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<br />\.."..L.J..J. v.c ..:..&.l::.l-C U.J. ~,U..LJ..U""";) .. ~"''''''''~..L.''' <br />BUILDING DEPARTME ~...... .......L.'-~.L. .....""... <br />NT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1/- 2:l~ <br /> <br />PHONE CONTACT FOR PERMn~TING <br /> <br />-- <br />OWNER'S NAME .:: yr7e.(ald (~,'/)f <br /> <br />JOB ADDRESS ?fIt3 Irq I1I1.JYYl.YI/1e... lU~ <br /> <br />LEGAL DESCRIPTION' LOT(S) -1 <br />. BLOCK <br /> <br />PHONE <br /> <br />Loffll ;7 <br /> <br />SUBDIVISION <br /> <br />fvORK PROPS ED : 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />(OBTAIN FRO~I PROPERTY TAX NOTICE) <br />DALTERATION 0 REPAIR - / <br />lY"'INSTALL <br /> <br />PARCEL ID # <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY <br /> <br />o COMMERCIAL <br /> <br />DWELLING <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE <br />o OTHER <br /> <br />HOME <br /> <br />DESCRIPTION OF <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />WQRK. Sef "UpYtJ1 J:-N)6~ <br />IS X 38 /}/7 <br />SQ8ARE FOOTAGE 7~i <br /> <br />BlJILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS ~~ANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OFBUILDING PLANS & (1) SET ENERGY FORMS. <br />ENGINEERED PLANS REQUIRED <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC~ION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VAL~ATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />CI <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF t'lECHANCIAL INSTALL11TION <br /> <br />o "AS <br /> <br />o RI\I\l<'Tl\lf.: <br /> <br />n CD00T7\T fTlV <br /> <br />n r\rnr'.....,... <br /> <br />A, NOTI~E OF DEED RESTRICTIUNb <br />The undersigned understands that this permit may be subject to "deed restrictions" which <br />may be more restrictive than City regulations. The undersigned assumes responsibility for <br />compliance with any applicable deed restrictions. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they may be required <br />to be licensed in accordance with state and local regulations, If the contractor is not <br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor <br />violation under state 'law. If the owner or int:ended contractor are uncertain as to wha.t <br />licensing requirements may apply for the intended work, they are advised to contact the <br />City of Zephyrhills Building Department, 813-780-0020. <br />Furthermore, if the owner has hired a contractor or contractors, he ~s advised to have the <br />contractor(s) sign portions of the "Contractor Sections" of this ~pplication for which they <br />will be responsible. If you, as the owner signs as the contractor, you are indicating that <br />you, rather than the contractor, are responsible for the work. If the contractor wishes <br />you to sign as contractor that may be an indica~ion that he is not properly licensed and is <br />not entitled to permitting privileges in the City of Zephyrhi1ls. <br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br />~ ___~~~.. ~h~~ T; the applicant, haye been provided with a copy of "Florida's Construction <br />, ~, ~__ ~h~ 1<'1 ,-,r;,,-"l Deoartment of Agriculture <br />