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Home My WebLink About92-2037 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Perrnit No , . 2037 '~ Date / - / CJ - '7 :J..... "-.." BU I LmN-G C~ PLU~ Pmperty owne',2f.~~~ t:~ Job Address: c...:J J S .. ~ M EC11AMc..AL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: Description of Work j,' ' Ene~gy COde:~ -".A_1' e c: ' 0' 12 Radon Gas: NO OCCUPANCY BEFORE C,O. FINAL -.1- C.O. '12- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # .,;).. 9 State Certified License# IJ... Pe'm;l Fee ~ . OV . Signature ,~/ ;Vt;!:;:-o/---- Company / ' / Address Telephone# Valuation or Contract Price A//A- / . -.-1 ~~~~ GECTR~ PLoM8ING ~ M~ICAL "> .......'-.'-. B U I ['[).IN G Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 foliowing 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 PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT .. .. APPLICANT ) *t?l?zAT \J----/.e: ~p.fJS -J-Z(j'-J--- If ~ \J/ ('tJ J.J/u/~ J..), ADDRESS PHONE OWNER JOB LOCATION '\J- {.:?..J - / 9-p,f $T LEGAL DESCRIPTION: LOT (S ) if /f PARCEL 1. D. # /,7 t ~ - ?0 /7J. / LOT SIZE_X BLOCK /tJ7 SUBDIVISION AREA SQ. FT. WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install ____Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ~Single Family _M/F _# of Units ._M/H _Commercial _Indust. ____Swim. Pool S~)C[ l/~(jIU/j)LOther _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S,** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS."'* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ ~ELECTRICAL /Pd ____MECHANICAL $ _PLUMBING Valuation of Total Construction AMP Service /\ Florida Power Corp. _W,R,E.C, Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION Company State Cert, or Regist. # City License Registration # ****************************************** BUILDER a Company State Cert. or Regist. # .f.lZ.l~bC)'<J-'-/-J7J City License Registration ~F 4- <J ****************************************** Signature Company State Cert, or Regist. # City License Registration # ****************************************** PLUMBER MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert, or Regist. # City License Registration # OTHER APPLICATION APPROVED BY ~*********~************************** cu~ (('j\~'f),^"'J PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it '.ay be subject to .deed restrictions. whi~h lay be lore restrictive than City . ren~lations, The undersigned assules 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 ~ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the .Contractor Sections. of this application for which they will b~ 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 perlitting 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 - HOleowner's Protection Guide. prepared by the Florida Depart.ent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the .owner. prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: . Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent . Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environlental Protection Aqency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A. or .A,etc.", it is understood that a drainage plan addressing a "colpensating volule. will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it 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 perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of ti.e, lay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COIOEICElENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST ~TICE OF CoroENCE · LP~/~ ~ SIGNATURE: OWNER OR AGENT' , 16NATURE: C TRACTOR , I STATE OF FlORI~ COUNTY OF, . a <...,(' 0 The foregoing instrument before me this \D~ was acknowledged , 19 ~ by STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument before me this10th Jan. was acknowledged , 19.2f..- by .--y\D'be~-\ ~ ~\~e. who is personally known to me or who has produced 0- '\=\.....,,-..1a... -t,~"-Jp~ l',<'..(""~.s.e as identification and who ~/did not ta\\ ~~ 0---. Sl r~L 1 S i $lJla t.LJ..r e ) ~ \ \'\0...'\'" \ p e ~ S\- Q. ~ \ e:>\"" {\ 'f'-. (Name Typed, Printed or tamped) NOTARY PUBLI C Frank E. Strout who is personally known to me or who has produced FL LIe S363-265-26-087 as identification and'~ho didl . tak n oat . (Name Typed, Printed or Stamped) NOTARY PUBLIC rnT :,lY PUBLIC STATE OF FLORIDA MY COMMISSION EXP, JUNE 6.1994 BONDED THRU GENERAL INS. UNO. , '. NOTARY PUBLIC. STATE OF J:'lORlD.(1 ." ~~ COMMISSION EXPIRES: JAN. 26, 199"i. · DSD THRU NOTARY PUBLIC UNDEftWRITSRSJ