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Home My WebLink About03-1923 (}t{/ ~--~~~\ ::::::,~.:~" 4.i;~~t.nr!da;?~, Parcell.D. # .~ Zoning: Ene;pY Code: Radon Gas: Oeec';D'mnofWo" ~I :;,1;-~?-&~-;r~ /l /~- BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ (813) 780-0020 15 1923 - Date ~-/1-03 Sewer Conn Water Conn: Water Meter; T_I.F.'s: k~~-c NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# ~ t2j-cf~[)1p ~ <2' tIF") .71C:::> Permit Fee 0 (../ - ~~at~ I- ~~ (1~'l'~ I Company Address-- . " CefePhO~~/,) 3c,-?- ~"7-~~). Y Valuation or Contract Price ~ . /_ TRIC~2> Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLUMBJ.N-6- -- i:4L) BUILDItiG-- ----- SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING nSJilARTMBlNT 5335 8th S'rRBlm'r ZIllI?HYRUH.I.S, P'L 331;40 PhoneIB13-780-~020 FaxI813-780-0021 IJA'fE RIll<lllIVllIn I?I,ANS RIllVIJllW Jl'J!lIl_~______~: O\'lNEJR' 8 11M1E l.J~ J1/dd1 ((() cl-A . ... .. . . PHONE CON'l'Ar!'!'___z~~~~J___ . ,JOB S I'l'E ADn:~8~--~~-:-~b-~~__~1_ L---~f ~~lb~-ft_-~- <fL=_. --~t!:5_!.i~__p!o~,~/f.tt-H,l!._idf. t . LElCmL DE18CRTP'l'IOIl: LOT (8) BLO(!K SUB[JIVI81ON -..--.----....... --.--.--.-..----.-- PARnElIJ III II ~'-'-------_.__-..... ------..---'----~.-~--...-.~------.--- _._.__...._4__-..._~__.,__ (OBTAIN F'ROM PROPERTY 'PAX NOTWEl) ~WRK PROPSBlD I UNElN l'ONS'I'RlJCTION [JeHm Ll ADDI'I'IdN [J Al/I'ERATION [J RElPAtR LJ INSTAl.!. o MOVE 0 DElf10I, I 811 [h1lJW'I - F AI'1iI 1,Y 0# OF tiN l'J'S LJMOBII.El Hot1Bl o INDUS'l'RIAI, o SNIfvlMING POOL [] OTHER PROP013FJIl USE: I [Jsr]l, FAMIlJY DWEJT~l,nTG [] Cm1~1IllR(! 1A I I o R!;J8TAlJRANT & HEALTH DElPARTt1ENT APPROVAL IJE18CRIP'l'IClN OF I'lORK ___-1 IvST:?-[L____(! ~'Pd I I}T"-~__C'o.IL~____._____________._____________. SUnDINl] SIZE ----.------.----.-- SQUARE FOOTAGE H8JJ~H'r _.._____________ RESIDENTIAl'1 CO~1MBlR(! 1AlJ I ATTACH (2) PL,O'!' P1JA11S & (2) SET8 OF BUII ,IJINl] PLANS & (1) SElT E1NElRrn,' FORMS. A'I"l'ACH (]) SETS OF BUILDING PLANS & (1) SElT ENIllRny FORMS. PROPBlRTY SURVEY RElQUIRElD FOR ALL NEN CONSTRUCTION. FERMITS REQUESTED [] BtlII.IJINn $ --.i/?-J--/... f) 0 ~u _----' VAl,UATJON OF TOTAL CONSTRtJc'rrON L1 ELBlCTRlCAI. ---___.____ AMP SERVICEl o FIDRIDA POWER [J W.R.E.n. rJ pI,m1B ING o 1.1H:l!HAN WAI, [] GAS LJ ROOFING , $- ..---------- VALUATION OF MElCHANCIAI, HIS'!'AI,I,ATTON [J SI?EC!1AI.'l'Y [J OTHER 'l'YPEJ OP' CONSTRUCTION I [J BI,()(~K o FRAME [J STEEl, [J OTHElR F IHISHElII Fl,OOR 1ll1,ElVT,TIONS 18 PRO,TECT IN FLoon ZONEl AREA 0 YElS 0 Nu aunnBlR __...__ __-.o._____~...--....---:.-___________~___._~___ Cot1 PAN Y--__________ -_____.._h____... __..__..__________ ___ 8TA'I'Bl CElRT OR RElGIS'}' # _u_.___________________..____.._ C I'l'Y PROCIllSSING It____.______________..___ _______________ 8 HJNATlJREl ****************************************************************** ::'::::~::A_N_ .&~M~'Z~~____ *.********************************~******************************* COl1P ANY -----_?~~~t"..~________.._____.._____..._ ___.__ STATE: e'ERT OR R8CHST 1I----~.)_.{f.(j-+fr'-2--.. .. (~I'fY PR()(!E8SIN(~ ~--__?-.:._l:?_)______._ ______.____ PI,UMBIllR .....--~'--_.....~_.~-~_.-...--~--.~. ----------.--.---- (10M PAN Y --------------__ ----______n___..______ ____._..__________ STATE CIllR'l' OR RE~Is'r # _______________________. CITY PROCESSING # S WH1\'l'IJREl -"----'-'- --.-____4________._..__..._________..._ ~* I< * * * * * * * ~, * * * * * * * :11 * * * * ** * * * * * * * * * * * * I< * * .. * * * * * * * * * * * * *l5 *tJ. * * * * * * * MHe.ANICAI, ~~~,~:N~.R'~~~~--!---OC-/f~r.-.r SWNA'l'!1REl ~ r --s.A CITY PROCESSING # it:) -t/IJn_----------------------..- ------------ _..~--~.--~----- -'-~ ---~.~-_._-----,._.~--_..- ***************************************************************** OTHER _.._-------~--- (X)f,1PANY S'l'A1'El CEJRT OR REGIST #---------------------------- CITY PROCE88IN~ # ------------.----------_ S WNA'l'IIREJ ---'--------....._-_._~---- ***************************************************************** -------"'--._..__._-------_._~_..~~~--.--------. CONDI'rIONS OF PERMrrr AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands th,t this permit may be subject to "deed restrictionsU which may be more restrictive than City regulations. 