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Home My WebLink About92-2045 BUILDING PERMIT Permit 264SE: /-/3-7~ CITY OF ZEPHYRHILLS (813) 788-6611 N<! Date ~j G(~~;s; PL~ ~ ~2f fI' / / Property Owner: 2 ~ ..' ' Job Add..", ..!;-tJ-' Y ,-' " .~. Parcell.D. # MECH~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work. ..Ii 'n.'gy Cod" _~ Radon Ga" ~.p~ ~ t:. ~ FINAL C.O. DATE NO OCCUPANCY BEFORE C.O, Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # 1~-'7 State Certified License# Valuation or Contract Price ~/,f ~ILOING - ~>4-~ /!M: { ELECTRICAL ~ ~'NG ,----------- -..-. _...------ ~ Tp. Serv. SLB Rough In Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final ~NICAL -.....,; Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final 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 APPLICANT 50ijt ~ ~ /W\.C! G1" ~ q~.5( PHONE ADDRESS OWNER JOB LOCATION LOT SIZE_X AREA SQ.FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install ____Sign/Temp, _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F ____4~ of Uni ts __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 _BUy:.DING ~ECTRICAL $ Valuation of Total Construction /. ~~O AMP Service ~'lvrida Power Corp. _W.R,E.C. ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBHtG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel _Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration # ****************************************** BUILDER Signature mpany ;:r;?f (~~? tate Cert, or Regist. # City License Registration # **************************** ~~cT I t!Fv PLUMBER Signature Company State Cert, or Regist. # City License Registration # ****************************************** MECHANICAL Company State Cert, or Regist. # City License Registration # ****************************************** Signature OTHER Company State Cert, or Regist. # City License Registration # Signature APPLICATION APPROVED BY ***********~*************************** 7( #4> ~ ~..At).....r .. PERMIT OFFICER. ~ c;;.:;-;^'~~"id . ~ . CONDITIONS OF PERMIT AFFIDAVIT 'A~ .NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restricti~ns" which lay be I~re res~rictive than City regulations. The undersigned alSUles responsibilitl;.for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a c~ntractor or contractors to undertake work, they lay be required t~ be licensed in accordance with state and local regulations, If the contractor is not licensed as required by law, b~th the owner and contractor ,ay be cited for a lisdeleanor 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 Department, IBI3) 7B8-bbll. Further.ore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application f~r 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 c~ntractor 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 - HOleowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consumer Affairs, If the applicant is SOIEone other than the "owner", I certify that I have obtained a copy of the above described document and pr~mise in good faith to deliver it to the "owner" prior to cOllence.ent. 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 compliance with all applicable laws regulating c~nstruction, zoning, and land developeent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no w~rk or installation has cOI.enced 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 jurisdiction. I also certify that I understand that the regulations of other governmentai agencies may apply to the intended work, and that it is 'Y resp~1\sibility to ide1ftify llhat actions! e1st. take to be in compliance. Such agencies include bllt ~l e not limited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArtY Corps of EnQineers - Seallalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc,', it is understo~d that a drainage plan addressing a 'co.pensating volu~e" will be sublitted which is prepared by a pr~fessional engineer registered in the state of Florida prior to peTllit issu,ance. A per.it issued shall be construed to be a license to proceed with the work and n~t as authority to vioI~te, cancel alter, Dr 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, construction, or violations of any code. Every permit issued ~hall becole invalid unless the work authorized by such perlit is co.~enced within six months of issuance, or if work authDrlzed by the per.it is suspended Dr abandoned for a period of six lonths after the time the work is commenced. One 90 day e~t~nsio\l of tile, lay be allolled 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 c~nsidered dbaHdoned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF ENCE~C /~~; p" SIGNATURE_ ~:_~________~_____ SIGNATURE --r~~~ OWNER OR AGENT /J CONTRAC"FDR .' {. DAT~---'-_3-r-~-~-~-~---------- DATE_~"~_~--~J:~~------ ~~~~:YO~5A~~NT ~J~~ - - ~g~~~~C~~R~~:Z~. -- · - - l-ff(L\'F Notary Public. S Florida Notary Pub c t t M C MY' COMMISSION EXP E~{ Mu /"hmm a e of Florida MY COf't\1I S5I ON EXP I RES ~;"...-;.L~.:n.:..P<J>.:..~.!:...!.7.di9.L- .::'"~~............Exp..-A4ar;-i-r."1~5