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Home My WebLink About03-1992 Property Owner: Job Address: Parcell.D, /I Zoning: Energy Code: Descriotion of Work ~e ( 0 c ~ BUILDING BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 (813) 780-0020 1992 Date 4 - ( ( - 0 3 ELECTRICAL MECHANICAL Sewer Conn Water Conn: PLUMBING ~ v'<' 2 I ~-t ?N'{ c... Sot 0 ICzi-i". 5{' Water Meter: T.LF.'s: Radon Gas: 150 A~ Ove..y~ SefVI c:..e. FINAL _c;- '7-03 DATE NO OCCUPANCY BEFORE C.O. 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 DATE Inspector Rt r Permit Fee 35' d2-o )(Signature ~~~~ Company Address \;relephone# I <.[t( ~ City license Registration # State Certified license# ~ 6(e.c Ftr. Pre SLB lintel FRM. Insul. CL WL Driveway, ELECTRICAL Tp. Servo Rough In Meter Can Const. Pole Pool pre-M7r Final 5-f- 0 3 SLB Tub Set Water Sew Fin I Iff I ~"1/l,o! t/ r 1'l:30 JA ff 5-9-0, 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 IllllPARTMEN'r 5335 eth S'rREm'r ZEPHYRHILI.S, ll'L 33Ei40 Phon.le13-780-~020 ra~1813-780-0021 IJA'ra RBCIlIIVIlJO ~__"_ ~~>~,..______ PI,ANS RtllV!IllW rllll,'-_,.__ll______, UI'lNEJR I S 11M1El_.____-:1.~~..._4..~~tl.~_______________,_~___ PHONE! CON'I'J\(!'~_~j~]~}~:~~p..f ,TOB SITE ADDREJ88 ------~9\Q.-__\~~__S"I._'_________________________________._ LEl<JAL DBJSCRlP'rIOlll LOT(S) _____.__l}~II..\~~,\,BrJOC'K __~\b<?~~').I~UB[JlVI810U __________.______...__ PARC1EllJ I IJ #._.J..~?--' \, -_,~ \.0 ~.~\ boo =--.0 I '3~__,___.____.~~~TA.~~__:..ROM ~.~~~~~~.~_._'I~~~..~~1~I.n/JJ_~_,_ WORK PRnpSElIll UNBl\1 CONSTRUCTION [J ADDI'rIdN [~1'rrjI'ERAirrOl~ [J RElPAIR U INSTAI,I. [J 8 JOll o MOVE o DElMOl,ISI! PROI?OSElll USE! I r~IJ FAMIIJY DWElLI,IHrj [!t.1UUI'I - FM1Il,Y [1# OF lINI'I'S [] SWIMMING POUL fJ MOB nEJ Hot1El IJ OTflElR (]cm1MElRC!IAII o INDUSTRIAJJ C:J RElBTAURANT & HElAlmr DEPARTr1ElNT APPROVAL DESCRIPTION OF NORK .--Rili~.h~__ I SD A- ~1J~<Qc:uA~fdut.ek~._~~_j{~-.t.~ BUILHINtl SIZE ------------ SQUARE FOOTAGE: HEJIGH'f REBWElNTIAJ.1 (2m1MBlRcnAfJ I -- ---------.......... ----- A'r'l'1\CH (2) PLOT PI"AllS & (2) SElT8 OF BUII,Dum PLANS & (1) BElT ElNElRr.Pi FORt18, A,'r"l'AC!H (J) SETS OF BU!J.DING PLANS & (1) SET ENElR(~Y FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEN CONS'I'RUCTION, iERMITS REQUES~ED [] BlIII,IJINr~ $--,-----.___ VALUATION OF TOTAL CONSTRue'rION L1 ELElCTRWAI. \~o '_ AMP SERVICE! ~ FUJRIDA POWER [J W, R . E , (! , [] PWr1BING LJ I<1BIl!H1\NIC!AJ. [J (~1\8 LJ ROOFnm I $----.-------- VALUATION OF t1E:CHANCIAI, Hl8'l'Al,lJATTON [] 8PElrJIAUry [J OTHER TYPE OF COH8'I'RUC!TION: [] BLOCK [] FRANE [] STElE:L [] OTHER FINISHEJ) FJAJOR llIfJEVATIONS ---------..-- IS PROlJEC'r IN FLOOD ZONE! AREA 0 YElS 0 Nt) B!1UnIllR --...__._~_.__.-._~_.._---_-:.-_._-----,---_.._--~---- Cot1 PAN Y---.--____........._____________. ____-0__.____ .. _ ___.______.__ STA'I'BJ CElRT OR REJG I 8'1' # ._...___._____.__________ _____.__. CITY PROC81SSING L_ __.._______'_._________,_____,__ 81r3NATUREl ****************************************************************** BlI.!IICTR I C IAn Sl GllA'l'lJREJ _~~ ~ ~________.____ *'**'**'********************************************************** cor'1PANY_. ~f~~~\~--,=-~~",":~L____.._____ __ ___'___ ST!\TE CElRT OR REGIST #_._gI3!9.Q!~~~____..__._ _h. CITY PROCESSING # I L ----..-..-'::1..:1;____ _ _,_.. .. __... __.. ______ PI,UMElBlR ._---,._-----~~.~~-~ .....--......_--~ COM PAN Y -..------______,______ ________. _.___,__.__...,_.. '___'__ _,.,.. STATE CElRT OR REGIST # ________.____,__._____.. CITY PROCESSING #I SI<3NA'I'l1RI1I MBlClHANI CAr, ****************************************************************** --'-._._,.-.----~-----.------....- ----._------...-~-----_....__._- COlvlPANY --'-- STATEI (!BlRT OR RElGI8T #I CITY PROCESSING #I --.....---..--------.----.--.-.-.--.-- S IGNA1'tJREl ._--,._-._-------~--_._--~_."---_.- - ***********************'***************************************** ----..----------..--.--..,.-------- OTUBlR --------------------- C!m-1PANY ---------_..._---_.__._~-_.~~--_.-. --~- --- S1'A1'E CElRT OR REGIST # CITY PROCElSSING # ---...