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Home My WebLink About92-2059 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2059/1 Date I-i 7 -7~ ~c,:oINV ELEC~ ~ Pmperty Owne' 2fi;~~fl:~~~ Job Address: J..r .1l Parcell.D, # t;l - ::J..-' - ~/. I IJ - /'? - ;}- 9 Zoning: . ~~ COde. Radon Gas: ~::,~W~ ~_ --{:;I--4-- ~ M~L Sewer Conn Water Conn: Water Meter: T.I.F.'s: ~-'- ~ NO OCCUPANCY BEFORE C.O. FINAL 2. Z,/... 2..- 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 City License Registration # State Certified License# Permit Fee Sigriature Company Address Telephone# ~ ,P7J ;j~~. Valuation or u- Contract Price 7./ -J b () 4 ()'-c Ftr. Pre SLB ~ Itn Lintel FRM. ~.tS~W Insul. CL WL PL NG ME~CAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Pre-Meter Final Driveway J-Z '/,.qz.-J5.;tI REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the folllowing 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. OWNER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT /' APPLICANT ADDRESS PHONE JOB LOCATION \ ~ LOT SIZE 6/ X ~ 0 AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. # ,19--t, ,~ / - I'~ -r7 - ~ '1 WORK PROPOSED: ~New Construction ~ddition ----Alteration ----Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4t of Units ~M/H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: X Square Fee t , Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED /. V/BUILDING $ ~ 3" d · &'t> 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. ELF.CTRICIAN ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # C' License Registration # ****************************** Signature Si2Ilature Company State Cert. or Regist. # City License Registration # ****************************************** CumpailY 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 # OTllER Signature APPLICATION APPROVED BY *~***********~********************* dAA.Al~~ _ ~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which lay be .ore restrictive than City regulations. The undersigned assutes responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owoer 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 ownlr and contractor .ay be cited for a .isdeleanor 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, 18J3) 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 .ay 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 Departtent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise 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 develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 govern.ental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering ~atercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f 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 perlit issued shall b~ 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 fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such perlit is cOltenced within six .onths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is co..enced. One 90 day extension of tile, .ay be allowed for the per.it liith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEN0 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COftftENCE"ENT. OBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO""ENCE"ENT'. SIGNATURE: CONTRACTOR 7J was acknowledged 19.i'd.- by STATE OF FLORIDA COUHTY OF The foregoing instrument befc,re me th is STATE OF FLORIDA ~ COUNTY OF ~ The foregoing instrumen before me this h0 l>'Jas acknowledged , 19_ by who is per produced as ide' ficatiCQ)4Zand 0 did/d.id not take oath.' / .~ f :d.4 ~ ~ (S~ature) ~ c-r x: rt C' .' e.-. LJ/ /.Ll e/U S (Name Typed, Printed or Stamped) NOT ~RY PUBLI ~OT '\....-u My "~", r'" '\, BONDED T.mw l~()V,r:'y ,'02".;;'; '.i:".:,..,;,,,,...,,,:,,,, 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 PUBLIC r i\ CL. J . -.L. r ''''= ~ ... I _ _ / ') \ '-., (/' ! 't: v "'~/ J 5~ :, f cY!-tJ.. -J, _ f / ~o (-, /" '. .' / t- '--L , , J ..-c""t- 5ILad ;-~ I f)-~; // / 7 /.2- Y-s'b 7ft-; X ~y S-~. (jb )