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Home My WebLink About92-2072 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 207~ I - :Z:l. - 7;2.. -..ro .1., . Date ~ E~'L p~--'. M~ Sewer Conn . Water Conn: ::~:::,~,:~e~~{1/-I~4 il"7I/r.&:tLC: '~~,Mete' Parcell.D, # ~ Zoning: :j DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE City License Registration # State Certified License# Inspector pe'm;t~. 00 ~ ~::::;e t 'P~A/~/d Address ~3-' 7'~j/ Valuation or i. GkJ Contract Price !; .6J D () . ~. Telephone# Wi ~~ c;~IL~~ ELE~-- -- PLU~-' ---- ME~"- Breakers Ducts Insl. Compressor final Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 ($15.00) 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT &+ APPLICANT ~;E:~/~-16h'r ~C / ADDRESS :Z-~ OWNER C II or '5 k ~)V6' PHONE 9-63- 999/ JOB LOCATION LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 4~ WORK PROPOSED:____New Construction ~ddition ----Alteration ~epair ____Install ____Sign/Temp. ____Sign ::t-Move ____Demolish PROPOSED USE: ____Single Family ~/F ____4~ of Uni ts .-M/H ____Commercial ____Indust. ____Swim. Pool Other ~estaurant & Health Department Approval BUILDING SIZE: ,"2, xZO, '2...40 Square Feet, Ebl 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. ~ECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ~Frame ____Steel FINISHED FLOOR ELEVATIONS: I#~ FT. A~~ ~ Other ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** SiQ1lature 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 PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay be lore restrictive than Cit;-- ' regulations. 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 lay be required to be licen~ed 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 Dr 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. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 - HOleowner'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 proeise in good faith to deliver it to the "owner" prior to coeeenceeent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforeation in this application is accurate and that all work will be done in coepliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has coelenced prior to issuance of a perlit and that all work will be perforeed 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 eust take to be in cOlpliance. Such agencies include but are not lilited to: f Departeent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQllent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abateeent I also certify that, if fill eaterial is to be used in Flood lone "A" or "A,etc.', it is understood that a drainage plan addressing a "coepensating voluee" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becDle invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six lonths after the tile the work is totlenced. One 90 day extension of tile, lay be allowed for the perlit ilith fee tharge of $15.00. The extension shall be requested in writing to the Building Offitial. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEN} TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER DR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF CDKKENCE"ENT. JOBS UNDER $2,50 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF CO""ENCE"ENT". ----===.--- :L: SIGNATURE: CONTRACTOR STATE OF flORIDA STATE OF FLORIDA COUNTY OF P ASeO COUNTY OF The foregoing instrument was acknowledged The foregoing instrument was acknowledged before me th is ~1-2~- , 19 ~ by befc.re me th is, 19 _ by Frank Arenas as res~dent of rreerlight, Inc. known oersonallv by me.------------------ who is personally known to me or who has who is personally known to me Dr who has produced ------------------------------ produced as identif~~ati/) and who ' did not as identification and who did/did not tak an oat~ take an oath. (Signature) NOTARY PUBLIC, STATE OF FLORIDA. (Signature) MY COMMISSION EXPIRES: Jan. 25, 1995. Dawn E. Woodward BONDED TlUW NOTARY PUBLIC UNDERWRITERS. (Name Typed, Printed Dr Stamped) (Name Typed, Printed or Stamped) NOTARY PUBLIC NOTARY PUBLIC