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Home My WebLink About03-1888 BUILDING PERMIT Permit N2 BUILDING CITY OF ZEPHYRHILLS (813) 780-0020 1888 Date 3-\3~ 0 3 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Own.. ~'L'1f!!1 'f;f (-Jl Job Address: 57 - - 't' -I 1114 sT. Parcell.D. # Water Meter: T_I.F.'s: Zoning: Descriotion of Work Energv Code: Ker'(~(t' ~. Radon Gas; SeLlJey t,'1A.Q Ii~ cI(/;!?/~ , FINAL .3~ If) ~ ~ 3 DATE 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. Valuation or Contract Price c.o. DATE Inspector Key /(0 ~ , P 'F ~.~ ermlt ee ~ Signature t# I/( ~ Company Address ~elephone# 'i67-~,7ft City License Registration # State Certified License# Cd( '7/1-J f{'ft Ftr. Pre SLB Lintel u/h'( 71ru~ PLUMBING ICAL Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water -Sewer .,/ ?-IO~O~ RLLf_ 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. ~l'l'X OF ZEPHYRHII~LS PERMrr APPIJlCATION t;. BUILDlNG PBIi'ARTMBlN'r 6335 8 th S'rREE'f ZEIi'HYRHUI.S, F1.. 3:) 540 Ii'honeI813-780-~020 FaxI813-780-0021 DATE RBCI:rvmD . PI.ANS RBlVIJlJW rii(-:.~==~==~~~ mill.. '8 HAl,. -- ~-~tt cli!t_~i Ij-IL~!2i_________~______ i"""!!. "ON'I'A<'L_2~1d_ZL ,108 8 "1'E ADDRE88 -'LJ-'l5::J-15)i'l.-L-'IiIJ[~,!' 4 ;/(..[/'<:::____ _____ _ __ _ ~___ LEGAL DBlBCRIP'rIDN: LO'r(8) BU)(~K SUBDIVISJON _________ , , ~._---_.__._-- I?ARC!ElL ID # WORK PROPSElIJ I [JNIllW l'ONS'fRlJCTION -..---------...------- (OBTAIN FROM I?ROPIllR'l'V '1'AI( iNO'J'Hllil) .----....--.---.....-- [] ADDITION o ALTERATION D REPAIR [] maTAl.I, [J S mN o MOVE o DEMorlISlI I?RO!:>USEIl llSE I llSGlL FAMILY flWELI,HJG CJ MUI.1' I . FAIViIl!Y [J# OF ONI'l'S f] SWIMMING I?OOL [J MOEHIIlJ HOMB: [J Cot~MIlIRCIAII [J INDllS'1'RTAT. [] orfHBlR IllilSCRIP'l'ION OF WORK o RESTAURANT & HEAlmI DBlPARTt~ENT APPROVAL )~ ~r L l~!LL___ f4~I:""// ed____._._.._________,_______ BUILDING SIZE SQUARE FOOTAGE RSlSIDEHTIAI'I COHMElRC!IAI, : HElIGH'f A'I"l'ACH (2) PI,OT PT,A1l8 & (2) SETS OF BUnllnm PI,ANS & (1) 8E'r E1NIilRCn:' FORlvlB, A'I"l'AC!H (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRElD FOR ALL NEW CONS'I'RlJC'rION. iBRM~TS REQUE~TID [J 81JII,IHW3 $--~ VALUATION OF TOTAL CON8TRlJCrrION L1 BlI,BlC'I'RWAl, -.-------- At~1? t9ERVWE [] FI,OR I DAPOWER [] W.R,IlI,n, fi(} Jill,IJl'>1B IlW U I1EUHAlH UAT, $._---; - VALUATION OF MECHANCIAr. U1S'l'AI,I,A'1'ION [) GAa f] ROOFIWJ [) SI?B)CJrAI/I'Y [) OTHER 'l'YPEJ Of' COH8TRtJU'J'ION I [] BLOCK o FRANE) [J STEElT, [) OTHER FINISHED Fl~OR ELEVATIONS --------- IS PRO,JEC'l' IN FLOOD ZONEl AREA 0 YI!lS [] NO ElUUDmR IlII.mO'fRIOIAN ******************************************************...***.*..*. COt~I?ANY __________________.________________~____._ STATE CEJRrl' OR REilGIS'l' # ____________________.___ CITY PROCESSING # _.._--_._-_.------------:-_.~---~---.... BlGNATURE -.----.-..........-------------- S j GNA'!'URE _hh__ --------- ~-----_.~---_..-'-_._-~-~._-,.,-._------ COlvIPAl~Y ________________________.__,--__.______ STATE CElRT OR REG! r S'I' # CITY PROCESSING # '-~---....- --.---- - '--'~........-----_.~,.._--,...,.....-- PI.tJMBBR *****************************************************.**.**..**.*. ~. ~ (!OI'1PANY~~~!1f5...~/Y'Jil.#j1-:--_____ 1// STATE CERT OR RElGIST # -~l= ~ I1l!bh$L_____...:...._ ~. CITY PROCESSING # - .... . :~-:. ...... .. . -::::::::-:::: . .. .. .... .. .. .. . .. . ::::-:.::'!.. . ::----~-- "------;.---. ---'_.---.__.~._..,~._._._------ 8 WNA'l'llR E MBlCHANICATI -----~-----~--_._-_.~--_.--- COIV]PANY__.__~. STATE CERT OR REGrST # CITY PROCESSING # "'~-_.'------_..--.,~._--- ...--- S WNATUREl ----_.~-------------_._- OTHER * -* " " * " " " * * " * " " * " * * * " * * " " * * * * * * * * * * * * * "* * " * * * * " " * * * * * * * * " * * " * * " " * * ------------------..--- ------..._~--- COI.1PANY STATE CERT OR REQIST # CITY I?ROUElS8ING # S r<3HA'i'lJRE ______________ -----.--.--.---..---.---..- ---;-_._._---~._---_.,---_.- **************"*********"*"**"*********************""",,*******.** -.------------------~---.._--.._---..._-------- CONDITIONS OF PERMIT AFF;.~AV:.~ ~. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permi t may be subj ect 'co "deed restrictions" which may be more restrictive than City regulations. 1'he und'~l:si';rned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITII~S 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 not 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 contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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. CONTRACTOR'S/OWNER'S AFFIDAVIT 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 development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may 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 to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest 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.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six 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 requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) C1ho is personally known to me, or (name of person acknowledged) Owho is personally known to me, or o who has produced (type and whoO did Odid not of identification) take an oath. Owho has produced (type of identification) and who Odid ~id not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped