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Home My WebLink About03-1989 BUILDING PERMIT Permit N~ 1989 CITY OF ZEPHYRHILLS (813) 780-0020 BUILDING ELECTRICAL PLUMBING P,operty Own." K~?owe,r s Job Address: II X- 0 'l /-1-r"'- 'ST . Parcell.D. /I Date ./ / (-I'tJ .- 0 ~3 MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy Code: OR \ 've Wc:u.., Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL -(73 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 S ClO' e::-.J City License Registration' -- State Certified License' DATE Inspector JD Permit Fee ;3 5"' f/f1~ .~ ;x Signature' ~~ ~~ Company Address 79-3-7/f?5 )!Telephone" (L v W "'--ty BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~/tj..../ J ..... (1 3 Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final MECHANICAL SLB Tub Set Water Sewer Final Breaker Ducts 51. Co Fi / / I 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 BUUDING IlBlI?ARTMEN'f 533 IS 8 th 8'fRBlBJ'f ZHlPHYRHII.I,S, P'L 33 S 4 0 Phonet813-780-Q020 Faxt813-780-0021 !JA'n RIlICBJIVllJD ~__. _. ~._. I?r,ANEl RIllVI!IJW 1'1lI11l . " O"Il~R 'S 11M" --J~~~L1i_:LJ!g GLfL. ~___ __._______ ______ __ PHONB CON'j'A"'!'._2_~~ ~ 7;:r ~ ,mB SI'I'ID ADDREJ88 -u-Jju~07_uiZ sf 2-~~6.-.J-L~!JJ.S._f1._ 3_~..f:t_l::______________ _ _____. _____ LIil<lAL J)H1SURIPTIOI1~ LOT(S} ---L.:2__ BLOCK __12 f" ___ SUBDIVISION _______.,.__..________ PARUEIJ ILl #_--!!t..? {_~~~~_c'!..~/O -=___Q J ~Oo.:. O_O/~.~_~~TA-~~___~~ROM_~~~~_~~~~..r~~~___~~~1?Cm_~___ HURK PRnp8ElfJr UNHlH CONSTRUCTION [] IWDt'l'ION fJAI/rElRA'I'ION (] RElPAIR [J INSTAT,!. . []SrGN o MOVE o DE~10I.r811 PROl-108EJIl USE I LlaGI, FAtIlII,Y DWELl, IllGI [h1tJLTI.. FAIYJU,Y [)# OF T1NI"S []aWU1MING POOL [] MOB II, EJ II m,Uil (J OTHER fJ Cm1MElR(~ JA[, o INDlJS1'RIAL o RgS'fAURAN'I' & HEAl/l'H DEPAR'rr.1ENT APPROVAL, Il!lJSCRIP'I'ION OF NORK ,--12~!!.!2.. 0c......j_.._.________._____...__~__.___ . ---~--_.~_.._--_.- -..,...---...-. ~_._._~ BUILHIN(] SIZE ._------~--.__._--- SQUARE FOOTAGE ....._---~----- HEJ !GUT ...:_---~_.._.__._,-.- RHlBIDElNTIAL I COr-1MBlR(!IArJ I A'I"f1\CH (2) PI,OT PIJAllS & (2) SElTS OF BtJII,IJIN(1 PI,ANS & (I) 8ElT l!INElRrn' FORMS. A'{tiI;AC!H (3) SETS OF BUtLDING PLANS & (I) SE'f ENER(~Y FORMS. PROPERTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION, [] B1JII,IJINr~ iERMITS RmaUESTED t____.f C!... 0 _'__'__ VAI-ltJATJON OF TOTAL CONS'fRtJc'rION L1 ELBlC'I'RWAI. ---------__.___ AtllP SElRVICEl o Ff.oRIIJA POWER [J W,R.EJ.C1, [] Pl,tJt-1BING o /vlElUH1\.NrC!ATJ $---_.~ - VALUATION OF tllECHANCIAI, IH8TALI,ATTON [] (~A8 [] ROOFnm [J SPECJtAI.'!'Y [) O'I'HElR '1'YPE OF' (!ONS'l'RtJC!TION I [j BLOCK o FRAt1EJ (] STEElIJ [J OTHER FINISHElIJ FI,{)OR mf,ElVATIONS -----.----.- IS PRO,TECT IN FLOon ZONEl ARElA 0 YBlS 0 No BUILDBlR ~.?~ ~./ ~~~,~:N~;R1;--ORR8-r318'I'-#-~_~-~_=_~~~~~~_ __~_ .::.:=~~:~.==-':,::~ SIGNATUREl -..0__ -. ----{L.t2f'!~____________ CITY PROCESSING L.. _ ______ _ _____.. ___'_'_.______.___.____ **** ~************************************************************ B1r.BIC'fRlcau COl1PANY _.__._.____.___ _____ _..__...____.___ ___ STATE CERT OR REGrST # SJGlTATlJREJ _.__.n__.._____________________________ ern PROCEl8SIN(~ # _ _4______ ______'~..______.__ ___.__... _. ___ ****************************************************************** -----..-------..---._._.M...____...... ____~~.,__..... ._.____ PJ.UMBl!IR ..--..-----.-...--.---.--.-.......- ---- COM P ANY -------------------------___hn__.__.__ _.._ h________,_ STATE e'ER'l' OR REGIST /I; _________,_____..._____._.. CITY PROCESSING # SWNA'l'I1RE MBlCJHAIUCAT, COlviPANY__,,_______.__._.____________..., ._______ STA'rEJ CElR'f OR REGIS'r # ________.___,____..__________ 8WNA'I'l/REl CITY PROCESSING # ****************************************************************** .---'----.-.-.------~----__...__.4_.___~_.____ ***************************************************************** ----._.._~_.---..,----- ---..----------.--.------..-------- OTUBR COMPANY ------~-------- S'J'ATE e'ERT OR REGIST-n SI<3l1ATtJREJ -_______,..___.___.___ CITY PROCESSING # -_.__4.________.__.____~ '__'_ -----------.,----..------- ---.-. ***********************************************************~***** ------------. ._-_._~'--___~~n____"""'_.____~,._~_ ___ CONOI'rIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands thqt thia permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNl,ICENSED C;ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBII.I'rrES If the owne}.' has hired a contractor or contractors to undertake Hark, they may be required to be licensed in accordance with state and local regul~tions. If the contractor is not licensed as required by laH, both the ovmer and contractor may be cited for a misdemeanor violation under state lavl. I f the owner or intended contractor are tHlcertain as to vlhat licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthennon:, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections II of this application for whicll they v/ill be l.esponsibltl. If you, as the owner signs as the contractol:1 YQ4 are indicating that you, rather than the contractor, are responsible for the wOl.-k. If the contractor wishes you to sign as contractor that may be an indication that he is not properly lioensed alld is not enti tled to permitting privileges in the City of Zephyrhl11s. C. 'I'RANI:)POR'l'ATION IMPAC'l' FEES AND UTILITY CONNECTION FEES D. CONS'l'RUC'I'UION LIEN LAW (CliAP'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 Guidell prepared by the Florida Departmellt of Agl:iculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I llave obtained a copy of the above described document and promise in good faith to deliver .it to the "ownerll prior to corrunencement. E. CON'l'RAC'I'OR' S/OWNER' S AFFIDAVI'I' I certify that all the information in this appl.ication is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application i.s hereby made to obtain a permit to do work and installation as indioated. 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 construotion, City codes, zoning regulations, and land development regulations in the jllrisdiction. 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 lIlust take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive Lands, Water/Wastewater rl'reatment *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 ~AII or "A,ete.lI, it is understood that a drainage plan addressing a "compensating volume"'wiI1 be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit jl:lsuance. 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 requi.ring a correction of errors in plans, oon~truction! or vio~ations of any oode. Every pa~mit iSliued shall become invalid unlel3s the work authori~ed by such permit is oOllunenoed Hithin six months of issuance, or if work authorized by the permlt is suspended or abandollCld for a period of elx months after the tlme the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extellsion shall be requested in writing to the Building Offioial. An approved inspeotion must be logged during eaoh'six month period, or the pl.'oj ect Hill be considered abandoned. WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NO'I'ICEl OF COMMENCEMENT MAY RESUW' IN YOUR PAYING 'rWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'l'END TO OB'I'AIN l!'INANGING, CqN~UL'l' WI'i'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'I'. 'JOBS minER $2,500 IN VALUE DO NO'I' NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEN'l"'. SlGHA'l'URE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged _,19_ STATE OF FLORIDA COUWl'Y OF The foregoing instrument w~s Before me Utie -----Pay of by STA'l'E OE' FLORIDA COUNTY OF ---- The foregoing instrument was BE:lfore me this ____ day of by acklloV/ledgect 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) Qho is personally known to me, or o who has produced (type and wholJ did IJdid not of identification) take an oath. Dwho has produced (type of identifioation) and Hho Ddid DUd not t.ake an oath Signature of person taking acknoHledgement Signature of person taking aoknowledgment Name typed, prlnted or stamped Name typed, printed or stamped