'l'he undersigned aSSUmes responsibili.ty for compliance with any applicable deed restrictions. B. UlnICENSED CONTRAC'I'ORS AND CON'l'RAc'rOR RESPONSIBII,I'I'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 regulatJons. If the contracl:or is not licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertaln as to vlhat licensing requirements may apply for the intended work, they are advlsed to contapt the city of Zephyrhills Building Department, 813-788-6611. Furthermol--e, it the owner has hired a contractor or contractors, he is advised to have the oontractor-(s) sign portions of the "Contractor Sections" of this application for which they will be ~esponsible. If you, as the owner signs as the contractor, YQY are indicatlng that you, rather than the contractor, are responsible for the work. If the contracto~ wisl16s you to slgn as contractor that may be an lndication that he is not properly lioensed and is lIot enUtled to permitting privileges in the City of Zephyrhil1s. c. 'I'RANSl'OR'l'ATION IMPAC'r FEES AND UTILITY CONNECTION FEES D. CONS'rRlJCTUION LIEN LAW (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED) 1 certify that I, the applicant, have been provided with a copy of "Florida's Constrllction lien Law - Homeowner's Protectlon Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "o~ler", I 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. CON'rRAC'l'OR' a/OWNER'S AFFIDAVI'r I certify that all the information in this application is accurate and that all work will be done in compliance wlth all appl1cable laws regulating construction, zoning, and land developmeIlt. Application is hereby made to obtain a permj.t to do work and installation as indicated. 1 certify that no work or installation has corrunenced prior to lssuance of a permit and that all work will be performed to meet standards of all laws regulating oonstruction, City codes, zoning regulations, and land development regulations ln 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 ldentify what actions I IIIUst take to be in compliance. Such agencies include but are not limited to: 'Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensj.tJve Lands, Water/Wastewater Treatment 'Southwest Florida Water Management District-Wells, Cypress Bayheads,.. Wetl and Areas, Altering Watercourses 'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways 'lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *lJ. S. Envil:onmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or "A,ete.", it is understood that a drainage plan addressing a "compensating volume" 'will be submitted vlhioh is prepared by a professional engineer registered in the State of Florida pr10r to permit j ssuanc.. . A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alte!.-, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requlrlng a correction of errors in plans, construction, or vio~ations of any code. Every permlt is.aued shall become invaUd unless the work authoriz.ed by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandol1ed for a period of siil months after the tlme the work is oorrunenoed. One 90 day extension of tillle may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed in Hriting to the Building Official. An approved inspection must be Jogged during each six month period, or the project Vlill be considered abandoned. WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'I' MAY RESUL'l' IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'rAIN b'INANGINq,~9N~UI!r Wl'l'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ,mas UNlJER $2,500 IN VALUE DO NO'l' NEED 'I'O RECORD AND POST A "NO'l'ICE OF COMMENCEMEN'l'". S I GNA'l'lJRE : OWN ER OR AGEN'I' SIGNA'l'URE: CONTRACTOR 8TA'l'Er OF FLORIDA COUN'I'Y OE' ----- 'l'he foregolng instrument was acknowledged Bedore me thJs __ day of , 19_ by _____ (name of person acknowl.dged) Owho is personally known to me, or STA'rE OF I!"LORIDA COUNTY OF The forego.ing instrument w~s aoknowledged Before me this ------.Jiay of----, 19.....:.._ by _.___________ (name of person acknowledged) Cliho is personally known to me, or o Hho has produced (type and wilo[] did [)did not of identlficationl take an oath. o who has produced _____ (type of idenLifioatlonl and vJho Odid DUd not t.ake all oath Signature of person taking acknowledgement Signature of person taking acknowledgment l'lame typed, printed or stamped I'Tallle t:yped, printed or stamped