The URL can be used to link to this page

Home My WebLink About92-2049 BUILDING PERMIT Permit 204~ J-J,/- '7:2.. , CITY OF ZEPHYRHILLS (813) 788-6611 ....IO .1.-' . OatH GLDI~0 ELE~_ pmpertvOwne~~ Job Address: ~_ ~ V Parcel 1.0. # PL~ ME~ICAL Sewer Conn Water Conn: -/t~ :~/~ ,2 Water Meter: T.I.F.'s: Zoning: Energy Code: Description of wor~{C . .1~~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL /-/7- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Permit Fee Signature Company Address Telephone# ~ Valuation or Contract Price I. 3 S-O. 0\) '" z- City License Registration # I State Certified License# r!!:-.. ~ /- , &J~" : . ~l ~~ ' "'- ..~., . Ftr. Pre SLB Lintel ELEC~ --- ~BING -----------~ MEC~AL ...... Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final FRM. Insul. CL WL SLB Tub Set Water Sewer Final 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 ($15.00) 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. APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT PHONE 7J/2-:SY#-S-- ADDRESS OWNER JOB LOCATIONJFtcO{P-J LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F _~F 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. H **COPY OF CONTRACT REQUIRED, _BUILDING $ /;JsU ( ____ELECTRICAL AMP _MECHANICAL $ ____PLUMBING GAS PERMITS REOUESTED -' Valuation of Total Construction Service Florida Power Corp. _W,R,E.C, Valuation of Mechanical Installation ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame ____Steel _Other FINISHED FLOOR ELEVATIONS: FT, Signature ***************************** ~ONTRACTP~ S~CT~ ~ . Company State Cert. or - ';-gist.' II @ City License Registration # ******************************** ELECTRTCT AN Company State Cert. or Regist. # Signature City License Registration # ****************************************** PLUMBER Company State Cert, or Regist. # Signature City License Registration iF ****************************************** MECHANICAL Company State Cert. or Regist. # Signature City License Registration ~F ****************************************** OTHER Company State Cert. or Regist. # Signature City License Registration 4F APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it 'lay be subject to .deed restrictions" which 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 law, both the owner and contractor lay 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 Departlent, IBI3) 788-6611. Furtherlore, 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 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 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 - Ho.eowner's Protection Guide. prepared by the Florida Departlent 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 cOI.encelent. 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 lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: . Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally 'Sensitive lands, Water/Wastewater Treat.ent . Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environaental 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 perlit 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 per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such perlit is co..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 cotlenced. 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 lonth period, or the project will be considered abandon~d. 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 ~TTORNEY BEFORE RECORDING YOUR NOTICE OF CO"MENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19 _ by STATE OF FLORIDA (~('" '" COUNTY OF V L7I "--V The foregoing ins~ment was aCkEowledged b f thO llt '-.:ir\A). '9 q~ bv e ore me NofAR'/ PI:lElLlC, STArt dF ~~ ' My commission expires J,mo 2 8, 10~)5 Bonded thru Patterson - Becht Agency who is personall wn to me or who has produced as ident take n STATE OF flORIDA COUNTY OF The foregoing instrument before me this who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLI C Please Send Remittance to: 1\. ilartktt Lufing Ql)f Cl!entrttl3Jflnrtba. lur. c/o Richard Bartlett 38408 3rd. Ave. ZEPHYRHILLS, FLORIDA 33541 One Of The Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home Uniroyal White Rubber Roofs RESIDENTIAL * COMMERCIAL * MOBILE HOME LICENSED-INSURED & BONDED * MEMBER OF CHAMBER OF COMMERCE * OFFICE PHONE (813) 782-5585 Lic.# RC 0031769 Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, Land 0' Lakes, and Surrounding Areas We have reroofed over 6000 Homes and Mobile Homes in the last 17 yea;, / Date (// f! 72-- ( Name ~ Address Phone DESCRIPTION c;J- ({ ifL-/. ~> -L-. AMOUNT v---c THANK YOU Your Business is Appreciated Payment upon completion unless previous arrangement made. Warranties pertain to original owner All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Total'Ll)