-- ----_..._-~_.._,-_._.._---- _.- -, SI<3l1ATURE -------------......--------------.- ***********************************************************~***** ------------"-- .-.--..---------~__._..._~ ._. __M_~__..._'...__. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIoNS 'fhe unaersigned understands thqt this permit may be subject to "deed restriotions" which may be more Lestrictive than City regulations. The undersigned assumes responsibility for con~liance with any applicable deed restrictions. B. UNLICENSED t;ONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'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 Ilot licensed as required by law, both the ovmer and contractor may be cited for a miadellleanor violation under state law. If the ownjr or intended contractor are uncertain as to what Ijcensing requirements may apply for the intended work, they are advised to oontaot the City of Zephyrhills Building Department, 813-766-6611. Furthennore, it the owner has hired a contractor or oontractors, he is advised to have the contractor(a) aign portions of the "Contractor SectionsU of this application for whiell they will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that you, rather than the contractor, aloe responsible for the work. If the contractoL- wishes you to sign as contractor that may be an indication that he is not properly lioensed alld is not entJ tled Lo permitting privileges in the City of Zephyrhills. C. 'I'RANSPOR'I'ATION IMPAC'l' FEES AND UTUI'l'Y CONNECTION FEES D. CONS'I'RlIC'I'UION I,IEN LAW (CliAP'l'ER 713, FLORIDA S'l'ATUTES, 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 otller that the "owneru, I cerity 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'I'RAC'l'OR' a/OWNER'S AFFIDAVI'l' 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 devlj:lopment. Application is hereby made to obtain a permjt to do work and installation as indiaated. 1 certify that no Hork 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 j\lrisdietion. I also certify that I understand that th~ regulations of other governmental agencies loay 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 Envirolllljelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens}.tive Lands, Water/Wastewater Treatment *Souttlwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *ArIllY Corps of Engineers-Seawalls, Docks, Navigable Waterways *Vepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.8. 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 volumeu '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, con~tructionr or violations of any code. Every pe;mit issued .shall become invalid unle.ss the work authorized by such permit is oommencedwithin sbl: months of issuance, or if work authorized by the permit is suspended or abandolled for a period of sll, months after the tilRe the work is commenced. One 90 day extension ot. time may be allowed for the permit with fee charge of $15.00. The extension shall be ~equested in \'/ri ting to the Building Official. An approved inspection must be logged during each' sj K month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAY rNG 'l'WICE FOR IMI?ROVEMEN'l'S TO YOUR I?ROPERTY. IF YOU INTEND '1'0 OB'rAIN b1INANqINq,~qN~UI/r Wl'l'H YOUR LEHDER OR AN J\'r'rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO'l' HEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'l'''. SIGNA'l'URE: OWNER OR AGENT SIGNATURE: CONTRACTOR STA'n OF FLORIDA COUNTY OF The foregoing instrument was Before me this __ day of by. acknowledged , 19_ STA'rE OF FLORIDA COUNTY OF The foregoing instrument w~s aoknowledged Before me this -----Jiay of--, 19 by (name of person aoknowledged) Qho is personally known to me, or (name of person acknowledged) Owho is personally known to me, or o who has produced (type and who[] did Ddid not of identification) take an oath. Owho has produced (type of identification) and who Ddid [}Ud not t.ake an oath Signatu.t'e of person taking acknowledgement Signature of person takiug aoknowledgment Name typed, printed or stamped Name typed, printed or' stamped