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Home My WebLink About92-2030 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2030 Date (-?-- 9~ ~ E CAL PLU~ ME~L Sewer Conn Water Conn: Parcell.D. # Water Meter: T.I.F.'s: /8-/ 0 0 eJD7"O Zoning: Description of Wor ~ - NO OCCUPANCY BEFORE C.O. ;, FINAL2 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signature Company Address Telephone# Valuation or Contract Price City License Registration # State Certified License# ~~~ EL~_ ~.~ ~ BUILDING -=' PLU~ - MEC~AL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Z,le -'11 dot-- Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 Fifteen and 00/100 Dollars ($15.001 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER -:s \) "'" 't'\ -S . ~ \ '\\ Q. Q \\ 5~~~ \\~ 'S\ 2~\>"'-f~\\S -:s\:),,~ -:s. ~\~~~'f\ PHONE '\\~.-lJ l S APPLICANT ADDRESS JOB LOCATION -S~\'\\~ C\~ Q'b~~,~ LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) 9+-/0 BLOCK If-I SUBDIVISION PARCEL LD.4F I / ;; ~ - ,).../ ..... (/ /,)/ {) - / r/ CJ 0 - 00:7 7J WORK PROPOSED:____New Construction ____Addition ____Alteration _Repair _Ins tall _Sign/Temp. _Sign _Move V Demolish PROPOSED USE: _Single Family _M/F _4F of Units ._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature S hma ture Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. #. City License Registration # OTHER Signature APPLICATION APPROVED BY '~***********~******,*,***************** r /.1.A1...eL, 0- .... ; t2 A...... j-..... ,.-.. PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit aay be subject to "deed restrictions" ~hich lay be lore restrictive than City regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by la~, both the o~ner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to ~hat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. Furtherlore, if the owne~ has hired a contractor Dr contractor~, he is advised to have ~he contractor Is) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign 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 lay 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 D. CONSTRUCTION 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 Departlent of Agriculture and Consumer Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to coamencement. 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 developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOltenced prior to issuance of a permit and that all work will be performed to leet 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 lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~le not limited to: . Departlent of Environ_ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~ent, Septic Tanks . US Environ.ental Protection AQency - Asbestos abateaent I also certify that, if fill material is to be used in Flc.c,d Zc,ne "A" or "A,etc.", it is understc,c,d tli~t a drainage plan addressing a "colpensating volute" will be sub.itted which is prepared by a professional engineer regist~ied 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 nDt as authority to vioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building OffiLi~J frDm thereaftel requiring a correction of errDrs in plans, construction, Dr violations Df any code. Every permit issued ~hall becoie invalid unless the work authorized by such perlit is cOlmenced within six months of issuance, or if work authol Jzed by the permit is suspended or abandoned for a period of six lonths after the tile the work is cDmmenced. One 90 day e~te~sloll 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 dbaildooed. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE~~o~__-- SIGNATURE------CONTRACTOR-------------- DATE________~_~~Jt~1-~----------------- ~~~~:YO~SA~~N~~~~-~~~_-. ~g~~:~C~~~~~---_----------------------- State of RorIda at \.8J18 . MY COMMISSION EXPIRES_____~~~~~~~~L--- August 12. 1994 DATE___________________________________ MY COMMISSION ExpiRES J ,.