************************************************** --_..._..---------.-....-__._-_.~-- -----.---------------..-----. (!olvJ PAN Y ____ ._.__._.___________,______..____ STATE ('EJRT OR REGIS'f #________________._________ CITY PROCES8IN(] # SIGNA'I'l1REl OTHBlR ***************************************************************** ---..-----.--.----- --__.c.-__ ---'---------..- -....----.. (~m.1PANY STA1'E1 cmRTQ'R REGIST #I CITY PROCElSSIN(] # S ImrA'l'URE --...------..--.....-.-.-~.__. 'M__ .___ -----~-- .--- ---___00;_____.__ __ _. ***************************************************************** ______.._._M~.. _.......__.__._--~-.._.__._-a....... ___~'. ____.. ____. ,- CONlnnONS 05' PEPl'1J:';.' A5'FJ:DAVJ:r;: A. NOTICE OF DEED RESTRICTIONS The undersigned understands thijt this p~rmit may be sutiject ~o "deed restriationsU which may be more restrictive than City regulations. The \Indersigned assumes responsibility fDr oompliance with any applicable deed rest:l:ictions. B. UNLICENSED, bON'l'RAC'l'ORS AND CON'l',RACTOR RES PONS IBII,I'l'IES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is llot licensed as required by lawf 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 wllat licensing requirements may apply for the intended work, they are advised to oontapt the City of Zephyrhills Building Department, 813-788-6611. Furthe.nnol:e, if the owner has hired a contractor or contractors, he 1s advised to hilve the oontractor-(s) sign portions of the "contractor Sections" of this appllcation for Hhich they will be responsible. If you, as tlle owner signs ~s the contractor, YQ4 are indicating that you, rather than the contractor, are responsible for the wOJ:k, If the contJ:actor \"iishes you to sign as contractor that may be an indicati.on that he 1s not prope,rly licensed and is not entitled to permi.tting privil~ges in the City of Zephyrhills. C. 'I'RANSPOR'l'ATION IMPAC'l' F~~S AND UTILITY CONNECTION !fEES D. CONS'l'RllCTUION LIEN LAv~ (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Constrllction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of A~r1culture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtaineci a copy of the above described document and promise in good fa1th to deli,ver 1t to the "owner" prior to commencement. E, CONTRAc'roR' S/OWNER' S AFFIDAVI'r I certify that all the 1nformation in th1s application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land deVelopment. Appliaation is hereby made to obtain a permit to do work and installation as indicilted. 1 certify that no Hork or installatiDn has cDmmenced prior to issuance qf a permit and that ail work will be perfo~med to meet standards of all laws regulating construation, City codes, ~oning regulatiDns, and land development regulatiDns in the jurisdiction. I also ceJ.:'tify that I understand that the regulations of other governmental agencies may apply to the intended wor"k, and that it is my responsibility to identify what actions I IIlu.at take to be in compliance. Such agencies include but are nDt limited to: *Department qf Envirollmental Regulatiqn-Cypress Bayheads, Wetland Areas and ~nvironmentally Bens~tive Lands, Water/Wastewater Treatment 'Southwest Florida Water Management Distriot-WellsfCypress Bayheadsl Wetland Areas, Altering Watercourses 'Army Corps of Engineers-Seawalls, DDCksf Navigable Waterways *LJepau:tment of Health & Rehabilitative Services, Environmental Health lJnit-Wel.ll>, Wastewater Treatment, septic Tanks 'U.S. Envi~onmental ~rotectiDn Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood ZDne ~Au or "A,etc.H, it is understood that a drainage plan addressing a "compensating volume"'wi.ll be submitted which is prepared by a professional engineer registered in the State of rlorida prior to permit issuance. A permit issued shall be construed to be a license tD prDceed with the work and not as autllority to violate, cancel, alterf or set aside any prDvisions of the technical codes, nDr shall issuance of a permit prevent the Building Official from thereafter requiring a cor~ection of errors in plans, gon~tructionr or vio~~tians af any oode. Every p~rmit ieaued shall beoome invalid unless the Hork authorh:ed by such permit is oOllunenced within six months of issuance, Dr if work authorized by the permit is suspended or abandoqed f9.t: a period of si.:K months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee cha~ge of $15.00. The extension ~hall be re~uea~ed in writing to the Building Official. An approved im,pection mUlit be logged during each six lIlonth period, or the project will be considered abandoned. WAffi~ING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR I?AYlNG TWICE FOR IMI?ROV~MENTS TO YOUR I?ROI?ERTY. If yOU IN'rEND TO OB'rAIN FINANGINli, ~'4N.UL'!' Wl'rH YOUR LElNPER OR AN A'nORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNnER $2,500 IN VALUE DO NOT NEED TO RECORD AND POS'l' A "NOnCE OF COMMENCEMEN'r". SIGNA'l'URE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged f 1!L- STATE O!f,FLORIDA COUNTY OF 'rhe foregoing instrument w~s Before me this ------pilY of. by s'rA'rEl OH' H'LORIDA COUNTY OF 'l'he foregoing instrument was Before me this _ day of by aoknowledged , 19 ~ (name of person acknowl~dged) Dwho is personally known tD me, or o who bas produoed (type and wholJ did Odid not (name of person acknowledged) [J.,ho is personally kno\-/U to me, or Dwho has produced (type of identification) and \lJho Odid DUd not t,ake an oath Df identification) take an oath. Signature of person taking acknowledgement Signature of person taking aoknowledgment Name typed, printed or stamped Name typed, printed or" stamped